NHS watchdog chief warns: 'Reform now or the health service will go bust'

Private sector must get more involved, argues head of the CQC

A fundamental shift in the culture of the NHS is needed to prevent it reaching crisis point.

The head of its official regulator has warned that “radical change” is required to rid the NHS of outdated working practices, cure it of widespread bullying and heal the damaging rift between managers and clinicians.

David Prior, chairman of the Care Quality Commission (CQC), also said that without “major long-term change”, the UK’s health service will “go bust”.

Writing in the Sunday Telegraph, Mr Prior called for greater input from the private sector, the merging of hospitals and changes to the way the NHS is held to account – particularly, the scrapping of waiting targets.

Mr Prior said that despite seeing much worthy of merit in his 12 years working for the NHS, he has also been “too often shocked by some of the behaviour I see”.

“To do the right thing, sometimes you have to speak out against the organisation that you love,” he said.

He highlighted the “alarming” revelation that a survey of 100,000 NHS staff found one in four had been bullied. He also described the NHS as having a culture that “stigmatises and ostracises” whistleblowers who raise concerns or complaints.

His warning comes at a time when the NHS is struggling to emerge from crises such as the Mid-Staffs scandal, where hundreds of patients died and suffered neglect, as well as facing rising costs and an ageing population.

Mr Prior, a former MP and deputy chairman of the Conservative Party, who was appointed to run the CQC last year, said: “Too often it (the NHS) delights in the ritual humiliation of those deemed to fail, tolerates and institutionalises outdated working practices and old-fashioned hierarchies, and can almost encourage 'managers' and 'clinicians' to occupy opposing camps.

He also highlighted a “them and us” relationship between hospital managers and clinicians and drew unfavourable comparisons with the United States, where “many clinicians are on the executive teams”.

“There is little to envy about their funding model. But when it comes to the way the health care organisations themselves work, there are powerful lessons,” he said.

Mr Prior called for a major restructuring in healthcare provision, with more successful hospitals taking over failing ones, shared services, improved community services and better care outside hospitals.

More competition - with more entrants into the market from private sector companies, the voluntary sector and other care providers - is needed to drive up standards, and measures of hospital performance need to change, he said.

”We need the Government to change the way it holds the NHS to account: an end to trusts being blindsided by waiting targets that miss the point, skew priorities and have unintended consequences.“

Mr Prior added: ”Without serious change, the NHS will deliver poor care, and ultimately go bust.“

Additional reporting by Press Association

 

 

News
Denny Miller in 1959 remake of Tarzan, the Ape Man
people
Arts and Entertainment
Cheryl despairs during the arena auditions
tvX Factor review: Drama as Cheryl and Simon spar over girl band

News
Piers Morgan tells Scots they might not have to suffer living on the same island as him if they vote ‘No’ to Scottish Independence
news
News
i100Exclusive interview with the British analyst who helped expose Bashar al-Assad's use of Sarin gas
PROMOTED VIDEO
Life and Style
ebooksA superb mix of recipes serving up the freshest of local produce in a delicious range of styles
Life and Style
ebooksFrom the lifespan of a slug to the distance to the Sun: answers to 500 questions from readers
Sport
Angel Di Maria celebrates his first goal for Manchester United against QPR
Football4-0 victory is team's first win under new manager Louis van Gaal
Arts and Entertainment
art
News
newsIn short, yes
Arts and Entertainment
Rob James-Collier, who plays under-butler Thomas Barrow, admitted to suffering sleepless nights over the Series 5 script
tv'Thomas comes right up to the abyss', says the actor
Arts and Entertainment
Calvin Harris claimed the top spot in this week's single charts
music
Sport
BoxingVideo: The incident happened in the very same ring as Tyson-Holyfield II 17 years ago
News
Groundskeeper Willie has backed Scottish independence in a new video
people
Arts and Entertainment
The Doctor poses the question of whether we are every truly alone in 'Listen'
tvReview: Possibly Steven Moffat's most terrifying episode to date
News
i100
Life and Style
Cara Delevigne at the TopShop Unique show during London Fashion Week
fashion
News
The life-sized tribute to Amy Winehouse was designed by Scott Eaton and was erected at the Stables Market in Camden
peopleBut quite what the singer would have made of her new statue...
Sport
England's Andy Sullivan poses with his trophy and an astronaut after winning a trip to space
sport
News
peopleThe actress has agreed to host the Met Gala Ball - but not until 2015
Latest stories from i100
Have you tried new the Independent Digital Edition apps?

ES Rentals

    Independent Dating
    and  

    By clicking 'Search' you
    are agreeing to our
    Terms of Use.

    iJobs Job Widget
    iJobs General

    Teaching Assistant for KS1 & KS2 Huddersfield

    £50 - £65 per day: Randstad Education Leeds: We are looking for flexible and i...

    Teaching Assistant for KS1 & KS2 Huddersfield

    £50 - £65 per annum: Randstad Education Leeds: We are looking for flexible and...

    Primary Teaching Supply

    £130 - £160 per day: Randstad Education Leeds: Qualified KS2 Supply Teacher r...

    Year 1/2 Teacher

    £130 - £160 per day: Randstad Education Leeds: Qualified KS1 Teacher required,...

    Day In a Page

    These Iranian-controlled Shia militias used to specialise in killing American soldiers. Now they are fighting Isis, backed up by US airstrikes

    Widespread fear of Isis is producing strange bedfellows

    Iranian-controlled Shia militias that used to kill American soldiers are now fighting Isis, helped by US airstrikes
    Topshop goes part Athena poster, part last spring Prada

    Topshop goes part Athena poster, part last spring Prada

    Shoppers don't come to Topshop for the unique
    How to make a Lego masterpiece

    How to make a Lego masterpiece

    Toy breaks out of the nursery and heads for the gallery
    Meet the ‘Endies’ – city dwellers who are too poor to have fun

    Meet the ‘Endies’ – city dwellers who are too poor to have fun

    Urbanites are cursed with an acronym pointing to Employed but No Disposable Income or Savings
    Paisley’s decision to make peace with IRA enemies might remind the Arabs of Sadat

    Ian Paisley’s decision to make peace with his IRA enemies

    His Save Ulster from Sodomy campaign would surely have been supported by many a Sunni imam
    'She was a singer, a superstar, an addict, but to me, her mother, she is simply Amy'

    'She was a singer, a superstar, an addict, but to me, her mother, she is simply Amy'

    Exclusive extract from Janis Winehouse's poignant new memoir
    Is this the role to win Cumberbatch an Oscar?

    Is this the role to win Cumberbatch an Oscar?

    The Imitation Game, film review
    England and Roy Hodgson take a joint step towards redemption in Basel

    England and Hodgson take a joint step towards redemption

    Welbeck double puts England on the road to Euro 2016
    Relatives fight over Vivian Maier’s rare photos

    Relatives fight over Vivian Maier’s rare photos

    Pictures removed from public view as courts decide ownership
    ‘Fashion has to be fun. It’s a big business, not a cure for cancer’

    ‘Fashion has to be fun. It’s a big business, not a cure for cancer’

    Donatella Versace at New York Fashion Week
    The fall of Rome? Cash-strapped Italy accused of selling its soul to the highest bidder

    The fall of Rome?

    Italy's fears that corporate-sponsored restoration projects will lead to the Disneyfication of its cultural heritage
    Glasgow girl made good

    Glasgow girl made good

    Kelly Macdonald was a waitress when she made Trainspotting. Now she’s taking Manhattan
    Sequins ahoy as Strictly Come Dancing takes to the floor once more

    Sequins ahoy as Strictly takes to the floor once more

    Judy Murray, Frankie Bridge and co paired with dance partners
    Wearable trainers and other sporty looks

    Wearable trainers and other sporty looks

    Alexander Wang pumps it up at New York Fashion Week
    The landscape of my imagination

    The landscape of my imagination

    Author Kate Mosse on the place that taught her to tell stories