Ok, so we have the selective use of evidence, and the non-use of evidence when not even selective evidence can be found. Still, a lot of evidence sucks, I suppose. And if you had to have evidence for everything, then a lot of good things might never have been done. I guess we just have to satisfy ourselves with our future fully integrated, competitive, command and controlled NHS. And I think they should provide coffee and marshmallows in the waiting rooms too.
------Original Message------
From: Legrand,J
To: Oliver,AJ
To: [log in to unmask]
Subject: RE: NHS
Sent: 7 Jun 2011 18:25
Obviously they don't do the first, if you look at the rest of the
speech; it hymns the virtues of integration (and puts institutions in
place to promote it. Hospital doctors on commissioning boards, clinical
'senates', Monitor having to promote integration...Oh dear) without
referring to any evidence whatsoever. It's simply justified as what
providers want....
-----Original Message-----
From: The European Health Policy Group [mailto:[log in to unmask]] On
Behalf Of Adam Oliver
Sent: 07 June 2011 18:15
To: [log in to unmask]
Subject: Re: NHS
Julian,
Tell us, do politicians search for evidence that supports their
convictions, or do they search the evidence first and arrive at a
balanced point of view? Actually, I already know the answer.
Does competition work? It might, but its advocates overlook the possible
harms.
Does competition fail? Possibly, but its detractors overlook its
possible benefits.
On balance, is it a good thing for the NHS? I don't know, but personally
I wouldn't risk shaking things up too much.
-----Original Message-----
From: Legrand,J
Sent: 07 June 2011 17:40
To: Oliver,AJ; [log in to unmask]
Subject: RE: NHS
If you read the speech (on Downing St website), Zack Cooper's LSE study
is mentioned.
Julian
-----Original Message-----
From: The European Health Policy Group [mailto:[log in to unmask]] On
Behalf Of Adam Oliver
Sent: 07 June 2011 17:20
To: [log in to unmask]
Subject: NHS
The latest on the NHS plans can be found here:
http://www.bbc.co.uk/news/uk-politics-13675619
I don't really know what the head of the RCN is talking about - I didn't
think there was proposed competition on the basis of cost.
Anyway, seems to be a mix of competition, command and control,
collaboration, and everything else. Much the same as usual, then.
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