I think successive reorganisations have devalued and disorganised
nursing in many places. I'm not sure that micro-management is the
answer, but Adam is right to raise it as an issue. One which will
certainly not be fixed by choice and competition, because those most in
need of nursing are least able to exercise any choice. Nor is it
obvious that giving more power to doctors will help.
On 31/05/11 18:01, Adam Oliver wrote:
> Alex has been sending a lot of messages to the list, challenging the
> reforms that the current government is proposing/has proposed for the
> NHS. I sympathise with Alex's view on this: I don't think promoting a
> market mechanism via GP fundholding had huge positive effects in the
> past, and there are not strong grounds to expect anything different now
> or in the future.
>
> But NHS delivery is often appalling. So when one opposes reforms (and I
> do think that most of those who promote the market in the NHS are not
> trying to privatise the NHS - they think the market will lead to better
> delivery), I think there is an onus on us now to think about how the NHS
> could be improved. One view, from me, is that there needs to be much
> more micro-management of nurses on hospital wards. Another is that the
> district nurse service ought to be analysed and reviewed. I'm a little
> bit tired of the NHS being used as an ideological football, when
> thousands (maybe hundreds of thousands) of people each year in England
> are not receiving a quality of service that is as good as it should be.
>
> I'd be interested in any suggestions.
>
> Best,
> Adam
>
> Please access the attached hyperlink for an important electronic communications disclaimer: http://lse.ac.uk/emailDisclaimer
>
--
Martin Rathfelder
Director
Socialist Health Association
22 Blair Road
Manchester
M16 8NS
0161 286 1926
www.sochealth.co.uk
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