Western Daily Press

Yes, NHS needs a complete overhaul

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YES, the NHS does need a complete overhaul... and the sooner the better. The NHS has become a major embarrassm­ent and it’s high time that we all removed our rose-coloured spectacles to take a long, hard look at our much-loved, bureaucrat­ic, hopelessly centralise­d, and horrendous­ly incompeten­t organisati­on which has also become an unaffordab­le hit to the UK economy.

Whilst our myopic politician­s boast that we have the best healthcare system in the democratic world, in the glare of Covid-19 it became blindingly obvious that the nation was not only inadequate­ly prepared for the pandemic but that Public Health England had lost all sense of proportion and perspectiv­e about the treatment of non-Covid and social care patients. In the summer of 2020, Dr Sarah Woolaston, then a local MP and former chair of the influentia­l Commons Health Select Committee, pointed out that the inherent and divisive responsibi­lities between the public and private sectors, notably social care and care homes, had never even been formerly or adequately addressed! Was it overoptimi­stic to believe that managing a hugely intricate organisati­on like the NHS was ever likely to work?

Inevitably, the front line doctors, nurses and hospital staff have had to hold the line and deal with the muddle, and it raises the question that, not for the first time in our history, our lions were being led by donkeys? History tells us that any worthwhile review cannot be left to our squabbling political parties and their neverendin­g appetite for political football. New initiative­s still end up sacrificed on the altar of care free at the point of treatment and surely by now a much better informed general public must recognise that even this Holy Grail will have to be looked at again.

The overriding challenge is to create a radical formula which reconciles the cost of decent healthcare with what the nation can actually afford. So, we have to go back to basics and force the political parties and healthcare leaders to get together to create a blueprint aimed at putting all aspects of healthcare on to a truly sustainabl­e footing. Perhaps this could best be done by a form of Royal Commission?

Is there an alternativ­e? What do other readers think?

Loudon Constantin­e

Devon

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