I worked in the NHS before the days of NHS chief executives. Management then was by local committees, or by civil servants in Edinburgh. Slow and ponderous, it didn’t work well, particularly for parts distant from the Central Belt.
It would be good to know what James Watson (Letters, 12 October) has in mind when he suggests a streamlined structure that works and that doesn’t have anyone accountably in charge.
Carlton Place, Aberdeen
Chiefs in seven different health boards are giving up their jobs due to the impossibility of squaring the cost and waiting time circle.
This should send shudders through us, all including politicians who are waiting to see who is first to blink on the reality of the situation and the solution, which is: we need to pay more for healthcare, eat less, exercise more and demand, get and participate in more early diagnosis screening programmes.
And there should be incentives and disincentives to encourage this.
Health secretary jeane Freeman is, we are told, extremely able. What she needs to do is get her political rivals round the table and ask them for their unswerving support for the changes required so the electorate knows its responsibilities and there are no soft options in terms of political parties to vote for.
Willow Row, Stonehaven
worse off under Universal Credit can take on more work to increase their income completely ignores the fact that a lack of work has put them onto it in the first place.
If she cannot perceive such a basic flaw in her argument, she is not fit to be in Parliament, let alone Cabinet.
Linn Park Gardens Johnstone, Renfrewshire
It is not very often I agree with a Conservative, especially on welfare policies, but step forward Sir John Major and his damning criticism of Universal Credit.
Sir John is not the first previous PM to sound alarm bells on this issue, Gordon Brown also waded in this week, saying unrest in our streets could follow if the Westminster government don’t halt the roll-out of this benefit.
Universal Credit has been a disaster since the beginning, plunging many into even worse poverty and leading to a fourfold increase in foodbank use where they have been rolled out.
Yet Esther Mcvey’s response is, “some people will be worse off under Universal Credit, but they can take on more work to increase their income”. It really is breathtaking to hear such arrogance from a government minister.
Surely Ms Mcvey should consider her position before winter sets in, a time when many have to make the stark choices between eating or heating.
CATRIONA C CLARK
Hawthorn Drive Banknock, Falkirk