dbr10
Well-Known Member
- Messages
- 2,237
- Type of diabetes
- Treatment type
- Tablets (oral)
I do worry about the lack of accountability with third party contracts. They are exempt from the Freedom of Information Act for commercial reasons. If something goes wrong with a procedure there would be a lack of transparency; and patients may find it harder to gain redress.I don't think services being outsourced will bring about the demise of the NHS my views are opposite. I worked for the NHS as a clinical nurse specialist up to the end of last year. We tried and tried through the improvement framework to transform the service we provide so that patients with stable disease (tier 2) were seen in nurse led clinics rather than by consultants with the obvious premise that should their condition warrant a consultant review they would move to a tier 3 level. We fought and we fought but no one would listen to sense. So the CCG, following an excellent pilot and evaluation of our service put this out to tender. In short I now work for a private health company, we are in the process of introducing our service county wide, supported by a company with excellent business credentials who are tightly and efficiently managed. Other trusts and NHS England are watching our progress with interest and our model is likely to be adopted countrywide. The best bit about all of is is that patients are very happy, GPs are happy because we work closely with them helping to achieve targets and just in our small patch of England we have SAVED the NHS millions of pounds. Changing ways of working do not equal bad news, in the case of the NHS there is so much practice and ways of working that needs to be 're analysed by people who know what they are doing. To keep all the services under NHS services is tantamount to criminal waste of public money. Yes private companies make profit but they are businesses and also need to develop and the NHS saves millions. Free care at the point of delivery for patients will never ever change. But to keep going the NHS has to change. No one should be scared of the involvement of private companies if it ensures the future of the NHS for everyone. And private companies do not and never will charge NHS patients.