All of the problems of the NHS can be laid at the feet of the Government. Probably the only good thing that Andrew Lansley did was to want to remove political interference from the NHS - unfortunately that idea got lost and now we are at the whim of Jeremy *unt's ego and ambition.
GPs and primary care do 90% of the work, yet get only 10% of the money - in what way is that fair? In my research we often see studies that are written by people who assume that the patient can be recruited in an outpatient's clinic - whilst, in fact, they are now exclusively managed by their GP.
Most consultants I know are arrogant and have little knowledge of, and interest in, general practice. Conversely, most GPs I know are constantly thinking about the pressures on secondary care.
No-one in the NHS has had a payrise in the last few years - nurses, managers, doctors, GPs. Yes, it reduces morale and makes people fucking angry when we see bankers get away with massive salaries and bonuses for fucking up, or the government giving itself an 11% payrise, or the fucking Royal family being handed £4million to decorate a house for 2 already rich people.
What the NHS needs now, more than anything, is a period of calm, without inflammatory headlines and without political interference. We need time to concentrate on improving services without major re-organisations. If we can't have anymore money, then we need to support to implement the QIPP programme properly. We have a lot of talent in the NHS, at all levels and in all positions. We just need the time to harness what we have and the space to do it in.
For those who say that no-one has copied our model - what about Obama-care?