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Author Archives: David Hunter

A possible unwanted side effect of this most avoidable of unnecessary general elections, and the accompanying purdah into which everyone has slumped, is the impact on the NHS reforms initiated by the NHS Five Year Forward View published in 2014 and its update in the Next Steps delivery plan published last month. One can only hope the NHS Chief Executive, Simon Stevens, is correct when he asserts that ‘there is no version of reality’ in which his changes will not be needed and actively pursued. Even if he is proved right there could still be disruption if a new health […]
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All the gains and achievements following the boom years between 2002 and 2008, when the NHS enjoyed a significant injection of new resources, are under assault and unravelling fast. The need for a health debate involving the public is urgent and to understand the forces that have led the NHS to where it is today requires taking the long view. Crucially, this means seeing that the problems are not merely technical or managerial. At the centre of any analysis has to be an acknowledgement of the politics of health. Conceptualising health as political and as the product of political action is integral to […]
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As it enters 2016, the NHS is not a happy organisation. It hasn’t been for some time but the problems and pressures that have gathered pace through 2015 are coming to a head. A threatened strike by junior doctors is already a firm possibility but other issues are mounting by the day, ranging from cash‐strapped hospitals, allegedly underperforming GPs, shortages of clinical and nursing staff, poorly integrated health and social care, non‐existent or threadbare mental health services, the persistence of a bullying culture, to unforeseen cuts in public health funding that threaten to put further pressure on an already over‐stretched NHS. […]
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This article was first published by the Centre for Health and the Public Interest and is reproduced by permission Introduction As predicted, the future of health care in England seems likely to lie with EU competition law and in the hands of lawyers[1].   The House of Lords’ vote in favour of keeping the revised section 75 regulations contained in Health and Social Care Act 2012 has seen to that.  Opponents of the regulations now fear that the NHS is on an irreversible path towards privatisation. Lord Owen has claimed that within 20 years the NHS will be unrecognisable. The controversial […]
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