Unaccountable Delegation/Sources

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  • Milburn rejects Bevan's NHS vision.  Health secretary attacks Labour hero's centralist legacy.  David Walker Guardian Society Wednesday October 24, 2001
  • Milburn is just devolving the problems.  Letter from Claire Rayner, President, Patients Association.   Guardian  Thursday October 25, 2001
  • Milburn's 'Railtrack of the NHS'.  Labour MPs and unions round on plan to let top performing hospitals break free of state control.  Guardian Wednesday January 16, 2002
  • Rogue trust mars waiting list success.  Michael White, political editor Guardian Saturday May 11, 2002
  • Former health secretary Frank Dobson last night stepped up his assault on plans for foundation hospitals, accusing the government of "third-way theorising" and seeking to occupy Conservative territory.  Friday September 13, 2002 The Guardian
  • A top surgeon today said he had been ordered to stop operating on badly injured patients to concentrate on patients waiting for routine treatment. Tuesday October 22, 2002
  • Specialist work put behind routine operations, says doctor.  John Carvel, social affairs editor Wednesday October 23, 2002 The Guardian
  • Tony Blair's new five-year plan for the NHS has unleashed market forces that he will not be able to control, the leader of Britain's 120,000 doctors warned yesterday. James Johnson, chairman of the British Medical Association, said the government's proposals for giving patients choice over where to get treatment gave a green light to the private healthcare industry to seize a huge slice of NHS business worth £100bn by 2008. John Carvel, social affairs editor Tuesday June 29, 2004 The Guardian
  • Competition is bad for our health. Patients simply want decent local services for their bread-and-butter emergencies, not yet another reinvention of choice. Richard Taylor (MP for Wyre Forest elected against the running down of Kidderminster Hospital) Tuesday June 29, 2004 The Guardian
  • There's no great mystery about cutting hospital death rates. All you need do is keep the really sick people away. University College London Hospitals trust is to attract patients by advertising itself as having the lowest death rates in the National Health Service. Stuart Jeffries Monday December 5, 2005 The Guardian
  • The row over the rationing of prostate-cancer therapy deepened this weekend, as the government's former chief economic adviser on the NHS revealed that he had received the treatment only after threatening to publicise the fact that its use was being restricted. Two weeks ago, The Observer revealed how a Surrey couple, Bill and Val Elliott, were both diagnosed on the same day with cancer, but while Val is receiving treatment and expensive drugs for her breast cancer, Bill is having to fight for his care. Bill Elliott's local health body, the Guildford and Waverley Primary Care Trust (PCT), told him last month it would not pay for the relatively new form of treatment his consultant had recommended, known as brachytherapy, which carries fewer side effects than a surgical operation and is less invasive than the alternative, a radical prostatectomy. He is now appealing against the decision. The trust has refused the treatment to 11 out of the 12 men who have asked for it since April 2005, though the local hospital treats around 100 men a year from other parts of England. But the 12th man from Guildford, who did win the right to treatment, is Professor Clive Smee, the former chief economic advisor to the Department of Health. After reading about Bill Elliott's case, he came forward to reveal that he had to fight for brachytherapy himself. Smee, 64, who is making a good recovery from his prostate cancer, was diagnosed in June 2005. His consultant at the Royal Surrey Hospital in Guildford, Stephen Langley, recommended him for brachytherapy. 'I was left in limbo for two months while the PCT considered whether they would fund it,' said Smee. 'I had to write first to the trust's director of public health, and then I had to threaten to write to my local newspaper.' Smee also set out an economic evaluation of the treatment to explain why they should fund it. It was Smee who chaired one of the committees which led to the setting up of the National Institute of Health and Clinical Excellence (Nice), the body which considers the cost and clinical effectiveness of therapies. Last year, Nice decided that brachytherapy was an intervention which worked, and had a place in the NHS. 'As someone who spent 20 years working for the NHS, I find it perturbing that the service would be making decisions about withholding treatment on such an unaccountable basis,' he said. 'Because I was articulate and well-informed and also, I suspect, because I had connections with the Department of Health, I got the right to my treatment. 'I did inquire about what would happen to the six other men who at that stage were waiting for brachytherapy. I was told that they would all have to make their own case. But all of the men, including myself, were considered by the consultant to be eligible for treatment, so how could a PCT have extra knowledge which would help them decide?' Jo Revill, health editor Sunday July 23, 2006 Observer
  • MP's anger over Norfolk NHS cuts. Mid-Norfolk MP Keith Simpson has accused the government and health officials of "playing pass the parcel" after being told yesterday by health minister Andy Burnham that the possible closure of St Michael's Hospital in Aylsham was a "matter for local decision and not ministerial intervention". Following the comments, Mr Simpson said: "That is the problem today. Trying to nail down responsibility and accountability is really difficult." He added that, although ministers say they have responsibility for policy, the allocation of funds and targets and that PCTs are free to work within this framework, "obviously they don't". Mr Simpson told the commons he had not seen anger among his constituents like that caused by consultation documents suggesting the hospital, along with two others, could close. "The minister should be aware that my constituents are convinced that the consultation exercise is a sham, and a decision to close St Michael's has already been reached", he added. He also pointed out that the reorganisation of PCTs had caused many of Norfolk's problems. Mr Burnham responded by saying that Norfolk PCT's budget had been increased by almost £100m, however he sidestepped a question from Mr Simpson about whether any of the additional funds could be used to tackle deficits. Summary by Keep our NHS Public of Eastern Daily Press 18 May 2007
 

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Sheila Porter-Williams
Campaign for Health Service Democracy
Green Haven, Halfway Lane
Dunchurch
Rugby, Warwickshire CV22 6RD
sheilaCHSD@porter-williams.freeserve.co.uk