Inside Out West on the Break-Up of the NHS Into Regions

Monday’s regional current affairs programme for the Bristol and Somerset area on BBC 1, Inside Out West, was on the dire condition of the NHS. It asked whether we now had a national health service, when healthcare provision could vary greatly between different regions. One of the people interviewed was a West Country man, who’d contracted hepatitis B. Unfortunately, the drugs he needed to treat his disease weren’t available locally under the NHS, and he’d been forced to spend £1,300 of his own money. However, treatment for the disease was free in the north east.

The show next interviewed a woman from that area, who’d had trouble obtaining treatment there for the disorder she had. I’ve forgotten now quite what she suffered from, but taken together, the two provided very strong evidence, backed with statistics, that the NHS was being broken up, and healthcare could be very much a ‘postcode lottery’, with patients in areas with poor healthcare provision having to pay for their treatment themselves.

At the end of the programme, the presenter gave the Department of Health’s view of the matter. Unsurprisingly, they claimed that more people than ever before were being treated, and came out with a statistic that claimed to show there were more cancer operations than ever. But they didn’t send anyone to be interviewed on the point.

This is the kind of spin the Tories have been coming out with ever since Thatcher got into power. We’re back to Theresa May claiming that there is no NHS crisis, and trying to shut up any healthcare professional that dared to say otherwise. The programme also interviewed several medical professionals, including doctors, who said that the NHS was very definitely being broken up and healthcare rationed. Most of them were anonymous, but one very famous medical man did appear on camera. This was the avuncular Dr. Robert Winston, the fertility specialist and science presenter, who stated very clearly that we now very much didn’t have an NHS providing universal coverage with the same standard throughout the country. He recognised that there had always been variations in the quality of healthcare in Britain, but now it had got much, much worse.

The fact that the Department of Health didn’t send any of their apparatchiks to argue the point shows that they’re very much aware their own position is open to serious questioning.

This situation is very much what the Tories and Blairites wanted. They wanted to break up the local health authorities and replace them with other administrative structures, in order to encourage competition between regions. Because competition is supposed to improve quality according to capitalist economic doctrine. Blair tried to roll back some of this, but simply replaced the Tory administrative structure with his own in order to encourage the regionalisation of the NHS and the privatisation of the health service, based on the pattern of American private healthcare providers like Kaiser Permanente. This is all described by Jacky Davis and Raymond Tallis in their book, NHS-SOS. Cameron and May have taken this process further, passing laws that exempt local health authorities from having to provide a range of services free of charge, including ambulances. The legislation is convoluted, but it also means that the Minister for Health is no longer responsible for making sure people have access to state healthcare.

This is all very deliberate. And the effect is that increasingly more people are having to spend their money on healthcare that should be free to all, according to the founding intention of the NHS that it should be universal and free at the point of use.

Don’t believe the Tory rubbish that they are not privatising the NHS. They are.

Support the NHS. Kick out May and Jeremy Hunt.

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2 Responses to “Inside Out West on the Break-Up of the NHS Into Regions”

  1. vondreassen Says:

    OUR big problem is the UK obsession with America – incredible that other northern European countries manage to forge forward – while we look backward,—- like life was old Hollywood movies;
    Wake up !

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