Mark Piggott on the need to be honest about the state of the British NHS in order to improve healthcare:
The UK National Health Service is like a relative: we are allowed to slag off this national treasure, but woe betide anyone else who tries it. I have no idea if the health secretary, Andrew Lansley, really wants to improve the institution or dismantle it and sell it off to the highest bidder, but whatever his motives, anyone who uses the system knows it needs surgery; no amount of knee-jerk op-eds will change that salutary fact.
In this unhealthy climate I feel obliged to state that I believe in the NHS; many medics do a fine job and healthcare should be free at the point of need. Yet having witnessed the care provided to my grandmother, 89, following a diagnosis of lung cancer, I believe that unless the NHS is willing to admit and tackle its flaws, it will have to shoulder some of the blame if the private sector convinces politicians it can run things better.
[. . .]
After collecting my father from the lobby, we went back to the ICU. A bossy woman at the nurse’s dock insisted she wasn’t on that ward; I had to point nan out, in one of the few occupied beds behind her. The woman compounded her mistake by acting as if we were in the wrong. Many users of the NHS will be familiar with this attitude: that ill people and their relatives are simply a nuisance preventing the otherwise smooth running of the system.
[. . .]
The doctors organisation, the British Medical Association (BMA), reacting with customary promptness, has called Lansley’s reforms ‘mad’. They may be right, but the BMA, like the politicians, has a vested interest in how the NHS is run. As can be witnessed by its endless lectures on the evils of alcohol, the BMA appears to be in the fortunate position of being able to get any message, no matter how authoritarian, to the media, who then obligingly splash it across every front page and news bulletin. Perhaps we haven’t really changed that much from the days of my grandparents, who always believed that doctor knew best.
