My own experience of the NHS, and over the last 10 years I've sadly had plenty, the left-hand doesn't know what the right hand is doing as neither take into account each other's actions. This position has come about from mainly over management, each managerial unit fails badly in controlling budgets without consulting other relevant units. It is my opinion that making GP's responsible for budgets on paper looks reasonable but in practice is hopeless, a doctor is a clinician, not an accountant, bookkeepers aren't asked to become doctors or make out prescriptions.
I'm diabetic yet, and this was a central government decision, the blood-sugar measuring gadget was changed to a computer-based system across the board from the tried and tested system used for years. Modernisation, not at all, the initial system failed as it was inaccurate, millions of pounds squandered. This has since been replaced by yet another computer system which allows 50 tests per attachable pod that costs £18 each, god knows what the machine itself costs. The total cost must be well in excess of £100 mil. This type of frivolous expenditure goes unreported although some computer companies making these gadgets will have made a killing which disgusts me. The entire outlay, including the new ones, is an enormous waste as the clinics themselves aren't equipped with the machinery to use computer-based information. I'm cynical enough to suggest that whoever authorised this cock-up could well be on the make as no clinical based advice could have been used.
Earlier this year I completed the pain management course at Walton Neuro, it was brilliant and helped me no end. The next time I visited my GP for a check-up I mentioned the course as I had lost weight and become more active. The only question he had for me was not about the course or the turnaround it had brought to my life, he asked 'who paid for that' I left in disgust as money was more important than my welfare and I had the impression that the surgery would have refused me the funding to have done the course anyway. Thank God the Walton doctors knew it could work as the GP either didn't believe, care or possibly was concerned at the cost to his practice.
We are now being shown adverts for this that and the other medical treatment some claiming they are licensed to sell or on behalf of the NHS, who authorises these, how much do these licenses cost and where does that money go.
The NHS was never designed for this, it has become over-complicated by bureaucracy, designed by managers and politicians leaving us the patients languishing in its wake. The last thing we need is it to be Americanised