NHS Reforms 'Setting The Health Service Back' Says Lord Crisp, Former NHS Chief Executive

Posted: 26/02/12 15:35 GMT  |  Updated: 26/02/12 15:36 GMT

Nhs Reforms Lord Crisp
The government's NHS bill is "setting the NHS back", according to former NHS chief executive and permanent secretary of the department of health Lord Crisp.

The government's NHS reforms are a "mess" and setting the health service back, according to former NHS chief executive and permanent secretary of the department of health Lord Crisp.

The crossbencher peer told BBC Radio 4's The World This Weekend the Bill was a "mess."

"I think it’s unnecessary in many ways, and I think it misses the point. The point is it should be setting out the direction of travel of the NHS, which is more community, more prevention based, and it should identify the sort of mechanisms for using that, which would obviously include some use of competition, some use of the private sector, but much greater emphasis on integration, and on panning, on getting the balance right. I think it’s confused and confusing, and I think it’s unfortunately setting the NHS back," he said on Sunday afternoon.

Crisp's warning came it was revealed nine out of 10 members of the Royal College of Physicians (RCP) want the NHS reform to be scrapped.

The study shows that 92.5% of RCP members want the Health and Social Care Bill withdrawn, according to the Observer, which said it had seen the findings.

The report comes on the eve of the RCP's emergency meeting to discuss the controversial reforms.

The leadership of the College has been coming under pressure from some members over its willingness to continue negotiations with ministers on the Bill.

Last week, more than 30 fellows and members of the College wrote to the Daily Telegraph saying its president, Sir Richard Thompson, should not have accepted an invitation to a Downing Street summit last Monday.

Number 10 was criticised by Labour and health professionals for Downing Street's decision not to invite Royal Colleges opposed to the Bill.

On Friday of last week Lib Dem President Tim Farron said the NHS Bill should have been either substantially changed or dropped, in a clear sign of festering resentment among his party.

Despite the opposition, George Osborne said on Sunday morning "we need to see the NHS Bill through."

"Let's be clear, the reason why we need to see this reform of the NHS is because we are absolutely committed to an NHS that's free at the point of use for people, but as the society ages, as we live longer, we have got to have an NHS that can afford new treatments and that's an NHS that offers choice, that brings in different providers."

But shadow health secretary Andy Burnham said Crisp's words were a "humiliation" for the government. "It's clear that this is now just about saving face for David Cameron and Nick Clegg, not what's best for the NHS. They are forcing onto the statute book a busted flush of a Bill despite clear warnings from patients and professionals that it will damage the NHS. Only today 25 charities have warned that it will leave vulnerable patients in 'no man's land'."

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The government's NHS reforms are a "mess" and setting the health service back, according to former NHS chief executive and permanent secretary of the department of health Lord Crisp. The crossbench...
The government's NHS reforms are a "mess" and setting the health service back, according to former NHS chief executive and permanent secretary of the department of health Lord Crisp. The crossbench...
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08:18 AM on 02/27/2012
The NHS is a mess full stop. To many agency workers and to many immigrants coming in using the facilities which is why they are overstretched before changes are even implemented. I saw a classic a couple of years ago where an eastern European truck driver dropped his mate off at Dudley road hospital in Birmingham and drove off to make his deliveries up north. I was thenn kept waiting for 9 hours which was a day off work to have a cut treated and stitched while my eastern euro friend was seen before me. All good for the economy I suppose. I lose a day off work so pay no tax and matey gets free treatment on the NHS. Thats why I dont employ anyone any longer and only earn as much as I need to live on. Fed up of paying taxes for MP's to waste and steal
07:48 AM on 02/27/2012
the German version of the nhs is in trouble as well but in reverse to ours over there the German run health service has made changes to the treatment system the german government want to stop private insurance and force people to use its own apparently treatment under the government system is dearer than private ,i know someone who had a fall on a mountain and needed an op on his jaw ,under the government scheme he could not get it and had to take on the german government to opt out of their system so he could get it done on private insurance ,apparently the German government make a lot of money out of their system !
06:37 AM on 02/27/2012
Keep the private sector out of the NHS.Look what happened to the dentistry,the nearest NHS dentist available is over 80 miles away from where I live.And I couldn't afford their prices anyway.
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Yorksgal
'Conservative Christian' is a complete oxymoron.
01:53 AM on 02/27/2012
Lord Crisp is right. But, of course, it was never about saving the NHS, it is about how this government can prostitute itself to private corporations and make money from it.
11:19 PM on 02/26/2012
Its about time the Lib/Dems came out and told the conservatives that they are withdrawing thier support. General election next.........please
10:33 PM on 02/26/2012
They are not reforms-it's about the destruction of the NHS. The tories are immoral and think everything has a price.
10:08 PM on 02/26/2012
Perhaps Lord Crisp doesn't understand that he led the NHS during years of neglect, running OUR medical system in a way that made it decline badly. It doesn't say much for him to criticise it now, what did he do to improve it? It is in a dreadful state, overpaid staff, too many millionaire doctors who need to be reminded it's our incomes that are taxed to the hilt to provide their high pensions. We all know about the scandal of bought peerages and crooked dealings so Tony Blair's giving him a Lordship makes me think he must be worth totally ignoring, his views in my opinion, as a Blair Frere, count for nothing.
10:10 AM on 02/27/2012
He presided at a time when things began to improve - better survival, shorter waiting times, better public ratings!
09:55 PM on 02/26/2012
I and many others (e.g. health care professionals, general public, politicians and Unions) have major concerns about the implications of the Health and Social Care bill. Many patients tend to be socially disadvantaged and vulnerable, as a result they need a NHS that is relatively free, without upfront fees. These said patients are less able to negotiate choice and complex provisioning arrangements, thus the potential is that such individuals become ignored within this new private – public arrangement.

The government bill will just mean that over time these socially disadvantaged and vulnerable become ignored and receive less quality services as private business running a public service will focus on profit and not patient care! NHS patients need quality services not unbridled choice and competition, which this Tory-LibDem coalition government is forcing upon the general populist.
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Yorksgal
'Conservative Christian' is a complete oxymoron.
01:56 AM on 02/27/2012
You only have to look at the state of health care in America to know what is ahead. If you are poor, disadvantaged and vulnerable then you are a forgotten member of society and those out to make money do not want you around.

Why is it that the majority of bankruptcies are due to health care costs - because America has those "unbridled choices and competition" - it does not work and it will never work - the UK government needs to be stopped from destroying a true jewel - the NHS.
09:53 PM on 02/26/2012
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09:34 PM on 02/26/2012
The people in this country who rely on the NHS rather than private health care, don't need Lord Crisp to tell them what a mess the NHS is in, they already know.... They see the state it's in every day of their lives. Cancelled appointments and operations, ward closures through staff shortages, prescription charges rising, ambulance arriving too late, early discharges followed by emergency re-admissions... The list of failings is as relentless as it is long.
Why?

Over administration is way up there at the top of the list with well paid accountancy based CEOs running the service as a business, placing emphasis on Financial rather than Medical targets. The NHS gives care to people, individuals, not machines, this is something they should remember. They are over reliant on IT programmes which are past their sell by dates before the ink is dry on the contracts to install them.

There was nothing radically wrong with the service prior to Thatcher setting in motion the wheels of privatisation under the auspices of 'Care in the Community'. Patients got to see their Consultant, they got a bed on a well staffed ward and they rarely went home until they were fit and safe to go.

It might be interesting to compare the Administration wage, IT budget, and the litigation budget, with that of the hands on Medical/Nursing/Physio wage budget... but that's not likely to ever happen, they'll not want too many red faces in government.
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Mickey Mouse 1
There are no lies or deceit on a chess board.
08:47 PM on 02/26/2012
The last lot hired a top businessman to sort out the NHS, but he got fed up with vested interests in the NHS and got on with his life instead.
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davidword
davidword
08:33 PM on 02/26/2012
CHOICE... Right. I choose the best health care. What do you choose? Would you prefer second best? Third best? Oh, you want the best health care too? Do you know anybody who doesn't want the best health care? Neither do I.

The whole concept of CHOICE is a scam.
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Reality always bites
Sometimes just a bit peckish
07:49 PM on 02/26/2012
The labour government spiralled out of control and introduced NHS reforms by producing non jobs in the management structure of the NHS. More managers than workers. The Tories are trying to clean up and rationalise the mess as usual.
The sooner all politicians are barred from having any business interests the sooner the waste in the NHS can be eliminated.
Purchasing systems driven by national procurement policy need eradicating. Buy local at the best price should be the byword for every tax payer funded organisation.
07:36 PM on 02/26/2012
Its a new government we need not the NHS. These out of touch greedy fools should be thrown out.
majdf18148
I have nothing to declare but my curiosity
06:18 PM on 02/26/2012
Those are the same meaningless words from Crisp that he uttered whilst he was in charge of the NHS under Labour. I know that because I worked under him, unfortunately! They meant nothing then and they mean nothing now. Anyone who doubts my words read his words again. The NHS needs reform but not on the scale proposed, not in the way it is proposed-increasing the competetive market, and not whilst its budgets are being so severely curtailed. We do need to root out the endemic wasteful practises that thrive, we need to stop the carrot and stick approach of rewarding good hospitals and financially punishing poorly performing hospitals. The former is unnecessary and the latter is self defeating as it only impacts on patients themselves.We should concentrate on bringing all hospitals up to the same standards of the best ones, ruthlessly sacking the senior management of the bad ones for endangering patients lives with poor practises.The reforms will not turn the NHS over to the private sector, I have no fear of that. The local GP Commissioning Consortia that will assume control of 80% of local health care budgets are all too well aware that giving even medium sized health contracts to private health companies instead of their local hospitals will adversely impact on local NHS services. They will explicitly not want to carry the burden of potentially being responsible for the failing of their local hospital as they have to face those same patients daily.