It has not yet been a month since the General Election and only a week has passed since the Queen's speech. Yet the reality of things to come under a Conservative majority government is already clear and it's the future of our NHS that concerns me the most.
I honestly do not know what is going to happen to NHS General Practice in the UK. What is even more worrying is that neither do my colleagues, both high and low, ivory tower or coal face, working or retired.
I wonder now, as we prepare for draconian cuts, if we should not be petitioning for constructive utilisation of budgets, budgets for social change, rather than shrill and angry complaints. Should we not jettison our outrage at government policy as little more than theatrical, and instead constructively temper our minds to solutions. We should learn to box clever. I get a distinct feeling that many of the angriest welfare cuts critics shout as though fascism has won, the poor have be driven into the streets, and all social good has been routed. These representatives of the poor might want to start involving the poor in their own redemption out of poverty.
Monday brought the first announcements on the NHS from David Cameron and Jeremy Hunt since the election - although as John Humphrys rightly pointed out in his interview with Mr Hunt, they have been doing the job for five years already. Greeted with trepidation by NHS staff, the announcements outlined some key policies. Consequently I am disillusioned, sad and angry, in equal measures... I'm no expert Mr Cameron, but I think your business plan is shocking. It is going to fail. It is going to push the NHS to collapse, and we are already teetering dangerously on the brink. Push it into the hands of private providers. Which the cynic in me says is your endgame.
Turn around, and instead of facing the politicians, face us. Face the doctors, nurses and staff. Focus on us. Put all your energy into uniting us, pulling us together, getting a single, determined voice from the NHS. Whatever the politicians plan, they think we will roll over. They think we will be the apathetic, disgruntled bunch we always have been who will lie down and accept their changes. Use your power and your organisations to bring us together and show them that this is a step too far.
With both main parties holding strong leads on one issue but being weak on another, and with polarisation among the electorate so that each's strength on one issue is mostly important to its own voters but cancelled out among its opponents', this may be the first election we have recorded where the winning party is not the one who is seen as strongest on the key issue.
Vote for a party which holds at its core a commitment to making the lives of the next generation better than the last.
Every party is pledging to invest more money into the NHS but the Green Party won't just invest cash, we'll also invest our faith. We all have to show that faith now or by the end of the next parliament Danny Boyle's proud Olympic love letter to our wonderful NHS could become it's epitaph.
In all the pre-election excitement/apathy/hype/horror (make your own selection and delete as appropriate) I have a novel idea for politicians of all parties everywhere. Promise, if elected, to do as little as possible. I'm convinced it's a winner.
The health service is under considerable strain. With key targets on A&E and cancer waiting times in breach, the King's Fund recently argued NHS performance is at its lowest since the 1990s. The financial situation is also precarious. The hospital sector is forecast to be £800 million in deficit by the end of 2014-15.
The NHS was established in 1948. Today it faces its biggest challenge since its inception. A failure to radically reform how we deliver new models of care across the NHS over the next five years could lead to a serious threat to this much-loved public service remaining universal and free at the point of need.
As time goes on, I know for a fact that I will be congratulated on how well I look and how slim I have become and be told I have done well, but the minute that it is known that I have cost the NHS in the region of £8,000 people's opinion of this weight loss will change.
Good managers are not administrators, they are dynamic individuals adept at problem solving and organisation. The colour of their suits and their gender varies, but this has no bearing on their ability to successfully manage our healthcare system.
We need to get things right because we are accountable directly to the human being in front of us. We deal with the individual on a personal level.
I believe wholeheartedly in consultation, engagement, empowerment, and ownership. But not as just buzz words to drop into meetings. Rather, I believe in what these words stand for at their best: genuine conversations between practitioners, partners, patients, policy makers and even politicians; shared insights into what works and what needs work; and a commitment to agreeing and delivering change, and all that that entails.
If the NHS really is a national treasure then let's treasure it and that means treasuring and supporting those who are its lifeblood, not merely focusing on its relationship with the Treasury.