@@fylbike these are the people who tried for years to get rid of free banking for grown ups unsuccessfully so now they charge kids instead. Robbers in suits.
I’d like to leave a comment but in the face of the staggering level of incompetence shown by this government, I am entirely lost for words. FFS!!!!!!!!!!!!!!!!
See also Private Equity, such as Blackstone or Sir John Major's Carlyle Group, where they come in and improve businesses. Oh.. .wait, they come in, extract all the value and then declare bankruptcy. Well, goodbye to Woolworths, Toys R Us, Radio Shack and many, many more.
@@manoo422It makes an easy populist soundbite, but it's not very true. The NHS's problem simply comes down to a lack of funding and being forced to divide up meagre funding across multiple areas that really should all be as well funded as each other. It's no use blaming the people that actually manage the NHS, or immigrants (which is another popular scapegoat), for failings that stem purely from top level government decisions to not fund them.
@@debbiegilmour6171 The problem is each trust gets paid the same if it treats 100 patients a day or a 1000, so they opt for the easy life and just treat 100.
You are correct Richard. Bankers who are paid obscenely large salaries and bonuses with no knowledge of health services or the lives of people on normal incomes or worse can offer no meaningful advice on how to run the NHS, Perhaps if the government had not bailed out the banks they would know what it is like to live on a modest income, but they would still not be experts in the field of health. The Tories cut NHS budgets and we now have long waiting lists. Given that Wes Streeting is keen to involve private health care there will be even less money for NHS hospitals etc. Nye Bevan will be turning in his grave.
Gonna leave the country then. Bad wages, paid healthcare, no job growth/opportunities, expensive (live in London) and the weather isn't particularly helpful but that's an afterthought really.
They would be better getting CEOs from successful none profit organisations. Either that of get a bunch of engineers to look at problem solving end increasing efficiency. Bankers are probably the worst choice to sit in on these meetings.
Does she expect advice without prejudice? It's beginning to appear it's not only her CV which requires scrutiny, but her ability to perform the task she was "elected" to do.
Everyone is prejudiced and even worse than that, they often don't even know they have them. There is this belief that there is such a thing as an entirely rational person. You see it in law and you see it in economics. Like the woman with model looks who is completely sane, these are unicorns. Everyone imagines they are there, but no one has ever seen one.
@edwardlyons6965 No Brainer Rayner cannot renegotiate PFI contracts negotiated by the discredited Blair government. There are very stiff financial penalties for any variance to the contracts. You voted for it.
It would cost a lot of money to buy out these lucrative contracts from industry (including future anticipated profits to the end of the current contract). Can be done, but hardly affordable in the short term.
Steps towards complete privatisation. When will governments learn that public services facilitate the economy, they are not the economy itself. They'd do better finding ways to improve the general health of the nation, that'll cut the need for increasing health costs.
You would think this would be common sense, wouldn't you? Feeding children nutritious free food in school is a very cost effective way of improving health and educational outcomes, yet so many oppose it. Improving children's early childhoods is a way of preventing mental and physical illness in later life, which costs a fortune. There is so much evidence for these sorts of approaches but instead it's a short-sighted miserly bean-counting approach instead
@@JaneAustenAteMyCat Good point, especially the 4 million kids in poverty. I was thinking of the revolving door and invested interests of big pharma and the food industry.
Bankers know their customers financial state and where these customers are working… salary comes from certain source. How much lower salary they still stay alive
Stealth privatization has been gaining momentum for 14 years and Labour have no intention of slowing it down. Wes Streeting has a lot of backing from private healthcare insurers and is determined to finish the job started by the Conservatives. A sad end to the NHS indeed.
Goes back further than 14yrs as Major set the foundations for Pfi building and Labour when last into charge went into turbo charge with it. We have half the number of Nhs beds at greater cost than we did before they privatised the building of new hospitals. Labour should hang its head in shame considering the booming economy and healthy budget it could’ve put to good use replacing much improved infrastructure. Instead it set in stone the forward moving destruction by outsourcing to private hospitals/clinics to get waiting lists down. Doing so has been nothing but detrimental since as more and more has been outsourced into private hands. They might still brag about how they reduced waiting lists but it has had nothing but negative impact since for the five minutes of benefits it provided back then. Now Labour want to do the exact same again using private funding who will own even more that will need even more tax increases to fund. When something you’ve done in the past sucks away all your excess income you learn not to repeat the same mistakes, this is of course if you either don’t care or are taking orders from elsewhere to repeat those same mistakes. Both parties have proved time and time again that working and serving the country and its people are not what they are ther to do.
Probably because that's how US Health Insurance Providers operate to protect "their" money. The US United Healthcare is being paid £Billions to manage and operate the NHS
14 дней назад+10
Well for a start they could stop paying private consultant's on the NHS,as well as telling Blair's PFI to do one!
We have half the amount of beds at more cost thanks to the last Labour government going into overdrive. Considering they inherited a booming economy with plenty of money to spend they did very little investing and improving our infrastructure. For those who tells us how wonderful they were running the NHs getting waiting lists down have short or limited memories, they outsourced a great deal to private clinics/ hospitals to get the numbers waiting down. While it may have been and felt great at the time for the public that private outsourcing has expanded out of control. All that money down the drain, still going down the drain regardless of who is in number ten thanks to politicians feathering their outside business interests instead of providing services people cough over multiple taxes for which are crumbling around us and the only answer they come up with is to outsource even more.
Absolutely right. 2008. 5% easy get rid of the private companies. Disbanded the internal markets. Taking out the motivation for share holder profits. Close down the PPIs. £300 million a week ?
My plan would be to treat the nhs like the tories low taxation areas.that means that those nhs employers on the nhs have special lower tax rates.lt effectively gives an unique advantage to those employees which would be easy to implement,encourage recruitment,reduce losing employees to the private sector and mean that the nurses 5% pay increase would have given them that nett.doctors who do private work would pay tax but less on their nhs proportion.obviously the details would have to be worked out by people far more intelligent than me.
The mindset of finding savings is suggesting that making cuts is more important than making improvements. The mindset of investment is alien to politicians. Listen to EveryDoctor and the people working in the service, rather than imposing top-down symbolism that has always failed the service.
They asked the Bank of England, who stuggle with basic economics to advise on planning policy and never once consulted the royal town planning institute, so this is no suprise
I have to say after 31 years in the NHS, the last thing we need is external management consultants. In my hospital we have used them 3 times at a cost of 1.2 million to my knowledge. Their contribution was zero, either they found nothing useful or the management ignored their findings.
The numbers tell everything. Remember the musical Evita. "When the money keeps rolling out you don't keep books, you know you've done well by the happy grateful looks". Ignoring the numbers is an open cheque book for fraud. Which is what happened in Argentina.
A finer example of the cult of managerialism in politics would be hard to imagine. Referencing your video of yesterday people are disillusioned with politics that doesn't care but tries to manage.
Some years ago our hospital Trust we spent a huge amount of money on outside consultants to make our theatres more effeicient. They spent many months and engaged in large numbers of meetings (that incidentally took people out of frontline services) and discovered that the factors making the theatres less efficient were the ones we already knew about and couldn't be changed.
Having worked in the NHS for my whole career and taken part in more than one external auditing exercise I can tell you that bankers will have no idea about how to save NHS money. The biggest changes over my 30+ year career were how quickly we got things done, and how much the demand always outstripped the resources leading to inefficiency.
Here’s a novel idea…bring back the days before managers were in the NHS. The days when Drs, Qualified nurses with some administrators….ran hospitals. We had the most financially efficient healthcare in the world. Since managers….all money has been poured into paying themselves big salaries, bonuses, cars, free hospital parking, and free meals. When you try (as a senior nurse) to explain clinical care…they don’t know what you’re talking about. The NHS is a service not a business.
You DO understand that "printing money" directly causes inflation and sends borrowing costs soaring? And does not solve any of the underlying funding issues? Thought not.
When I worked in financial regulation the banking sector was regarded as the gold standard in risk assessment and systems and controls and McKinseys expensively advised on the structure of the regulatory body to manage risks. Then came the financial crash of 2008 which showed that the banking sector were completely unable to predict the risks they were running and neither did the regulator. Nothing has changed
Spot on! A while back I pitched for a business partnering role at the NHS...having done this for 20 years in the private sector. I found out i didn't get the role as i had spotted the high level of "management consultants" being paid...and suggested that should be addressed aswell as the actual operation.
Keep in mind that most people who work in a medium sized business and everyone in a large cap business will have private healthcare via work. In actuality, there are more working people with private health cover than those without.
You’ve said it RJM! How is it that a political party supposedly for the ‘workers’ (not the working class necessarily) can behave this way, is beyond me. Not sure on my history but isn’t this a re-run of about 100 years ago?
Devolving the NHS, and getting rid of the managerial classes within the organization, would be an interesting start. The nurses know how to organize their wards, pay them more (from the now fired managers) and let them cook.
Bankers know very little about running businesses full stop, whether it's a national organisation charged with delivering essential services or a local corner shop running on a very small margin they just don't understand the logistics for the simple reason they chose not to. Just ask any small business owner!
The shift to the American system has been going on for decades. Milburn worked in the US for US companies and now is behind NHS reform with the Blair Institute. The WHO have stated the US is the most unequal in terms of access and the push for US companies operating in the UK have shown how embedded the US system is in the UK.
Having been frontline for half a decade, I can say there are definitely issues but I can guarantee you that no banker is going to fix the NHS, the only thing they should be doing is asking frontline staff and patients. Patient's experiences should be taken into account and frontline can explain how to fix.
All she has to do is to reset it to 2009 when it was the best healthcare system on planet earth. Everyone is alive from those days. It is exceedingly easy.
Unfortunately, there has been a running thought throughout british politics that "businesspeople" and "moneymen" are somehow an authority on how to run a public service. These are people that live within the ecosystem of money which the government creates and manages. In the video game world, it would be like consulting competitive esports players and letting them tell you, the developer, how to make the game. The problems with that being that competitive esports plays got good at competitive esports in the games designed long before they were brought on board and they end up (trying to) making a game that works best for their niche but in reality making a game that is rubbish for everyone, even themselves. I used this analogy because exactly that happened with the Halo series, if anyone is familiar with that.
Reeves has not learnt the lessons of 2008,and eants to row back on the safe guards adopted afterwards to prevent bankers greed.l wonder who she has been listening to to come to that conclusion?.
If bankers knew about cutting costs why are they all located in the most expensive cities in the world? All that money wasted on expensive real estate.
For once I agree with Richard. Bringing in bankers is a shockingly poor decision. She might as well ask Paula Vennalls.Not to mention the CoOp Bank!!! A bank that has nearly gone bust three times, had a drugee in charge and recently bailed out by Coventry BS. Mind blowingly bad decisions by our Rachel
Bankers suggestion #1 pay CEO's ore to drive efficiency; #2 recruit top management from USA. We know what happens when someone knows nothing about running a service is allowed to advise on restructuring: I give you Dr Beeching & what he did to the railways.
Why is Rachel Reeves asking the bankers to advise her on the NHS? Maybe she'll pop up on the board of one of the banks, or as an advisor, as Peter Mandelson did at Lazards (the investment bank that happened to be involved in the Post Office privatisation).
If you want to know how to save money always go to the front line and do a survey. The survey will likely respond; give us the power to organise and sack a layer of management.
When high up money people try to improve the NHS they end up doing things like just-in-time management of beds, requiring high occupancy (otherwise it must be inefficient after all). They consider budgets over the course of a year, not 10, so maintenence (and its sibling prevention) are thrown out. To hell with healthy meals for hospital patients, those cost a lot, and where's the benefit? We won't see it for decades. The only saving grace is that so many governments have done this before that there's not much room for more of the same. But I'm sure they'll try!
There are two things the bankers can help with. 1) Re-negotiate or find cheaper funding to replace the PFI loans. 2) Examine the contracts with suppliers, particularly those with big pharma.
They DO understand it all though, they just don't have any humanity. Reeves knows exactly what she's doing just like CEOs of health insurance companies know what they do.
Yes, that period also coincides with the rise of factory processed food and a more sedentary lifestyle . Also bread in the UK being made using the Chorleywood process.
I am a retired hospital consultant. I spent much of my career being chased for improving “efficiency”. Many patients would also say to me “the nhs is great but it’s so inefficient” when you try to find these inefficiencies they are extremely hard to find but belief in their existence continues. My experience is that faced with the formidable cost of delivery high quality healthcare even the most important intelligent individuals who are not actually delivering that care think it can be done more cheaply. Quite simply this view has to challenged! The fact that Rachel Reeves is bringing in these people to help is not surprising though. She has worked for a bank and there is an old saying “if you are holding a hammer every thing looks like a nail”!
Two words....... Standardisation and centralisation. Why have different trusts each purchasing their own thing?? different trusts equals different equipment which equals different logistics which equals more complications and less spending power. Lots of small ponds with lots of managers controlling those small ponds............
NHS needs more money and not budgetary cuts. How about making the people responsible for the Post office scandal accountable for instance recoup the billion or so put aside for that and put it into front line services.
In my experience the NHS has been subject to reform every 5 years or so. Trouble is that from the business point of view efficiency equals high bed occupancy and reduced staff. Come a pandemic or winter flu epidemics you've got an organisation with no slack in the system which unsurprisingly can't cope.
Where does the estimation of 5% of budget costs for admin come from? It must surely be higher than that. Most people working low to average paying jobs within the NHS will tell you; - There are too many managers and directors - There is still too much 'paperwork' (including digital admin) - Processes remain inefficient and illogical. - The cost of supplies and services from the private sector is astronomical as there is rarely any negotiation on costs - Contracts and agreements are often signed with conditions that are very disadvantageous to the NHS, but rarely questioned or challenged Across the NHS this will of course be incredibly difficult to formally identify and address. It could cost more money doing so than could be saved, but there's mostly pin hole leaks in the boat in their millions that are harder to see rather than a few obviously large leaks.
My husband worked as an accountant in the NHS. His trust spent thousands of pounds a day paying a big accountancy firm to 'sort the trust out', he got so fed up and frustrated with these 'experts' asking him what they needed to do, they didn't have a clue. Also, if the NHS were to be privatised, would we magically have all the Dr's and nurses we need, I think not.
Simply, she's a banker and are they possibly preparing the p&l for selling to US companies? I remember Jerry Robinson going round Rotherham hospital and advising the managers about using their resources efficiently. This didn't need more money or reducing cost, it was simply making the most of what they had .
Well I spend a of time in hospital and they threw my tablets in the bin, which was hundreds of pounds worth. Right now there are no disposable masks at the entrance, despite running a covid, flu and RSV winter vaccine programme. I'd say some sort of financial advice is needed from someone.
Spending money on the NHS will do very little to improve the health or life expectancy of the population. Money should be spent on Public Health. By Public Health, I mean policies that prevent a person getting ill, rather than the NHS which cures people when they are ill. Public Health has been abandoned in the UK in the last 10 years.
Longer! Leisure centres & swimming pools should be free to use upon registration. Schools should provide free, high quality meals to all pupils & staff.
'Why has Rachel Reeves called in bankers to advise on the NHS?' It really depends on what she/they have planned for the NHS. If the idea is to ever put the NHS on the open/private market, it makes total sense to bring in bankers. They have experience in bringing family companies onto the stock market, for an example. As the only parameter in which bankers can understand the result of their work is money, the UK public should forget anything about a social component of a health system or ideas like care for non-paying customers or such. And yes i choose the term deliberately - no longer a patient or someone who needs help: a customer you will be and the more you are able to pay the better treatment you will get.
This is when non qualified con running the ministries. Every department should be run by qualifies person holding the relevant certifications or with relevant experience with proof of track record in the same field. Isn’t that what is required in CEOs and also senior managers?
Banking business acumen was memorably summed up by Nick Mason of Pink Floyd fame. He recalled asking his bank manager for a mortgage in the 1970s and being asked what collateral he had. Mr Mason said he had a number 1 record. His bank manager said, "I was hoping for something more tangible." The record was The Dark Side of the Moon ....
Such quietly contained rage….. a wise surgeon long time ago explained how NHS funding works: the people who pay don,t use it ; the people who use it don,t pay. Working tax payers pay. The very young and very old (and very sick ) use it. Explain that to your bankers. And throw in a Marmot report or two. Health needs are skewed and not universal. Is a certain ex PM behind this as well … ? I,m furious.
![Noob To Max With DRAGON REWORK In Blox Fruits [FULL MOVIE]](http://i.ytimg.com/vi/LnBMOinoOvA/mqdefault.jpg)
What are banks doing now? Closing branches . This will be the model. We have been warned
Happened here in the states too. Of course, part of the issue was the wildly unproductive asylum system, but even good places shut their doors.
@@fylbike these are the people who tried for years to get rid of free banking for grown ups unsuccessfully so now they charge kids instead. Robbers in suits.
@@RobertStoll Hmm, thought that was a growth industry?
Retail banking is not where many big banks make their money. The most profitable business doesn't need branches.
Well - euthanasia bill might get passed - closing People near you?
Defund. Dismantle. Deny.
Farage wants a US style insurance system. Most americans don't.
@@rickatatastan2695 its not healthcare its disease management for profit.
Because she's chosen by a certain group that chose Starmer and the front bench. I don't think they view the British public as a priority.
They are only loyal to their money
I’d like to leave a comment but in the face of the staggering level of incompetence shown by this government, I am entirely lost for words. FFS!!!!!!!!!!!!!!!!
What has that got to do with Swiss trains??
Forgotten all about 14 years of deliberate destruction by Tories already? I bet you were saying nonsense like this from 5th July this year.
@@johnwright9372 The Conservatives were bath corrupt and incompetent. Labour aren't much better. They all need to go ASAP.
I have been hearing how terrible the public sector is all my life and that businessmen with no knowledge can run things better. Sick of hearing it
See also Private Equity, such as Blackstone or Sir John Major's Carlyle Group, where they come in and improve businesses. Oh.. .wait, they come in, extract all the value and then declare bankruptcy. Well, goodbye to Woolworths, Toys R Us, Radio Shack and many, many more.
A traffic cone could run the NHS better than its currently being run.
@@manoo422It makes an easy populist soundbite, but it's not very true.
The NHS's problem simply comes down to a lack of funding and being forced to divide up meagre funding across multiple areas that really should all be as well funded as each other.
It's no use blaming the people that actually manage the NHS, or immigrants (which is another popular scapegoat), for failings that stem purely from top level government decisions to not fund them.
@@debbiegilmour6171 Complete rubbish, the NHS is massively overstaffed and overfunded for the pathetic level of service it provides.
@@debbiegilmour6171 The problem is each trust gets paid the same if it treats 100 patients a day or a 1000, so they opt for the easy life and just treat 100.
Too true, 2008 says it all. Find it difficult to remember to spell 'banker' with 'b'
I'm sure it stated with a 'W'.. 😂
This the wrong way round, they should look at investment in making the country healthier.
There is no money left for that Labour have sent it all out of the country on 'foreign aid'...
@@manoo422do you understand why countries send money and weapons to aid other countries and what would happen if they didn’t
@@Matttski They have pledged £11Billion for poxy climate change projects, where do you think all that money will end up...
@@manoo422clueless answer
The tories have let all the money out of the country for billionaire aid.
You are correct Richard. Bankers who are paid obscenely large salaries and bonuses with no knowledge of health services or the lives of people on normal incomes or worse can offer no meaningful advice on how to run the NHS, Perhaps if the government had not bailed out the banks they would know what it is like to live on a modest income, but they would still not be experts in the field of health. The Tories cut NHS budgets and we now have long waiting lists. Given that Wes Streeting is keen to involve private health care there will be even less money for NHS hospitals etc. Nye Bevan will be turning in his grave.
I'm favoured, $27K every week! I can now give back to the locals in my community and also support God's work and the church. God bless America.
As a beginner what do I need to do? How can I invest, on which platform? If you know any please share.
Wow that's huge, how do you earn that much?
I'm 37 years old and I've been looking for ways to be successful, please how??
Yeah, 253k from Maureen duke, looking up to acquire a new House, blessings.
I thank Maureen Duke who has always been there to help me with detailed analysis and recommendations that I would not have had access to otherwise.
YES! That is exactly her name (Mrs Maureen Duke). I saw her interview on CNN News and so many people highly recommended her and her trading skills❤️
Labour: "Oh no the Tories ruined the country with their terrible policies!!"
Also Labour: "Let's copy Tory policies to improve the country!"
🙄🙄🙄
Both Parties are owned by the same masters now. If starmer was against the elites, the press would have bought him down a long time ago.
I see privatisation rearing its ugly head. I mean that worked out so well for the water/wastewater services, didn't it. 🙄🙄
Gonna leave the country then. Bad wages, paid healthcare, no job growth/opportunities, expensive (live in London) and the weather isn't particularly helpful but that's an afterthought really.
Railways, water, utilities, transport, everything they touch is disaster capitalism.
Just look at how disastrous the American model is. It's lead to a CEO being killed and the people on both sides of politics loving it.
@@johnwright9372 Because the govt ALLOW these monopolies to do whatever they want when they SHOULD be under severe controls.
Any minister with a spine would refuse to sit in such a meeting with in the presence of an unelected banker.
It's the minsters that are inviting them in! :-(
@@simonduffy99 Because they havent got a clue what they are doing...
No, a bank is a business and the NHS is a service it’s not there to make a profit for its shareholders!
They would be better getting CEOs from successful none profit organisations. Either that of get a bunch of engineers to look at problem solving end increasing efficiency. Bankers are probably the worst choice to sit in on these meetings.
@ As Richard said, these Bankers are responsible for the biggest banking crash in a hundred years!
Yet. Watch as the NHS is turned into a toxic US model.
Virgin already runs a large section of the NHS - "Virgin care" for example run sections of NHS
@ When you say NHS you mean NHS England.
Does she expect advice without prejudice? It's beginning to appear it's not only her CV which requires scrutiny, but her ability to perform the task she was "elected" to do.
Everyone is prejudiced and even worse than that, they often don't even know they have them. There is this belief that there is such a thing as an entirely rational person. You see it in law and you see it in economics. Like the woman with model looks who is completely sane, these are unicorns. Everyone imagines they are there, but no one has ever seen one.
Spot on. 100%
She should renegotiate all the PFI contracts with bankers, private equity and construction companies - problem solved!
@edwardlyons6965
No Brainer Rayner cannot renegotiate PFI contracts negotiated by the discredited Blair government.
There are very stiff financial penalties for any variance to the contracts.
You voted for it.
It would cost a lot of money to buy out these lucrative contracts from industry (including future anticipated profits to the end of the current contract). Can be done, but hardly affordable in the short term.
Bankers...? Bonkers!
Steps towards complete privatisation. When will governments learn that public services facilitate the economy, they are not the economy itself.
They'd do better finding ways to improve the general health of the nation, that'll cut the need for increasing health costs.
You would think this would be common sense, wouldn't you? Feeding children nutritious free food in school is a very cost effective way of improving health and educational outcomes, yet so many oppose it. Improving children's early childhoods is a way of preventing mental and physical illness in later life, which costs a fortune. There is so much evidence for these sorts of approaches but instead it's a short-sighted miserly bean-counting approach instead
@@JaneAustenAteMyCat Good point, especially the 4 million kids in poverty.
I was thinking of the revolving door and invested interests of big pharma and the food industry.
Well articulated sir.
This is so dangerous, Bankers are clueless.
Bankers know their customers financial state and where these customers are working… salary comes from certain source. How much lower salary they still stay alive
Stealth privatization has been gaining momentum for 14 years and Labour have no intention of slowing it down. Wes Streeting has a lot of backing from private healthcare insurers and is determined to finish the job started by the Conservatives. A sad end to the NHS indeed.
Making Wes a working class traitor.
Yeah, it is New labour after all.
Goes back further than 14yrs as Major set the foundations for Pfi building and Labour when last into charge went into turbo charge with it.
We have half the number of Nhs beds at greater cost than we did before they privatised the building of new hospitals.
Labour should hang its head in shame considering the booming economy and healthy budget it could’ve put to good use replacing much improved infrastructure. Instead it set in stone the forward moving destruction by outsourcing to private hospitals/clinics to get waiting lists down.
Doing so has been nothing but detrimental since as more and more has been outsourced into private hands.
They might still brag about how they reduced waiting lists but it has had nothing but negative impact since for the five minutes of benefits it provided back then.
Now Labour want to do the exact same again using private funding who will own even more that will need even more tax increases to fund.
When something you’ve done in the past sucks away all your excess income you learn not to repeat the same mistakes, this is of course if you either don’t care or are taking orders from elsewhere to repeat those same mistakes.
Both parties have proved time and time again that working and serving the country and its people are not what they are ther to do.
@@ncooper8438 I prefer the term, "Labour in name only"! The media destroyed the real Labour Party! :(
@witlesswonderthe2nd883 It was actually started by Thatcher, then Major. Blair toke it further.
Probably because that's how US Health Insurance Providers operate to protect "their" money. The US United Healthcare is being paid £Billions to manage and operate the NHS
Well for a start they could stop paying private consultant's on the NHS,as well as telling Blair's PFI to do one!
We have half the amount of beds at more cost thanks to the last Labour government going into overdrive.
Considering they inherited a booming economy with plenty of money to spend they did very little investing and improving our infrastructure.
For those who tells us how wonderful they were running the NHs getting waiting lists down have short or limited memories, they outsourced a great deal to private clinics/ hospitals to get the numbers waiting down.
While it may have been and felt great at the time for the public that private outsourcing has expanded out of control.
All that money down the drain, still going down the drain regardless of who is in number ten thanks to politicians feathering their outside business interests instead of providing services people cough over multiple taxes for which are crumbling around us and the only answer they come up with is to outsource even more.
The Tories too.
Worst idea ever
One of a whole list of worst ideas ever (at least if you start the count from 1979..)..
Absolutely right. 2008. 5% easy get rid of the private companies. Disbanded the internal markets. Taking out the motivation for share holder profits. Close down the PPIs. £300 million a week ?
They could save 5% just by ending the hire of Agency workers. Might give a few weeks of pain while the Agency staff return to the NHS.
Proper investment in staffing and training would save more that it costs. The only losers are the agencies!
and some...
My plan would be to treat the nhs like the tories low taxation areas.that means that those nhs employers on the nhs have special lower tax rates.lt effectively gives an unique advantage to those employees which would be easy to implement,encourage recruitment,reduce losing employees to the private sector and mean that the nurses 5% pay increase would have given them that nett.doctors who do private work would pay tax but less on their nhs proportion.obviously the details would have to be worked out by people far more intelligent than me.
The mindset of finding savings is suggesting that making cuts is more important than making improvements. The mindset of investment is alien to politicians. Listen to EveryDoctor and the people working in the service, rather than imposing top-down symbolism that has always failed the service.
They asked the Bank of England, who stuggle with basic economics to advise on planning policy and never once consulted the royal town planning institute, so this is no suprise
I have to say after 31 years in the NHS, the last thing we need is external management consultants.
In my hospital we have used them 3 times at a cost of 1.2 million to my knowledge.
Their contribution was zero, either they found nothing useful or the management ignored their findings.
It is always astonishing how so many think good political and societal decisions can be made by just looking at numbers.
The numbers tell everything. Remember the musical Evita. "When the money keeps rolling out you don't keep books, you know you've done well by the happy grateful looks". Ignoring the numbers is an open cheque book for fraud. Which is what happened in Argentina.
@@mbak7801 Nobody is saying there shouldn't be bookkeeping and budgeting.
A finer example of the cult of managerialism in politics would be hard to imagine. Referencing your video of yesterday people are disillusioned with politics that doesn't care but tries to manage.
Some years ago our hospital Trust we spent a huge amount of money on outside consultants to make our theatres more effeicient. They spent many months and engaged in large numbers of meetings (that incidentally took people out of frontline services) and discovered that the factors making the theatres less efficient were the ones we already knew about and couldn't be changed.
One way or another the NHS is a mess and needs a clear out and a new start...
Having worked in the NHS for my whole career and taken part in more than one external auditing exercise I can tell you that bankers will have no idea about how to save NHS money. The biggest changes over my 30+ year career were how quickly we got things done, and how much the demand always outstripped the resources leading to inefficiency.
Here’s a novel idea…bring back the days before managers were in the NHS. The days when Drs, Qualified nurses with some administrators….ran hospitals. We had the most financially efficient healthcare in the world. Since managers….all money has been poured into paying themselves big salaries, bonuses, cars, free hospital parking, and free meals. When you try (as a senior nurse) to explain clinical care…they don’t know what you’re talking about. The NHS is a service not a business.
This is exactly what I am saying! It should NOT be treated as a business. It's a service and should be run not for profit or to be profitable.
Well bloody said!
The more people involved the worse it will get and the more it will cost.
Why get advice from people who don't use the NHS to extract even more money. The government needs to print money to invest in the NHS.
So all this money printing will have no eventual adverse effects in your opinion?
You DO understand that "printing money" directly causes inflation and sends borrowing costs soaring? And does not solve any of the underlying funding issues? Thought not.
Yes, of course - banks are the experts at extracting money from the government ..
So,what can,WE do.?Is it pitchfork time?
Why? Because Brian Thompson is currently unavailable.
When I worked in financial regulation the banking sector was regarded as the gold standard in risk assessment and systems and controls and McKinseys expensively advised on the structure of the regulatory body to manage risks. Then came the financial crash of 2008 which showed that the banking sector were completely unable to predict the risks they were running and neither did the regulator. Nothing has changed
You can't privatise the NHS without bankers
The same ones that have financed every war for over a hundred years?
Ahh but bankers are reputed to be able to add-up are they not.......? I really do give up!
Spot on! A while back I pitched for a business partnering role at the NHS...having done this for 20 years in the private sector. I found out i didn't get the role as i had spotted the high level of "management consultants" being paid...and suggested that should be addressed aswell as the actual operation.
No it (UK government departments) doesn't need advice from central london bankers
Keep in mind that most people who work in a medium sized business and everyone in a large cap business will have private healthcare via work. In actuality, there are more working people with private health cover than those without.
The bankers are bonkers. Save the NHS!
It looks like my grandsons and I are really going to struggle a a bit.
Thanks Richard.
Bankers work based on greed. NHS staff work on compassion.
Spot on. Thanks for your wisdom
Shame on Labour.
If the private sector is so efficient, why don't the government just buy everyone full bupa cover. Let's see how that works!
Do NOT give them ideas! Their sarcasm detectors are infamously broken
You’ve said it RJM! How is it that a political party supposedly for the ‘workers’ (not the working class necessarily) can behave this way, is beyond me. Not sure on my history but isn’t this a re-run of about 100 years ago?
Bankers might draw ministers' attention to the fact that 45% of of NHS labour costs consist of tax.
Devolving the NHS, and getting rid of the managerial classes within the organization, would be an interesting start. The nurses know how to organize their wards, pay them more (from the now fired managers) and let them cook.
I would politely suggest that Reeves resign now if she doesn't want a Reform government that is even worse than hers!
Bankers know very little about running businesses full stop, whether it's a national organisation charged with delivering essential services or a local corner shop running on a very small margin they just don't understand the logistics for the simple reason they chose not to. Just ask any small business owner!
Banks closes branches
The nature of retail banking has changed, far fewer branches are needed.
The shift to the American system has been going on for decades. Milburn worked in the US for US companies and now is behind NHS reform with the Blair Institute. The WHO have stated the US is the most unequal in terms of access and the push for US companies operating in the UK have shown how embedded the US system is in the UK.
Having been frontline for half a decade, I can say there are definitely issues but I can guarantee you that no banker is going to fix the NHS, the only thing they should be doing is asking frontline staff and patients. Patient's experiences should be taken into account and frontline can explain how to fix.
All she has to do is to reset it to 2009 when it was the best healthcare system on planet earth. Everyone is alive from those days. It is exceedingly easy.
Or enact the NHS Reinstatement Bill, something which has been mainstream media, and mostly ignored by independent media.
How about reset back to 1975
Could you explain (and/or justify) any of that, please? Or let me know what you have been drinking, so I can try some too?
@adriangoodrich4306 did you mean to respond to my comment?
@@Alex-cw3rz it was the best for people, but not for shareholders
Millionaire Bankers have Private Medical Insurance built into their Salary contract. So why would you employ Bankers? for the NHS.
They need approval from the oligarchs.
Omg! Bankers? Those who organised all this inflation and economic mess!
Unfortunately, there has been a running thought throughout british politics that "businesspeople" and "moneymen" are somehow an authority on how to run a public service.
These are people that live within the ecosystem of money which the government creates and manages.
In the video game world, it would be like consulting competitive esports players and letting them tell you, the developer, how to make the game. The problems with that being that competitive esports plays got good at competitive esports in the games designed long before they were brought on board and they end up (trying to) making a game that works best for their niche but in reality making a game that is rubbish for everyone, even themselves.
I used this analogy because exactly that happened with the Halo series, if anyone is familiar with that.
Reeves has not learnt the lessons of 2008,and eants to row back on the safe guards adopted afterwards to prevent bankers greed.l wonder who she has been listening to to come to that conclusion?.
Well they won't find any savings then. Job done!
But a large fee included.
If bankers knew about cutting costs why are they all located in the most expensive cities in the world? All that money wasted on expensive real estate.
Why do you think they don't move to places like Truro and Inverness?
Murphy, These 'blind bankers' will be leading a couple of Treasury Blinds!
For once I agree with Richard. Bringing in bankers is a shockingly poor decision. She might as well ask Paula Vennalls.Not to mention the CoOp Bank!!! A bank that has nearly gone bust three times, had a drugee in charge and recently bailed out by Coventry BS. Mind blowingly bad decisions by our Rachel
Bankers suggestion #1 pay CEO's ore to drive efficiency; #2 recruit top management from USA.
We know what happens when someone knows nothing about running a service is allowed to advise on restructuring: I give you Dr Beeching & what he did to the railways.
Why is Rachel Reeves asking the bankers to advise her on the NHS? Maybe she'll pop up on the board of one of the banks, or as an advisor, as Peter Mandelson did at Lazards (the investment bank that happened to be involved in the Post Office privatisation).
Last time I checked, the Post Office was still owned by the state. As all the subpostmasters will confirm.
Could be worse. Could be McKinsey.
Bankers know how to be saved by govt
If you want to know how to save money always go to the front line and do a survey. The survey will likely respond; give us the power to organise and sack a layer of management.
Spreadsheet healthcare policies will be the death of us.
When high up money people try to improve the NHS they end up doing things like just-in-time management of beds, requiring high occupancy (otherwise it must be inefficient after all). They consider budgets over the course of a year, not 10, so maintenence (and its sibling prevention) are thrown out. To hell with healthy meals for hospital patients, those cost a lot, and where's the benefit? We won't see it for decades.
The only saving grace is that so many governments have done this before that there's not much room for more of the same. But I'm sure they'll try!
There are two things the bankers can help with. 1) Re-negotiate or find cheaper funding to replace the PFI loans. 2) Examine the contracts with suppliers, particularly those with big pharma.
They could, but I doubt they will 🙁
They DO understand it all though, they just don't have any humanity. Reeves knows exactly what she's doing just like CEOs of health insurance companies know what they do.
Reeves is totally out of her depth and a compulsive liar.
A saucer isn’t very deep
The previous government and some of this one would be out of their depth in a puddle.
Cynically one could wonder if Rachel is looking for a new job within Banking????
Perhaps a better diet and lifestyle for all could reduce the costs of the NHS?
True…but then the food, beverage and pharma industries would make less money…
We need to return to nhs management as a service eg before all these so called business managers. So from 1948- 1990.
Yes, that period also coincides with the rise of factory processed food and a more sedentary lifestyle . Also bread in the UK being made using the Chorleywood process.
There are simply too many lazy people.
I am a retired hospital consultant. I spent much of my career being chased for improving “efficiency”. Many patients would also say to me “the nhs is great but it’s so inefficient” when you try to find these inefficiencies they are extremely hard to find but belief in their existence continues. My experience is that faced with the formidable cost of delivery high quality healthcare even the most important intelligent individuals who are not actually delivering that care think it can be done more cheaply. Quite simply this view has to challenged! The fact that Rachel Reeves is bringing in these people to help is not surprising though. She has worked for a bank and there is an old saying “if you are holding a hammer every thing looks like a nail”!
Two words....... Standardisation and centralisation. Why have different trusts each purchasing their own thing?? different trusts equals different equipment which equals different logistics which equals more complications and less spending power. Lots of small ponds with lots of managers controlling those small ponds............
All roads lead to Westminster as Streeting has quoted this is politics of the mad house
80% of G.Ps only work part-time!! Yes 80%… unbelievable! Get those GPs back on full-time contracts and most of the NHS problems would vanish.
NHS needs more money and not budgetary cuts. How about making the people responsible for the Post office scandal accountable for instance recoup the billion or so put aside for that and put it into front line services.
45% of NHS labour costs are tax
In my experience the NHS has been subject to reform every 5 years or so. Trouble is that from the business point of view efficiency equals high bed occupancy and reduced staff. Come a pandemic or winter flu epidemics you've got an organisation with no slack in the system which unsurprisingly can't cope.
Where does the estimation of 5% of budget costs for admin come from? It must surely be higher than that.
Most people working low to average paying jobs within the NHS will tell you;
- There are too many managers and directors
- There is still too much 'paperwork' (including digital admin)
- Processes remain inefficient and illogical.
- The cost of supplies and services from the private sector is astronomical as there is rarely any negotiation on costs
- Contracts and agreements are often signed with conditions that are very disadvantageous to the NHS, but rarely questioned or challenged
Across the NHS this will of course be incredibly difficult to formally identify and address. It could cost more money doing so than could be saved, but there's mostly pin hole leaks in the boat in their millions that are harder to see rather than a few obviously large leaks.
At this festive time, the best you can sing about Labour, is . . .
“They’re beginning to look a lot like Tories, everywhere you go”!
My husband worked as an accountant in the NHS. His trust spent thousands of pounds a day paying a big accountancy firm to 'sort the trust out', he got so fed up and frustrated with these 'experts' asking him what they needed to do, they didn't have a clue. Also, if the NHS were to be privatised, would we magically have all the Dr's and nurses we need, I think not.
2:17 Barclays very sensibly took support mainly from a Qatari led fund - they didn’t want to have the government included on their board.
Simply, she's a banker and are they possibly preparing the p&l for selling to US companies? I remember Jerry Robinson going round Rotherham hospital and advising the managers about using their resources efficiently. This didn't need more money or reducing cost, it was simply making the most of what they had .
Well I spend a of time in hospital and they threw my tablets in the bin, which was hundreds of pounds worth. Right now there are no disposable masks at the entrance, despite running a covid, flu and RSV winter vaccine programme. I'd say some sort of financial advice is needed from someone.
Spending money on the NHS will do very little to improve the health or life expectancy of the population. Money should be spent on Public Health. By Public Health, I mean policies that prevent a person getting ill, rather than the NHS which cures people when they are ill. Public Health has been abandoned in the UK in the last 10 years.
Longer!
Leisure centres & swimming pools should be free to use upon registration. Schools should provide free, high quality meals to all pupils & staff.
'Why has Rachel Reeves called in bankers to advise on the NHS?'
It really depends on what she/they have planned for the NHS. If the idea is to ever put the NHS on the open/private market, it makes total sense to bring in bankers. They have experience in bringing family companies onto the stock market, for an example.
As the only parameter in which bankers can understand the result of their work is money, the UK public should forget anything about a social component of a health system or ideas like care for non-paying customers or such. And yes i choose the term deliberately - no longer a patient or someone who needs help: a customer you will be and the more you are able to pay the better treatment you will get.
why because she aint fit for purpose needs to go along with the rest of them
This is when non qualified con running the ministries. Every department should be run by qualifies person holding the relevant certifications or with relevant experience with proof of track record in the same field. Isn’t that what is required in CEOs and also senior managers?
Based on water and public transport, relevant experience seems to be entirely optional when running things in the UK 🙁
Really sad to see the sad state we are in.
Banking business acumen was memorably summed up by Nick Mason of Pink Floyd fame. He recalled asking his bank manager for a mortgage in the 1970s and being asked what collateral he had. Mr Mason said he had a number 1 record. His bank manager said, "I was hoping for something more tangible." The record was The Dark Side of the Moon ....
Sir Humphrey must be spinning in his grave.
Such quietly contained rage….. a wise surgeon long time ago explained how NHS funding works: the people who pay don,t use it ; the people who use it don,t pay. Working tax payers pay. The very young and very old (and very sick ) use it. Explain that to your bankers. And throw in a Marmot report or two. Health needs are skewed and not universal. Is a certain ex PM behind this as well … ? I,m furious.