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originally posted by: eletheia
originally posted by: ScepticScot
So you agree we should be spending more money on healthcare?
Not necessarily ...... I think we could start with culling the wastage that goes
on first.
There are highly paid managers in health trusts who never take responsibility
for anything except saying we need more money .......we could start by getting
rid of them, and bringing back Matrons?
originally posted by: EvilAxis
Certainly there is urgent need for reform and restructuring of our health care system, and billions could be saved by reducing the backdoor privatisation introduced by the Conservatives, such as tendering of services in the private sector.
The great PFI heist: The real story of how Britain's economy has been left high and dry by a doomed economic philosophy
Sir Howard Davies, chairman of the Royal Bank of Scotland (RBS), recently made an astonishing admission on BBC1’s Question Time when he stated that private finance initiatives (PFI) had been a “fraud on the people” the real story of PFI reveals that RBS alongside other global banks, notably HSBC, were instrumental in what Sir Howard has effectively labelled a great heist.
Of course, PFI was not always a toxic brand. In 1997 it appeared to be New Labour’s magical solution to chronic underinvestment in public services in the wake of Thatcherism.
As Alan Milburn – the former Labour Health Secretary described as an “almost maniacal convert to PFI” – put it: “It’s PFI or bust.”
The argument went that Labour had inherited public services in such a diabolical state of neglect that there was no alternative to the private financing of whole swathes of infrastructure.
It was a persuasive argument which seduced many. The Blairite Third Way would somehow square the circle by delivering new schools, hospitals, roads, railways and prisons without the debt or inefficiency of the public sector.It seemed too good to be true yet those who dared to question the orthodoxy du jour were swatted away.
As early as 1999, Richard Smith, editor of the British Medical Journal, denounced it revealing that repayments would be exorbitant. In the same year, Professor Allyson Pollock and colleagues published a paper sounding the alarm over the potentially disastrous consequences of PFI debt and the financialisation of public services. And in a 2004 long read for Private Eye the late Paul Foot exposed the seedy underbelly of its history.
For a golden period, Gordon Brown’s apparent vanquishment of boom and bust kept any problems in check. But when the financial crisis was followed by the diktats of austerity, PFI began to unravel. South London Healthcare Trust became the first NHS trust to go bust in the summer of 2012, having found itself on the hook for huge PFI costs.
The total bill for NHS PFI hospitals is ultimately projected to rise above £79bn, way in excess of original build costs of £11.4bn.]/b]
Many PFI contracts came with strings attached, “facilities maintenance” often subcontracted on a long-term basis as part of the deal.As a result, only specific contractors are allowed to change or fix certain equipment or fittings, such as a plug socket or a light bulb. A Daily Telegraph investigation flagged up several egregious examples but this one really stood out: one hospital was charged £52,000 for a job which should have cost £750.
To look at it another way, a quick calculation reveals that the outstanding PFI payments would cover the pay for all the nurses, full-time consultants and GPs for 10 years. There would still be plenty left over to cover the training of the next generation of surgeons and build 80 state-of-the-art hospitals. If you wanted to keep it simple then the PFI debt would cover the entire NHS budget for over 2 years.
Across the NHS, PFI repayments have contributed to hospital mergers, closures and downgrades. Long-time critic of PFI Professor Pollock argues that these mergers will be followed by the final “wave of closures in the run-up to privatisation and franchising out”. She astutely points out the great irony that PFI was once hailed as the largest NHS hospital-building programme; in fact it is likely to end up becoming the largest hospital closure programme.
originally posted by: UpIsNowDown
Are you sure about that? you are asking for numbers and then not provinding your own, last nurse i spoke to was earning £26,500 (not enough IMO) but are you suggesting that similar pay can be earnt by flipping burgers?
EDIT
my google search shows the following for Burger flippers in McDs
$15,679/yr not sure that is anywhere near the same as a nurse, but hey you believe it to be true
originally posted by: eletheia
originally posted by: EvilAxis
Certainly there is urgent need for reform and restructuring of our health care system, and billions could be saved by reducing the backdoor privatisation introduced by the Conservatives, such as tendering of services in the private sector.
The great PFI heist: The real story of how Britain's economy has been left high and dry by a doomed economic philosophy
Sir Howard Davies, chairman of the Royal Bank of Scotland (RBS), recently made an astonishing admission on BBC1’s Question Time when he stated that private finance initiatives (PFI) had been a “fraud on the people” the real story of PFI reveals that RBS alongside other global banks, notably HSBC, were instrumental in what Sir Howard has effectively labelled a great heist.
Of course, PFI was not always a toxic brand. In 1997 it appeared to be New Labour’s magical solution to chronic underinvestment in public services in the wake of Thatcherism.
Take note the ^^^^LABOUR GOVERNMENT^^^^
As Alan Milburn – the former Labour Health Secretary described as an “almost maniacal convert to PFI” – put it: “It’s PFI or bust.”
The argument went that Labour had inherited public services in such a diabolical state of neglect that there was no alternative to the private financing of whole swathes of infrastructure.
It was a persuasive argument which seduced many. The Blairite Third Way would somehow square the circle by delivering new schools, hospitals, roads, railways and prisons without the debt or inefficiency of the public sector.It seemed too good to be true yet those who dared to question the orthodoxy du jour were swatted away.
As early as 1999, Richard Smith, editor of the British Medical Journal, denounced it revealing that repayments would be exorbitant. In the same year, Professor Allyson Pollock and colleagues published a paper sounding the alarm over the potentially disastrous consequences of PFI debt and the financialisation of public services. And in a 2004 long read for Private Eye the late Paul Foot exposed the seedy underbelly of its history.
For a golden period, Gordon Brown’s apparent vanquishment of boom and bust kept any problems in check. But when the financial crisis was followed by the diktats of austerity, PFI began to unravel. South London Healthcare Trust became the first NHS trust to go bust in the summer of 2012, having found itself on the hook for huge PFI costs.
The total bill for NHS PFI hospitals is ultimately projected to rise above £79bn, way in excess of original build costs of £11.4bn.]/b]
^^^^^Still a LABOUR GOVERNMENT
Many PFI contracts came with strings attached, “facilities maintenance” often subcontracted on a long-term basis as part of the deal.As a result, only specific contractors are allowed to change or fix certain equipment or fittings, such as a plug socket or a light bulb. A Daily Telegraph investigation flagged up several egregious examples but this one really stood out: one hospital was charged £52,000 for a job which should have cost £750.
Which IDIOT sanctioned that ^^^^^^
To look at it another way, a quick calculation reveals that the outstanding PFI payments would cover the pay for all the nurses, full-time consultants and GPs for 10 years. There would still be plenty left over to cover the training of the next generation of surgeons and build 80 state-of-the-art hospitals. If you wanted to keep it simple then the PFI debt would cover the entire NHS budget for over 2 years.
Across the NHS, PFI repayments have contributed to hospital mergers, closures and downgrades. Long-time critic of PFI Professor Pollock argues that these mergers will be followed by the final “wave of closures in the run-up to privatisation and franchising out”. She astutely points out the great irony that PFI was once hailed as the largest NHS hospital-building programme; in fact it is likely to end up becoming the largest hospital closure programme.
More at www.independent.co.uk...
Oh what a tangled web has been weaved ......and not all of it down to
the Tories or Boris Johnson, most of it inherited !!!!!!!
The private finance initiative A private finance initiative is a process by which an NHS organisation can take out loans to pay for infrastructure to increase the provision of healthcare services.
(PFI) was introduced by the Conservative government in 1992, and was adopted and continued by the Labour government upon its election in 1997. PFI involves contracting out the building and operation of public services to private sector companies (Roe and Craig, 2004), and the initiative introduced competition between private providers to build and finance hospitals.
It was intended to take advantage of the greater efficiency and innovation found in the private sector
originally posted by: FredT
originally posted by: UpIsNowDown
Are you sure about that? you are asking for numbers and then not provinding your own, last nurse i spoke to was earning £26,500 (not enough IMO) but are you suggesting that similar pay can be earnt by flipping burgers?
EDIT
my google search shows the following for Burger flippers in McDs
$15,679/yr not sure that is anywhere near the same as a nurse, but hey you believe it to be true
Dollars or did you mean pounds? Either way you are not making much of a case that a collage educated registered nurse who is literally responsible for peoples lives, who is working holidays and weekends, subject to disproportional levels of violence from patients and staff, get little to no breaks, often has to work short or overtime, makes under 10k a year from someone who turns a patty?
Labour just continued what The Tories began.
originally posted by: alldaylong
I take it that you know it was The Conservatives that introduced PFI in 1992 ?
(PFI) was introduced by the Conservative government in 1992, and was adopted and continued by the Labour government upon its election in 1997. PFI involves contracting out the building and operation of public services to private sector companies (Roe and Craig, 2004), and the initiative introduced competition between private providers to build and finance hospitals.
A PFI panel was set up by Chancellor Ken Clarke as early as 1993. It mutated into a taskforce inside HM Treasury and was eventually rebranded as Partnerships UK.
Pressure mounts on Clarke to reform private funding scheme
Michael Harrison
Friday 12 July 1996 00:02
Chancellor Kenneth Clarke came under renewed pressure yesterday to reform the Government's Private Finance Initiative after the Confederation of British Industry called for most small capital projects to be exempted from the scheme.
In a hard-hitting report the CBI said that, henceforth, no project costing less than pounds 10m should have to seek PFI funding before being given the go-ahead.
If the CBI's recommendations are accepted, the PFI would effectively be limited to larger infrastructure projects in the health, transport and environment sectors. Hundreds of small projects costing less than pounds 10m, many of which are Department of Health schemes, would slip through the net, leaving them to be funded conventionally through the Government's capital expenditure budget.
Labour just continued what The Tories began.
31 October 1996 – First PFI hospital opens in Scotland Ferryfield House, a £32 million community hospital for the treatment of patients with dementia opens its doors in Edinburgh. It is the first of many NHS facilities to be provided through PFI
Seems to me your trying to lay the blame for all the NHS faults at the Tory doorstep
originally posted by: alldaylong
31 October 1996 – First PFI hospital opens in Scotland Ferryfield House, a £32 million community hospital for the treatment of patients with dementia opens its doors in Edinburgh. It is the first of many NHS facilities to be provided through PFI