Re: All in it together?
Des Spence is right: “When influential people do not use the NHS they have no vested interest in making it work.”  Ann Clwyd, the Labour MP for Cynon Valley, has recently complained in the media about alleged serious failures in the care of her husband in a NHS hospital: he died there "like a battery hen".  This experience prompted Clwyd to raise the issue of unacceptable NHS nursing care in a question to the Prime Minister, David Cameron, in the House of Commons. 
It is instructive that the MP felt she had no alternative but to speak publicly about her plight: “…if I couldn't get anyone [at the hospital] to listen to me, how do other people manage it?” 
1. Spence D. All in it together? BMJ 2012;345:e8168. (30 November.)
2. Hill A. Ann Clwyd: my husband died like a battery hen in hospital. Guardian 2012 Dec 05. www.guardian.co.uk/society/2012/dec/04/ann-clwyd-husband-died-hen.
3. Prime Minister’s Question Time. 2012 Dec 05. www.parliament.uk/business/news/2012/december/prime-ministers-questions-....