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In terms of surprise this is well into the "Christmas is on 25th December category". I stopped clinical work in the NHS earlier this year but have watched the development of the purchaser-provider divide in the NHS with utter dismay.
It has led to the creation of a large and wasteful additional bureaucracy, often consisting of individuals with little or no knowledge or experience of clinical medicine. It has meant the shuffling around of notional money, supposedly within the NHS, causing quite unnecessary and unjustified financial pressures, while largely failing to minimise waste. It has led to unnecessary and unethical conflicts of interests between primary and secondary care. It has led to other ridiculous and unethical situations, such as restrictions on consultants referring non-urgent patients within hospitals. It would be too much to expect to see anyone in the UK following the New Zealand example.
Re: Abolishing purchaser-provider split helped New Zealand scheme to cut costs, says King’s Fund
In terms of surprise this is well into the "Christmas is on 25th December category". I stopped clinical work in the NHS earlier this year but have watched the development of the purchaser-provider divide in the NHS with utter dismay.
It has led to the creation of a large and wasteful additional bureaucracy, often consisting of individuals with little or no knowledge or experience of clinical medicine. It has meant the shuffling around of notional money, supposedly within the NHS, causing quite unnecessary and unjustified financial pressures, while largely failing to minimise waste. It has led to unnecessary and unethical conflicts of interests between primary and secondary care. It has led to other ridiculous and unethical situations, such as restrictions on consultants referring non-urgent patients within hospitals. It would be too much to expect to see anyone in the UK following the New Zealand example.
Competing interests: No competing interests