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It is no coincidence that the productivity of the NHS has fallen significantly as the government has pushed through its controversial program of reform that has led to the increased role of the private sector and the 'market' in the last few years.
Obviously those with vested interests such as the private sector and those involved with railroading through these inefficient market based reforms will always seem to blame this fall in productivity on those who work on the frontline. Anyone with more than half a grey cell can see that this argument is deeply flawed and highly foolish.
The NHS has consistently been rated as one of the best performing health systems in the world (1). The falls in productivity appear to be more to do with the market and the continued politicised campaign of inefficient privatisation than anything done by the NHS staff; in fact the way the NHS is controlled in a top down Orwellian manner by the privatisers in central govermment means that those on the frontline have very little way of stopping this decline. This decline will only accelerate as the role of the private sector increases.