Despite almost two years of uncertainty around the Health Bill, change always brings opportunities to make things better. In the new NHS:
Massive structural change like this is never easy. 2012 is a big year for the NHS and pretty much all the foundation work for the new structure has already been done. Both the CCGs and NHS Commissioning Board will require significant support in establishing themselves and discharging their responsibilities, and the role of clinical support services will be key. Even with this bill in the New NHS, going forward, there are a number of points to remember.
There is a lot of dissatisfaction and mistrust in the grass roots of the NHS and a huge amount of concern about the functioning of the NHS, which was clearly visible during the campaigns to stop the bill. Therefore there is a lot of work that needs to be done to rebuild the confidence that this reform will deliver what was promised.
Let’s not forget, underpinning all this reform is the QIPP agenda and the £20bn of savings to be made. In addition, the NHS IT Strategy is now handed over to the NHS Commissioning Board and we still await clarity on that.
That is the reality. Mandated change will bring plenty of new opportunity. Now the debate is pretty much over, time to get on with implementing the bill and make it work!
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