NHS Budgets - Junior Doctors

Money Talks - Bullsh** walks - as usual.

I'm back. After the summer break wherein readers were deprived of both my expertise and sterling wit, I renew my efforts with both humility and verve.

The Junior doctors are striking in a series of five-day walk-outs. Patient care will suffer as sure as eggs are eggs. What's it all about?

Firstly, it is essential to remember that no system of health care can possibly function without the consent and support of the health care professionals involved. That's the bottom line. The NHS could not have come into being were it not for many compromises made to keep the doctors on-board. ( Most serious was the opposition of doctors who disliked the idea of becoming employees of the state. Doctors were in an extremely powerful position, as without them the National Health Service (NHS) could not operate, and the government was forced to make a number of compromises. General Practitioner (GP) surgeries remained private businesses that could be bought and sold, and the NHS effectively gave these practices contracts to provide health care. Only the most senior doctors in hospitals (consultants) were allowed to continue private treatment. Similar compromises were worked out with dentists. Aneurin Bevan conceded these points in order to make the NHS work, but he was not happy with them. ) - The Cabinet Papers

Even today the NHS can not possibly function without the doctors being extensively involved.

For some reason, known only to the government and Jeremy Hunt, this fact has been conveniently forgotten. The government has imposed a new contract on the Junior doctors and they don't like some of the provisions. The government's goal of creating a seven day service cannot be done without the doctors and their good will. Somebody has forgotten to line up the ducks.

What are they up to? Why pick a fight you can't win? It's the old story, money talks and bulls**t walks.

The government knows very well that you can have any sort of NHS you are willing to pay for. They are just not willing to pay for it. So, they need to increase the work load of doctors and the new contract is the way they have chosen to accomplish it.

In response. the doctors are trying to occupy the moral high ground. They need to convince the public, whose support they still have, that this is nothing to do with money. This is, of course, nonsense but they keep pushing it. Their support among the public is slipping. If the planned 5 day strikes go ahead they will soon lose the support altogether.

Any light at the end of the tunnel? Well, not all doctors are quite so convinced that the new contract is the work of the devil. Cracks are appearing in the support of the various Royal Colleges to which the doctors belong. Time is running out.

Very soon, some people are going to die who might have lived. Where will the blame be apportioned? The Government? The BMA?

One thing is probably sure – the bean counters (the real culprits in the piece) will get off scot free. Money talks . . . .