Hospitals are one of the main targets of government as most staff are dedicated and are very aware of the suffering caused to patents when they are not available. Sadly though the constant and relentless pressure of government for hospitals to work on less and less has lead to a growing cynicism as staff struggle to maintain their sanity while watching patients suffer the consequences.

Some five years ago I was told by a receptionist in Maidstone eye hospital that it was proposed staff should work for one day per week for free in order to help hospital finances.

But it does not appear to be the lack of funds that is necessarily the problem but a misallocation of funds;
  • To much being spent on GPs in the belief that a large amount of the work done by hospitals can be done in GP surgeries.
  • To much being spent on hospital managers who know little about medicine and frequently cost 8 times the price of a nurse while a dire shortage of nurses leads to oversights and mistakes.
  • The Heath service IT system was a clear demonstration that lack of any IT knowledge in the top level lead to a failure to understand what was the right price for such a system and an inability to see the failure of the contractor to deliver early on.

Other system failures include;

  • The lack of an oversight reporting system as used in aircraft maintenance and other safety critical systems.
  • Doctors and other staff, despite being part of a safety critical system, are expected to work hours that simply would not be accepted as safe for lorry drivers or airline pilots.
  • Managers attempting to enforce time targets by telling doctors how to treat patents.
  • GPs are expected to spend 12 minutes per patient deal with the health problem but are also expected to always ask them about work and home life even where the medical problem may bare no relation to these things.
  • The GMC whose job it is to assure the standard of foreign doctors wishing to practice in this country, has been turned into a profitable enterprise milking hopefuls through exam fees and training fees. Many of the exams contain questions that bare no relationship to the actual practice of medicine. Indeed changes in EU rules at one point, simply consigned a whole bunch of requirement to the dustbin.     
Ultimately the new generation of medical managers have become part of the "spin" culture that permeates government thinking. We are told to talk about "wellness" not "illness".

Doctors and nurses whose prime motive was to heal the sick, are being displaced or trained to accept the culture of speed and spin to cover up the consequential mistakes. 

Cynics are saying that the covert objective of government policy is to create a public healthcare failure in order to end free healthcare, replacing it by a private system.