6 ms·
The body you intend to complain about is not "the" NHS, but the government Department for Health and Social Care. > The UK is now at the bottom of the world le
by DanBC 7y ago
The body you intend to complain about is not "the" NHS, but the government Department for Health and Social Care.
> The UK is now at the bottom of the world leaderboard for testing, because its 100% centralised and government run healthcare system has totally failed at scaling up capacity.
The NHS had capacity. The DH&SC decided that testing wasn't worthwhile. (I disagree with them, but they were saying that covid-19 is so contagious and testing doesn't affect the treatment someone gets so there's no point testing them, and when they made that decision we didn't have reliable antibody testing).
> One reason - it's actually refused and ignored testing capacity in the private sector.
That's not a decision for "the NHS" to make.
Testing the population for Covid-19 would be Public Health England, not the NHS. PHE has a central arm, but is mostly split out to local authorities.
But PHE can't make that decision if the minister has said not to test.
> because its 100% centralised and government run healthcare system
That's not at all how the NHS works in England. It's mostly not centralised. Most commissioning is done locally by Clinical Commissioning Groups. They buy services from NHS providers who, again, are mostly local organisations. There's some central commissioning, but that tends to be very specialised services. ("inpatient mental health treatment for deaf adults", for example.)
- thu2111 7y agoMinisters have been saying test for a long time now. But if you want to play civil servant lawyer and argue "any failing part of the British healthcare system isn't really the NHS", go for it. From the international perspective nobody cares. Public Health England is the Department of Health is the NHS is the government. How the government divides up responsibility between variously branded bureaucracies doesn't alter the overall outcomes, nor the reasons for them. The UK centralised all CV testing in a bureaucracy that was quickly overwhelmed, didn't scale up, didn't involve the private sector and didn't react quickly to need. Privately run healthcare systems managed all these things.
- DanBC 7y agoHere's a politician saying it's the fragmentation, not lumbering centralisation, that has caused problems for the English response to Covid-19. https://twitter.com/Debbie_abrahams/status/1252881474459537411?s=20 https://twitter.com/Debbie_abrahams/status/12528814744595374... Newsnight have a good point when they say the Lansley reforms caused problems.