T.R.O.Y wrote:Although I don't think it's central to this debate I do agree about the Conservatives changing with the wind to get vote. You can see that with their sudden swing to try and get back some young voters having spent the last 7 years giving hand outs to the older generation at our expense. I don't think it will wash though, and I don't think they'll ever invest what needs to be in the health service. They never have and never will.
To be honest I struggle to see how anyone can read the evidence (much of which has been posted on this thread) and not come to the conclusion that the government are woefully under-performing on healthcare it's all there.
My point was that all political parties change with the prevailing wind - not just the Conservatives.
Also under-performing is really only meaningful when it effects you or someone you know.
When demand outstrips supply what do you do?
I watch a BBC documentary series recently on the Ambulance services in the midlands and how stretched they were. The bottom line was that the service had basically moved away from providing front line service to becoming more of a social 'touchy feely' welfare provider to the old, mentally ill, drunks, druggies and everyone else on the margin of social care.
Should NHS money (I assume the ambulance service is NHS funded?) be spent on what is basically Social services provision (funded from local council's) - or even be provided at all to known serial abusers of the service?
If so where do you draw the line between unlimited Healthcare provision for all irrespective of the cost to provide it or limiting it in some way - one of the main costs I would imagine being the wages of those providing the service.
I guess if you can't control demand for the service and you have finite resources then something as to give somewhere and I would think from a political stand point - moving away from universal free healthcare provision provided by the NHS would be political suicide - and hence why staff provision costs are target instead.
I've no answers but like most things there are two sides to the argument and as long as long as NHS access is so widely available to all (even if you simply don't actually require it and waste everybody's time by demanding to be seen) then there will always be an issue in funding it fully.
Even if the NHS was fully funded and had retained universal access, then either taxes would have to be raised our other services say Education, cut to provide for it - and thus start a further political issue somewhere else.