Government’s White Paper on Restructuring NHS in England

Thankfully, the birthday card I got at work yesterday included some humourous messages from colleagues giving me comic relief from the Government’s White Paper on restructuring the NHS in England. The White Paper is obviously important, but it’s just not the most fun read in the world.

In a nutshell, the proposals are:
• GPs will commission the vast majority of all health services for patients and carers meaning Primary Care Trusts (PCTs) will vanish. A NHS Commissioning Board will oversee GP commissioning.
• There will be a new Public Health Service with local Directors of Public Health being appointed jointly with local authorities, who will have new Health and Wellbeing Boards to replace Health Overview & Scrutiny committees.
• Patients should have a choice of providers – so not just NHS organisations
• More information should be shared with patients and carers and decisions taken jointly with health professionals – no decision about me without me

I don’t think the question should be whether GPs being responsible for commissioning is a perfect structure (it really isn’t) but whether it is better than the alternatives. Not everybody seems convinced of that either.

However, proposals for more patient and carer involvement and a new performance framework that focuses on outcomes for patients rather than processes should be welcomed.

This focus on the duties of health services is timely given Barbara Keeley MP’s Bill in Parliament today proposing that all health services should be required to identify patients who are carers or have a care, and consider the carers’ needs. The Bill would also require schools to have a policy to identify young carers – something which we have campaigned on.

There is little chance that Barbara Keeley’s Bill will become law unless the Government support it. So, we should ask our MPs to to support this Bill and ask them to write to Paul Burstow MP (Minister for Care Services) asking him to take the Bill forward.

The Bill has received support from MPs in the Conservative (Tony Baldry MP), Liberal Democrat (Annette Brooke MP) and Labour parties (Diana Johnson MP + others), plus Caroline Lucas MP of the Green Party. The NHS has a history of neglecting carers and it is imperative that carers are not further forgotten during and after any restructuring. This Bill could ensure that doesn’t happen.

Take Care


July 14, 2010 - Posted by | Carers Strategy, Health, Uncategorized | , , , , , , , ,


  1. Many times i have heared the phrases ” radical new ideas” and “restructuring”, and the only results i have seen are often a series of excuses and apologies for COST CUTTING and expecting those already under great strain CARERS having to do more.
    The only thing all these fanciful notions fill me with is worry and fear that yet again CARERS are going to be IGNORED – SHORT CHANGED – AND LEFT HANGING OUT TO DRY with very little or none at all in improvements.
    A society that relies on 6 million+ upaid vlounteers to do what WIIL NOT – DOES NOT WANT TO DO is in great need of looking at its own motives instead of HARRASSING CARERS who already have enough to put with. Oh and by the way how are the DOCTORS going to pay for all the new staff they are going to need to administer the new set up WHAT WIL REALLY HAPPEN TO PATIENT CARE and the NEW SUPPORT TO BE GIVEN TO CARERS, and WHERE WILL THE MONEY BE FOUND TO PAY FOR THIS WITH THE SQUEEZE ON MONEY FOR EXISTING AND NEW PROJECTS ?
    I tell you what i think this is nothing more that another CALLOUS – THOUGHTLESS exercise in goverment cost cutting. In a year or two,s time when CARERS look back on what has been done,the usual picture will arise,


    Comment by Taras Kurylak | July 15, 2010 | Reply

  2. Government's White Paper on Restructuring NHS in England « CarersBlog…

    I found your entry interesting do I’ve added a Trackback to it on my weblog :)…

    Trackback by Mental Disorders 101 | July 23, 2010 | Reply

  3. carers need a realistic amount to live on, as most have given up independance and the prospect of employment for a pittance., willingly but we still need to eat

    Comment by susan smith | July 23, 2010 | Reply

  4. Ref the comment, 2. about Carers needing a realistic amount of money to live on.
    If you are unfortunate enough to be a Carer on any form of benefit, or disabled and on DLA, more important than a rise in the amount of money you recieve, is a substantial rise in the amount of savings you are allowed to have before benefit levels are cut, more especially these days when the amount taken off your benefit of £1 per week per £250 over the permissable amount of savings, is punitive when interest rates on savings are for all intents nil
    If, like myself and my disabled wife, you have a life style that does not use all the money coming in, to live on, it would be nice to be able to save for emergencies without being penalised for it.
    Lobby your MP to support this new bill for Carers and at the same time ask them to lobby for an increase in the savings limit for Carers and Disabled people, so that WE can have more say in the running of our finances.
    I also sugest that anyone on a low income should be told that saving for their future in any way could well be a waste of time, spend your money as it comes in, if you save for the future, you will be penalised.

    Comment by Colin M Baker | July 23, 2010 | Reply

  5. Since leaving the comment, (3) I have done some research and found that as from November 2009 my prayer was answered, as I am over 60, but I still think the new provisiions should apply to all people on DLA and Carers too.
    The new lower limit is £10,000 and the deduction is £1 per £500 above that level, with apparently no upper level according to the 2 articles I have read. I hope that the same levels apply to housing benefit too. If anybody knows, please leave a note here with the details. Thanks, and don’t forget, contact your MP

    Comment by Colin M Baker | July 23, 2010 | Reply

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )


Connecting to %s

%d bloggers like this: