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Well spotted Phil. But have YOU read the Tory manifesto?"PCT in black and white"?.... not on page 45 not on page 46 not on page 47 and the only other page was that diagram of cancer rates from 2007 that has been subsequently countered and "updated" by various authors using more recent figures and trends. There is considerable confusion now about what is in and what is out of this 367 page bill. The H&SC Bill committee chairman sounded quite upset in today's parlimentary debate about all the work he had to do with countless amendments. And there have been so many proposed amendments to this poorly thought through bill. So has Cameron sent Lansley off on a two week sales jolly round the country to try to sell the amended bill to the likes of Norman Tebbit et al because they haven't really understood it? Apart from our love of getting on bikes I never thought I'd be using him to support my case. Many of us who have felt driven to research this bill now find we understand the contents and their implications only too well.Forget all this. Importantly what is still in (well it was last Friday) is  the threat of privatisation for example to the National Blood Transfusion Service. While in many countries blood is harvested by financial incentive, which comes with many risks to the donor and recipient, the UK has a sustainable healthy system that avoids money altogether. It is vital altruistic relationships like this that are under threat from the H&SC Bill.Every day I find out more and the more I find out the more worried I become. Perhaps Phil can put me straight.

Arthur Breens ● 5483d

Councillor Taylor, thank you.  I was confused because you included information from the Lib Dem manifesto that has been swept aside by the Tories and so is no longer relevant.In fact, the Lib Dems are no longer relevant, full stop. Of course, the Tories didn't win a majority either, so they don't have a mandate for any of the current legislation under debate; they are in office because they are being propped up by the Lib Dems.Interestingly, one part of the change for the NHS that Cameron was very open about was the scrapping of the Stragic Health Authorities which is happening as we speak.  Anyone who has been around the NHS long enough can see what will happen in the medium-term:  GP consortia will co-operate across boundaries in the purchasing of health care and eventually all the London consortia will be group themselves into larger geographically based bodies (hello District Health Authorities) who will then realise that it might be a good idea to think about the needs of Londoners and purchase pan-London services (hello Strategic Health Authority).  In other words, more bloody public money wasted by dismantling something that worked reasonably well in the first place and then more money wasted putting together a new system which then morphs back into the old one.  And why?  Because health is a political football and Lansley wants his name in lights.  So much for Cameron and his 'no more top down reorganisation'.  It's EXACTLY what is going on in the health service right now.

Allison Franklin ● 5490d

Arthur,You clearly have not read the manifestos.  All three essentially talked about continuing in a direction of travel which was set by the previous government in health towards more local involvement in decision making and a greater plurality of providers.  The Tories said in black and white that PCTs would be replaced by GP commissioning:“We will strengthen the power of GPs as patients’ expert guides through the health system by putting them in charge of commissioning local health services.”They also clearly talked about any willing provider:“So we will give every patient the power to choose any healthcare provider that meets NH S standards, within NHS prices.  This includes independent, voluntary and community sector providers.”The LibDems also talked of getting rid of PCTs and allowing a wide range of providers:“Empowering local communities to improve health services through elected Local Health Boards, which will take over the role of Primary Care Trust boards in commissioning care for local people, workingin co-operation with local councils. Over time, Local Health Boards should be able to take on greater responsibility for revenue and resources to allow local people to fund local services which needextra money.Giving Local Health Boards the freedom to commission services for local people from a range of different types of provider, including for example staff co-operatives, on the basis of a level playing field in any competitive tendering – ending any current bias in favour of private providers.”

Phil Taylor ● 5490d