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Wednesday 23 May 2012
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Lansley promises bail-out for debt-ridden hospitals

By Edward Davie | 26 Oct 2011

Financially failing hospital trusts will get additional Government support so that GP commissioners can ‘deliver care not manage provider debt', the health secretary has said.

Speaking at a Reform conference on clinical commissioning groups (CCGs), Andrew Lansley said that hospitals which fulfilled a range of criteria could be bailed out.

The health secretary said: ‘CCGs, as they take up their responsibilities, have to be focused on using their resources to deliver the best possible care for the patients they serve not, as in the past, having to use a significant part of their resources to manage a system that is failing to manage itself successfully.'

'There is no point, 20 years after the purchaser provider split, arriving at a place where the purchasers of care find themselves constantly mired in the problems of provider debt. We have to deal, on the provider side, with that and ensure that CCGs have access to a range of viable, sustainable, high quality provision.'

Mr Lansley said that where hospitals face difficulties through 'no fault of their own', through, for example PFI debt repayments, the Government would give one-off transparent loans.

He said these hospital trusts will only be able to access this once they have met four key tests: the problems they face must be exceptional and beyond those faced by other organisations; they must show that the problems are historic and that they have a clear plan to manage their resources in the future; they must show plans to deliver high levels of annual productivity savings and they must provide clinically viable high quality services including delivering waiting times and other performance measures.

‘These are tough tests but they are fair. Fair to the hospitals facing up to these problems and fair to the rest of the NHS. These hospitals owe it to their local communities to take the tough decisions necessary to deliver the right levels of care, hospitals that are financially out of control cannot serve the needs of their patients,' Mr Lansley said.

READERS' COMMENTS

Anonymous, PCT,
27 Oct 2011
QUOTE - 'There is no point, 20 years after the purchaser provider split, arriving at a place where the purchasers of care find themselves constantly mired in the problems of provider debt.'

Well Mr Lansley, if you actually understood the NHS you would find that it is 20 years of commissioner provider that has caused many of the issues we now face. Yes, hospitals need to be efficient but many are limited because of a lack of investment. Others are allegedly bogged down because of powerful consultant interest. The answer Mr Lansley is to manage the NHS properly and not allow it to be blown around in some financial regulatory framework.

You are stupid enough to think that competition will improve things; that hospitals need to be 'viable' and that your brave new GP world will deliver. God help us.

PCT Finance Manager
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Anonymous, Other NHS,
27 Oct 2011
Competition implies a market; a market implies entry and exit. Exit is caused by inefficiencies leading to financial failure, leading to closure. Propping up centrally in contradictory to what appears to be the policy embedded within the bill.

Several commentaries recently have raised the ugly prospect of there being too many hospitals in the UK. It is surely obvious to all in the NHS that more competition leads to more capacity, leading to increased costs as that excess capacity sits idle and unused (but fully staffed). The business of private enterprise is making a profit and we went through this in the 90's with a number of first wave NHS Trusts going "broke" and merging. Look at the reasons why and then ask yourself why this is being repeated.

The similar reports on inefficient usage of the expensive machinery across trusts is an indicator - given the structure and barriers in the way of co-operation and this can only get worse.
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Anonymous, Manager,
27 Oct 2011
I find that Mr Lansley speak with forked tongue as he warned in a new item yesterday that NHS managers who fail to get hospitals ready to become foundation trusts by 2014 will be "removed and replaced", signalling a new approach to the health service. However, NHS workers have often claimed that the assessments are not focusing on patient care, but merely on the cash position of the NHS, noting that Lansley's department had identified up to 36 trusts that needed access to £376m in government loans to meet a regulatory requirement to become a foundation trust. mmmmmmm. can you really believe this rubbish.
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Anonymous, PCT,
27 Oct 2011
If the public only knew what many know in the NHS. Lansley is prepared to lie about cuts to doctors and nurses whilst talking about Acutes being viable. He knows that this can only be achieved under the current system by either major ward closures or full closure.

Our GP colleagues will find out the hard way about how the system actually works. They are currently deluded about the influence of 'commissioning' in a senseless economy.

PCT Finance Manager
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