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The real conspiracy of NHS England


1. You are marginal to the real conversations in the cabinet office and DOH. 2. Unfortunately so is Arvind. 3. Perhaps not conspiracy, but a clear ambivalence as to whether we continue to do an impossible job on meagre resources (which is fine to them) or collapse and be replaced by a command control system like hospitals (which would also be fine to them). 4. They say fine words publicly and privately to NHSE to keep everyone quiet whilst this plays out either way. You can tell people's true intentions by where they invest the money. They must find Robert Varnam running round with his 10 high impact actions, and the RCGP staking their reputation on the illusory £2.4 billion quite hilarious. 5. GPs who work for NHSE and anticipate a parallel career have taken Jeremy Hunt's shilling and have a need to toe the party line (for personal advancement) and buy into it (so they can sleep at night). Your article should have really started with a clear statement of your role and ambitions. Then we would have understood from the first line what your context was: 'ambitious trainee with little real world experience who has plum NHSE job says NHSE doing a great job'. I wouldn't have read any further. 6. The real test of CO/DOH/NHSEs attitude to general practice is the state of the profession. The only way you can really tell that isn't by working in the NHS directorate, its by seeing patients in general practice, and trying to deliver general practice to a population you are committed to.

Posted date

04 Aug 2017

Posted time