T.W.
Saturday 3rd October 2009 2:40am [Edited]
15,786 posts
I largely agree with what you have said there. In terms of the bricks and mortar the investment has certainly borne fruit. However, taking into account that much of the actual hospital and treatment centre building work was done via PFIs, a lot of hard cash from the increased budgets has been swallowed up by management and other bureaucratic expansion.
There have been huge wastes of money in terms of the various NHS IT systems, some of which were frankly unnecessary in the first place. Much money has been wasted on new centres for surgery, which actually aren't very labour-intensive or cost-effective.
As regards frontline care for patients (and conditions for staff), superficially there have been improvements in the presentation of care and in specialist treatments (especially cancer services); but actually little progress in terms of day-to-day healthcare benefits. Money has been thrown at new treatments and new staff without always proper evaluation as to whether or not they were better than the previous treatments and strategies.
A lot of money is wasted because doctors and nurses rely more on expensive tests (which of course patients and relatives feel better about having done) rather than good clinical experience and examination. Worryingly, basic medical and nursing skills are in decline. Doctors especially (partly due to limited working hours as juniors) take many more years to gain the knowledge and experience they used to acquire quickly due to intensive post-graduate work and training.
In summary, I would say that the money has improved a few things greatly and many things superficially - but it's generally not been good value-for-money. (I would say that Labour has put the money there to greatly improve preventative care. This may ultimately save/improve a lot of lives. Labour will probably not be around to take the credit for it if it does.)