Roy Lilley (NHSManagers.net) on the paradox of public health:
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Roy Lilley (NHSManagers.net) on the paradox of public health:
'We talk more than ever about prevention.
We invest less than ever in the means to deliver it.
We say we want a healthier population, but…
we organise the system so that no one is truly responsible for making it happen.
Public health hasn’t gone. It’s has been hollowed out. Functions scattered. Authority diluted'!
Its not the only reason the health service is in crisis but it certainly doesn't help!
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Roy Lilley (NHSManagers.net) on the paradox of public health:
'We talk more than ever about prevention.
We invest less than ever in the means to deliver it.
We say we want a healthier population, but…
we organise the system so that no one is truly responsible for making it happen.
Public health hasn’t gone. It’s has been hollowed out. Functions scattered. Authority diluted'!
Its not the only reason the health service is in crisis but it certainly doesn't help!
@ChrisMayLA6 Go back to pre-1974 reorganisation! Have a local MOH responsible for all aspects of public health locally. Together with the "Sanitary Inspector" who was responsible for food & water safety, sewerage & safe housing. Increasing centralisation of services hasn't always worked well & we are about to get more of it!
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@ChrisMayLA6 Go back to pre-1974 reorganisation! Have a local MOH responsible for all aspects of public health locally. Together with the "Sanitary Inspector" who was responsible for food & water safety, sewerage & safe housing. Increasing centralisation of services hasn't always worked well & we are about to get more of it!
Indeed... and we can (in its most recent problems) put that squarely at the feet of Andrew Lansley!
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@ChrisMayLA6 Go back to pre-1974 reorganisation! Have a local MOH responsible for all aspects of public health locally. Together with the "Sanitary Inspector" who was responsible for food & water safety, sewerage & safe housing. Increasing centralisation of services hasn't always worked well & we are about to get more of it!
@annehargreaves @ChrisMayLA6 living in France the past 5+ years, I'm increasingly of the opinion that a lot of big problems in the UK are rooted in over-centralisation vs devolution. Of course, the RN here shows populism can thrive even with more devolution too, but services are better managed locally I think, nearer those that need them.
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Roy Lilley (NHSManagers.net) on the paradox of public health:
'We talk more than ever about prevention.
We invest less than ever in the means to deliver it.
We say we want a healthier population, but…
we organise the system so that no one is truly responsible for making it happen.
Public health hasn’t gone. It’s has been hollowed out. Functions scattered. Authority diluted'!
Its not the only reason the health service is in crisis but it certainly doesn't help!
Kicked into local authorities, with a gutted budget.
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Roy Lilley (NHSManagers.net) on the paradox of public health:
'We talk more than ever about prevention.
We invest less than ever in the means to deliver it.
We say we want a healthier population, but…
we organise the system so that no one is truly responsible for making it happen.
Public health hasn’t gone. It’s has been hollowed out. Functions scattered. Authority diluted'!
Its not the only reason the health service is in crisis but it certainly doesn't help!
@ChrisMayLA6 How much of that, I wonder, is directly connected to the political approach of promising increases in “front line” service by cutting backroom “waste”, but ignoring that in backrooms are health promotion teams, admin support (to free up doctors, teachers etc), maintenance staff (so people actually have somewhere to work), teaching support staff, advisory teachers and a whole bunch of others who aren’t just superfluous luxuries. Arguably none of these are. That’s why they exist.
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@ChrisMayLA6 How much of that, I wonder, is directly connected to the political approach of promising increases in “front line” service by cutting backroom “waste”, but ignoring that in backrooms are health promotion teams, admin support (to free up doctors, teachers etc), maintenance staff (so people actually have somewhere to work), teaching support staff, advisory teachers and a whole bunch of others who aren’t just superfluous luxuries. Arguably none of these are. That’s why they exist.
Not insignificant I suspect (like you)
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