As Wes Streeting's reorganisation of the NHS (and merger of NHS England & the Dept. of Health & Social Care) creates more chaos, the Q. is: what is it about Health Secretaries that they seem always to see reorganisation as the answer?
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As Wes Streeting's reorganisation of the NHS (and merger of NHS England & the Dept. of Health & Social Care) creates more chaos, the Q. is: what is it about Health Secretaries that they seem always to see reorganisation as the answer?
Is it because, in our political class' commitment to general management as a skill, incoming Health Secretaries really have no idea how the NHS works & so try to transform it into something they recognise?
A form of political solipsism?
@ChrisMayLA6 Right back to Andrew Lansley who is reputed to have redesigned the NHS while on a train journey.
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Just a dozen years myself.
Reorganisation every two years.
It’s great for ladder climbing but patients are bottom of the list. -
As Wes Streeting's reorganisation of the NHS (and merger of NHS England & the Dept. of Health & Social Care) creates more chaos, the Q. is: what is it about Health Secretaries that they seem always to see reorganisation as the answer?
Is it because, in our political class' commitment to general management as a skill, incoming Health Secretaries really have no idea how the NHS works & so try to transform it into something they recognise?
A form of political solipsism?
@ChrisMayLA6 the quality of the political class in most western countries is extremely poor and has been for quite some time. I think we should start by banning lawyers and PPE graduates running for Parliament. We would be far better served by more doctors, nurses, engineers, scientists, social workers, teachers, plumbers, electricians - basically anybody who has ever had a real job in life. And I say that as someone who got a degree in philosophy.
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As Wes Streeting's reorganisation of the NHS (and merger of NHS England & the Dept. of Health & Social Care) creates more chaos, the Q. is: what is it about Health Secretaries that they seem always to see reorganisation as the answer?
Is it because, in our political class' commitment to general management as a skill, incoming Health Secretaries really have no idea how the NHS works & so try to transform it into something they recognise?
A form of political solipsism?
@ChrisMayLA6 In systems this comes up quite often with "things that need doing, look easy and are not"
It's the same reason we had every politician spouting nonsense about nutrition and food at one point, and to some extent I think why they keep screwing up HS2.
The organization of the NHS is not good. The lack of unification with social care funding is a complete mess for proper prioritization IMHO.
Alas fixing it requires funding, slow changes and decades, which doesn't work in politics
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@ChrisMayLA6 the quality of the political class in most western countries is extremely poor and has been for quite some time. I think we should start by banning lawyers and PPE graduates running for Parliament. We would be far better served by more doctors, nurses, engineers, scientists, social workers, teachers, plumbers, electricians - basically anybody who has ever had a real job in life. And I say that as someone who got a degree in philosophy.
Yes, although the political class looks & behaves as it does because it *does* serve the purposes of a particular group.... the wealthy
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As Wes Streeting's reorganisation of the NHS (and merger of NHS England & the Dept. of Health & Social Care) creates more chaos, the Q. is: what is it about Health Secretaries that they seem always to see reorganisation as the answer?
Is it because, in our political class' commitment to general management as a skill, incoming Health Secretaries really have no idea how the NHS works & so try to transform it into something they recognise?
A form of political solipsism?
@ChrisMayLA6 It's the same with education. Every time the minister changes, so do the requirements. I was in the final O-Level year (1987) and since then pretty much every secondary cohort has had a policy change move the floor under them while working towards the 5th year/year 11 exams.
The education minister (and political underlings) should have been a teacher prior to entering politics.
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@ChrisMayLA6 It's the same with education. Every time the minister changes, so do the requirements. I was in the final O-Level year (1987) and since then pretty much every secondary cohort has had a policy change move the floor under them while working towards the 5th year/year 11 exams.
The education minister (and political underlings) should have been a teacher prior to entering politics.
No no no.... we can't have minister contanimated by experience.... what are you thinking???? /s
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No no no.... we can't have minister contanimated by experience.... what are you thinking???? /s
@ChrisMayLA6 I read that in Nigel Hawthorne's voice
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As Wes Streeting's reorganisation of the NHS (and merger of NHS England & the Dept. of Health & Social Care) creates more chaos, the Q. is: what is it about Health Secretaries that they seem always to see reorganisation as the answer?
Is it because, in our political class' commitment to general management as a skill, incoming Health Secretaries really have no idea how the NHS works & so try to transform it into something they recognise?
A form of political solipsism?
"We trained hard, but it seemed that every time we were beginning to form up into teams we would be reorganized. Presumably the plans for our employment were being changed. I was to learn later in life that, perhaps because we are so good at organizing, we tend as a nation to meet any new situation by reorganizing; and a wonderful method it can be for creating the illusion of progress while producing confusion, inefficiency, and demoralization."
Charlton Ogburn
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As Wes Streeting's reorganisation of the NHS (and merger of NHS England & the Dept. of Health & Social Care) creates more chaos, the Q. is: what is it about Health Secretaries that they seem always to see reorganisation as the answer?
Is it because, in our political class' commitment to general management as a skill, incoming Health Secretaries really have no idea how the NHS works & so try to transform it into something they recognise?
A form of political solipsism?
Health, education, and human services are targeted for sabotage via perpetual reorganization because The Moneyed hate the idea of a well educated, healthy, and long-lived electorate.
Why? A population well equipped for the future functions as a break on their wealth & power.
Oligarchy is well served by people preoccupied by illness, misery, poverty, unemployment, precarity, and ignorance.
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