Friday, 18 July 2008

End is nigh for NHS Bureaucratic heaven

NHS trusts and local health boards will be scrapped in Wales under radical plans to transform the way the health service is structured and managed.

Health Minister Edwina Hart today announced plans to replace the current 22 local health boards (LHBs) and seven acute NHS trusts with just seven new organisations which will provide both community and hospital-based health services.

If the plans are accepted - a further consultation period will start in the autumn - Wales will follow the same system adopted in Scotland and Northen Ireland. Mrs Hart said the proposals for integrated health boards come after an earlier consultation this year to reduce the number of LHBs and end the internal market in the NHS. Many respondents said NHS trusts should also be scrapped.

About time. Bureaucracy rules the roost in the NHS, in Wales. The fact that some NHS Trusts have to deal with more than one Local Health Board has added to the problem.


Valleys Mam 18 July 2008 at 17:39  

why are these announced just as the assembly goes into its long holiday

Miss Wagstaff 18 July 2008 at 17:42  

Unfortunately for the usual reasons. No chance of the opposition to ask direct questions for a while, and so that we don't forget their 'future achievements'. :)

Dotcommentator 18 July 2008 at 18:50  

The original plan was to reduce the number of LHBs from 22 to 7 (to match the trust structure). The idea was, according to Edwina Hart, 'to end the internal market' between the boards and trusts.

The logic of that proposal was made clear when Hart announced that she'd been persuaded by the responses to go further than originally proposed and get rid of ALL the LHBs.

The result: Minister looks good for being 'open' to consultation results and will say, no doubt, if it all goes pear-shaped that the NHS bears the blame for persuading her to go a little further.

dowlais twp 18 July 2008 at 20:25  

what worries me is what will replace the current set up.
We will still have incompetent managers who dont know how the NHS should be run/work, who will not listen to those who work in the NHS and worse still the politicians will still meddle.
We wil have another go on the merry go round in another five years.
I have worke in the NHS for 18 years and have seen 18 changes in that time

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