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Firms 'to run failing NHS trusts' | Firms 'to run failing NHS trusts' |
(about 3 hours later) | |
Private firms could be drafted in to run struggling NHS hospitals and trusts in England under plans expected to be outlined by the government later. | Private firms could be drafted in to run struggling NHS hospitals and trusts in England under plans expected to be outlined by the government later. |
Executives from companies like Bupa or from better-performing NHS trusts could be used to replace existing bosses. | Executives from companies like Bupa or from better-performing NHS trusts could be used to replace existing bosses. |
Ministers say it is one of a range of options aimed at improving performance, but insist no NHS assets or staff would be transferred to private companies. | Ministers say it is one of a range of options aimed at improving performance, but insist no NHS assets or staff would be transferred to private companies. |
The British Medical Association said it had "grave concerns" about the plans. | The British Medical Association said it had "grave concerns" about the plans. |
'Different skills' | 'Different skills' |
In October the government is to publish new criteria for quality, safety and financial performance, which all NHS trusts in England will be expected to meet. | In October the government is to publish new criteria for quality, safety and financial performance, which all NHS trusts in England will be expected to meet. |
About 20 trusts are expected to be identified as falling short and to be given a deadline to turn things around. The government's suicide mission to alienate core supporters takes another leap with this effort to privatise the NHS Geoff MartinHealth Emergency | About 20 trusts are expected to be identified as falling short and to be given a deadline to turn things around. The government's suicide mission to alienate core supporters takes another leap with this effort to privatise the NHS Geoff MartinHealth Emergency |
The Department of Health said although private firms would be allowed to provide management services at NHS trusts, front-line staff would remain NHS employees. | The Department of Health said although private firms would be allowed to provide management services at NHS trusts, front-line staff would remain NHS employees. |
Officials said it was not expected that "huge numbers" of NHS trusts would be affected. | Officials said it was not expected that "huge numbers" of NHS trusts would be affected. |
It is thought about 20 trusts labelled weak by a Healthcare Commission report last autumn could be identified as candidates. | It is thought about 20 trusts labelled weak by a Healthcare Commission report last autumn could be identified as candidates. |
'Fragmentation' fear | 'Fragmentation' fear |
Health Minister Ben Bradshaw told Channel 4 News on Tuesday: "What we've never done before is to allow the private sector to take over the running of a whole hospital in the form of a franchise, which is one of the options that would be included in this performance regime. | Health Minister Ben Bradshaw told Channel 4 News on Tuesday: "What we've never done before is to allow the private sector to take over the running of a whole hospital in the form of a franchise, which is one of the options that would be included in this performance regime. |
"What we know from our experience of involvement in other parts of the health service is that the private sector can bring different skills - different management skills, different techniques." | "What we know from our experience of involvement in other parts of the health service is that the private sector can bring different skills - different management skills, different techniques." |
But the BMA warned the scheme amounted effectively to privatising parts of the NHS and could lead to "fragmentation" within the health service. | But the BMA warned the scheme amounted effectively to privatising parts of the NHS and could lead to "fragmentation" within the health service. |
And Geoff Martin, head of campaigns at Health Emergency, predicted there would be an "almighty row" over the plans. | And Geoff Martin, head of campaigns at Health Emergency, predicted there would be an "almighty row" over the plans. |
He added: "The government's suicide mission to alienate core supporters takes another leap with this effort to privatise the NHS on a scale that even Margaret Thatcher would have balked at." | He added: "The government's suicide mission to alienate core supporters takes another leap with this effort to privatise the NHS on a scale that even Margaret Thatcher would have balked at." |
It seems to me that this is treating a symptom, rather than actually getting to the source of the disease Nigel EdwardsNHS Confederation | |
Nigel Edwards, of the NHS Confederation, said the government had tried drafting in private sector management unsuccessfully before - at the Good Hope Hospital in the West Midlands. | |
"What it revealed is that the reason that hospitals tend to fail is often much more complicated and much more difficult than just poor managment." | |
Mr Edwards said a much more detailed analysis of why hospitals were failing was needed. | |
"It seems to me that this is treating a symptom, rather than actually getting to the source of the disease." | |
The private sector has already been given an important role in the NHS in England. The government spent heavily on privately-run hospitals and treatment centres to cut waiting times for operations, and private firms are now starting to get a foothold in general practice. |