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NHS overhaul plans to be laid out | NHS overhaul plans to be laid out |
(about 6 hours later) | |
Health minister Lord Darzi is to announce plans for the next 10 years of England's NHS after a year-long consultation with patients and staff. | Health minister Lord Darzi is to announce plans for the next 10 years of England's NHS after a year-long consultation with patients and staff. |
His proposals are expected to focus on improving quality through financial incentives and performance data. | His proposals are expected to focus on improving quality through financial incentives and performance data. |
The review also includes controversial proposals for 150 GP-led health centres in England, which doctors have warned put existing services at risk. | The review also includes controversial proposals for 150 GP-led health centres in England, which doctors have warned put existing services at risk. |
The prime minister hailed the review as a "once-in-a-generation opportunity". | The prime minister hailed the review as a "once-in-a-generation opportunity". |
'Bold vision' | 'Bold vision' |
In his foreword to the report, Prime Minister Gordon Brown said the reform plans would have "an even more profound effect" than previous shake-ups. | In his foreword to the report, Prime Minister Gordon Brown said the reform plans would have "an even more profound effect" than previous shake-ups. |
"It is a bold vision for an NHS which is among the best healthcare systems in the world - a once-in-a-generation opportunity that we owe it to ourselves and our families to take," he said. | "It is a bold vision for an NHS which is among the best healthcare systems in the world - a once-in-a-generation opportunity that we owe it to ourselves and our families to take," he said. |
Lord Darzi's review will be published alongside the government's draft "NHS constitution". | Lord Darzi's review will be published alongside the government's draft "NHS constitution". |
It is thought patients will be given a legal right to choose where they are treated. | It is thought patients will be given a legal right to choose where they are treated. |
And reports have emerged that nurses will be encouraged to set up their own not-for-profit companies under the plans for NHS reform. | And reports have emerged that nurses will be encouraged to set up their own not-for-profit companies under the plans for NHS reform. |
The review is expected to focus on clinical quality, rather than quantity, with financial incentives for hospitals and GPs who provide a first rate service to patients, whose views will be given a higher priority than in the past. | |
Lord Darzi carried out a consultation with 10 regions around the country during his review. | Lord Darzi carried out a consultation with 10 regions around the country during his review. |
Local plans announced at the beginning of June outlined changes to a wide range of services. | Local plans announced at the beginning of June outlined changes to a wide range of services. |
In the East Midlands, this included specialist heart attack centres, better maternity care and an expansion of cancer screening. | In the East Midlands, this included specialist heart attack centres, better maternity care and an expansion of cancer screening. |
Opposition | Opposition |
An interim report from Lord Darzi in October outlined plans for GP-led health centres open 8am to 8pm seven days a week, to be used by anyone - whether or not they are registered there. | An interim report from Lord Darzi in October outlined plans for GP-led health centres open 8am to 8pm seven days a week, to be used by anyone - whether or not they are registered there. |
This came after the announcement of a network of polyclinics in London which would provide GP care alongside some care traditionally provided in hospitals. | This came after the announcement of a network of polyclinics in London which would provide GP care alongside some care traditionally provided in hospitals. |
Doctors have clashed head on with the government over the proposals and delivered a petition to Downing Street signed by a million patients. | Doctors have clashed head on with the government over the proposals and delivered a petition to Downing Street signed by a million patients. |
The British Medical Association says the government is guilty of foisting the health centres on areas where they are not needed - putting existing services under threat. | The British Medical Association says the government is guilty of foisting the health centres on areas where they are not needed - putting existing services under threat. |
It fears they will be too big to offer patients continuity of care, and is concerned that they will not provide value for money. | It fears they will be too big to offer patients continuity of care, and is concerned that they will not provide value for money. |
The Tories have also said the plans will put local GPs out of business. | The Tories have also said the plans will put local GPs out of business. |
But the government said they will be paid for out of new money and will offer patients more choice and better access. | But the government said they will be paid for out of new money and will offer patients more choice and better access. |
Shadow health secretary Andrew Lansley said the public knew that the NHS needs reforming and that "Labour had failed them on this crucial issue". | Shadow health secretary Andrew Lansley said the public knew that the NHS needs reforming and that "Labour had failed them on this crucial issue". |
"But they also know that Conservative reforms for health care will not threaten the security that comes with a health service available to all, based on need," he added. | "But they also know that Conservative reforms for health care will not threaten the security that comes with a health service available to all, based on need," he added. |