Money is not the answer
As part of our ‘What If’ series on change in the NHS, we spoke to Director & Strategic Advisor Richard Dodds and asked him: “Putting all politics aside, if you could change one thing about the NHS, what would it be?”
If I could change one thing…
You posed an interesting question: “Putting all politics aside, if you could change one thing about the NHS, what would it be?” The obvious ‘one thing’ that most would choose would be more money! But I am convinced that would not be the solution and would actually compound the already lopsided current system.
However, I am of the view that the full integration of social care with healthcare to create a “universal access” model which is free at the point of delivery to all and based on a social insurance model building on Dilnot 2 may well ease the pressure.
The main blockers are the repeal and replacement of parts of primary legislation in National Assistance Act 1948 and the NHS Act 2006. Public engagement would be key as would Party Politics. Setting up a cross party expert review group now is essential so that the legislation changes can be implemented in 2022, which is the first time there will be the necessary available Parliamentary time after all the ‘Brexit’ legislation and regulations should be concluded.
Richard is a career senior healthcare executive manager with a unique blend of experience in strategy, tactical and operational management and executive leadership roles. He specialises in health and social care integration and transformation, often operating within complex and challenging structures and organisations that are ‘situationally sensitive’. He has delivered at Governmental, national policy, corporate and operational levels.
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