The UK Government plans to reverse controversial reforms of the National Health Service and return greater control to ministers.
Proposed changes would reduce the involvement of the private sector, with fewer contracts put out to tender – a reversal of policies adopted by the ruling Conservative Party in 2012, when it was led by David Cameron.
If adopted, the leaked plan would mean the current administration is scrapping policies it has spent years defending from critics in the health service.
The plans to roll back reforms have attracted early criticism from political rivals.
They asked why the government wasn’t focusing on treatment waiting lists, which have soared as the service battles Covid-19.
“Ministers need to explain why reorganisation is the pressing priority when 190,000 people are waiting more than 12 months for treatment and cancer survival rates need to be radically improved,” opposition health secretary Jonathan Ashworth said.
Dr Fiona Lemmens, chairwoman of the Liverpool NHS Clinical Commissioning Group, said it would be a “challenge” for NHS reforms to be considered while the service deals with the pandemic.
“We should always be looking to improve. Continuous improvement is what I would be aiming for rather than massive overhauls,” Dr Lemmens said.
The draft policy paper, which says Health Secretary Matt Hancock would take more direct control over NHS England, admits to failures in the previous policy of introducing public health care to market competition.
“[The] regime in place put competition as the organising principle for improvement in NHS care. This has, in some cases, hindered integration between providers. In practice, the NHS has not operated as the market,” the draft white paper says.
The plans would enable the government to block hospital closures and overrule healthcare managers. Ministers are also seeking new powers, including adding fluoride to the public water supply to tackle tooth decay and putting warnings on unhealthy food to reduce obesity.
The white paper says there will be “enhanced powers of direction for the government” so that “decision-makers overseeing the health system at a national level are effectively held to account”.
Former health secretary Jeremy Hunt backed the proposals.
“Last year was the first year in history where, across the world, there were more over-65s than under-fives, so we are all having to deal with this big change in our health provision of the growth in older people and what that means is you need a lot more joined-up care,” he said.
“The structures need to be improved to make that possible and I think that’s what these reforms are intended to do, so I think they could be very positive.”
In the 2012 reform, initiated by former health minister Andrew Lansley in 2012, much day-to-day control of the service handed to bosses at NHS England.
A white paper is expected as early as April.
Specs
Engine: Dual-motor all-wheel-drive electric
Range: Up to 610km
Power: 905hp
Torque: 985Nm
Price: From Dh439,000
Available: Now
The National's picks
4.35pm: Tilal Al Khalediah
5.10pm: Continous
5.45pm: Raging Torrent
6.20pm: West Acre
7pm: Flood Zone
7.40pm: Straight No Chaser
8.15pm: Romantic Warrior
8.50pm: Calandogan
9.30pm: Forever Young
Meatless Days
Sara Suleri, with an introduction by Kamila Shamsie
Penguin
Company profile
Name: Infinite8
Based: Dubai
Launch year: 2017
Number of employees: 90
Sector: Online gaming industry
Funding: $1.2m from a UAE angel investor
How tumultuous protests grew
- A fuel tax protest by French drivers appealed to wider anti-government sentiment
- Unlike previous French demonstrations there was no trade union or organised movement involved
- Demonstrators responded to online petitions and flooded squares to block traffic
- At its height there were almost 300,000 on the streets in support
- Named after the high visibility jackets that drivers must keep in cars
- Clashes soon turned violent as thousands fought with police at cordons
- An estimated two dozen people lost eyes and many others were admitted to hospital
Profile of Hala Insurance
Date Started: September 2018
Founders: Walid and Karim Dib
Based: Abu Dhabi
Employees: Nine
Amount raised: $1.2 million
Funders: Oman Technology Fund, AB Accelerator, 500 Startups, private backers
The Dictionary of Animal Languages
Heidi Sopinka
Scribe
MATCH INFO
Manchester City 4 (Gundogan 8' (P), Bernardo Silva 19', Jesus 72', 75')
Fulham 0
Red cards: Tim Ream (Fulham)
Man of the Match: Gabriel Jesus (Manchester City)
How to help
Send “thenational” to the following numbers or call the hotline on: 0502955999
2289 – Dh10
2252 – Dh 50
6025 – Dh20
6027 – Dh 100
6026 – Dh 200
PAKISTAN SQUAD
Pakistan - Sarfraz Ahmed (captain), Azhar Ali, Fakhar Zaman, Imam-ul-Haq, Babar Azam, Shoaib Malik, Mohammad Hafeez, Haris Sohail, Faheem Ashraf, Shadab Khan, Mohammad Nawaz, Mohammad Amir, Hasan Ali, Aamer Yamin, Rumman Raees.
THE BIO:
Sabri Razouk, 74
Athlete and fitness trainer
Married, father of six
Favourite exercise: Bench press
Must-eat weekly meal: Steak with beans, carrots, broccoli, crust and corn
Power drink: A glass of yoghurt
Role model: Any good man
SQUADS
South Africa:
JP Duminy (capt), Hashim Amla, Farhaan Behardien, Quinton de Kock (wkt), AB de Villiers, Robbie Frylinck, Beuran Hendricks, David Miller, Mangaliso Mosehle (wkt), Dane Paterson, Aaron Phangiso, Andile Phehlukwayo, Dwaine Pretorius, Tabraiz Shamsi
Bangladesh
Shakib Al Hasan (capt), Imrul Kayes, Liton Das (wkt), Mahmudullah, Mehidy Hasan, Mohammad Saifuddin, Mominul Haque, Mushfiqur Rahim (wkt), Nasir Hossain, Rubel Hossain, Sabbir Rahman, Shafiul Islam, Soumya Sarkar, Taskin Ahmed
Fixtures
Oct 26: Bloemfontein
Oct 29: Potchefstroom
FIGHT%20CARD
%3Cp%3E%3Cstrong%3ELightweight%2010%20rounds%3A%3C%2Fstrong%3E%0D%3Cbr%3EBader%20Samreen%20(8-0-0)%20v%20Jose%20Paez%20Gonzales%20(16-2-2)%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3ESuper%20flyweight%2010%20rounds%3A%3C%2Fstrong%3E%0D%3Cbr%3ESultan%20Al%20Nuaimi%20(9-0-0)%20v%20Jemsi%20Kibazange%20(18-6-2)%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3ECruiseweight%208%20rounds%3A%3C%2Fstrong%3E%0D%3Cbr%3EMohammed%20Bekdash%20(25-0-0)%20v%20Musa%20N%E2%80%99tege%20(8-4-0)%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3ESuper%20featherweight%208%20rounds%3A%3C%2Fstrong%3E%0D%3Cbr%3EBishara%20Sabbar%20(6-0-0)%20v%20Mohammed%20Azahar%20(8-5-1)%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EWelterweight%206%20rounds%3A%3C%2Fstrong%3E%0D%3Cbr%3EMarwan%20Mohamad%20Madboly%20(2-0-0)%20v%20Sheldon%20Schultz%20(4-4-0)%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EHeavyweight%204%20rounds%3A%3C%2Fstrong%3E%0D%3Cbr%3EYoussef%20Karrar%20(1-0-0)%20v%20Muhammad%20Muzeei%20(0-0-0)%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EWelterweight%206%20rounds%3A%3C%2Fstrong%3E%0D%3Cbr%3EBenyamin%20Moradzadeh%20(0-0-0)%20v%20Rohit%20Chaudhary%20(4-0-2)%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EFeatherweight%204%20rounds%3A%3C%2Fstrong%3E%0D%3Cbr%3EYousuf%20Ali%20(2-0-0)%20(win-loss-draw)%20v%20Alex%20Semugenyi%20(0-1-0)%0D%0D%3Cbr%3E%0D%3C%2Fp%3E%0A
Ms Yang's top tips for parents new to the UAE
- Join parent networks
- Look beyond school fees
- Keep an open mind
The biog
Favourite hobby: taking his rescue dog, Sally, for long walks.
Favourite book: anything by Stephen King, although he said the films rarely match the quality of the books
Favourite film: The Shawshank Redemption stands out as his favourite movie, a classic King novella
Favourite music: “I have a wide and varied music taste, so it would be unfair to pick a single song from blues to rock as a favourite"