Read on Twitter
1/ Where is Andrew Landsley? Here's the 2013 report that found "in a major pandemic the newly reorganised NHS in England is likely to face extra challenges. In part .. an inevitable consequence of the disruption caused by such a major re-organisation" https://chpi.org.uk/wp-content/uploads/2014/01/CHPI-report-GettingBehindCurve-Dec-2013.pdf https://twitter.com/susan_bewley/status/1248399781489078275
2/ In a pandemic, when there will need to be clear lines of communication & responsibility, with the centre having capacity to direct personnel & healthcare resources towards areas of greatest need, there is instead fragmentation & a lack of clarity...
3/...within the newly-created organisational structures about who does what & how the system is co-ordinated. The potential problems stretch from the top, with an ill-defined role expected of the CMO, through confusing multiple and parallel structures embracing the NHS, PHE &..
4/.. local government, right down to the front line with its increasing number of private providers. In general, a market-driven health care system underpinned by a series of contracts is ill-suited to the demands of a major health crisis because it prioritises efficiency savings
5/.. patient choice & competition between healthcare providers over centralised planning, & seeks to minimise spare capacity in hospitals & other health care facilities. Requiring contracted healthcare providers to act appropriately in an emergency is also extremely difficult..
6/.. as they will be expected to deliver services in unforeseen circumstances not specified in or funded through their contracts." So there we have it. Spelled out. No 1 on risk register. Even before 2016 planning exercise. @HealthWatchUK @KeaneMJ @mgtmccartney @mancunianmedic
7/.. Not being able to cope with a pandemic was a political choice ££ $$. Who benefitted then & now? Where's Andrew Landsley when we need him to explain? @Jeremy_Hunt @MattHancock @DavidCameron_MP @bmj_latest
8/ I don't 'blame' the present people struggling & out of their depth. Where is Landsley? @pash22 @Johnrashton47 @MaternityAction @bengoldacre @deb_cohen @DrPetra @drmarkporter @trishgreenhalgh @john_illman @jimgthornton @RoyLilley @VPrasadMDMPH @jburnmurdoch @TranspariMED
