This past week, David Cameron has been talking up his "grenade" being thrown at the NHS, as if it were the kindest cut of all. He has spoken of his respect for the doctors and nurses, and love of what the great institution does, while also pushing for a massive change of direction, so big "it can be seen from space". Indeed, the NHS has never been remade so completely in its 60+ year history. At heart, along with allowing private health providers much more access to the market, is the demanagementising of the system, with groups of GPs replacing managers to run the NHS in local clots. Never mind that GPs are doctors, not public planners. Mr Cameron has been evangelical about the ability of the GPs to handle this big ask. So, what to make of today's news, that GPs bungled their ordering of flu jabs so badly this year, it is being recommended that the government resume running the yearly influenza vaccination programme itself. This seems a warning sign, at the very least. If GPs can't handle running even one national health matter properly, how will they not bungle running the whole NHS? I want a second opinion.
A poem for my mother, July 15 When she was dying And I was in a different country I dreamt I was there with her Flying over the ocean very quickly, And arriving in the room like a dream And I was a dream, but the meaning was more Than a dream has – it was a moving over time And land, over water, to get love across Fast enough, to be there, before she died, To lean over the small, huddled figure, In the dark, and without bothering her Even with apologies, and be a kiss in the air, A dream of a kiss, or even less, the thought of one, And when I woke, none of this had happened, She was still far distant, and we had not spoken.
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In Sunday's Telegraph, Matthew D'Ancona said that right-wing Tories should stop whining because they atre getting every single thing they wanted through the ConDem coalition. I wish it weren't true but I fear that it is.
Best wishes from Simon