See this👇 £20Billion per YEAR to be made out of Outsourced contracts in NHS. No wonder nhs is struggling.

Read back from top of this thread- show everyone you don't have a clue (or are being deliberately disingenuous) without actually saying it

There’s nothing inflationary in matching services to need. As long as the resources are there to do it and you haven’t created legislation to permit corporates to extract profit from public services, which certainly does inflate the cost of healthcare. (PFI being 1 of many such)

Available resources, not tax, limit public expenditure & how governments decide to divide those resources between the public & private sectors. Government doesn’t print money in the sense you mean, but absolutely does issue the currency. It’s a question of politics not finance.

Would it surprise you to know that taxes don’t ‘pay’ for services in quite that way? Government issues new money each & every time it spends and taxes it back. The order of the process alters how you look at government expenditure - and its relation to the private sector.

Obviously McKinsey works for other organisations. Its record is actually very poor for a company with such a wide reach. It was explicit in its communication with the DoH under the Coalition that it consulted with its private clients about the desired direction for the 2012 Act.

McKinsey is hardly the only big private sector influencer over the way the NHS is run. It matters because policy and legislation determines where, how and if profit can be made from our public services. It’s way beyond ‘outsourcing’. piped.video/mZacwpsuOm0?si=7BY0…

McKinsey works on behalf of its private clients. They co-wrote the 2012 legislation. dailymail.co.uk/news/article…

Where to start? McKinsey has had a hand in NHS policy since 1973. In 2009 they advised on cuts to meet the £20bn target. Their modelling was behind QIPP: public sector pay freezes; reducing prices paid for delivering care); shifting care out of hospitals, centralising services).

What a disgrace He says I 'need help' inferring mental health problems then mutes Maybe he's one of the few benefitting from the privatisation of health because patients certainly aren't, conveniently has his blinkers on

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In General Practice we get these emails from local trust “we are on OPEL 4. Only send patients in to Hospital it they really need admission” As if rest of the time we send patients into hospital for emergency admission for a fun day out 🙄 (WE DON’T)

The elephant in the room here is that to do the role of a doctor (be one) that same nurse would be required to go to medical school and do Foundation training, regardless of how their undergrad or how much experience they have.

So ACPs are not autonomous and are a dependent role? That is not what is being pushed. If every pt an ACP sees has to beseen after by a Dr, there is no point employing them. ACP training is about 500hrs clinical teaching. Med students do 4000hrs just to graduate

Working in advanced practice of base role is great, letting someone with about 1/8th of the clinical teaching of a med student work as an ST3 or above Dr is certifiably crazy, surely?

There’s negligible Clinical Medical ed in ACP MSc on top of a nursing/pharmacy/physio degree If a trainee doctor (who has 4-6yrs MBBS, 2yrs FY, 3yrs Core, and RC exams) has all that and still needs Cons supervision, how is someone with a 45Cred module in Clin Med comparable?

What do you mean by “trainee Medic” ? Medical students aren’t allowed to treat pts, ACPs are in NHS As to ACP MSc content is way too less to work in Dr substitute role -in GP &A&E seeing undifferentiated pts, on Dr rotas etc ACP MSc even less than PA MSc

They assume they can do what trainee medics (resident drs) do under consultant supervision. This entire notion of equivalency is deeply disrespectful that I’ve lost all respect for these non-dr roles. They stand against the medical profession, and drs need to recognise that.

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Interesting that the @MidwivesRCM condemn the NMC for not doing enough to ensure rigorous standards in midwifery teaching All while they themselves continue to accept money from one of the organisations mentioned in the Times article Are all Royal Colleges the same?

Agree. On the same note, registered medical practitioner (aka doctors) roles can only be filled by registered medical practitioners (not even by 'medical professionals'...!)