These are extracts form the Healh Service Journal.
The number of managers has indeed risen sharply under Labour. NHS Information Centre data reveals that between 1998 and 2008 the number of managers rose 76 per cent from 22,693 to 39,913, while the number of professionally qualified clinical staff rose 171,593 - 32 per cent - to 701,324. In addition the number of support staff in “central functions” rose 34,275 - 48 per cent - to 105,354.
The conservative shadow health minister Mr Lansley has repeatedly attacked the “bloated health service bureaucracy”. In a World at One interview on 3 September, for example, he cited an 80 per cent rise over five years in the administration costs of primary care trusts. In a similar vein he can reel off all the working groups and administrative superstructure which his local strategic health authority - East of England - established in response to the Darzi review.
Mr Lansley plans to move much more commissioning power from PCTs to GPs. HSJ understands the Conservatives are likely to require all GP practices to become practice based commissioners. Most of their commissioning functions would be performed through federations of GP practices operating as consortiums.
But there are two problems with this. First, many GPs will not want to become commissioners. Shadow health minister Mark Simmonds told HSJ that using companies such as Humana would be an option where GPs did not want these new powers.
He said: “There may…be circumstances where if there’s a continuing reluctance [from GPs] we may have to bring in others to commission on their behalf.”
Groups of GPs would be allowed to select another GP consortium, the PCT or a private firm to do the commissioning, he said.
These are selected extracts from a report in the health Service Journal which warns of the Conservatives plans to cut the commissioners in PCTs as we forecast and hand the role over over to GPs and the private sector. Humana is mentioned by the "shadow minister". Of course what the article fails to point out that the present scenario that has led to all these managers in commissioning is an attempt to hand services over to the private sector by commissioning. And a cursory look at Humanas website is that this big US health monopoly is already involved in commssioing services via PCTs for New Labour.
They may have slightly different plans for the health service which each party uses to try and capture support from GPS or PCTs but they amount to the the same anti-social direction.
We must oppose both. Our own direction is for further socialistation and provision of health care to meets the needs of the whole population as a fully integrated and seamless public service. For example,we need to go further in ending the situation where private drug monopolies are alowed to dictate and reap massive profits. Also we need to take back into public contol PFI hopsitals and services. We need our own politicians from our own ranks that are accountable to us and a programme for health which we decide on and control over our economy to put the claim of the peoples health in first place replacing the claim of the monopolies over the economy that all of these big parties represent.
In short we need to break the monopoly of these parties over the political and health agenda and break the claim that they represent for the finance and monopoly capitalist interests.