The future of the NHS? The changing health policy context
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Presenter(s)
Professor David Hunter Professor of Health Policy and Management, Centre for Public Policy & Health, Wolfson Research Institute, Durham University Queen's Campus
Abstract
The NHS, including public health, is undergoing significant, if not unprecedented, change which will leave no part of it untouched. While the central direction of the coalition government's proposals remains reasonably clear, considerable uncertainty surrounds their precise form and content. Strong opposition to the changes exists across the health system and from all political quarters. Proponents of reform claim it will result in a leaner and more efficient system with strong clinical engagement and less bureaucracy. Opponents fear the demise of the NHS as it is reduced to a funding mechanism with the commissioning and provision of care increasingly undertaken by a diverse range of providers, including the private sector. They are opposed to the further intrusion of markets and competition into health care. The Health and Social Care Bill, currently going through Parliament, is the subject of further consultation.
The NHS Futures Forum, set up to listen and to review progress, is due to report to Ministers in early June. But unless the Bill is significantly modified, it is likely to face considerable opposition in the House of Lords. The presentation will reflect upon the shifting policy context and on the implications for the NHS and public health.
