The Tyranny of a system - The NHS: 50 Years of 'New Ideas' and 'Change' in the NHS; unforeseen consequences, accumulation of clutter, nonsense and Strikes!

The authority for these writings is drawn from my experience of more than 50 years as a medical doctor working in the NHS My reasons for these writings are threefold.Firstly it is to provide historical explanations for the dysfunctional and impersonal mess that the NHS has got itself into. Secondly to help the current debate of, 'more funding is needed' against the notion that this would be 'throwing good money after bad'Thirdly to suggest a way for the NHS to return to a more efficient and less costly health care system Shortened extracts from comments on 'Tyranny'-Thanks for allowing me to see this excellent manuscript. I think that there is a huge amount here which clearly needs to be said -I very much enjoyed reading your book on the future of the NHS. I have not seen a discussion on the matter that so comprehensively covers areas that many do not seem willing to broach.I thought your ideas were spot on- I think it is an excellent summary of both the problems and solutions within our current NHS-We have lost the relationships between junior doctors, consultants and nurses exactly in the way that you describe and this has led to alienated professionals trying to look after alienated patients in an alienated system-Turning to solutions, I entirely agree that "the money should flow from what arises out of the doctor/patient encounter and be seen to do so". This can be achieved through your model of "The details of how this is to be carried out and funded needing medical supervision".