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You can find the current article at its original source at http://www.theguardian.com/society/live/2016/jan/21/this-is-the-nhs-guardian-event-live-coverage
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| Version 3 | Version 4 |
|---|---|
| This is the NHS: Guardian event – as it happened | This is the NHS: Guardian event – as it happened |
| (30 days later) | |
| 8.29pm GMT | 8.29pm GMT |
| 20:29 | 20:29 |
| Polly Toynbee points out that the NHS was a political creation, but adds: let’s hope that it gets the funding it deserves. | Polly Toynbee points out that the NHS was a political creation, but adds: let’s hope that it gets the funding it deserves. |
| That’s it for our live blog – keep reading our This is the NHS coverage in the Guardian throughout January. | That’s it for our live blog – keep reading our This is the NHS coverage in the Guardian throughout January. |
| Updated | Updated |
| at 9.12pm GMT | at 9.12pm GMT |
| 8.27pm GMT | 8.27pm GMT |
| 20:27 | 20:27 |
| How will the NHS look in 10 years? Faye Kirkland thinks we need to provide five days of elective cover and two of emergency cover, rather than spreading resources too thinly across the week. | How will the NHS look in 10 years? Faye Kirkland thinks we need to provide five days of elective cover and two of emergency cover, rather than spreading resources too thinly across the week. |
| Robert Freeman thinks the politicians will withdraw and stop interfering, with improved outcomes for patients. | Robert Freeman thinks the politicians will withdraw and stop interfering, with improved outcomes for patients. |
| Finally, Salyeha Ahsan hopes the NHS will not stop being used as a political scapegoat. | Finally, Salyeha Ahsan hopes the NHS will not stop being used as a political scapegoat. |
| 8.23pm GMT | 8.23pm GMT |
| 20:23 | 20:23 |
| Salyeha Ahsan was always baffled by the idea of imposing penalties on hospitals that fail to meet their targets. That can happen for a wide variety of reasons, she says, but punishing them financially is never going to improve the situation. | Salyeha Ahsan was always baffled by the idea of imposing penalties on hospitals that fail to meet their targets. That can happen for a wide variety of reasons, she says, but punishing them financially is never going to improve the situation. |
| 8.20pm GMT | 8.20pm GMT |
| 20:20 | 20:20 |
| Dr David Wrigley tweets: | Dr David Wrigley tweets: |
| GPs have to write long letters to ‘funding panels’ pleading for pts to get procedures which were once funded. #ThisIsTheNHS #guardianlive | GPs have to write long letters to ‘funding panels’ pleading for pts to get procedures which were once funded. #ThisIsTheNHS #guardianlive |
| 8.18pm GMT | 8.18pm GMT |
| 20:18 | 20:18 |
| “I hate targets – targets encourage cheating,” Robert Freeman says. He thinks outcomes are far more important and there needs to be some sensible thought involved in the process. | “I hate targets – targets encourage cheating,” Robert Freeman says. He thinks outcomes are far more important and there needs to be some sensible thought involved in the process. |
| Updated | Updated |
| at 9.13pm GMT | at 9.13pm GMT |
| 8.17pm GMT | 8.17pm GMT |
| 20:17 | 20:17 |
| Donna Kinnair thinks it’s really important that managers have some clinical experience in order to motivate medical professionals. | Donna Kinnair thinks it’s really important that managers have some clinical experience in order to motivate medical professionals. |
| 8.13pm GMT | 8.13pm GMT |
| 20:13 | 20:13 |
| Another member of the audience – a police officer whose partner is a junior doctor – asks whether the NHS of the future should have all publicly funded social care under the one umbrella. | Another member of the audience – a police officer whose partner is a junior doctor – asks whether the NHS of the future should have all publicly funded social care under the one umbrella. |
| A hospital doctor asks why the media hasn’t picked up more on the fact that a seven-day NHS will cost much more because of the need for all other medical professionals, and not just doctors – who already work nights and weekends. | A hospital doctor asks why the media hasn’t picked up more on the fact that a seven-day NHS will cost much more because of the need for all other medical professionals, and not just doctors – who already work nights and weekends. |
| Updated | Updated |
| at 9.13pm GMT | at 9.13pm GMT |
| 8.09pm GMT | 8.09pm GMT |
| 20:09 | 20:09 |
| A junior doctor says that morale is very low because of how the public views the NHS and media coverage of the service. She says targets are being met, but the way patients are handled in hospital may not be what they want. | A junior doctor says that morale is very low because of how the public views the NHS and media coverage of the service. She says targets are being met, but the way patients are handled in hospital may not be what they want. |
| 8.07pm GMT | 8.07pm GMT |
| 20:07 | 20:07 |
| Another tweet: | Another tweet: |
| All round we have better care today. We have better trained doctors, says Dame Donna Kinnair #ThisIsTheNHS #GuardianLive | All round we have better care today. We have better trained doctors, says Dame Donna Kinnair #ThisIsTheNHS #GuardianLive |
| 8.04pm GMT | 8.04pm GMT |
| 20:04 | 20:04 |
| Salyeha Ahsan misses the old-school consultant and matron who know exactly who their patients are. She trained in Scotland, where things were closer to that model: “It was a different culture. It was very patient-driven and the word of the consultant was everything.” | Salyeha Ahsan misses the old-school consultant and matron who know exactly who their patients are. She trained in Scotland, where things were closer to that model: “It was a different culture. It was very patient-driven and the word of the consultant was everything.” |
| Updated | Updated |
| at 9.04pm GMT | at 9.04pm GMT |
| 8.01pm GMT | 8.01pm GMT |
| 20:01 | 20:01 |
| Sometimes it is necessary to close services in order to improve the quality of care, Faye Kirkland says, which is never popular with people. Sometimes “we can do a lot better”, she explains. | Sometimes it is necessary to close services in order to improve the quality of care, Faye Kirkland says, which is never popular with people. Sometimes “we can do a lot better”, she explains. |
| Updated | Updated |
| at 9.13pm GMT | at 9.13pm GMT |
| 7.57pm GMT | 7.57pm GMT |
| 19:57 | 19:57 |
| Guardian news editor Mark Rice-Oxley tweets: | Guardian news editor Mark Rice-Oxley tweets: |
| "The NHS is very different to the one we created and we have to have a proper debate about the service we want" Rob Freeman #ThisIsTheNHS | "The NHS is very different to the one we created and we have to have a proper debate about the service we want" Rob Freeman #ThisIsTheNHS |
| 7.55pm GMT | 7.55pm GMT |
| 19:55 | 19:55 |
| Polly Toynbee says that many NHS managers are very good indeed, but a balance is needed. | Polly Toynbee says that many NHS managers are very good indeed, but a balance is needed. |
| Managers are just doing what they are told to do by the government, Robert Freeman says, while people’s expectations of the NHS keep rising. | Managers are just doing what they are told to do by the government, Robert Freeman says, while people’s expectations of the NHS keep rising. |
| Updated | Updated |
| at 8.08pm GMT | at 8.08pm GMT |
| 7.51pm GMT | 7.51pm GMT |
| 19:51 | 19:51 |
| Questions and comments from the audience now. | Questions and comments from the audience now. |
| Dr Wendy Savage says that the first bad reorganisation of the NHS didn’t make much difference to patients, but the 1984 changes brought in managers with little experience of running a big hospital. | Dr Wendy Savage says that the first bad reorganisation of the NHS didn’t make much difference to patients, but the 1984 changes brought in managers with little experience of running a big hospital. |
| The average tenure for a hospital chief executive now is 36 months, she says, because of all the top-down pressure and the burden of regulation. | The average tenure for a hospital chief executive now is 36 months, she says, because of all the top-down pressure and the burden of regulation. |
| “So much is wasted on all this bureaucracy,” Dr Savage says. “We have got to fight the politicians and get our professional standards back,” she adds, to applause from the audience. | “So much is wasted on all this bureaucracy,” Dr Savage says. “We have got to fight the politicians and get our professional standards back,” she adds, to applause from the audience. |
| Updated | Updated |
| at 8.07pm GMT | at 8.07pm GMT |
| 7.44pm GMT | 7.44pm GMT |
| 19:44 | 19:44 |
| Salyeha Ahsan says the last thing the NHS needs is “competition”. | Salyeha Ahsan says the last thing the NHS needs is “competition”. |
| 7.42pm GMT | 7.42pm GMT |
| 19:42 | 19:42 |
| Can competition quietly be removed from the NHS, Polly Toynbee asks, given the remote chance of getting a new NHS bill through parliament? She thinks Simon Stevens, head of the NHS in England, is trying to achieve that goal. | Can competition quietly be removed from the NHS, Polly Toynbee asks, given the remote chance of getting a new NHS bill through parliament? She thinks Simon Stevens, head of the NHS in England, is trying to achieve that goal. |
| Donna Kinnair says that despite the internal market, clinicians do come to sensible conclusions and achieve the best possible care for patients. | Donna Kinnair says that despite the internal market, clinicians do come to sensible conclusions and achieve the best possible care for patients. |
| Updated | Updated |
| at 8.07pm GMT | at 8.07pm GMT |