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You can find the current article at its original source at http://www.theguardian.com/society/live/2016/feb/10/guardian-live-how-do-we-pay-for-the-nhs-we-want
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| Version 4 | Version 5 |
|---|---|
| Guardian Live | How do we pay for the NHS we want – as it happened | Guardian Live | How do we pay for the NHS we want – as it happened |
| (3 months later) | |
| 8.34pm GMT | 8.34pm GMT |
| 20:34 | 20:34 |
| And that’s all folks. A show of hands reveals that a majority of those in the room work in the NHS. | And that’s all folks. A show of hands reveals that a majority of those in the room work in the NHS. |
| Certainly, there’s no shortage of passion if the questions and comment from those here are anything to go by. | Certainly, there’s no shortage of passion if the questions and comment from those here are anything to go by. |
| 8.29pm GMT | 8.29pm GMT |
| 20:29 | 20:29 |
| Smallwood says that the trouble with marketisation is that it drives quality down as the cheapest provider will always be the one which is chosen. | Smallwood says that the trouble with marketisation is that it drives quality down as the cheapest provider will always be the one which is chosen. |
| The answer, he adds, is better planning. We need to move away from the myriad of small commissioning groups. | The answer, he adds, is better planning. We need to move away from the myriad of small commissioning groups. |
| Updated | Updated |
| at 8.29pm GMT | at 8.29pm GMT |
| 8.27pm GMT | 8.27pm GMT |
| 20:27 | 20:27 |
| Anita Charlesworth says that the future boils down to getting the right people with the right skills working together. | Anita Charlesworth says that the future boils down to getting the right people with the right skills working together. |
| She adds: “We love playing with the structures. We absolutely adore it, but it’s a people based service and it’s having those people of the right skills working together that will be fundamentally important in terms of ensuring stability and sustainability.” | She adds: “We love playing with the structures. We absolutely adore it, but it’s a people based service and it’s having those people of the right skills working together that will be fundamentally important in terms of ensuring stability and sustainability.” |
| 8.26pm GMT | 8.26pm GMT |
| 20:26 | 20:26 |
| Stephen Dorrell addresses marketisation, saying that he remains of the view that “intelligent commissioning” is part of the way to address how services are funded. | Stephen Dorrell addresses marketisation, saying that he remains of the view that “intelligent commissioning” is part of the way to address how services are funded. |
| “Commissioning that moves away from lawyers and focused on different options for the delivery of services and making more intelligent choices about the way that services are delivered seems to be the way to go.” | “Commissioning that moves away from lawyers and focused on different options for the delivery of services and making more intelligent choices about the way that services are delivered seems to be the way to go.” |
| 8.22pm GMT | 8.22pm GMT |
| 20:22 | 20:22 |
| Another audience member wants the “marketisation” of the NHS to be halted. | Another audience member wants the “marketisation” of the NHS to be halted. |
| She is backed up by another audience member who calls for the reversing of privatisation. | She is backed up by another audience member who calls for the reversing of privatisation. |
| “We are also on the verge, sadly, of a full-scale NHS insurance system,” he adds. | “We are also on the verge, sadly, of a full-scale NHS insurance system,” he adds. |
| Updated | Updated |
| at 8.23pm GMT | at 8.23pm GMT |
| 8.21pm GMT | 8.21pm GMT |
| 20:21 | 20:21 |
| In a very unequal society, says Toynbee, the major challenge is about how to get one group of people to care more deeply about another group. | In a very unequal society, says Toynbee, the major challenge is about how to get one group of people to care more deeply about another group. |
| “It might not be them today, but it might be them in the future,” she adds. | “It might not be them today, but it might be them in the future,” she adds. |
| 8.19pm GMT | 8.19pm GMT |
| 20:19 | 20:19 |
| Dorrell says that the “killer question” was about the division of health budgets and the difference between social care and health care. | Dorrell says that the “killer question” was about the division of health budgets and the difference between social care and health care. |
| The answer is, if you are an elderly person dependent on services supporting you at home, you are not remotely interested in whether it comes from the social care centre, the social housing department or from primary care, he says. | The answer is, if you are an elderly person dependent on services supporting you at home, you are not remotely interested in whether it comes from the social care centre, the social housing department or from primary care, he says. |
| What is important is that you are benefitting from expenditure that will enable you to live a healthier and longer life. | What is important is that you are benefitting from expenditure that will enable you to live a healthier and longer life. |
| Updated | Updated |
| at 8.30pm GMT | at 8.30pm GMT |
| 8.17pm GMT | 8.17pm GMT |
| 20:17 | 20:17 |
| The way we compartmentalise public health budgets at the moment is a problem, replies Stephen Dorrell. | The way we compartmentalise public health budgets at the moment is a problem, replies Stephen Dorrell. |
| He advocates joining up place-based budgets so you can invest in them. | He advocates joining up place-based budgets so you can invest in them. |
| “How can you invest in paediatric budgets without involving the schools?” | “How can you invest in paediatric budgets without involving the schools?” |
| Updated | Updated |
| at 8.21pm GMT | at 8.21pm GMT |
| 8.15pm GMT | 8.15pm GMT |
| 20:15 | 20:15 |
| Some more questions. An issue which has not been dealt with is how to manage the health budget at the moment, says a man who says he was surprised that he could buy drugs overseas a lot cheaper than he could at home - provided he had the correct prescriptions. | Some more questions. An issue which has not been dealt with is how to manage the health budget at the moment, says a man who says he was surprised that he could buy drugs overseas a lot cheaper than he could at home - provided he had the correct prescriptions. |
| A woman says we are emotional about the NHS in a way that we are not about social care. What can we do? | A woman says we are emotional about the NHS in a way that we are not about social care. What can we do? |
| Updated | Updated |
| at 8.29pm GMT | at 8.29pm GMT |
| 8.13pm GMT | 8.13pm GMT |
| 20:13 | 20:13 |
| PFI got hospitals built but it was a total disaster, replies Smallwood. | PFI got hospitals built but it was a total disaster, replies Smallwood. |
| “What is inexplicable to anyone who knows anything about economics is why does the government borrow money for next to nothing, because interest rates are so low, and build what is needed,” he says. | “What is inexplicable to anyone who knows anything about economics is why does the government borrow money for next to nothing, because interest rates are so low, and build what is needed,” he says. |
| “Also, why don’t we renegotiate the PFI, I mean use some strong arm.” | “Also, why don’t we renegotiate the PFI, I mean use some strong arm.” |
| Updated | Updated |
| at 8.20pm GMT | at 8.20pm GMT |