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Tories seek NHS bureaucracy cut Tories seek NHS bureaucracy cut
(10 minutes later)
Large sums of money could be saved and put back into front-line services by cutting back on NHS bureaucracy, the Conservatives will say.Large sums of money could be saved and put back into front-line services by cutting back on NHS bureaucracy, the Conservatives will say.
Shadow health secretary Andrew Lansley will make efficiency a central theme of his speech on Monday to the Manchester conference.Shadow health secretary Andrew Lansley will make efficiency a central theme of his speech on Monday to the Manchester conference.
The party believes a third could be shaved off the annual £4.5bn cost of quangos and NHS management in England.The party believes a third could be shaved off the annual £4.5bn cost of quangos and NHS management in England.
Mr Lansley will say bureaucracy has spiralled out of control recently.Mr Lansley will say bureaucracy has spiralled out of control recently.
The Tories are also expected to set out proposals to allow all patients to decide which doctor or surgeon treats them in hospital. He will point out that running costs for primary care trusts, management bodies which oversee services locally, have risen from £1.43bn to £2.14bn in the past four years.
They want to see performance tables published for every doctor in the country.
So far the medical profession has been fairly resistant to the idea as they argue the best and most experienced doctors tend to take on the most complex cases that by their very nature have the worst outcomes.
Labour has allowed wasteful spending on bureaucracy to spiral. We are determined to shift NHS funds from the back office to doctors and nurses on the front-line Andrew Lansley, shadow health secretaryLabour has allowed wasteful spending on bureaucracy to spiral. We are determined to shift NHS funds from the back office to doctors and nurses on the front-line Andrew Lansley, shadow health secretary
Data is already published on a hospital-by-hospital basis, with some specialisms such as heart surgery giving data down to a unit level, which incorporates groups of doctors.
On spending, Mr Lansley will point out that running costs for primary care trusts, management bodies which oversee services locally, have risen from £1.43bn to £2.14bn in the past four years.
In particular, he will say money could be saved by cutting back on the use of management consultants.In particular, he will say money could be saved by cutting back on the use of management consultants.
NHS quangos are another source of spending that could be curbed, he says.NHS quangos are another source of spending that could be curbed, he says.
Nearly £2bn is spent each year on the arms-length bodies.Nearly £2bn is spent each year on the arms-length bodies.
Other budgets that could be looked at would be the £200m cost of running the Department of Health as well as the £100m spent on the 10 strategic health authorities that oversee care on a regional basis.Other budgets that could be looked at would be the £200m cost of running the Department of Health as well as the £100m spent on the 10 strategic health authorities that oversee care on a regional basis.
Mr Lansley will say over the course of four years the £4.5bn bill in this area could be cut to £3bn, freeing money to be spent on front-line care at a time when more and more pressure is being put on NHS funds.Mr Lansley will say over the course of four years the £4.5bn bill in this area could be cut to £3bn, freeing money to be spent on front-line care at a time when more and more pressure is being put on NHS funds.
The health service has its funding guaranteed until 2011, but after then it may face a freeze or even cut in spending.The health service has its funding guaranteed until 2011, but after then it may face a freeze or even cut in spending.
Mr Lansley will say: "To make the NHS successful, we must devolve decision-making closer to patients. In doing so, we'll save substantial sums of money.Mr Lansley will say: "To make the NHS successful, we must devolve decision-making closer to patients. In doing so, we'll save substantial sums of money.
"Labour has allowed wasteful spending on bureaucracy to spiral. We are determined to shift NHS funds from the back office to doctors and nurses on the front-line.""Labour has allowed wasteful spending on bureaucracy to spiral. We are determined to shift NHS funds from the back office to doctors and nurses on the front-line."
The Tories are also expected to set out proposals to allow all patients to decide which doctor or surgeon treats them in hospital.
They want to see performance tables published for every doctor in the country.
So far the medical profession has been fairly resistant to the idea as they argue the best and most experienced doctors tend to take on the most complex cases that by their very nature have the worst outcomes.
Data is already published on a hospital-by-hospital basis, with some specialisms such as heart surgery giving data down to a unit level, which incorporates groups of doctors.