Britain

Crisis of the National Health System

The National Health System (NHS) in Britain is in a profound crisis which the government, opposition parties and media disinformation do everything possible to obscure. Even before the COVID-19 pandemic hit Britain with a vengeance, a diversionary discussion over how the NHS should be funded accompanied the British government's January 15 "mandatory" NHS Funding Bill 2019-20. The government stated that the additional funding would be spent by NHS England in the "NHS Long-Term Plan."

Workers' Weekly denounced the diversionary discussion and demanded that the NHS fulfill its original purpose to look after the health needs of the population rather than the corporate-led direction that is wrecking the NHS and jeopardizing its future.[1] The bill was first announced under the Theresa May government, Workers' Weekly pointed out. It states that the government commits to increase investment in the NHS in the years up to and including 2024. This will result in a £33.9 billion increase in cash terms by 2023/24, with total NHS England spending rising to £148.5 billion in 2024.

The King's Fund, the Nuffield Trust and the Health Foundation responded that an annual increase of the NHS funding should be at least four per cent a year rather than the average of 3.4 per cent a year proposed by the government. This line of argument was taken up by the Opposition in Parliament as well.

Workers' Weekly writes: "This may or may not be the case, but it does not address the present chronic lack of trained medical and nursing staff and the loss of NHS services going back over decades, as many critics have pointed out. Nor does it challenge the direction in which the NHS is being taken, its privatization, the contracting out of services, and even more fundamentally whether the government's approach resolves the crisis in NHS funding.

"What is being obscured is that health care is a claim of all on the economy which the people must make. Health workers provide vital and accessible health services to all and in doing so create value in the socialized economy by curing people when sick and injured and keeping healthy the human resources of society and all those who live and work in it. This value is consumed by big corporations in employing the labour power of a healthy workforce. This is value which should not be expropriated by these corporations but should be claimed by the government and their health services as value that can then be used to resource a fully-funded NHS. The Bill does not raise this vital question of the role the NHS plays in a human-centred economy where the NHS should become a human-centred system paid for at least out of the value it creates in the economy so that any extra funding contributes to meeting the needs of health care for all."

The total incapacity of the British medical system to deal with the COVID-19 crisis is proof enough that the funding provided by the government would not safeguard the future of the NHS and neither is it intended to. "Even the claim that a 'mandatory' funding by government gives some funding 'security' to the NHS is false when it is combined with a neo-liberal corporate direction that the 'NHS Long-Term Plan' represents. The 'NHS Long-Term Plan' is already reducing safe access to vital emergency, children, maternity and mental health services for whole swathes of the population. It is being further pursued in the present deconstruction of local District Hospital acute services with a massive loss of acute and long term care hospital beds and local GP services across England. This is the 'long-term plan' to switch funding into an 'integrated' Care Providers and systems that government intends to be predominately dominated by the private sector companies," Workers' Weekly wrote.

Note

1. "'Mandatory' Funding Obscures How the NHS Should be Funded and Pursues a Corporate-Led Direction," Workers' Weekly, January 25, 2020.


This article was published in

Volume 50 Number 11 - April 4, 2020

Article Link:
Britain: Crisis of the National Health System


    

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