The Changing NHS

It's 4am on a Sunday morning and my head is spinning around with questions. Usually I just 'bat these around' whilst trying not to wake my wife, but this morning she's woken up and kicked me out of bed, so here I am. 

Why should I suffer alone!

1. If Blairism was about the realisation that the vast majority of British people are now middle class why should Brownism be any different?
2. It's not a middle class elite it's a middle class majority
3. Is it possible to have a health and wellbeing system that operates in ways that delights the majority and  protects the most vulnerable or disempowered members of society from the consequences of making poor decisions? 
4. Why is the NHS (by which I mean the majority of people employed by it) so fearful of consumerism?
5. Defensive producer interests are so often strongly aligned with arguments about needing to sustain a system designed to protect the most vulnerable in society. Will the most vulnerable and needy ever become the most powerful voices for radical change? If this happened then 'the genie really would be out of the bottle' 
6. We don't have a National Food Service so why do we need a National Health Service?

What am I talking about. I'm as middle class as they come and I don't even know my Cholesterol count or how to find it out!

Steve

nhs

change management