NHS & Politics: You don't have to do 'The Hokey Cokey'

c/o Lunch with the FT - Amanda Pritchard
Life&Arts :: FTWeekend

individual

|

INTERPERSONAL : SCIENCES

humanistic ------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

'Another question that she says will become increasingly pressing is what "the core business" of the health service should be at a time when parts of the state and voluntary sectors have been squeezed, leaving the NHS to pick up the slack. GPs tell her that between one in four and one in five of their patients come to them for help with non-health problems. A colleague in a mental health service recently told her it employs a housing team to support patients who couldn't otherwise be discharged from hospital. "You wouldn't say the core business of the health service is as a housing provider, but that's where we've ended up."'

She adds: "Think about how long it takes to train a doctor - you can't change your mind every five minutes. . . Think about what it requires to put new [digital] systems in place. It's not buying the tech - that's the easy bit. It's the implementation . . . and some consistency of leadership is really helpful."

'The NHS contributes between 10 and 20 per cent to people's health, she says - a figure I find startlingly low. "The rest is what we would recognise as the wider [social] determinants, including housing, and meaningful employment, but also smoking, diet, alcohol and lack of exercise. "I know there's an anxiety sometimes about being too nanny stateish about this . . But it is going to take really bold action to set the conditions for people to then live healthier lives."'

'The abolition of NHS England marks the end of an attempt to take the politics out of the health service by placing its day-to-day running in the hands of an arm's-length body. But Pritchard suggests that if this was the intent, it was probably never realistic. "It's too important to the country [and] we spend too much public money for ... the politics not to be part of it."'

My source:

Sarah Neville, Lunch with the FT Amanda Pritchard, Life&Arts, FTWeekend, 26-27 April, 2025, p.3.

Previously: 'Nye' : 'SOCIO-technical' : 'housing'