NHS news review

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NHS news is dominated by Deputy Prime Minister Nick Clegg’s speech yesterday. The corporate press response is very easy on Clegg (compared to mine). It’s not a showdown as suggested by corporate media – Clegg is defending the main parts of the abolition of the NHS Bill including abolishing the responsibility on the Health Secretary to provide a comprehensive health service. Clegg suggests further delays in the passage of the Bill to destroy the NHS. There is an absence of opposition to GP commissioning consortia as required by instruction from his Spring Conference.

There are suggestions of a Conservative counter-attack to defend the attack on the NHS. The Tories are not really in any position to make such demands.

There are various submissions to the government’s ‘listening exercise’ which ends soon. 38Degrees assist in making your contribution.

I was expecting a speech by Shadow Health Secretary John Healey yesterday. Must have been mistaken.

Conservative election poster 2010

A few recent news articles concerning the UK’s Conservative and Liberal-Democrat coalition government – the ConDem’s – brutal attack on the National Health Service.

Newswire Article: Health Bill needs major changes – BMA comment on Deputy Prime Minister’s Speech 26/05/2011

Commenting on the Deputy Prime Minister’s speech on NHS reforms in England, Dr Richard Vautrey, Deputy Chairman of the BMA’s GPs Committee, said:

“We agree that a dog-eat-dog market would be damaging to the NHS. Unfortunately, unless the current Bill is withdrawn or undergoes major amendments, competition will not only be encouraged, but enforced by law. The Deputy Prime Minister talked about promoting the needs of patients through competition as well as collaboration, but these two aims can be contradictory. We welcome the indication that the Health Secretary will retain responsibility for ensuring a comprehensive health service for everyone. In a system driven by competition, many services patients rely on could be at risk. We welcome the signs that the government recognises these concerns, but real evidence of their commitment to listen will not come until we learn more about their plans for the Bill.

“It is reassuring that the Deputy Prime Minister recognises the problems created by arbitrary deadlines for change. We hope this means that the deadline for hospital trusts to achieve foundation status will be relaxed, as the current rigid timetable could compromise patient safety. We are equally concerned about the pace of change for the winding down of primary care trusts. There has been no ‘pause’ on the ground, where implementation of the proposals is proceeding at great speed.”

Newswire Article: BMA calls for major amendments to Health Bill 26/05/2011

The Health and Social Care Bill should be withdrawn or at least undergo major changes, the BMA says today (Thursday 26 May, 2011), as it warns that the latest feedback from its members on the reforms to the English NHS indicates very high levels of concern.

In its formal submission to the NHS Future Forum, the body leading the government’s listening exercise on the reforms, the BMA says the legislation represents “an enormous risk” during a time of huge financial pressure for the NHS. It sets out its own recommendations for changes to encourage the development of more integrated services, arguing that greater collaboration would be more likely to improve quality and efficiency than the current proposals to increase and enforce competition.

It says disquiet among NHS staff is being exacerbated because change is already being implemented despite the announcement of a ‘pause’. Over 80 per cent of just under 1,000 BMA members who completed a feedback form on the BMA website in May said their attitude to the reforms was either mostly or very unwelcoming.* When asked which area of the reforms was potentially the most damaging, just over half identified the powers to be given to NHS economic regulator Monitor to promote competition.

The BMA submission to the Future Forum calls for “a more mature form of commissioning”, based on clinical networks of specialists and primary care professionals working together across traditional boundaries, alongside commissioning consortia. The BMA is also today publishing new guidance putting forward examples of possible models for the governance of consortia and advising that, as a minimum, specialists should be involved in the design of patient pathways.

UNISON Press | Press Releases Front Page

Commenting on a speech on NHS Reforms, made by Nick Clegg at University College London Hospital today, UNISON’s head of health, Christina McAnea, said:

“Nick Clegg’s attempt to reassure people that any changes to the NHS will be in the best interests of patients, has not worked. A growing number of professionals are calling for the Health and Social Care Bill to be ditched and that, we believe, is the best option.

“He is completely naïve to think that more competition won’t lead to a greater role for private companies. Companies who are chomping at the bit to start raking in cash from the health service. Once they get their teeth into the NHS they will destroy it.

“During this so-called listening exercise the overwhelming majority of patients and staff have put forward their fears. The Government must listen to them, rather than the hand-picked few, who are set to benefit from reforms.

“If the Bill goes back to Committee stage as a result of significant changes, Parliament will have a chance to scrutinise it in much more detail. In that case, reform plans already being pushed through should be stopped, as there is clearly no legislative mandate and none likely any time soon.

“We will continue campaigning against the privatisation of our NHS and this destructive Bill.”

NHS reform bill sent back to MPs for examination | Society | guardian.co.uk

The government’s troubled NHS reforms will be delayed by at least six months after Nick Clegg announced that the health and social care bill is to be sent back to MPs for detailed examination.

In a speech to patients and medical health professionals at University College London hospital, Clegg said it would be wrong to “bounce” the bill through parliament.

The deputy prime minister, who buried Andrew Lansley’s 2013 target for the changes by rejecting “arbitrary deadlines”, said a revised version of the bill would be sent back to MPs to examine at committee stage. Aides suggested Clegg’s announcement would delay the bill by a few months because it had already completed that stage.

Leaked email shows Tory MPs determined to fight Nick Clegg | Politics | guardian.co.uk

Last week I blogged that the Tories are so angry with Nick Clegg for hijacking the debate on NHS reforms that they are referring to the Liberal Democrats as “yellow bastards”.

Now that anger is being translated into action. A thoughtful Tory backbencher, who was involved in the committee stage of the health and social care bill, has decided to set down his thoughts in writing.

Nick de Bois, the MP for Enfield North, sent an email to colleagues this morning while Clegg was speaking at University College London Hospital.

The email, a copy of which has been leaked to me, has a clear message: it is time for the Tories to recapture the debate by insisting that core “red lines” must not be crossed. Some of these have been crossed by Clegg. This guarantees a battle when the health and social care bill returns to the commons this summer.

BBC News – Health charities say patients need a stronger voice

A group of 40 charities says the government’s plans for health changes in England must be revised to give a voice to the most vulnerable patients.

They say the current proposals fail to ensure that patients will be properly consulted in the planning of services.

The charities have issued a statement setting out six “much-needed” changes.

The coalition government says there will be substantive changes, and describes feedback from organisations such as these as “invaluable”.

This statement has a long and impressive list of signatories, including the Alzheimer’s Society, the Patient’s Association and the National Autistic Society.

The charities set out a series of demands designed to ensure that the public, patients and carers have a say – especially those least able to speak up for themselves.

The NHS ‘reform’ bill should be scrapped, Unite says in submission to ‘listening exercise’

The ‘seriously flawed’ NHS ‘reform’ bill with its privatisation agenda should be scrapped, Unite, the largest union in the country, said today (Thursday 26 May 2011).

Unite, which has 100,000 members in the health service, outlined 11 key points in its submission to the government’s ‘listening exercise’ as to why the Health and Social Care bill should be withdrawn.

Unite is opposed to the bill as it heralds ‘commercial involvement on a scale’ not seen before, risking the concept of a universal, free health care service, which has been the central ethos of the NHS since its formation in 1948.

Unite is calling for a Royal Commission to be set-up to investigate the long-term demands on the NHS.

In its submission Unite said it believes that ”the heart of the government’s proposals will transform and privatise the NHS so that services are geared towards fulfilling financial and business contractual relationships and outcomes, rather than meeting health needs.

RCN responds to ‘listening’ exercise – RCN

The Royal College of Nursing has called for ‘decisive action through significant amendments’ in its formal response to the NHS Future Forum – which is running the Health and Social Care Bill ‘listening’ exercise.

Dr Peter Carter, RCN Chief Executive & General Secretary, said the bill requires more than ‘minor and superficial’ changes to make the Government’s vision for the NHS acceptable to members.

38 Degrees | Blog | NHS listening exercise: Submission Resources

There are just four days left of Andrew Lansley’s NHS listening exercise. That means we have 4 days left to flood it with our comments, concerns, and objections.

We can make sure that when the figures are released in a couple of weeks, the headlines are clear: the bulk of the submissions to Lansley’s listening exercise opposed his plans.

It’s easy and fast to make a personal submission to the listening exercise using the 38 Degrees website. It only takes a couple of minutes, and there are hints and suggestions for what to include.

You can send a message to the “listening exercise” right now here? It will take only a couple of minutes. You can be as brief or detailed as you like, and there are links below to useful facts & figures that you can include in your message.

Continue ReadingNHS news review

Nick Clegg lies about the NHS

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Image of David 'Pinoccio' Cameron and Nick Clegg. Image is originally from the UK's Mirror newspaper. Looks like Bliar doesn't he? Cameron seems to be apingning/copying Bliar's public image ~ speeches aligning himslf with Bliar ... and of course ... who Bliar aligned with ...Nick Clegg has made a deceitful and evasive speech on the NHS. Deceitful since he suggests that all will be well and hiding the fact that the Destroy the NHS bill is intended to reduce the scope of the NHS. Evasive by avoiding any mention of privatisation or the role of private providers. It’s a feel-good speech intended to reassure people that everything is OK, that there is no need to worry, that he, Cameron and Lansley can be trusted to look after the NHS. The lying, evil sods.

We know from the experience of tuition fees and V.A.T. that Nick Clegg is a shameless liar. We know that he lies to decieve people. We know that he’s a slippery shit in the tradition of UK politicians.

Some of the lies and evasions I pulled from his speech today:

“When Beveridge first proposed a nationalised health service in 1942, he didn’t prescribe exactly how it should work.

 

He called for a comprehensive service to ensure every citizen can get “whatever medical treatment he requires in whatever form he requires it.”

Care, free at the point of use, based on need and not ability to pay.

No government worth its salt – certainly, no government of which I am a part – will ever jeopardise that.”

That’s a lie. The current coalition government – of which Clegg is a part – is intending to do away with a comprehensive health service free at the point of use.

“The comfort of knowing that the NHS will always be there for you.

If you’re in an accident, if you get ill, if your family need treatment.

And it will always be free. No bills, no credit cards, no worries about money when you’re worrying about your health.

That’s why I have been absolutely clear: there will be no privatisation of the NHS.”

There are a few lies here.

Firstly, GP consortia will commission services. They decide which services will be available. With cuts to spending they will cut the range of services available. There will also be some expensively ill people that will likely not have a GP. This means that the NHS will not “always be there for you”.

Secondly, perhaps not an outright lie but certainly intended to mislead and give a fase impression: “it will always be free …”. No it won’t always be free. If you need a treatment that is not provided by your local GP commissioning group, you will have to pay or go without.

Thirdly, again perhaps not an oughtright lie:“there will be no privatisation of the NHS”. There will be private provision of services not offered by a reduced NHS. There will be private providers within the NHS. It will not be wholly privatised but there will be hugely increased involvement of private providers.

Clegg continues by saying “The NHS has always benefited from a mix of providers, from the private sector, charities and social enterprises, and that should continue.”

Notice what’s missing? The public sector. Is he saying that the public sector should not continue to play a role in the NHS?

Charities and social enterprises are private providers in a sense. They certainly are not public sector.

“People want choice: over their GP, where to give birth, which hospital to use.

But providing that choice isn’t the same as allowing private companies to cherry-pick NHS services.

It’s not the same as turning this treasured public service into a competition-driven, dog-eat-dog market where the NHS is flogged off to the highest bidder.”

Choice. People don’t really want choice. They want a good service that doesn’t unduly inconvenience them e.g. having to travel to a distant hospital.

Clegg is deliberately misconstruing the argument, putting up a straw-man by saying that the NHS will not be sold off to the highest bidder. It’s about providing a restricted health service where you will have to pay – or go without – services that are not provided.

[27/5/11 edit: It’s also the first stage in the process of privatisation and transition to a private insurance-based health service on the US model.]

“I’ve heard people suggest that our reforms could lead to politicians washing their hands of our health services, because of the way the Bill is phrased.

So we need to be clearer – the Secretary of State will continue to be accountable for your health services.

This is your NHS; funded by your taxes and you have a right to know there is someone at the very top, answerable to you. With a public duty to ensure a comprehensive health service, accessible to all.”

Clegg is employing the worn-out argument that they have failed to properly explain the proposed changes. The truth is that the more people understand, the more they object.

He’s defending the Health Secretary no longer being responsible for providing the health service, arguing against what Colin Leys said ‘The bill removes the secretary of state’s responsibility to provide a national health service and doesn’t assign it to anyone else. She or he would only be charged with “promoting” it.’

Clegg suggests that this is merely phrasing when it is crucial. If it is only a matter of phrasing, then we’ll have the phrasing that the Health Secretary will provide a health service.

“opening up”

Clegg is defending the Bill to abolish the NHS contrary to the instruction of his Spring Conference. He needs to be dumped asap.

Continue ReadingNick Clegg lies about the NHS

NHS news review

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NHS news is dominated by the British Medical Association (BMA) representing doctors calling for the Bill to destroy the NHS to be abandoned entirely. Unite health worker members believe that the NHS is going to be privatised for the benefit of private companies. Nick Clegg and Labour’s John Healey are to make speeches on the NHS today,

Conservative election poster 2010

A few recent news articles concerning the UK’s Conservative and Liberal-Democrat coalition government – the ConDem’s – brutal attack on the National Health Service.

NHS ‘Reforms’ In The UK Receive Massive Thumbs Down From Unite Members, Survey Reveals

Nearly 90 per cent of Unite health sector members have ‘no confidence’ in the coalition’s handling of the NHS ‘reforms’, a new survey has revealed.

The massive vote of ‘no confidence’ from Unite – which has 100,000 members in the health service – comes as the coalition’s ‘listening exercise’ on the Health and Social Care Bill draws to a close.

The snapshot survey of specified professional groups represented by Unite also revealed that two-thirds said that they had seen the treatment and care of patients/service users reduced or rationed in the last six months.

Unite Head of Health, Rachael Maskell said: ‘Those working in the NHS have no confidence that the universal service that they have dedicated their working lives to is safe in Tory hands – they fear that it is going to be privatised and broken up for the benefit of profiteering private healthcare companies. No matter how it is dressed up.’

Nick Clegg prepares to announce diagnosis of faults in NHS bill | Society | The Guardian

Nick Clegg will seek to maximise the Liberal Democrats’ influence over the imminent changes to the government’s NHS plans with a major speech on Thursday setting out his party’s demands.

The deputy prime minister will outline the substantial revisions he expects to see made to the health and social care bill to ensure that his MPs feel able to support it when it returns to parliament.

He will also make clear why the NHS needs reform. Party sources say it will echo a keynote speech last week by David Cameron and endorse the prime minister’s view that, although some of health secretary Andrew Lansley’s proposals will be rethought, the service in England will still be expected to embrace far-reaching changes so it can cope with growing financial and clinical pressures.

John Healey, shadow health secretary, will accuse Cameron of refusing to amend the bill enough to ensure that it does not harm healthcare. “David Cameron is a PR man looking for a PR answer.

Health Bill must be withdrawn, BMA demands | GPonline.com

In its response to the government’s listening exercise, the BMA said it is vital for the future of the NHS that the Bill is withdrawn, or ‘changed significantly’.

The BMA demanded a number of changes to the proposals, including putting an ‘explicit duty’ on commissioning consortia to involve doctors in secondary care, public health and academia.

It said: ‘The existing duty in the Bill on commissioning consortia to “obtain appropriate advice” is insufficient to ensure that the best clinical practice is enshrined in commissioning.

‘Clear guidance should be developed on models for how this can be achieved in practice, such as by developing clinical networks alongside the strategic and decision-making functions of commissioners.’

The BMA also called for economic regulator Monitor’s primary role to be amended to protecting and promoting high quality, integrated healthcare services, not promoting competition.

BBC News – Health bill may have to be withdrawn – doctors

The government’s health plans for the NHS in England need changing so much that the entire bill may need to be withdrawn, doctors say.

The British Medical Association called for a series of changes as part of its submission to the listening exercise.

In particular, the union has demanded the duty on the regulator to promote competition be dropped, something other critics have called for.

Continue ReadingNHS news review

NHS news review: Interview with Colin Leys ‘The Plot Against the NHS’

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The plot against the NHS
The plot against the NHS

There are three articles on ‘The Plot Against the NHS’ today:

The Plot Against The NHS / Non-Fiction / Books / Culture / Home – Morning Star

‘The Plot Against NHS’: Essential reading for battles ahead|28May11|Socialist Worker

Resisting plot against NHS|28May11|Socialist Worker

The NHS is under serious attack from the Tories and faces rampant privatisation. Colin Leys, co-author of a new book on the NHS, spoke to Yuri Prasad about what the cuts mean—and how this is the logical conclusion of policies pursued by New Labour

Many say that if the government’s health and social care bill were passed in its present form it would mean the end of the NHS as we know it. Does that overstate the threat?

Colin Leys I don’t think it overstates the threat at all. The bill removes the secretary of state’s responsibility to provide a national health service and doesn’t assign it to anyone else. She or he would only be charged with “promoting” it.

 

Selected excerpts from ‘The Plot Against the NHS’ by Colin Leys and Stewart Player. Chapter One is available here. I highly recommend this book available from Merlin Press for £10.

The Plot Against the NHS #1

The Plot Against the NHS #2

 

Continue ReadingNHS news review: Interview with Colin Leys ‘The Plot Against the NHS’

NHS news review

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Cameron’s pledge to increase health spending in real terms is yet again shown to be untrue.

The NHS Confederation – which represents all types of providers and commissioners of NHS services in England – opposes the bill to destroy the NHS claiming that the case for the breadth of the government’s reforms ‘has yet to be clearly made’.

Shameless liar Nick Clegg claims that “There will be no privatisation of the NHS” at Prime Minister’s Questions. He is definitely a Tory and a liability to the Liberal-Democrats and they should dump him.

Wales and Scotland are to have more severe NHS cuts that England.

Conservative election poster 2010

A few recent news articles concerning the UK’s Conservative and Liberal-Democrat coalition government – the ConDem’s – brutal attack on the National Health Service.

Unite cautiously welcomes news on privatisation of blood service

Unite, Britain’s biggest union has cautiously welcomed news that Linda Hamlyn, head of the NHS blood service has expressed optimism it will escape privatisation amid suggestions the government is becoming worried about the political backlash against competition (see http://www.hsj.co.uk/5030170.article.)

The Department of Health (DH) is currently leading a review into ways the NHS Blood Service could cut costs. As part of the review the DoH have been talking to private providers.

Unite launched a media and  online campaign against the potential privatisation of parts of the blood service and raised the issue with MPs who asked questions in the house. A recent independent poll of 18,000 people commissioned by Unite showed that 74 per cent opposed the privatisation of any part of the blood service. Over 50,783 people signed a petition started by Unite against privatisation.

Unite national officer, Rachael Maskell said: “This is a step in the right direction but we will continue to keep a careful watch over this very precious service. Privatisation of any part of the blood service contaminates the whole of the blood service. Our campaign struck a chord with the general public, who were outraged when they learnt that the government was prepared to even consider privatising parts of the blood service.

“It is totally wrong to allow private sector companies to profit from men and women who freely donate their blood to help others. The government got the message that the people of this country were saying no to blood money but we will remain vigilant to ensure that these proposals have not just been kicked into the long grass for the time being.”

Cameron’s NHS budget pledge false, says expert | Society | The Guardian

David Cameron‘s pledge to increase the NHS budget in real terms has been challenged by a leading health economist who claims the service’s spending power is set to fall. The NHS budget in England will be 0.9% lower by 2014-15 than it was in the financial year that ended last month, Professor John Appleby writes in the British Medical Journal.

Although ministers are giving the service more cash in each of the remaining four years of this parliament, inflation will mean its purchasing power is eroded so much that it will drop, he says.

Appleby, chief economist at the King’s Fund health thinktank, contradicts Cameron and health secretary Andrew Lansley’s repeated promises to deliver year-on-year rises in real terms. They claim the NHS will receive an extra £11.5bn over the next four years thanks to protecting the health budget, increasing it from £103.8bn in 2010-11 to £114.4bn by 2014-15.

Appleby does not dispute the cash increases but insists that “by 2014-15 the amount of money the NHS has to spend in real terms, its purchasing power, will have gone down by 0.9%.”

He based his predictions on Treasury estimates of inflation in the economy as a whole, and the likelihood of NHS staff pressing for pay increases once the current three-year freeze ends in 2013.

38 Degrees | Blog | NHS Ads: Lansley has his fingers in his ears

38Degrees NHS Ads: Lansley Still Isn't Listening
Lansley Still Isn't Listening

“When we tell him his plans aren’t working, he doesn’t seem to want to hear what we’re saying.

– Dr Hamish Meldrum, Chair of the British Medical Association, May 2011

It’s hard to listen with two fingers stuck in your ears. That’s the message 38 Degrees members have sent Health Minister Andrew Lansley this morning.

Newspaper ads funded entirely by thousands of donations from 38 Degrees members have been published in five daily papers, the GuardianMirrorMailExpress and Metro. The combined circulation is a whopping six million people. These ads were driven by people power with thousands of contributors raising over £90,000 in just a few days. And not only did 38 Degrees members fully fund the ads, they also contributed important feedback during the design process.

Lansley still isn’t listening. His sham “listening exercise” draws to a close at the end of the month and today 38 Degrees members have sent a message he can’t possibly ignore. The future of the NHS is too important for us to let it be decided behind closed doors.

Cheltenham MP speaks out on plans for NHS shake-up in county|Gloucestershire news

CONCERNS have been raised that a shake-up of NHS care in the county could see health services move away from Cheltenham.

Town MP Martin Horwood yesterday warned the proposals put forward by health bosses may continue the “drip, drip” erosion of services at Cheltenham General Hospital.

This week saw a consultation begin on plans affecting stroke care, outpatient breast cancer services, trauma cases and emergency treatment for children.

Mr Horwood greeted the proposals with caution. He said: “I’m relieved that, as promised, there is no suggestion that Cheltenham’s A&E is going to close and that there are no further threats to maternity or other key local services.

“But it’s clear that the consultation is leading people to endorse a further shift in key emergency services from Cheltenham to Gloucester.”

Under the plans, those who suffer a stroke and trauma patients may be treated at one site in the county. There is also a proposal to have one dedicated children’s emergency unit at Gloucestershire Royal.

Health reforms need rethink, says NHS Confederation | Public Finance — official CIPFA magazine

The body that represents most of the organisations in the NHS has refused to back the government’s planned health reforms. The NHS Confederation argues that the reforms will provide neither the productivity gains nor financial savings needed. It says the proposals need a ‘significant overhaul’ and are being implemented against an ‘arbitrary’ timetable.

In its submission on the Health and Social Care Bill, the confederation, which represents more than 95% of NHS organisations in England, Wales and Northern Ireland,has said it is in favour of reform of the NHS. But it believes the plans need to be ‘better focused on the challenges that the NHS now faces’.

The proposed reforms would transfer health care commissioning transfer from primary care trusts to consortiums of GPs. It would also open up NHS services to bids from ‘any willing provider’ to provide care.

The reforms were put on hold on April 4 when Health Secretary Andrew Lansley said that the government would embark on a ‘listening exercise’ on the plans, dubbed the NHS Future Forum.

The NHS Confederation’s contribution to this consultation agrees that part of the reforms, including the introduction of clinical commissioning led by GPs, ‘have real merit’. It also backs the use of competition in the NHS where it can show benefits to patients and taxpayers.

However, it argues that the case for the breadth of the government’s reforms ‘has yet to be clearly made’, adding that the changes are not ‘sufficiently focused’ on the problems facing the NHS, including the need to save £20bn by 2014/15.

NHS reforms are not privatisation through the backdoor, says Clegg | Mail Online

Nick Clegg today insisted the Government’s healthcare reforms did not amount to NHS privatisation.

The Deputy Prime Minister was repeatedly pressed over the coalition’s shake-up of medical services at Commons question time, with Labour MPs lining up to accuse the Government of backdoor privatisation.

But an angry Mr Clegg told them: ‘There will be no privatisation of the NHS.’

Deputy Labour leader Harriet Harman told MPs: ‘People are worried about the NHS being turned from a public service into a commercial market.’

BBC News – Wales facing ‘worst health cuts’

Wales is facing the worst NHS cuts in the UK, a review of spending suggests.

The analysis, by Professor John Appleby, of the King’s Fund think tank, suggests the Welsh NHS budget will fall by nearly 11% in the next three years, once inflation was taken into account.

Northern Ireland faces a 2.2% cut over four years, he says, with the long-term picture in Scotland less clear.

England came out best, but even it is facing a cut of 0.9% over four years – despite promises to protect the budget.

Prof Appleby said this was because new inflation figures, which were higher than expected, had counteracted the small rises for the NHS in England that were announced last autumn.

Continue ReadingNHS news review