An alternative guide to the new NHS in England

[@DrMikeSquires]

Didn't realise just how bureaucratic the new NHS is. Many thanks Andrew Lansley and good luck in your new job advising healthcare companies

[@colintate66]

This is really useful. 6.5 mins to explain what can take take hours verbally.

[@no1scatcat]

It is said that "The mind cannot see without a picture". This is an excellent animation of the various workings of the NHS and provides a much clearer overview of the objectives and responsibilities of the various bodies.

[@phillazenby5351]

It would be great if this could be updated....I really like the format.

[@gutlessband5825]

Awesome vid. Really like this sort of stuff. Would love to see more. Keep it up.

[@pinkgremlin211089]

Oh my gosh fantastic video!

[@adriannixon1213]

What a great way to see how the various bits of this complicated mess fit together. I'm filled with more admiration for the people inside the NHS and how they manage to keep the organisation appearing coherent from the outside. The graphical approach reminded me of the Ken Robinson RSA lecture on education [search your tube for -RSA Animate - Changing Education Paradigms ] (this system won't let me give you the link)

[@rebbaprr]

This is a great animation and the most informative.

[@ncwholbeche]

Excellent explanation of a complex concept, well done.

[@xboolala]

This taught me better than my lecturer

[@clplondon9445]

Very clear + very authoritative (coming from the King's Fund) = extremely useful

[@insanityrulestheday]

We can see how well this new NHS organisation works in 2022. A Carer attends their bedridden patient at home who has a broken leg and instead of taking the normal reaction made by people in this situation, i.e. phoning 999 and getting an Ambulance to go to A & E. the Carer instead phones for a Nurse! Why? When the Nurse appears the next day and inspects the broken leg, again instead of phoning 999 and getting an Ambulance, instead tells the Carer that they will inform a Doctor! Why? The Doctor who obviously isn't switched on, this being due to the fact that he doesn't visit the day after the Nurse, but 9 days after the Nurse visited, only to state after visiting the patient, "Maybe get an Ambulance" and then not bother, only instead to prescribe E45 cream to be rubbed on a broken leg. Why??? These So-called Medical Carers, Nurses and Doctors are clearly not fit for purpose and are a disgrace to the Real Medical Practitioners of the past who did practise the Ethics of the Hippocratic Oath and provided Real Care and Health Treatment for their patients. If a child of 5 knows how to phone 999 and get an Ambulance for her Mother who has passed out, how do these so-called Professional Medical Practitioners not know how to do it and it is supposedly their Job!!! I don't call them the Return of the BrainDead for Nothing. :-(

[@darr1137]

Ive worked for the NHS for 16 years- Im now even more confused... but start work at the CCG soon.

[@ngqabuthomafu6517]

How did you understand all of this do you have a source for all of this information.

[@maritajabbie7692]

Hiya, is there a visual/printable diagram of this on the website ?

[@benbensenuk]

ou might also be interested in Keep Britain Blue (a pre-election song and video with the unwitting participation of David Cameron on vocals). Search: youtube keep britain blue Hope you like it. Let me know.

[@johnkeethdenby]

Excellent job Kings Fund, Did Lansley really talk about cutting red tape? I never believed a word he said anyway.

[@Galaxyboss-yd9gf]

Very informative Off topic - what is the name of the programme used to create this, it would be handy for work presentations, thank you

[@dianadietz]

Sparkol

[@helencherry9503]

thank you for this thank for the captions fort eh clarity this is brilliant

[@zannatul23]

this is intricate

[@eliakimjosephsophia4542]

Far too many stakeholders involved. Health watch is a waste of time, no use at all. £22BN cost-cutting exercise, while the UK experiences a population explosion. The NHS is in a humanitarian crisis and that criss deepens due to the privatised services that have already been introduced. Ten minute appointment with GP has now been reduced to a seeing a nurse first for a referral to the GP, and GP's don't even examine their patients properly. Consultants at hospitals are dismissive and abrupt with patients, patients ask questions about the causes of their illness, and the consultants can't answer the patients, when they do, they say it's normal for your age. When if that was true, everyone else you know of the same age would have the same health condition. In recent years they have been trying to standardise healthcare throughout the EU,

[@bigcityjunglecatenvisageth1422]

ELIAKIM: My experience exactly!!!! The NHS is a sick joke - and it is "only" those who are reaping the most profits out of it are laughing............. while the rest of us have to suffer.

[@SellOffNHS]

Please watch #SellOff This film is radical. With over a dozen NHS insiders as my witnesses, I will tell the alarming story of how the health service as we know it is being quietly abolished. Almost without our noticing, it’s been replaced by a system modelled on the US in which care is delivered by profit-maximising companies that charge patients for treatment which is anyway to be restricted and reduced. One medical reporter the filmmaker knows claims that health reporting today is so poor because few journalists have real sources inside the NHS. Well, this film will have a riot of medical sources - including one professor, two consultant radiologists, a cancer expert, a public interest lawyer, and several outspoken GPs. What they all have to say will be shocking, unusual and brave. Our doctors will really strike back in this one. Sell-Off - The Full Movie

[@bigcityjunglecatenvisageth1422]

Sell Off: I can see you'd put this on here five years ago, but I am going to check this out from your link (if it's still available). But where the NHS is concerned - I am sure that nothing will shock me - from the lousy/terrible experiences I've had with them over many years. I have seen the absolute worst of the worst (utterly contemptable and shameful).

[@marlls1989]

I am from Brazil and I am currently living in Wales, I think the NHS is great, the waiting time is nothing compared to SUS, the quality and waiting time of treatment is comparable to private care in Brazil.

[@inspiredservices]

Quite brilliant, well done as ever KF!

[@david-stewart]

Great voice

[@prashantgarg9570]

great video

[@AfterBurner369]

GPs, after years at medical school, have to now focus on finance. Where do they get the time? Sales rep meetings, financial decisions…. Profit making in healthcare, well, we all know where and what that leads to…. Total joke. Most staff, now working for the NHS are employed through recruitment agencies, a role previously undertaken by the now defunct Primary Care Trusts. These agencies - private companies - take a percentage of the wages, which means staff cost more but receive less in wages. Follow the money and you will see why the Corporatocratic Lib/Lab/Con privatised the Health Service… .....

[@dafunk666]

It saddens me that the NHS is privatising, our healthcare system is the envy of the world. Undermining the publics perception of the NHS to allow privatisation is the politicians agenda. That's a temporary fix to a long term problem. How can anyone think that a profit making service is better than one where the primary goal is to provide the best care possible with the money available?

[@dafunk666]

The average person? lol. I only speak from experience of talking to hcp's from around the world (especially in Australia where they have become more privatised) who are envious of our socialist system. Sure, it needs improvements, but it is fantastic- despite the media/ gov attempts to point out how crap it is to reduce it's value so they can sell it off

[@dafunk666]

Stephen Robson Ok, cool

[@birdman9754]

S Robson Hilarious. The article you link to argues that the UK has the highest infant mortality in W. Europe because of high rates of smoking in pregnancy and poverty. Is it the NHS that should be educating people and raising their standards of living? Nope that's the government's job and let's face it, the current lot aren't too slick on either. Especially amusing as a less recent (2005-2010) UN analysis ranked us higher than several of the countries that fell below us in the study from The Lancet (I wonder if you've actually read that study, by the way?). Pretty clear that we're not in line with the rest of Europe in terms of recent advances; i.e. since the current government came in and started dismantling the NHS. Additionally in that previous study we ranked 25th overall of 188 countries. Not exactly cause for riots in the streets. Similarly the causes for our lackluster cancer survival rates are multifarious according to your link, but they include patients who don't make appointments with their GP until it's too late (common in the UK, especially with men), lack of funding (the NHS is operating on a shoestring compared to global healthcare systems, something has to give), and delays in GP referrals (I'll give you that one, but spend a day in the life of an overstretched NHS GP before you pass judgement). Meanwhile this report last year www.independent.co.uk/news/uk/uks-healthcare-ranked-the-best-out-of-11-western-countries-with-us-coming-last-9542833.html pretty clearly showed that the NHS is the most efficient system in the world as a ratio of funding to outcomes. That is, despite the chronic underfunding and shortages that the NHS suffers, it continually punches above its weight in medical care globally. THAT is why there are people who fight to save it, and would happily pay more tax ease the pressure it's under. But then, I'm sure your highly scientific and rational brain knows what's best and if you can mastermind a massive, top-down, complete healthcare reform that wouldn't negatively affect outcomes in the short to long term for ordinary people like you and your daughter, then Jesus Christ! Why aren't you running the f***ing country!?

[@dafunk666]

Birdman ^^ this is brilliant

[@christopherbalchin9065]

goodomens I can't take it either. Ellen Reiss, the Aesthetic Realism Chairman of Education wrote: "Once you are after profit, you can’t be too interested in what people deserve. … It will cramp your ability to make money from them." To me this explains the mindset of the people doing the privatising and why they are able to be so callous and short-sighted. See aestheticrealism.org/about-us/articles-in-the-press/6704-2/

[@NameSurnameYear]

Good video. One question for everyone: NHS professionals, politicians and us the electorate. Why should the NHS's structure be simple? What justifies the assumption that an inherently complex activity can be governed by a simple control structure? Are moon rockets simple? Is your brain simple? Does simplicity guarantee performance? Beware of those who would make things simpler on purely ideological grounds. (Cf. those who argue: we should have a flat tax because it is simpler) and without giving a coherent, argument for the benefits of the simplification backed by evidence. As Einstein said: Everything should be made as simple as possible, but no simpler!

[@bigcityjunglecatenvisageth1422]

David De Mola: I would assume that the reason for the structure of the NHS (the same as any other field of politics) is made "complex" because of the amount of "corruption" and "extreme dishonesty" involved in it. And this is why they "want" and "prefer" it this way - so as they can negotiate, decide and execute everything with absolute corruption at every angle - right down to the last detail. Therefore in this case, nothing can be simplified. Whereas, if the system was straightforward, honest and bonafied, then everything connected to it would perhaps be far more simple. I trust that this helps in answering your question.

[@NameSurnameYear]

@@bigcityjunglecatenvisageth1422 By your argument any complexity in any system leads to corruption, but there is no reason whatsoever that this should always be true. The point I am making is that often complexity in the organization reflects the complexity in the activity being undertaken. And I am questioning the assumption that an "honest system" has to somehow necessarily be simple. Are the planes you fly on or the cars you drive in "dishonest systems" (whatever that means) simply because they are complex? Do you have any idea how complex a system you need even to have the most basic surgery carried out? It's a very dangerous idea, IMO, to argue for simplicity for its own sake, disconnected from any analysis of whether it brings about a benefit. Case in point: would it not be simpler if we all paid a flat tax rate: rich man, poor man beggar man and thief? Emphatically no! That would make for a simpler tax code certainly, but it would be deeply unfair overall, giving the well off a huge windfall, and starve public services. Again heed Einstein!

[@bigcityjunglecatenvisageth1422]

@@NameSurnameYear: Actually no, I am not saying it is the "complexity" within the system which is the cause of the corruption. I am stating the very oposite - that it is the "corruption" which is causing the system to be so overly complicated. Alternatively, if the system was run in good faith and with honesty, then there would not be all of the underhand scheming/plotting etc, which is going on. For one example, they are always working to privatise and sell off the health-service to the highest bidders (even arms-dealers) as long as they can put up enough money. It is all such a dirty business - beyond disgusting. I don't know if you are thinking along the lines that if something "should not" be happening then it "wouldn't" be happening - correct me if I am mistaken - but it is just that there are quite a few people who do not believe the extent of corruption, foul-play and skulduggery that goes on behind the scenes. But I live in the real world - where nothing surprises me anymore. I've been on the recieving end of it way too often......... Would sure have some horror stories to tell, believe me. Nothing is that innocent.

[@leebrondum2643]

Ffs is it that hard just to give money to a hospital, no wonder nothing can ever get done in this country with this much beurocracy

[@ewa.siwiec]

Can you imagine how many smart people would loose their jobs of deciding where the money should go?

[@sarahcovell5081]

Brilliant !

[@jyotideshwal4684]

Very informative vedio

[@TheNavalAviator]

WTF did I just watch?

[@relevant_nebula]

That was very good

[@kholt7987]

This is great

[@bigcityjunglecatenvisageth1422]

All of these meetings, discussions and debates going on within Whitehall and yet I am not seeing any "changes" for the good of the patients - but just new ways to put more and more money into their own pockets (disgraceful)!!!!

[@sparkandflame]

I want free precriptions!!!

[@thingystewart4435]

See this on You Tube

[@babzo1]

All this put into consideration, privatisation of NHS is nothing but to give money to most GP at the expense of improving good care quality to the service users who are mostly patients.

[@mzain5573]

Plz help me because i help the poor familys

[@qbarnes1893]

Ooooh and no private business involved🤔🤔🤔 This is exactly what was planned, make it so more difficult, so most of the funds are awarded to private business and hey presto the NHS is now totally private. Most hospitals are now trusts, nothing to do with the NHS anymore, eventually mandatory health insurance policies will be required. This is the very last national service to be consumed by neo liberalism, the people of the British isles have lost all we had. Now it’s the corporate elite, predominantly from the good old Usa who are in charge now.

[@thinlizzy369]

I am from the states now live in the U.K. if you PRIVATISE then you are putting PROFIT in your Health Care System, Its SAD in America ~NHS I say leave it alone. just my opinion

[@hauskalainen]

What a ******** mess! How on EARTH is the better and simpler than what we had before? Perhaps you could describe the previous system because I don't think it was any better. Incidentally, I lived in Finland where they are just about to reorganize their health and social care system. In the past, health and social care services were both paid for by and by local government and where they have local income taxes. Now they are moving to a regional based system, supposedly with the idea of getting rid of a what we call in the UK, the postcode lottery. I think they are just about to make the same mistake as the UK has done.

[@Meantimemedia]

Animations like this are old hat - an excuse for thought. I remember very little from this.

[@SkyEcho7]

😶OMFG! What a mess

[@Suesaysboo]

too complicated and fast

[@zannatul23]

slow it down g

[@broomemanormong304]

never go near these tik toking liars

[@arronlambert]

For a slightly less *alternative* explanation from actual doctors, instead of this propagandist' bull, check NHS SOS