A word in your ear, old chap?

I arrived at page 30 of today’s Times and started to fume with anger. There is a two page advertorial for Sir Richard Branson including a half page picture of the man himself, “relaxing” in his chalet in Verbier. I fume because, in years gone by, the Times used to be a paper of record, a source of news upon which one could rely. I bear no malice toward Branson himself. He is an outstandingly successful businessman and good luck to him. He is also the apotheosis of self-publicism. For him, a two-page freebie in the Times is small beer.
The “story” was written by Alice Thomson and Rachel Seymour who forfeit their right to be called journalists. They should be working for Max Clifford.
What is this really about? It is about sanitising Sir Richard. The “story” is a nauseating encomium portraying Sir Richard as the “saviour” of the NHS. Or maybe as a more generic “saviour” for, as it is written, you might think these two naïve girls were trailing the second coming. If you do not have the Times yourself, the words without the picture are available here. Note that on the Times-on-line page, the article is placed under UK “news”.
Who knows what still goes on when the anonymous “great and the good” sit down together behind closed doors? Do not underestimate the traditional British corridors of power; the monarchy, the church, the old school tie network, the civil service, the honours system, dinner at Chequers, Prime Ministerial patronage and the Times. Who remembers Chis Mullin’s “A very British Coup”?
No, I am not being paranoid. The “establishment” is not about to overthrow Gordon Brown. The electorate will do that soon enough. But the establishment is still the establishment and “a word in your ear, old chap” is enough to make the editor of the Times run a Branson advertorial which would be more honestly placed in a Labour Party political broadcast.
And Sir Richard is such a modest man:
No job is too big for me, says Sir Richard BransonThis government, this Labour government, is going full steam ahead with the privatisation of general practice. The propaganda machine has been running down family doctors for three years. Now it is turning to building up the private sector and, in particular, Virgin Healthcare. The credulous public are to be persuaded that Sir Richard is not a ruthless, profit driven businessman, but a kind, caring and benevolent man whose only interest is the welfare of patients. Who then could be better to take over from those indolent, overpaid fat-cat GPs?
Sir Richard is becoming more and more political. But he thinks he can have more influence in business than in Parliament. “In my 30 years as a businessman I've been to Chequers and seen seven prime ministers for dinner - they don't exactly have a very long career. I hope to have another 30 years of what I'm doing.” (The Times)
Those who want to know what really drives Sir Richard Branson will visit Branson Pickle.
Those who, like me, remember what the Times used to be like will quietly weep.
++++++++++
And see:
(I am) not paranoid. (I am) just observing the fag end of a useless Government being hung out to dry by big business, so that remaining public assets are stripped. (The Jobbing Doctor)
A gamble too far (Dr Grumble)Brown's losing it (Dr Rant)
Labels: BRANSON Pickle, polyclinics, privatising the NHS, Virgin Healthcare









14 Comments:
“Aspects of the NHS could be better run, but we've got to be sure we're going to get a return on the money.”
Not then quite the altruism he likes to portray.
I like Branson - you can't help but like him.
An NHS with Branson involved? I see it that it will be top heavy, middle-management strong and the only people doing the work will be the long-suffering medics at the bottom of the pile that will have finance on their mind too!
No change there then....
Sir Richard will probably and CAMs at every point too - because they smell nice!
JH
http://jonathanhearsey.com
"Not then quite the altruism he likes to portray."
Unless you consider he'll be getting a good return on our tax money.
Please find me one person who works for the NHS who hasn't got a gripe or complaint about service or pay or beaurocracy. We all do it for a personal reason and to thionk Branson will do it JUST for money is BS.
He does it for a giggle mostly - but the guy laughs all the way to the bank.
Face it; would you rather see the NHS continue to run as it is with managers and middle managers who really only care about their portion of the world staying out of an inquiry - or someone who can actually manage a business?
NHS managers have failed.
Read again - MANAGERS have failed.
They've either failed to provide service; failed to meet budgets or failed to prepare a business plan that gets what the NHS needs.
If they give the NHS business to a business person - it will do business and not continue to flounder in the breeze of the political winds of change or be surgically enhanced under Darzi.
I've worked private health care - we were owned by a french water company for some reason before being sold to an energy consortium - I don't understand but who cares about that if they can provide the best patient care - and they did.
I now work for govt health care elsewhere and frankly - I'd rather not - but I don't have that choice at the moment.
My private healthcare employers gave the tax payer the best return for their money.
They provided the best up to date service (you have to to stay competitive).
They paid staff at least 5% above the NHS (they wanted the best staff).
Wards had more autonomy and responsibility (they were run almost as franchises).
We were highly staffed and had what we needed to do our job.
We had extensive new facilities maintained to highest standards - full gym; pool; full time instructors.
We were subject to external scrutiny by Registration Authority (no longer the case now I believe tho).
We all ate for free and got the use of the company van for social work functions.
The administrator answered to the directors and every year they turned a profit.
But the business wasn't run financial year to financial year - it was on a 3 - 7 & 10 year business plan.
They spent quarter of a million quid to re-design the units to suit the change in need - out of that, they included 2 (TWO) new beds to recoup the costs over about 15 years.
We had weekly slush funds for each unit on top of weekly activities funds and then further therapy funds.
Find me an NHS mental health unit that gives the ward nurses 200 quid a week to use with the patients? Find me one that gives 20!
The NHS can't even break even and the service is shit.
It cannot stay the same. It will die.
What are you so afraid of?
Branson Branding may not be the best answer - but FFS who WILL YOU LET run the NHS?
For all the good the medical and political services have done to it, I think it's better we leave it to people trained and experienced in running a business.
We simply set the parameters:
Provide all health care needs to the whole nation (and transplant services to the EU of course) with this budget.
It's like Ready Steady Cook to these guys.
But you have a surgeon wanting to cook us a gourmet meal to be tasted by politicians?
In the style of Gordon Ramsey I say to Darzi and Brown:
"You're not a FUCKING CHEF - Get OUT of MY FUCKING KITCHEN"
Bloody British institutional mentality - "Don't panic Mr Mainwaring" - And that's all the NHS do - They panic as soon as change gets mentioned because they're worried someone is going to take away their chip pans and sunflower oil and replace it with aromatic herbs and Virgin Oil.
Mr Ian,
The problem as i see it is that Mr Branson is not taking over parts that are the most broken or that would benifit most from Virgin input.
Primary care works pretty well, highest satisfaction of any part of the NHS, most cost-effective, etc etc.
Taking this part of the NHS away and giving it to RB will just mean profit skimming due to patient selection and a general loss to the rest of the NHS.
As an aside, was the private care provider you worked for in the UK?
There are reports of the new surgical centers doing the elective work running over cost (due to now enough demand for the extra ops the PCT have purchased from them) and having worse outcomes. This is a direct and simple example of giving private work out of NHS budget and it not working.
I understand your viewpoint, however there are much better avenues to go down than giving the most effective parts of health care to a private provider where they can earn the most money due to a direct decrease in services.
Give virgin a project that could improve patient care, or something that is not working as expected (to be decided by local need) and se how they do. Let them build up to what they are about to get. It would reduce fears, give them a track record and earn a bit of respect.
Branson is a business man. He is not a doctor. He has never been involved in healthcare. His lawyers are cut throat raptors because they are involved in business. They don't know about elderly care or health matters.
While I note the shocking material on the excellent Branson Pickle, on the other hand, Branson is in business. Thats why he is successful. That is why he is rich. You Crip are a GP, I am a former doctor - because we aren't into business. We care about people. Thats why we aren't rich.
I would quite like to meet Richard one of these days and advise him on patient care or advise his lawyers on what makes good care plus good business sense. Whether they will listen is another question. I know the NHS management does not listen.
Branson is no different from the rest of the NHS Management who side line the elderly and the disabled as low priority.
Anyway, I admire Richard's business sense. If I could live my life again, I would not have become a doctor but would have gone into business. That is because there are no prizes for caring, there are no points for doing your job as a doctor and there are no thanks for saving people.
Regards
Dr Rita Pal
www.nhsexposedblog.blogspot.com
www.ward87.blogspot.com
www.nhsexposed.com
Mr Ian
Look at Branson Pickle.
The plan is not to improve the standard of primary care in the NHS, it is to attract males in their 30s and 40s as patients who will not use the service to any great extent in order to maximise profits.
Anon: 3:57 (Dr Rita)
Branson is a business man. He is not a doctor. He has never been involved in healthcare. His lawyers are cut throat raptors because they are involved in business. They don't know about elderly care or health matters.
Darzi is at least surgically trained - yet no one wants his proposals - or his latest wishy washy bollox.
The other stakeholders are government - who know nothing of health OR business. Or BMA who obviously aren't doing a good enough job - according to all of us.
I've read the Branson Pickle site last week, it's not good to read and indeed does not support RB's team taking on health care.
I'm not particularly pro-Branson and certainly don't want product-placement in my health care centre. But I'm not specifically advocating Branson - just someone that good would be nice.
However, I've thought about it a little (I'm very open to be contest ed on this tho) and why are we so hesitant to entertain the idea of the NHS run as a business?
No one wants the NHS to go private.
But so far no one seems to have effected sustainable change for the better.
Govt can't just ship it out to anyone to manage but can't leave it the way it is.
I would agree that cherry-picking the "best customers" puts me off a lot - however, aren't these the very people GPs are complaining at sucking up needless amounts of GP time and services? Virgin Health Care would actually be removing those patients from the waiting room and giving real GPs time with real patients.
If there's concern VH will only do the easy work - then don't give it them and force them to do costly care - or pay them what the work is worth.
I'd give it all up to Branson today but not as a private profiteering concern - I'd give it to him as a caring British citizen who is bloody good at business and loves to give something back to the people.
If he wants a just financial reward for the job - he's got up to 20 years to make it work - with annual appraisal and a 5 year "contract" renewal - for his trouble we'll give him the immediate contract to fix the NPfIT and after he's done a good job, he can have 5% shares after floating the NHS on the market.
I'd like to think he'd rise to the challenge and just do it for the posterity tho.
Unless someone has a better idea?
As an aside, was the private care provider you worked for in the UK?
Yes it was.
Can't vouch for the service now tho but it's still going strong and building more capacity so I hear.
And we didn't have the easy primary care - we did secure forensic mental health care.
We admitted patients the NHS out-placed when they couldn't manage. Wasn't as if we had access to any skills or money any more than the NHS did. Beats me why the NHS can't do the same but I'll wager it's management structure and the fact they just did 'business' better.
Privatisation can't come too soon for the NHS. Problem is, NuLabour (and OldLabour in the past) believe in fudging the issue. Bevan did it in 1948 and what we ended up with was part-time NHS consultants who could command waiting lists so that they could bribe patients to go private and "pseudo-self employed" GPs who could operate a risk-free business model with a gold-plated pension at the taxpayer's expense!
The only way to make a profit out of healthcare is to attract the "worried well". Just look at the recent spate of BUPA adverts....middleclass women who fall asleep on buses, people who are too busy to visit a doctor during the day, scare-mongering about "clean, comfy" hospitals or the lack of. Just the way the US system works...woe betide you when you then get into your 60s and start to need actual medical attention rather than just overpriced blood tests. Blink and all of a sudden you are no longer insured. In my neck of the woods our local authority bought in a private company to shorten the elective ortho lists...unfortunately at this point clinical need goes out the window as they will only touch the fittest elective patients, so only those aged 40-50 were chosen. The 60+s were then having to wait even longer (as all our surgeons were told to concentrate on the trauma and rollover lists) but were disguised in the figures.
Having always worked in critical care I would love to see how our service could be made to run at a profit- most of our patients cost between £500 and £2000 a day according to the database I have to fill in each week to charge the PCTs. At what point would your insurance max out I wonder?
As someone whose two young children both have long-term health issues, I most certainly don’t want to see our Health Service run by a company whose only interest is a fast buck.
But Dr C your ad hominem style of attack doesn’t do you any favours in this instance – Alice Thompson is 45 (so hardly a naive girl), and a highly respected and experienced writer.
She might have got it wrong here, but we all make mistakes…
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