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Healthy controls

  25th June 2006  —  Issue 123
The NHS is improving—but government must resist the urge to manage from above

Patricia Hewitt was right. This has been the best year the NHS has ever had. More patients have been treated than ever before—and treated both faster and more effectively. Survey after survey shows that those who have recently used the NHS think it is getting better.
Staff have not done too badly either. There are more nurses than ever before: 85,000 more since 1997. Entry-level nurses’ pay has increased by 25 per cent in real terms. Doctor numbers have increased by over a third, and, as we all now know, their pay has also shot up. Even non-professional staff have seen substantial rises in pay.

So why all the fuss? Why was Hewitt shouted at by the nurses, told she was on another planet by the press and disbelieved by the general public? Partly it was because of the accumulating stories of hospital deficits and job losses. But even these don’t really explain the manure that has been dumped over her and the government’s heads in recent weeks.

The deficits—less than 1 per cent of total NHS spending—are trivial, the sort of sum that gets lost in the accounting noise of a large corporation. Moreover, if they are set against an underspend on capital last year, the NHS as a whole is in surplus.

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