PHM-Exch> UK's NHS reform

[Claudio Schuftan]

From: Sarah Walpole <argotomunky at yahoo.co.uk>


http://blogs.bmj.com/bmj/2011/07/18/sarah-walpole-jerome-baddley-and-rachel-stancliffe-lost-in-transition/
Lost
in transition<http://blogs.bmj.com/bmj/2011/07/18/sarah-walpole-jerome-baddley-and-rachel-stancliffe-lost-in-transition/>
******
18 Jul, 11 | by BMJ Group****
 Much has been hypothesised, debated, and advocated about the UK's NHS
reform. Specialists in a range of areas have looked at the impacts on their
particular area of work, yet little has been remarked about the impacts of
the transition on one of the NHS’s core duties – sustainability. Rising
natural resource costs, climate change, and legal obligations make this a
critical area of risk for public health and health care delivery.
Health services should contribute to a healthy society by exemplifying fair
and sustainable use of finite resources and encouraging individuals and
communities to live healthier, more sustainable lifestyles. To achieve this
change is needed; but top down restructuring on the basis of no evidence,
privatisation, and fragmentation should not be in the equation. A healthy
transition would protect core NHS values and actively protect and promote
the health of current and future generations.
The NHS has already set internationally leading aspirations for
sustainability through “Saving Carbon, Improving
Health(1),<http://www.sdu.nhs.uk/publications-resources/3/NHS-Carbon-Reduction-Strategy/>”
which outlines the national baseline and clear aims to reduce waste, improve
efficiency, and cut carbon emissions across all areas of NHS activity.
Practical approaches to achieve these aims are gradually being embedded
across the ******UK****, but aspects of the proposed reform threaten the
development of sustainable health care.****
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