Is anyone saying the NHS doesn't need reform? ...
I'm sure there are such people; I very much doubt that any of them work in or know anything at all about the NHS.
I know quite a few GPs. I know that they have undergone continuous change for years, almost all of it ill-informed, misguided and frequently subsequently reformed, often just as ineffectively.
The Government pretend that they want to increase choice and patient participation. Absolute 100% lies, GPs are continuously instructed as to where they should send patients and what treatments they are and are not allowed to prescribe. This is not a long-standing policy, it it is relatively recent gets steadily worse. If the Government were serious about increasing choice, they could stop this policy tomorrow.
As to the latest inspired idea that GPs should be handed the keys to the Treasury to do with as they wish since they clearly know more about how to spend money wisely than anyone else, there are three response
- from the older GPs - what a stupid, stupid idea; we have enough to do, just treating patients without getting involved with the day-to-day detail of managing a massive budget
- from the majority of GPs - Dear God, what am I supposed to do next? I can't cope with my current workload whilst having any sort of life!
- from the younger GPs - WOWZER! My chance to skim off an absolute fortune before anyone realises what is going on and stops it - FANTASTIC!

I have heard some fantastic, truly imaginative ideas as to how Practices can use access to this potential windfall to make a profit. Everybody wants to expand their premises or buy new premises and open a Pharmacy - there is gold to be had there - you just have to over-prescribe like mad - eventually you will be stopped, but by then you will have trousered a fortune and have dreamed up some other scam
Many practices are aware of and keen to profit from "
beauty treatments" which should be much more profitable than healing the sick and let's face it, if your GP tells you that you are as ugly as sin but with the safe wave of a magic laser wand and/or injection of Botox, they can make you more beautiful than Cinderella, they must be telling the truth, right?
I can't comment on the rest of your post, other than to say that France does have a fantastic system - and it is going bankrupt fast. In France, when you have a cold, rather than taking two Paracetomol and going back to bed, you can visit your Family Doctor and demand that you be seen by a specialist . . . . who will use his years of experience to tell you to take two Paracetomol and go back to bed
As to Dolph's comments, it is important to remember that aside form being an anarchist, opposed to any form of regulation at all, he has a long-standing personal vendetta against the NHS
