NHS structure
● Conservatives A seven-day NHS Unsurprisingly, the Tories do not propose any major structural changes following their reforms to the NHS in 2012. Instead, the Conservative manifesto focuses on the concept of a “seven-day NHS”, which mainly revolves around GPs being open for this length of time.
● Labour Sensible commissioning If elected, Labour will repeal the Health and Social Care Act 2012 – the legislation that heralded the NHS reforms. Instead of tendering out services to ‘any qualified provider’, Labour says it will establish “a sensible commissioning framework” based on the principle of an NHS preferred provider.
● Liberal Democrats A more joined-up system
The Liberal Democrats are not totally against the changes enshrined in the Health and Social Care Act 2012, but have pledged to repeal any elements that lead to “forced privatisation”. They also want to combine public health and adult social care into a single national outcomes framework.
● Green Party Collaboration not competition
The Green Party would repeal the Health and Social Care Act 2012. It would restore the obligation on the government to provide a comprehensive health service, abolish competition and encourage collaboration between healthcare providers – particularly mentioning pharmacy in this context.
● UKIP A boost for secondary care
The party wants to increase the number of emergency medicine consultants and put GPs on duty in A&E departments to relieve the pressures on secondary care. It has no intention of repealing the Health and Social Care Act 2012 because this would waste “yet more billions” on reorganising the NHS again.
● SNP Protecting against privatisation
The SNP says it will protect all parts of the UK from the threat of further privatisation and to restore it to a “fully public service”. Joining up health and social care provision across Scotland to make it “seamless” is another of its priorities.
● Plaid Cymru An integrated public service The NHS should not be subject to the principles of a free market, says Plaid Cymru, which opposes the privatisation of the health service. It also pledges to better integrate health and social care and to strengthen community-based healthcare services to keep people out of hospital.
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