One of the basic fundaments of UK politics is that parties don’t expect us to take anything contained or promised in their manifestos too literally but still,
this proclamation from "Lynn of Co Antrim" does fall down on two crucial points:
“My DUP has delivered free prescriptions for everyone in Northern Ireland, the most generous scheme in the UK”
First, whose idea was the free prescription”?
Under the aegis of whose “
ministry” was it introduced?
Secondly, both
Wales since 2007 and
Scotland (admittedly the day after Lyn of Antrim made her claim) since this year have also offered free prescriptions, so it’s not strictly accurate to call it the "most generous” scheme in the UK.
Incidently, I hope Lynn does indeed come from Antrim and not somewhere like Little Muck, Arizona.... the DUP did have
one or two problems on that score before.
But as I said, no one reads manifestos, never mind believes the nonsense inside them. More important is how, as touched on by Owen Polley
here, we look to improve upon the delivery of our health service and (management, trade-unionists and bureaucrats hold your breath now) ultimately “empower” patients and doctors (ie provide better healthcare, more efficiently)
In England, as
the CEP have been quick to remind us this week, prescriptions have gone up from 7.20 pounds a week to 7.40.
On bare facts, devolution has, once again, delivered an unfair state of affairs.
However, despite those discrepancies in prescription prices:
Historically Scotland, Wales and Northern Ireland have had higher levels of NHS funding per capita thanEngland. The research confirms this but shows other striking and troubling differences between the four nations, some accentuated since devolution.
In particular, these were higher numbers of doctors, nurses and managers per head of population, lower crude productivity per staff member (particularly in Scotland), and a higher percentage of the population waiting for care in Wales and Northern Ireland than in England.
The analysis presented in this report suggests that England’s NHS spends less and has fewer staff per capita than the health services in the devolved countries, but that it makes better use of its resources with respect to delivering higher levels of activity and productivity and lower waiting times. Comparing the devolved nations with regions of England that are similar on a range of health and socio-economic indicators, the differences highlighted in the analysis are even more pronounced.
I posted
that finding from the Nuttfield Trust just over a month ago.
So, English patients do pay prescription fees but also receive a better quality service than that “enjoyed” (or make that “endured”) by their fellow Brits in Scotland, Wales and Northern Ireland. Why?
Well, in my opinion, prescription prices, like University Tuition fees, have become the Devocracy’s populist rallying call in the hope that the short-term dust the debate throws up blinds the electorate to the fact that in both areas nasty truths have only been temporarily postponed.
Actually, it’s only one nasty core truth- society is not prepared to pay the extra money needed, or make the sacrifices required (eg unemployment resulting from streamlining the NHS or less students attending university) to deliver the kind of high-quality health service or third level education system they demand.
The Devocrats in Northern Ireland, Scotland and Wales know that fact and as a consequence have taken the coward’s way out:
“You get a worse health service than the English and it’s getting worse but hey, we don’t charge you prescription charges"
or:
“The quality delivered by our universities is going down the pan but sure, if we don’t charge you to attend them in the first place who cares?”
In the ideal world (ie around about one generation ago) we could get away with
free (OK, that was always a misnomer because somewhere down the line someone
did have to pay) university education and prescriptions. We’d all also be 100% happy with the service offered by the health service and third-level educational institutes.
But both demographically and economically, we most certainly don’t live in that ideal world.
I don’t want to pay for my prescriptions and in the far-off future, I don’t want to have my offspring paying to attend university. But I also demand better than adequate healthcare and high-quality third-level education- how do the devocrats in Belfast, Cardiff and Edinburgh propose to square that circle?
Shush- I think I can just about hear the pitter-patter of a tactical retreat.