anarchist health worker

I work in one of the support services within the Nottingham NHS Citihealth organisation. We provide community health services to the Nottingham area. We have heard the current government promise to ring fence frontline health spending, however the reality on the ground is somewhat different.

Due to an ever increasing number of service users the very modest budget increases in the upcoming years do not allow us to maintain the current level of service provision. Frontline services have been cut despite political promises to the contrary. Recruitment including agency staff is frozen and retiring health are staff are not being replaced. Departments who can’t meet the required budget cuts through natural wastage are being forced to cut staff. Specialist commissioning staff are being replaced by a GPs buying up services. This has been tried before with disastrous results and was quickly abandoned. GPs are up in arms over having to provide a service they have no experience in and no time to administer. It’s almost certain that commissioning will be subcontracted en masse to eagerly waiting private consultancy firms. Also quality control and auditing of services are in the process of being replaced by, what at this stage, appears to be a code of voluntary self policing.