David Cameron: Public sector reform cannot be delayed

David Cameron has said Britain should not put off wide-ranging public sector reforms, amid criticism about the pace of NHS changes in England.

The PM said he wanted to "
do right"
by public sector workers but arguments he should stick with the status quo were a "
complete fiction"
.

Critics who said the plans amounted to privatisation needed to "
grow up"
.

The Royal College of GPs, the British Medical Association (BMA) and trade unions say the upheaval is unnecessary.

Ministers will publish a health bill this week that will pave the way for GP consortium's to take over management of the NHS from primary care trusts in England.

But the Royal College of GPs and the BMA say the same results could have been achieved by a small change in the current structure.

And the heads of six health unions, including the BMA, warned in the Times of their "
extreme concerns"
about greater commercial competition between the NHS and private companies.

In his speech, Mr Cameron said he wanted complete modernisation of Britain's public services.

He sought to reassure public sector workers, saying his aim was to "
champion excellence"
and reduce inequalities in health and education between rich and poor. He reiterated that, after the cuts, spending would be at the same level as it was in 2006.

In his speech to the Royal Society of Arts in London he said "
pretending that there is some easy option, of sticking with the status quo and hoping that a little bit of extra money will smooth over the challenges, is a complete fiction"
.

Arguing that "
we can't afford not to modernise"
Mr Cameron added: "
Every year we delay, every year without improving our schools is another year of children let down, another year our health outcomes lag behind the rest of Europe, another year that trust and confidence in law and order erodes."


He added: "
I have to say to people: if not now, then when? We should not put this off any longer."


He said he had read Tony Blair's memoirs over the summer and argued that the former Labour PM had found that delaying reform created "
institutional inertia"
against change.

"
I believe this coalition has a once-in-a-lifetime opportunity to transform our public services."


In a question and answer session after the speech, he was asked how he could ensure a drive for competition did not just mean privatisation, he said: "
The idea that all these changes amount to privatisation is simply not true... I think we've just got to grow up over this debate and recognise what matters to the patient, what matters to the public is, 'Is there a good, free national health service, free to me at the point of use that's giving me the operation I need, the care I need, the support I need?'"


Earlier he told the BBC there was a "
lot of enthusiasm for what we are doing"
- with 140 GP groups coming forward to take on the new commissioning powers ahead of their introduction across England in 2013. Mr Cameron also said the changes would make "
net savings"
within two years.

In their coalition agreement, the Conservatives and Lib Dems said: "
We will stop the top-down reorganisations of the NHS that have got in the way of patient care."


For Labour, shadow health secretary John Healey said, after the coalition agreement's pledge to stop "
top-down reorganisations of the NHS"
, these plans were "
another big broken promise from David Cameron"
.

He added: "
David Cameron also seems to see the NHS as second rate when everybody else has seen big improvements by Labour in recent years and public satisfaction is now at an all-time high. This is an insult to millions of NHS staff."


The criticism came after Mr Cameron said in his BBC Radio 4 Today programme interview: "
I don't think we should put up with a second rate - with coming second best. We should aim to be the best."


Asked about it following the speech, Mr Cameron said he had meant to say the NHS should not be "
second best"
but sometimes got a "
word out of place"
.

Unison general secretary Dave Prentis accused him of "
cutting away at the heart of society"
.

He said: "
The NHS is not safe in Tory hands. Lansley's proposals are unnecessary, untried and will cost the taxpayer dear. They threaten the very founding principles of the NHS."


Chris Keates, General Secretary of the NASUWT, the largest teachers' union, said: "
If the prime minister thinks he can silence millions of public service workers by brushing off their significant concerns as predictable and insignificant, he should think again.

"
A government genuinely concerned to ensure its reforms are workable would be wise to listen to those who raise objections."




I think this is a step to far and behind all this I would think he's only interested in privatisation and that will come about because the Gp's either won't or are unable to do it. What's your view ??????

I have to agree with you Ashley He has one intention and one only and that is to privatise the NHS as much as possible because he and his party believe one thing - privatisation is good. Bt we all know that privatisation is good for one thing.......for profits and the NHS is due exactly the fate of our utilities - high cost. owned by foreign conpanise and services provided only when profitable using an infrastructure paid for by the taxpayer. So no problem with hip operations, heart bypasses but don't get cancer or worse still don't have a handicapped child because there is no point in treating illnesses where there is no definite way to calculate the profit or loss in commissioning that treatment. This IS Cameron's vision of an NHS which is certainly not safe in his hands. :twisted: :roll:

The NHS must not be run by private companies;
they are interested only in making a profit. The PM is out of his mind. Waste comes to mind and with someone elses money;
it seems any price is paid. Try doing that in a small business using your own money and he might learn some commonsense. The new PM is another, instead of tackling the banks who are blackmailing him;
he would be better employed putting those responsible for crashing the economy and destroying millions of lives;
behind bars. The rich get richer and the poor are;
again just pawns. Do you really think that a couple of Eton lads;
multi millionaires give a damn about you and I, "
of course they don't!"
it's a game to them, as for ordinay people, frankly they don't give a damn. The political system in the UK has failed;
next time labour will get in again and off we go again for another ten years of meddling and madcap policies;
the UK is a joke now worldwide I think.

I was reading about this earlier and would say, It is Cameron who is second rate not the NHS. Remember it is the actions of people like him that cause our families, friends to suffer pain and hardship waiting months or yerars for some basic treatments.

The NHS is now up for sale and You need to start thinking about private insurance to cover your future health costs which will be substantially higher than now. Cameron is driven by ideology and is hell bent on destroying the NHS in favour of privatised health care. Of course he and his chums will be unaffected as they can afford private health care unlike most people