The Private Sector
The new changes coming to the NHS include requiring greater competition. What that means is the NHS must start using private companies and contractors to supply services and not rely solely on its own provider services. There is a company called "Connect" that has already established a foothold here in northeast England. They have taken over the knee service (yes, there are separate services for each body part or diagnosis) at our local primary care center.
I'm wondering how the NHS is going to adapt to the changes proposed by Prime Minister Cameron. I don't think well at all actually. The employees are used to being civil employees - nearly impossible to fire, replace or lay-off. That has, I'm sorry to say, bred a sense of laziness in many individuals, which only brings down the whole organization.
I'm going to investigate the private sector and see if the mindset there is more like what I was accustomed to in New York. Are they running real businesses or civil services? The more I interact with general practitioners, the more convinced I am that they will not be able to handle the billions of pounds they will soon be charged with. I also think this is actually part of the plan; to let them fall on their faces so they can be replaced with private enterprises.
The NHS won't disappear, but I suspect it will become more like Medicare and Medicaid. The actual provision of services will be contracted out but will continue to be paid for through the national insurance.
Let's see if my suspicions are correct.