Govt Proposals 'Deliver Double-Blow To NHS'

Proposals to radically restructure medical education and training, and public health services in England are flawed and could damage the NHS beyond repair, says the British Medical Association.

The proposals for public health are outlined in the government’s White Paper, Healthy Lives, Healthy People, and those for education and training are put forward in the White Paper, Liberating the NHS: Developing the Health Care Workforce.

In the BMA’s responses to both White Papers, there are recurring themes throughout, says BMA Chairman of Council, Dr Hamish Meldrum. He said: “In these two final consultations related to the Health and Social Care Bill, we find, yet again, that the government is racing towards further fragmentation of the NHS.

“The proposals for public health are causing great anxiety among doctors who believe the plans are flawed and could lead to the NHS losing the skills and expertise of hundreds of highly trained public health doctors. These doctors are responsible for emergency planning such as developing systems during a pandemic flu crisis, developing projects to counteract unhealthy living such as obesity and alcohol misuse, and essential contributions to the commissioning plans for local health services.

“The plans for medical education and training could be very damaging to the NHS because of their lack of detail, the overly ambitious pace of change and the failure to consider effectively their impact on medical training and patient care. The future of the NHS is highly dependent on a properly trained workforce and we are very concerned that the plans outlined in the White Paper put the quality of training at risk.

Doctors’ concerns about the public health White Paper are mainly related to fears over the future structure of public health services and the impending transition period, says the BMA response.

Public health doctors fear that the proposed new structure will break up the workforce and lead to the fragmentation of public health services. A better way forward, argues the BMA, is for all three areas of public health (health protection, health improvement and support for commissioning) to be employed by a single public health agency, and that this should be an NHS organisation.





The BMA is urging the government to reconsider its proposals on the restructuring of public health and the future of medical education, training and research.

(BMcN/BMcC)