Paul Gruszka:

Anybody with any sense could see it was a bad idea especially when administration was not the problem it just added a big cost load on the NHS that did not improve patient care.

There is much truth to what you say about the rise in administration staff and middle management since 1979, and its resulting cost load on the NHS that did not filter through to providing improved service for patients. One problem that the NHS faces is the amount of time and effort spend on ass covering, in order to avoid litigation, as opposed to providing frontline services. This is incredibly draining of resources. Information I have from a medical engineering department of a hospital is that even individual techs must first and foremost cover their ass before providing frontline services.

My view is Thatcher was lobbied by private medicine to destroy the NHS and she wanted to get rid of the cost from the government pockets.

This is entering the realm of conspiracy theories but I personally believe that the NHS has been deliberately downgraded at the behest of private medicine in order to create room in the market for private medical service providers, but blaming Thatcher is simple and disingenuous as higher order forces in the EU and the WTO have also played their part, although I don't have much information about them to hand.

If I was in control of the NHS I would implement your vertical integration by giving all the administration the boot, put the nursing staff back in control, get GCHQ to set up a secure IT system under the direction of the nursing staff and of course set up a government R & D department that was not a closed shop to alternative treatments other than drugs.

Whenever I have mentioned the concept of vertical integration in order to reduce costs (ultimately to the taxpayer) and ensure that medical devices meed the requirements of the NHS and its patients I have been accused of socialism. Although I try to explain that vertical integration and socialism are two different things (for a start I'm not in favour of banning private medicine; private companies manufacturing medical devices; or the NHS buying medical devices from private companies so long as they meet the requirements and the price is right) my arguments often fail to convince.


Also, why should nursing staff be put back into control? Why not have engineers in control instead?

It will never happen so it is down to engineers to create the Electrotherapy devices that I know can cure any pathogen based disease and shake up the whole system up.

There is a problem whether it would be legal to sell certain medical devices to the public for home / self treatment.


I'm in favour of genetic modification of humans as this will add a completely new dimension into medicine. I believe that two countries already are using it commercially to create 'superhumans' with desirable genetic traits. There are times when I think that conventional medicine has reached the end of the road and that NHS hospitals have the potential of becoming dinosaurs of the 20th century like coal fired power stations in the 21st century.

Paul Gruszka:

Anybody with any sense could see it was a bad idea especially when administration was not the problem it just added a big cost load on the NHS that did not improve patient care.

There is much truth to what you say about the rise in administration staff and middle management since 1979, and its resulting cost load on the NHS that did not filter through to providing improved service for patients. One problem that the NHS faces is the amount of time and effort spend on ass covering, in order to avoid litigation, as opposed to providing frontline services. This is incredibly draining of resources. Information I have from a medical engineering department of a hospital is that even individual techs must first and foremost cover their ass before providing frontline services.

My view is Thatcher was lobbied by private medicine to destroy the NHS and she wanted to get rid of the cost from the government pockets.

This is entering the realm of conspiracy theories but I personally believe that the NHS has been deliberately downgraded at the behest of private medicine in order to create room in the market for private medical service providers, but blaming Thatcher is simple and disingenuous as higher order forces in the EU and the WTO have also played their part, although I don't have much information about them to hand.

If I was in control of the NHS I would implement your vertical integration by giving all the administration the boot, put the nursing staff back in control, get GCHQ to set up a secure IT system under the direction of the nursing staff and of course set up a government R & D department that was not a closed shop to alternative treatments other than drugs.

Whenever I have mentioned the concept of vertical integration in order to reduce costs (ultimately to the taxpayer) and ensure that medical devices meed the requirements of the NHS and its patients I have been accused of socialism. Although I try to explain that vertical integration and socialism are two different things (for a start I'm not in favour of banning private medicine; private companies manufacturing medical devices; or the NHS buying medical devices from private companies so long as they meet the requirements and the price is right) my arguments often fail to convince.


Also, why should nursing staff be put back into control? Why not have engineers in control instead?

It will never happen so it is down to engineers to create the Electrotherapy devices that I know can cure any pathogen based disease and shake up the whole system up.

There is a problem whether it would be legal to sell certain medical devices to the public for home / self treatment.


I'm in favour of genetic modification of humans as this will add a completely new dimension into medicine. I believe that two countries already are using it commercially to create 'superhumans' with desirable genetic traits. There are times when I think that conventional medicine has reached the end of the road and that NHS hospitals have the potential of becoming dinosaurs of the 20th century like coal fired power stations in the 21st century.