公共管理专业英语(精品·公开课件).pptVIP

A news from The Guardian on NHS Ed Miliband is to risk accusations of backing another massive NHS reorganisation when he says he supports the integration of health and social care in a move that is designed to save billions and produce a more rational whole care service. The idea, widely supported within the NHS, will be the subject of a year-long independent commission chaired by Sir John Oldham. He has been told to achieve the reform without extra cost or any top-down reorganisation. Integration already has the support of the shadow health secretary, Andy Burnham, who wanted to make the pledge in his conference speech last autumn but had to stop short after objections over the potential costs. The announcement on Monday is Milibands first intervention since a spate of criticisms that he is not doing enough to project a clear image of where Labour would take Britain in office. It is also seen as his major intervention in the county council election campaign. Labour sources regard the proposals as a genuine big idea but are aware that they have opposed further NHS reorganisation, the chief plea of many health professionals. The idea is likely to have the broad support of the Liberal Democrats. Miliband will cite figures from the Nuffield Trust that show that unless Britain improves the way services are delivered, growing care needs will leave a shortfall of up to ￡29bn a year by 2020 in NHS funding. He will claim his planned reorganisation represents the reforms the NHS really wanted as opposed to the changes imposed by the former health secretary Andrew Lansley. He will claim the Lansley-Hunt reforms are putting the financial sustainability of the NHS at risk. At the launch of the commission on Monday, Miliband will say: The NHS is facing the biggest challenge in its history. The toughest financial pressures for 50 years are colliding with our rising need for care as society gets older and we see more people with chronic illnesses like cancer, diabetes and dem