Donny osmond wrote:Banquo wrote:Donny osmond wrote:Excellent interview in the guardian yesterday...
Germany's Covid-19 expert: 'For many, I'm the evil guy crippling the economy'
https://www.theguardian.com/world/2020/ ... _clipboard
Germany's top guy on dealing with the crisis. Particularly interesting, from a UK point of view, on the NHS.
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Yep- Mells already posted it. What did you take away from that about the NHS though?
Oops, sorry Mells
I took that the UK is now moving, at a gathering pace, in what the German fella thinks is the right direction in terms of using testing as part of a strategy to get in top if this thing. Also I took that the NHS was probs ahead of the curve initially but, for unknown reasons fell behind.
Projecting now, I assume comments like his will feed into an internal UK debate about the nature of the NHS, with right wingers saying it's too big and unwieldy and that's what lead to falling behind. Not a view I agree with personally, but it's easy enough to understand the reasoning behind it.
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Ah- that's what I thought you'd taken away, but it was PHE he called out around testing. That may sound pedantic, but I think its an important distinction. Nobody is going to come out of this well, but imo at least some of the obvious issues are that both PHE and NHSE have essentially command and control, centralised decision making bodies; the former lacked the personnel to execute testing, but wouldn't cede any 'power' to say local operations in the way both Germany (and a federal system worked well here) and South Korea did to get the job done. NHSE, whilst coping in one sense, have a blunt strategy of pretty much closing the rest of the service down- this has lead to unintended but obvious and called out consequences of more non covid deaths in the short term, and storing up trouble for the future; and imo, again had they gone for a less centralised( not a 'one size fits all') strategy, I think we'd be a lot better off. The govt could have done similar on lockdown, possibly, both regionally and a less blunt implementation ; this would have then given them a way of reversing out of lockdown; its quite ironic, as I have been asked almost daily by my customers (the NHS) for a recovery plan since we redeployed our staff and utterly changed our delivery model, yet I think most rational people would cede, it depends on the govt's 'recovery plan' and then the NHS 'recovery plan'......however I persevere with a myriad of scenarios.
What is- and has been needed for ages- is for funding to be taken out of political cycles; for a root and branch review of what structures best serve population needs (and driven much more locally, integrated with social care; this is being tried, but until covid, not really driven hard- one positive, it is now actually working under imperative of Covid). This requires a really grown up set of conversations- every other attempt at reform has been both badly bungled and met with heavy resistance, and the conversations have to include funding.....more is required, but it must be spent well.
I'd hope this crisis leads to a meaningful change in the relationships and structures between govt/doh, PHE, NHS (E, W, S, NI) and the public, and that our health professionals get the support they need and deserve to deliver the care needed, and their input is vital. Do with, not to.