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		</div><p><a href="http://londonglossy.com/wp-content/uploads/2011/01/damning-report-on-nhs-upheaval.jpg"><img class="alignnone size-full" title="Government plans for the NHS will cause 'significant upheaval', says a damning report from MPs" src="http://londonglossy.com/wp-content/uploads/2011/01/min-damning-report-on-nhs-upheaval.jpg" alt="Government plans for the NHS will cause 'significant upheaval', says a damning report from MPs"/></a></p>
<p>The Government&#8217;s plans for the NHS introduce &#8220;significant institutional upheaval&#8221; without really changing its aims, according to a damning report from MPs.</p>
<p>Ministers have failed to show the plans represent the most &#8220;efficient&#8221; way of delivering good patient care, while some risks to the health service will increase, said the cross-party Commons Health Committee.</p>
<p>MPs said they were &#8220;surprised&#8221; by the &#8220;significant policy shift&#8221; between what the coalition promised to do in May and the plans set out in its health white paper in July.</p>
<p>The coalition programme outlined an &#8220;evolution&#8221; of existing bodies in the NHS but the white paper &#8220;proposes a disruptive reorganisation of the institutional structure of the NHS which was subject to little prior discussion and not foreshadowed in the coalition programme&#8221;.</p>
<p>Such a surprise, while not necessarily wrong, increases the risks to implementing policy, and risks not fully engaging staff, the MPs&#8217; report said. While supporting the objectives for the health service, the MPs said the priority for the NHS was to find £15 billion to £20 billion in &#8220;efficiency savings&#8221;, as ordered by NHS chief executive David Nicholson.</p>
<p>This is already something that is &#8220;extremely challenging&#8221; and so the failure to properly plan for upheaval in the NHS is of &#8220;particular concern&#8221; in the current financial context. &#8220;The Nicholson challenge was already a high-risk strategy and the white paper increased the level of risk considerably without setting out a credible plan for mitigating that risk,&#8221; the MPs said.</p>
<p>The report comes ahead of Wednesday&#8217;s publication of the Health and Social Care Bill which details a radical overhaul of the NHS, with most of the NHS budget passing to GPs, who will take control of commissioning services for patients.</p>
<p>Tory MP Stephen Dorrell, chairman of the health committee, said it was vital that a wide range of health professionals was involved in the reforms, not just GPs.</p>
<p>He said: &#8220;The Government proposals clearly engage GPs in commissioning and that&#8217;s a key step forward &#8230; but in the view of the committee it can&#8217;t just be GPs, it has to be GPs as a catalyst for the wider community.&#8221;</p>
<p>He said the committee was acting as a &#8220;critical friend&#8221; to the Government, and shared the objectives of improving patient care. &#8220;We are not grandstanding but we are not patsies,&#8221; he added.</p>
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