The Origins and Failure of Health Reforms are presented in cartoon format with an analysis of System Failure in the NHS and dysfunctional management. The solutions are obvious.

1. Ninian Peckitt FRCS FFD RCS FDS RCS FACCS

2. Vote of No Confidence in Jeremy Hunt
• BMA Vote represents 152,000 doctors circa 50% of UK doctors
• “huge wave of anger” against Mr Hunt
• The motion was passed with an “ overwhelming majority”
• “He is at the forefront of a new political blame game,
blaming frontline NHS staff for the predictable chaos
resulting from his government's reforms and cuts,”
(BMA council member Dr Jacky Davis)
• “We are watching a good service being deliberately brought to its knees by vandals in Westminster.”
24th June 2013

3. History

4. http://www.nhshistory.net/shorthistory.htm
History – Geoffrey Rivett

7. Chaos

10. Conflict of Interests?

11. Conflict of Interests?

12. Whistle blowers

13. Whistle blowers
https://www.gov.uk/government/speeches/jeremy-hunt-message-to-nhs-staff-about-whistleblowing

15. Is corruption Inevitable?

18. Complaints

19. System Failure

21. Death by Beaurocracy
http://www.dailymail.co.uk/debate/article-2661970/Death-bureaucracy-As-learn-NHS-bankrupt-read-excoriating-attack-managers-senior-consultant.html
Death by bureaucracy: As we learn the NHS is bankrupt, read
this excoriating attack on its managers by a senior consultant
By Nick Boyle Nhs Consultant Surgeon
Published: 01:12, 19 June 2014 | Updated: 08:22, 19 June 2014

22. System Failure
The system has become more important than the patient (Ninian Peckitt)

23. System Failure

25. Fat Cat Payoffs and Re-employment

26. Wastage
http://www.telegraph.co.uk/news/health/news/8303433/Nursing-chief-5bn-savings-possible-of-scandalous-NHS-waste.html

30. A Lesson for a Sick Patient

31. Every day, a small ant arrives at work
very early and starts work immediately.

32. She produces a lot and she was happy.

33. The Chief, a lion,
was surprised to see that the ant was
working without supervision.

34. He thought if the ant can produce so much
without supervision, wouldn’t she produce even
more if she had a supervisor!

35. So he recruited a cockroach
who had extensive experience as supervisor and
who was famous for writing excellent reports.

36. The cockroach’s first decision was to set up a
clocking in attendance system.

37. He also needed a secretary to help him write and type
his reports and …

38. ... he recruited a spider, who managed the
archives and monitored all phone calls.

39. The lion was delighted with the cockroach's reports
and asked him to produce graphs to describe
production rates and to analyse trends, so that he
could use them for presentations at
Board‘s meetings.

40. So the cockroach had to buy a new computer and a
laser printer and ...

41. ... recruited a fly
to manage the IT department.

42. The ant, who had once been so productive and relaxed, hated this new
plethora of paperwork and meetings which used up most of her time…!

43. The lion came to the conclusion that it was high time to nominate a
person in charge of the department where the ant worked.

44. The position was given to the cicada, whose first decision
was to buy a carpet and an ergonomic chair for his office.

45. The new person in charge, the cicada, also needed a
computer and a personal assistant ,who he brought from
his previous department, to help him prepare a Work and
Budget Control Strategic Optimisation Plan …

46. The Department where the ant works is now a sad
place, where nobody laughs anymore and everybody
has become upset...

47. It was at that time that the cicada convinced the boss ,
the lion, of the absolute necessity to start a climatic
study of the environment .

48. Having reviewed the charges for running the ant’s department , the
lion found out that the production was much less than before.

49. So he recruited the owl , a prestigious and renowned consultant to carry
out an audit and suggest solutions.

50. The owl spent three months in the department and came up with an enormous report , in several
volumes, that concluded : “ The department is overstaffed ...”

51. Guess who the lion fires first?

52. The ant , of course, because she
“showed lack of motivation and had a negative attitude".

53. The Success of NHS Reforms

54. The Options for Privatisation

55. Denial

56. Admit Errors

57. Managing Change
• The most basic errors have been made
• Business Model is flawed
• Errors are repeated
• No Responsibility / No accountability
• Failure is Rewarded

58. Business Model
• Free Market has failed to create a viable Public Healthcare System
• Private Healthcare cannot deliver a viable Public Healthcare System
• The Original NHS Model delivered a viable Public Healthcare System

59. Resistance to Change

60. • Mandatory
• Current System will be dismantled

61. http://moneyweek.com/endofbritain/

65. What happens when Interest Rates Take Off

67. Thank you for your attention