The document outlines the Conservative Party's plans to reform the NHS if elected. Key points include increasing health spending each year; cutting costs by reducing health bureaucracies and administration costs by a third; stopping top-down reorganizations and giving more power to local boards and clinicians; increasing the role of independent and voluntary providers; strengthening the role of GPs; improving staff working conditions and protections for whistleblowers; measuring outcomes that matter to patients; establishing a commission on long-term care; and increasing local accountability and control over services and budgets.

1. FUNDING
• We will guarantee that health spending
increases in real terms in each year of the
Parliament.
• We will cut the number of health quangos
and cut the cost of NHS administration by a
third
• £20 billion

2. REORGANISATION
• We will stop the top-down reorganisations of the
NHS.
• We will establish an independent NHS board to
allocate resources and provide commissioning
guidelines.
• We will stop the centrally dictated closure of A&E
and maternity wards, to ensure better access to local
services.
• Extending best practice on improving discharge
from hospital and reducing readmissions
• Stop A+E 4h waits
• Dependent on clinical (inc GPs’ ) approval

3. MARKETISATION
• Much greater involvement of independent
and voluntary providers.
• We will support the creation and expansion
of mutuals, co-operatives, charities and
social enterprises
• We will give public sector workers a new
right to form employee-owned co-operatives

4. GPs
• We will strengthen the power of GPs as
patients’ guides by enabling them to
commission care on their behalf.
• Hard budgets
• We will incentivise GPs to improve
access to primary care in
disadvantaged areas.

5. STAFF
• We shall give front-line staff more control of their
working environment.
• Inc Drs and nurses knowing what is best for patients
• We will introduce new protections for whistleblowers
in the public sector.
• We will seek to stop foreign healthcare professionals
working in the NHS unless they have passed robust
language and competence tests.

6. MEASURING OUTCOMES
• We will measure our success on the
health results that really matter
• Data about the performance of
healthcare providers online

7. LONG-TERM CARE
• We will establish a commission on long-term
care, to report within a year.
– voluntary insurance scheme to protect the
assets of those who go into residential
care,
– and a partnership scheme
• We will break down barriers between health
and social care funding

8. ACCOUNTABILITY TO LOCAL
PEOPLE
• We will ensure that there is a stronger voice for
patients locally through directly elected individuals
on the boards of their local primary care trust.
• If a local authority has concerns about a significant
proposed closure of local services, for example an
A&E department, it will have the right to challenge
• We will put patients in charge of making decisions
about their care, including control of their health
records.

9. ACCOUNTABILITY TO LOCAL
PEOPLE 2
• Local communities greater control over public health
budgets with payment by outcomes in improving the
health of local residents.
• Radical devolution of power and greater financial
autonomy to local government and community
groups. This will include a review of local govern-
ment finance.
• We will train community organisers and support the
creation of neighbourhood groups across the UK,
especially in deprived areas

10. PUBLIC HEALTH
• PCTs will take responsibility for improving public health,
working closely with the local authority and other local
organisations.
• Improving access to preventative healthcare for those in
disadvantaged areas to help tackle health inequalities.
• We will give GPs greater incentives to tackle public health
problems.
• Alcohol
– Ban the sale of alcohol below cost price.
– review alcohol taxation and pricing to ensure it tackles binge
drinking
• We will maintain the goal of ending child poverty in the UK by
2020.