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The Guardian - UK
The Guardian - UK
Comment
Rachel Clarke

Wes Streeting, you must have a better plan for ailing hospitals than public humiliation

The health secretary, Wes Streeting, and the chancellor, Rachel Reeves, visit St George’s hospital in Tooting, south London, 28 October 2024.
The health secretary, Wes Streeting, and the chancellor, Rachel Reeves, visit St George’s hospital in Tooting, south London, 28 October 2024. Photograph: Leon Neal/PA

Seriously, Wes Streeting? After 14 wretched years of Tory austerity, stealth privatisation, draconian outsourcing, the Brexit staff drain and the horror and trauma of Covid from which – as you know – staff haven’t remotely recovered, the big NHS plan is to be … naming and shaming? Complete with inflammatory language that’s designed to scapegoat staff, such as the bad managers you’ve branded the NHS’s “guilty secret”? Do you genuinely think this is constructive?

At a point when Ofsted – having contributed to the suicide of headteacher Ruth Perry – has finally rowed back from its absurdly blunt tool of one-word school inspection ratings, it beggars belief that the new health secretary thinks hospital league tables will help the NHS. Streeting insists the new public rankings are a necessary way of stamping out poor performance. He wants hospitals judged on quantifiable factors such as A&E waits, cancer care and the size of their budget deficits. Trusts will be publicly ranked from best to worst, with the CEOs of the worst offenders facing dismissal. Meanwhile, the best-performing trusts will be rewarded with extra money to buy new equipment or repair facilities, further skewing the playing field.

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