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The North tutor

's political columnist Ed Jacobs presents a mini-debate with the participation of Minister of Health

Simon Burns

and Labour shadow

Andrew Gwynne

used to say that the toughest job in British politics was the opposition leader - a role where you can talk and talk as if no tomorrow, but can not really make any thing. I would say that perhaps at this moment, the health secretary Andrew Lansley might feel the same sense of helplessness, as has been shaken by events beyond their control.

since taking the opinion of the health of the Conservatives in opposition in 2004, Lansley, alongside David Cameron, has a mission to detoxify the party's image in the NHS and restore public confidence in the management of one of, if not the institution, the most precious in the UK. In opposition was the mantra "NHYes" The consolidation of the Prime Minister's statement before the general elections that the health service would be of his party, the number one priority.

fast forward two years, and ministers are now scratching their heads over what went wrong. After introducing a bill and social health, which requires the pause button to be pressed to meet the increasingly critical of health professionals about their potential impact, it is increasingly difficult to find someone willing to openly declare their support.

If only the shadow health secretary, Andy Burnham, the statement that the government faces the fight of his life on the bill, so I suspect, Andrew Lansley, a good sleep during night. But it is not. Its bigger than this, and the Department of Health knows.

After spending political capital to win the confidence of the creation of the NHS, the face of opposition or doubts about almost every major medical and health organizations, representing all nurses to doctors, psychiatrists guardians and patients to surgeons, shows that the government is in trouble. And this week to research published in the

Lancet

Health Journal seems to have contradicted Andrew Lansley said that productivity in the NHS had fallen under the work, while reports internal to the NHS have identified the risks that could raise the bill. Regarding the north of England,

The Guardian

the political correspondent, Juliet JOWIT this week wrote:

According to the report for the North of England, a risk score of 15 or more are considered "important" and coded in red, 8 to 12 are considered of "high" risk or orange. In northern England, responsible for preventing the risk of reaching "productivity gains at the expense of quality", defined as "the safety, clinical efficacy and patient experience, "rates of 12 - a possible event with a major impact - even after mitigation measures are taken now elected.

The same report also indicates a high risk of "instability and organizational system" claims management and governance, and the uncertainty caused by changes that could reduce the capacity and capability personnel and organizations.

unskilled problems - still considered a high risk - covering a wide range, again, after the existing roof, including a "loss of control over the current performance" that "security is compromised by the absence of clear accountability, low morale and loss of consciousness "that the benefits of reforms are not achieved, and there is a loss of public confidence in the NHS.

in a piece by its director, Tim Montgomerie, minister three shave "the Alarm bells "rang election to continue the damage bill in its current state.

A recent YouGov poll for the
Sunday Times showed that when we draw on Scotland, which will not be affected by changes , north of England is the region most skeptical when it comes to debate the bill on health. Only 19% of respondents in the region have expressed their support for the proposals compared with 58% who oppose it openly. 53% said that increased competition in NHS services could lead to worse, while 55% called for reforms to be totally abandoned. Indeed, despite the Force supports the idea of ??setting GP, 49% of survey respondents in the north of England, estimates that give physicians more control over how money is spent on service health worsened.

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