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New-look NHS puts nurses in control

Doctors, nurses and patients will be given more power under plans for a new public health service, the government has announced.

Under the new plans, health staff will be given more say in the day-to-day running of the health service as the government moves to replace the "top-down" approach that has fallen victim to too much political interference in recent years.

Unnecessary targets that have "no clinical justification" will also be scrapped as focus shifts to working towards better outcomes for patients rather than allowing targets to cloud treatment programmes.

An independent commission will also be established that will draw up policy for long-term care for the elderly and vulnerable, covering measures to help people receive at-home care services as well as new support for care staff.

The Cancer Drug Fund, which formed a key part of the Conservatives' health campaign during the election, will run from April 2011 and will be funded using the £200m saved from National Insurance contributions.

Copyright © Press Association 2010

Department of Health

Your comments (terms and conditions apply):

"Why oh why does no one stand up for practice nurses? We work SO hard yet GPs fail to recognise our contribution to the service we provide. They always speak about not having the money to give bonuses, why not link it to the amount we do when achieving the QoF points? We are the major contributors to the work after all" - Danielle Davis, London

"I must say I agree to a point with Linda from Staines and Renner we do need to reduce mangers put the wards back in the hands of the sister, and if all over 50s were to retire what would happen. I would like to retire next 2 years and do a reduce hours but will that be possible. I still have a huge mortgage but I won't let that stop me" - Dorrel Fyffe, Peterborough

"Perhaps the NHS should get back to basics. I have not yet met a nurse working in the NHS who is happy about all the changes. I hear the same complaints all the time too much paper work organisational communication takes up most time. Trained nurses not administering hands on care. It seems to be that our NHS is in crisis.With a culture of fear for their jobs if they speak out against the policies being enforced. The human element is disappearing as time being spent playing about with figures and ticking relevant boxes to justify costs. The business ethos and healthcare don't equate. Here's hoping the Tory/Lib Dems can see through the facade of the unscrupulous managers in our health boards. It's about time the organisation got organised and stopped wasting money" - Christina Milligan, Scotland

"Our GPs have actually taken a pay cut for 2 years in a row now! Many practice nurses will be coming up to retirement age within the next 5 years in our area. There is no-one as yet to replace us and compulsory retirement at 60 when my state pension and mortgage are not until 63 would leave me in very dire straits. Remember many people working in general practice were not entitled to NHS pensions for many years and will not have a full NHS pension to fall back on! I know my doctors are dreading my retirement already! The rest of the country is being encouraged to work longer to reduce the pressure on pensions - can you imagine what would happen if everyone suddenly started claiming - get real!" - Linda Staines, London

"My opinion is for the government to scrap all managers, everyone should use the same computer system, NHS is not the private sector. It is for the unwell and health of the nation. The sisters have always managed the wards and it should go back to that. And instead of reducing beds on the wards it is the managers that need to go. Secondly GP salaries have gone up in the last 5-7 yrs tremendously. There should be cut backs on GP salaries and should be paid according to work. All GP consultants and anyone above 60 in the NHS should be made to retire so as to give younger ones a chance in the sector" - Comfort Renner, Hackney