Birmingham recently opened a fantastic new build hospital (indeed the place where Gordon Brown inappropriately launched the Labour Manifesto); £2.6 billion of private funding that will cost the tax payers of Birmingham £20 billion in repayments never reaching front line services. Those that think the NHS is being or has been privatised should grow up like the Prime Minister wants! The Dental Access money of £1.5million , given to provide their residents with more funding for services has been redirected by South Birmingham PCT to help start paying this debt and disappeared from the “ring-fenced” funds.

There are more questions than answers at present. How for example can a National Commissioning Board carry out the management of NHS Dentistry, and if they can, how exactly will this be cheaper than PCTs? Who will carry out the mid and year end reviews as detailed in current contracts, which total tens of thousands of such meetings? Regional arms of the NCB may form from the cluster PCTs that are collecting themselves together as these changes develop; we may end up managed by exactly the same people we have known for the last 5 years.

Will the NHS change for the better with the proposals, or will the element of blame shift to someone else?

The BMA may be torn apart by conflicting interests in the new powers this Bill will bring as one doctor relies on another holding the purse strings. Perhaps such division of the Trade Union is a hidden agenda ?

The BMA in their press release choose to major on the “massive gamble”.

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