3.2 NHS Performance and Operations

3.2.1. NHS Funding Structure

3.2.1.1. All hospitals to be run like private hospitals as cost centres that bill for medical services. This billing system will be free at source but marked against the customer's national insurance number for reclaiming at the death of the customer through any estate that has been left. People with no National Insurance number (overseas visitors) will be billed to their insurance company and if the company is not supplied or available then the debt is marked against the passport number of the customer who will not be allowed entry until the bill is paid in full or asked to return home from the entry port.

3.2.1.2. All primary services will also be billed for the customers National Insurance number and services missed will not be reimbursed – ensuring the maximum most cost efficient use of current free facilities

3.2.1.3. Halt the tendering of NHS contracts to private sector companies.

3.2.1.4. Work with Monitor to reform NHS funding systems, moving away from payment for activities to tariffs what encourage joined-up services (GP's , Hospitals and Community Services working together) and Preventive Care.



3.2.2. NHS Organisational Structure

3.2.2.1. All primary and secondary healthcare will come under a single body which is centrally funded – The National Healthcare Committee made up of the Health Minister, MP’s, Regional Representatives (MEP’s) Academics, Doctors, Nurses and trade unionists.

3.2.2.2. Hospitals will be responsible for the supply and education of GP practices of a new career structure that will make ALL training doctors spend their first 3 – 5 years at a GP surgery before returning to the Hospital to specialise in their desired areas.

3.2.2.3. Combine public health, adult social care, and health outcome framework into a single national wellbeing outcome framework to ensure the NHS and local government work together towards common goals.

3.2.2.4. Support new joined-up services such as GP's providing services like scans and blood tests including GP surgeries with Hospitals and A&E depts.

3.2.2.5. Encourage the development of joined-up providers which cover Hospital and the community services, including GP's learning from international best practice.  We will permit NHS commissioners and providers in a local area to form a single a single integrated health organisation where appropriate.


3.2.3. NHS Fees and Charges

3.2.3.1. Review the rules for exemption from prescription charges to ensure they are fair to those with long term conditions and disabilities.


3.2.4. Clinical Trials

3.2.4.1. Support, including through rules on public funding and research, moves towards ensuring all clinical trails are registered with their methods and summary results reported in the public.