We will never privatise the National Health Service.
From Andrew Lansley
There's a culture inside the NHS that is highly paternalistic. You know, 'We give them the service and they are grateful.' We have to move to shared decision-making.
Our interaction as patients with the NHS should be on the basis that there's a presumption that all information is shared with us.
Underperforming hospitals or units should accept that they have to improve the service they offer or that patients, quite properly, will go elsewhere.
If, over time, patients don't go to some services, then progressively they become less viable, so you do arrive at a point where the conclusion is: 'These are the right services for the future, and this is capacity we don't need.'
You don't come into government thinking it is going to be easy.
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