Whilst the media concentrate on shortages of beds, longer waiting times and the increasing indebtedness of Trusts, all of which can easily be solved by investing more money, ie. a choice (or not) of the government of the day, something far more fundamental is happening – doctors are leaving the NHS.
This cannot be solved by money, or government dictat, because the goodwill of medical staff which successive governments have taken for granted has run out, and frankly, doctors have sufficient skills to go anywhere in the world.
From its inception, the NHS has relied on imported staff from abroad; in the ‘50s and ‘60s it was mainly porters, cleaners and cooks from the Caribbean. In the ‘70s and ‘80s it was doctors from the Indian subcontinent and nurses from south East Asia and since the ‘90s from Europe.
The UK has never produced sufficient home grown doctors, partly because of the idiotic insistence of the system in pretending that almost no-one is academically gifted enough to get into medical school. Getting 4A* has little to do with becoming a good doctor; it’s just an effective way of stopping perfectly good candidates getting into medical school. The medical school expansion programme in the ‘70s didn’t fix the problem and neither will Jeremy Hunt’s offering of 6,000 more places over the next five years; the problem is much, much worse than that.