Sir David Nicholson, the Chief Executive of the NHS and now of the unaccountable super-quango, the NHS Commissioning Board, said last year:
"If you've got a long-term condition, you might want to think in future about different GPs and whether they're providing a full range of service for that condition."
Reflect on what he said. What he didn’t say was "the NHS reforms will guarantee that you will get the care that you need". He is saying the exact opposite. He says that it is acceptable for CCGs not to authorise the services we need. That is an admission that Lansley is creating an incompetent and unfair system where it is the responsibility of patients to find the care they need.
It is appalling. If you have a long term condition, every GP should provide the full range of services you need. The statement from Sir David Nicholson says that you have to be a healthcare consumer and "shop around" for your care. This is simply not possible for most patients. Think about it. When you feel ill the last thing you want is to browse the options and ask for quotes as if you are getting your kitchen painted. You want to rely on the NHS to provide the services that you need and anything less is not acceptable. Sir David is saying that to him, and to the government, the unacceptable is acceptable.