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UK Government Plans On Tackling Health Service Deficits

f non-emergency patients treated should not rise by more than 3% in the current year. Many of the trusts are now worried that most of this extra work will go to independent sector hospitals. They have also now limiting the income that the NHS receives from the emergency cases. Appleby felt that this could be a major problem as emergency admissions, which often take up half the hospital beds represent a significant chunk of hospitals' income.

Karen Jennings, head of health for trade union Unison, said that the recent financial difficulties have also left the NHS staff concerned about the future of patient care and their jobs, stating that she believes the NHS will continue to announce job losses and service cuts this year, she said that they at the union feel that there will shortly see a lot of job reductions in new areas, such as PCTs.

Appleby stated in agreement that further redundancies couldn’t be ruled out. He felt that there were probably still more to come and, he hoped that vital services would not be cut. He said that losing ones job was definitely not good, but one way of looking at job cuts as a patient and a taxpayer would be that the NHS is finding a more cost-effective way of providing some services.

Jennings felt that the staff fear for their jobs have been strengthened by the new reforms that are aimed at moving care from hospitals into community settings, like GP surgeries and patients' homes, that will further cut income of the hospital. Jennings while supporting the development of community services and greater emphasis on public health, believes the implementation of the reforms is chaotic and is being driven by short-term financial needs. Even trusts that are currently balancing their books will be worried about their future income. It promises to be another tough year for NHS finances.
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