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The Link Magazine September 1992 21

   Last month's Link magazine carried   Health Service    changes off the ground. The final
   a report of the Swindon Health                         bill will not be known for sometime.   THE ODD
   Authority (HA) meeting which        Trusts              Trusts are not a success story.
   discussed the opting out of local   Anne Lubin explains   Every day brings news of bed
   Health Services.                                       closures, reductions in services and   JOB MAN
     So, what is a Trust? How does it  equipment to the Trust which  loss of specialists. I have a long list   Small building work,
   differ from present arrangements?  becomes the legal owner. It can  of them which I'll can send to any-  carpentry, joinery,
   The first hospital to be granted Trust  dispose of assets as it chooses.   body who would like to know more.   painting & decorating, fitted
   status was Guys' in London. How   The Trust sets its own pay and   Years of team building and
   has it and later Trusts fared?   conditions of work, its own contracts,  expertise are being lost to the NHS   wardrobes & kitchens,
     When Trust status is granted by  which can contain restrictive clauses  and the country, as well as training   plugs and washers fitted
   the Secretary of State for Health the  that go against the Nursing cede.  and research facilities.   "No Job too small"
   unit or hospital becomes 'self- Whistle-blowers' have been dealt   This is not the whole story, there
   governing' and is directly  with harshly in the last two years.   isn't enough space, but I would be   Very reasonable prices
   responsible to the Department. It   Whilst at present, a Directly  willing to speak to groups on the   Free estimates
   'opts-out' of local Health Authority  Managed Unit like Princess  subject and to answer questions on   Call Tony, the Odd Job
   control and planning.      Margaret Hospital, may not sell  what I believe is the privatisation of   Man on 0793 - 886022
     Its income will come from con- more than 10% of its beds to private  the NHS.
   tracts with the District HA, GPFu nd- care, a Trust has no restriction and
   holders and private patients. One  could, in theory, contract all its
   trust has a contract with its local Vet!  capacity to the private sector.   HOOVER • HOTPOINT
     The board of directors is   There is no legal requirement to
   appointed by Government and the  provide for NHS patients if other   J. PHILLIPS
   Regional HA which itself was  contracts-are more profitable.
   appointed by Government. Trust   A two tier service will result where   SERVICING
   directors should include a nursing  money comes before need.
   officer and a doctor. Local   Administration costs increase,   Repairs to most makes of
   authorities and Trades Unions will  reducing money left for pa tient care.   Washing Machines, Dryers,
   no longer sit on the board.   There will be pressure to do work   Dishwashers, Microwaves   Bouncy
     The Community Health Council,  cheaply rather than well and the   and Vacuum Cleaners
   the patient's voice in the NHS, will  sensible planning of and assessment   Hoover Trained Local Engineer



   no longer have the right to inspect  of local needs will be upset. We all           Castle Hire
   and monitor services on behalf of  know of peopled ischarged too soon   All work guaranteed   12'x12' &  14'x14'
   users. This will be a privilege and,  after hospital care and without the   No VAT to pay
   except for the statutory yearly  back up of district nurses, to speed                For Parties &  Events
   meeting held in public, this could be  turnover.        7Day  Tel: 526656            Can be used indoors in
   withdrawnat the whim of directors.   No extra money is available from                 all community halts
     The District HA will have to  Government for patient care but it   Service or 827804    © 762955
   transfer the hospital, land and  has found £300 million to get these
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     Hotel Ibis Swindon, Delta Business Park, Great Western Way, Swindon SN5 7XG. Tel: 0793 514777
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