This is interesting. I agree with the first sentence. How many of you know that your hospital trusts are fined for not hitting targets?
"Few patients realise that if their local A&E misses its waiting time targets, or receives too big an increase in the number of its A&E patients, it is hit with huge fines. Just one hospital, Royal Stoke, this month revealed it has had to set aside £2million for fines for missing targets (including a £3/4 million fine for long A&E waits). Imposing such fines on already struggling hospitals is a singularly stupid policy, when A&Es are mostly just the frontline to which problems elsewhere in the NHS back up.
Unsurprisingly, hospitals play whatever tricks they can to avoid missing targets. Last year nearly 300,000 patients waited more than half an hour in the back of an ambulance before being allowed through the door to start the A&E clock. As well as endangering patients, this messes up the ambulance service’s targets - but in the fragmented (or ‘competitive’) modern NHS, that’s another Trust’s (or company’s) problem (and fines)."
This is one reason why competition in the NHS should be done away with.