I do have concerns about the NHS on many fronts.
For instance, if you want to get access to mental health services in my county you have to go to two different organisations, neither of which say what they are - they have crass titles like "2gether" and "Lets Talk." How confusing this is - patients do not know where to turn.
And when you unpick it all, what you have is one therapy on offer, because it is cheapest. And if it is not right for you, then tough luck.
And one of these organisations took over a house in a residential area where people with mental health problems had been living for many years in a supported setting as part of their community. Now there is a huge billboard outside with all the logos and the "Investors in People" signs that announces to everyone passing that this is supported accommodation for those with mental health problems.
And some of this nonsense pervades hospitals where our wards have big boards outside announcing that they "Put Patients First" - for goodness sake, that is simply what they are there for.
It is hard for patients to know what the heck is going on. They lie in their beds and a young gum-chewing man with a peaked cap on backwards strolls in - who is he? The chap from the catering firm to ask what they want to eat. And later he strolls in with food and dumps it by their beds - let us hope they are physically capable of eating it. Oh...and here comes someone else in a company uniform wanting money from you in order that you might listen to the radio and watch TV.
These may seem small things, but they are evidence of a commercial mindset with all these ghastly US inspired logos and tag lines.
This is not what I want for the NHS which is a public service.
What a mindless waste of money all this window-dressing is.
Clearly the NHS needs to change and develop in response to higher costs of new treatments etc. - but we are losing the spirit of the service and indeed the whole concept of service. Fragmentation is bad: loyalties become divided; communication becomes problematical; responsibilities are vague as there is always some other organisation to pass the buck to; finances become inefficient.
There was no need for this fragmentation - all that needed to happen was to take firm steps to increase the efficiency of NHS management - now we are forced to have an eye to the shareholders of each of these private companies.
I am sorry to ramble on, but I used to work in the NHS and feel sad that something fundamental has been lost: the spirit of shared aims and teamwork. I think that matters.