Ethan
Money List Winner
I think that ignoring the growing population as a reason for the NHS being under pressure is avoiding the 'Elephant in the room' Our population has increased by almost 10 million people in a relatively short period and continues to increase at a rate that just has to create pressure on services. We do indeed have an ageing population due to increased post WW2 birth rates but as our population increases at the current level, not only through immigration but high birth rates these people will age and add significantly to the problem.
If I take my local GP group surgery for example: Not long ago it was possible to walk in and see a Doctor within the hour, it is now almost impossible to arrange a future appointment, you are asked to ring in at 8:am to arrange an appointment that day. My experience of this is its pot luck, you ring and just get an engaged tone as everyone is trying to do the same. No wonder people turn up at A&E with minor ailments. Why has this happened, there is actually one more Doctor in the practice, is it due to the NHS barmy initiatives and structures or just overload!
This problem is also there in our schools and demand for housing so whats the answer? Voting in a Labour government, borrowing more money, sacking bureaucrats, pumping up the population further or blaming the Daily Mail!
The issue of growing population is not a problem per se so long as the tax base increases proportionally, and keeps it in balance. The NHS is funded out of public taxation, so more people paying more tax provides more funding. The ageing of the population is a problem, as, despite being generally healthier for their age than people used to be, older people still consume more healthcare. You are wrong on the demographics - immigrants of working age and with young families actually help balance that shifting age demographic, and many will return to their original countries before getting to that point of high consumption. As an aside, health tourism is such a small issue as to be essentially inconsequential.
HM Govt have created this problem of pressure on GP appointments by loading GPs up with all sorts of rubbish to do, as well as increasing expectations of patients. Most of the GPs I know (and I know quite a few) would quit if they could. The number of medical students opting for GP is dropping like a stone.
Did you hear David Cameron say that one of the effects of creating weekend GP appointments will be to lose the same number during the week? No, nor did I.