The Daily Mail's actually right about NHS Wales here


It's ever so slightly uncomfortable top be agreeing with the Daily Mail here as they're being so nakedly politically partisan about the NHS, the Labour Party and Wales. However, it should be said that they're actually correct in what they're saying:

Today this paper publishes the first part of an explosive investigation which blows away Ed Miliband’s claim that his party can be trusted with the NHS.

Indeed, there is no need to imagine how the service might perform under Labour. For the evidence is before us in Wales, where the party has had full control of the funding and management of health care since devolution 15 years ago.

As Guy Adams exposes on Pages 8 and 9, a picture emerges of a Welsh NHS on the point of meltdown, in which the wellbeing and often the lives of patients are routinely sacrificed on an altar of Socialist ideology.

The Welsh NHS has of course complained and the Mail's response to those complaints is here.

We here at the ASI might not have put all of this into quite such politically loaded terms but the basic critique is correct, in that NHS Wales performs less well than NHS England. And we also know why this is so: NHS Wales has not adopted the last few rounds of a more market based structure as NHS England has. We've also known this for some years:

Some would argue that the drops in waiting times were driven by increased spending, rather than targets, patient choice and hospital competition. Hence the fears sparked by the McKinsey report of the possibility of massive cuts in services. However, money alone cannot explain why waiting times have dropped and equity has improved in England. During the same period that we examined waiting times in England in our study, Scotland and Wales, which both explicitly rejected market-driven reforms, have spent more per patient but have seen much smaller decreases in waiting times.

The more market orientated NHS England is both more equitable and more efficient than the less market orientated NHS Wales and NHS Scotland. Indicating that market based reforms are a pretty good idea: whatever that socialist ideology (although to be fair about it, it's really just an innate conservatism allied with the traditional British dislike of anything that smacks of trade rather than a principled socialism) might have to say about it.