The Eastern Eye
Transcription
The Eastern Eye
8 www.easterneye.eu EASTERN EYE March 25, 2011 COMMENT [email protected] LONG-TERM FALLOUT? WHILE there is broad support for the UN resolution and the protection of civilians living in rebel-held areas in Libya, the long-term aims of this intervention are not perhaps as well thought-through as they might be. It would be in almost everyone’s interest that this was a short, sharp military intervention that led to the toppling of a dictator to make way for democracy. As the days pass since the weekend, when the first action was launched, this seems less and less likely. Gaddafi is not going to go quietly into the night like Hosni Mubarak; he intends to fight and to stick around for as long as possible. He is a canny operator and while the coalition of forces have good intentions, it isn’t clear whether they have a strategy for a prolonged stalemate with Gaddafi controlling some of the country but not all of it. What happens then? Does the country split? Or will the coalition’s military game plan have to change? Morale on Gaddafi’s side seems to be holding up and he has roused his supporters into believing the western-led but Arab supported action has all the hallmarks of the colonial powers trying to assert themselves. From a purely public relations point of view, and without examining the contours of this conflict, the narrative can be made to be very simple and negative: the west trying to force its own agenda on a Muslim country. However, this is not Iraq, and there is a very important UN mandate for the coalition action. Even at this late stage, some form of dialogue and a move to a more open and democratic society in Libya could help defuse the situation. We know some will think that is a forlorn hope, but the present situation could lead to a stalemate that will benefit no one. BUSINESS FUTURE CONGRATULATIONS to all the enterpreneurs who won awards at the Asian Business Awards last week. The achievements of the winners and those in our Rich List should serve as an inspiration to all those looking to build businesses in the future. Tell us what you think OF RE TH VIE E W W EE K Want to say something about the news or sport or entertainment in Eastern Eye or simply got a viewpoint you think should be heard? We want to hear from you. You can write to us and we will consider publishing your response, if it is topical. Email [email protected] HEALTH OF THE NATION Amid the controversy caused by talk of possible NHS reforms, a doctor says their concerns must be heard by Dr Kailash Chand OBE Chair Tameside and Glossop NHS AS a general practitioner for over 30 years, I view the NHS as a cherished institution, where young and old, privileged and impoverished, the sick and the worried are treated without discrimination. Any reform has to recognise these strengths, and more. While I appreciate your vision that the NHS has to change, I must nevertheless point out that that if you do implement the current proposals, you will wreck this 62 year old establishment that has become the fabric of British society. The absence of any compelling reason why these reforms are necessary or how they will translate into improved outcomes is of huge concern to the profession and patients alike. Before the last general election, you told the electorate that the Conservatives were now the party of the NHS, and you made much of the compassion and care shown towards members of your own family. But as each day passes, your words seem to have been drowned by those in your party who prefer revolutionary changes to the basics of the NHS. The Health and Social Care Bill contains the blueprint to marketise the NHS, producing a postcode lottery and champion profit for stakeholders at the cost of utilising all available resources for patients. The NHS reforms have been widely criticised by scholars, patient groups, the BMA, unions and even the Health Select Committee chairman Stephen Dorrell. My considered view is that the reforms risk fragmentation of patient care and will distract GPs from providing quality care to their patients as they become besieged with the complexities of commissioning. As a senior figure in the NHS, I am deeply involved in medical politics and understand the complexities of the proposed Health and Social Care bill. I see only chaos in the transfer of budget and responsibilities from primary care trusts to GP consortiums. The notion that hands-off politicians can dislodge responsibility on to GPs is at best naive. I know that the plan is not going to work and I don’t know what problem it is trying to radically resolve, at a time when the NHS scores the highest public satisfaction in 30 years. It is hard to see how the consortiums will survive an unprecedented annual four per cent efficiency saving over four years at a time of increasing demands. This would have been an impossible feat for the existing 152 primary care trusts, let by NADEEM BADSHAH brought out the acoustics of the venue for those sitting at the back. Then the star of the show arrived, wearing a glittering dark green sari. Bhosle stood for most of the concert as she performed hits including In Aankhon Ki Masti Ke and Dil Cheez Kya Hai from the film Umrao Jaan and Koi Poochhe Hai Kabhi from her new album with Khan, Naina Lagaike. But Bhosle is more than a singer. She is a consummate entertainer and kept the mood light with anecdotes. She revealed she lost her voice when arriving in Britain last Tuesday (15) and praised a Harley Street doctor for giving her a massage and advising each other? And in this sort of health service, the chronically and terminally ill, the mentally ill, those from poor socio-economic classes, and those that are elderly are likely to lose out. What kind of an ideological solution is it that market forces will determine the nation’s health? To me, it is becoming clearer that these “reforms” are not so much about improving the NHS as about reshaping the service to drive forward a marketisation agenda. The reforms are, in my view, politically, economically and professionally flawed, and will tear apart the foundations of the NHS. Health secretary Andrew Lansley’s plans are unnecessary, untried and will cost not only the tax-payer a huge loss, but your party a certain loss of votes in the next election too. This remodelling of the NHS, if implemented, will make it impossible for the health service to return to its core values of putting patient care before profits. The views expressed in this editorial do not necessarily reflect those of the newspaper ASHA BHOSLE IMPRESSES WITH VINTAGE SHE is 77 years old, has done playback singing for over 1,000 Bollywood films, and has been in show business for more than six decades, but Asha Bhosle shows no signs of slowing down. The singer was in energetic form as she teamed up with Indian classical vocalist and sitar player Shujaat Khan for a concert at the Royal Festival Hall in London last Wednesday (16). The pair performed a mix of classic melodies for the purists and popular songs from Bollywood golden oldies for the audience to sing along to. Khan started alone to perform a song with his sitar, which began with soft whispers but ended with his bellowing tones. The 15-minute song alone several hundred GP consortiums that are not yet even at the embryonic stage of development. The £80bn budget for these consortiums will be eroded by set-up costs and complex bureaucracy. The ‘any willing provider’ with a price competition ethos means where GPs will be able to send patients to whoever (even private healthcare providers) offers the treatment at lowest price will not only shrink the NHS, but it also has the potential of compromising the standard of care. It also means that a District General Hospital like mine in Tameside could close. Such a vast and prized institution as the NHS really warrants more sophistication than simply using political imperatives to send things backwards and forwards in a pendulum of futility. If doctors don’t know whether they are coming or going, what hope is there for patients from these recurrent reforms driven by politicians keen to outdo her to drink lots of coffee. And her voice was in fine form in the stirring rendition of Kangana Main Bandhoon from the new album. The pick of the tracks was Marathi number Shorobi, written by Bhosle’s father Pandit Dinanath Mangeshkar, which showcased both singers’ impressive ranges. The performance was enhanced by the band which consisted of two tabla players, a flautist, a keyboard player and Khan’s son Azaan on the guitar. Bhosle joked to the crowd that the young musician was single and available. PERFORMANCE The classic songs continued with Naam Gum Jayega from the movie Aandhi followed by Mera Kuch Saaman from Ijazaat. Bhosle’s mischievous side came out as she jokingly sang in the style of other singers including the nasal-voiced Noor Jehan, her legendary sister Lata Mangeshkar and ghazal singer Ghulam Ali. The final song was the title track Naina Lagaike, but the artists returned with a rousing rendition of Chura Liya from the film Yaadon Ki Baraat as an encore, reaffirming that Bhosle has lost none of her magic.