The Bill to reform the National Health Service has finally received Royal Assent, but the debate about the National Health reforms is a good example of not choosing the right negotiating behaviour for the type of negotiation at hand. Every negotiation calls for different behaviours, depending on the subject matter, the stage the negotiation has reached and the personalities on the other side.
In the case of the National Health reforms, the Government has been negotiating with both health care professionals and with the public at large. The Government has been deploying arguments based on reason – about the need to use resources more efficiently and take medical decisions away from bureaucrats in hospitals and back towards medics. The Reforms have proposed to abolish NHS Primary Care Trusts and Strategic Health Authorities and transfer their £60-£80 billion of commissioning of health care funds to “clinical commissioning groups” principally run by GP’s, as well as the establishment of “Monitor” as an economic/competition regulator. Primary Care trusts would be amalgamated into “foundation trusts” and NHS hospitals would be allowed to earn much more of their income from private patients – up to 49%.
Lack of Emotional Argument
However the NHS is an emotional subject. It is an emotional subject for GP’s and Health care professionals such as Nurses, most of whom enter the profession on a vocational basis. It is also an emotional subject for the public at large, with the NHS forming an iconic part of Britain’s social welfare heritage. The Conservatives are not trusted with this social welfare agenda precisely because (maybe unfairly) they are perceived historically as addressing it in pounds and pence rather than as an emotionally-based priority. The Government also got off to a […]