The BMJ has revealed that a stunning 86 out of 147 NHS Foundation Trusts are in dire financial straits and considering bankruptcy. This in itself is a disaster. However the health regulator, Monitor, an organisation staffed by management consultants with clinicians a rarity, has declared that bankruptcy of Foundation Trusts must lead to a restriction of services provided. It has even gone to the length of directing trusts to draw up a list of "core services" which will need to be maintained in the event of financial collapse.
Professor Allyson Pollock, a leading public health expert and academic, and Barrister Peter Roderick have published an article in the BMJ which illustrates the extent of indebtedness of NHS Foundation Trusts and the consequent threat to the provision of health care services which this entails. They estimate that NHS services will need to be restricted to core services as soon as 2016. They claim that this will reduce NHS funded care to a basic package of services and question whether this is actually legal.
As predicted there has been little discussion of this in the public media.