where did it all go? Bungled overpayment of consultants and GPs, a bungled IT system and expensive PFI schemes under which the private sector drains NHS Trusts which then have less money available in their operational budget for equipment, staffing and patient care.
I remember the NHS under Thatcher. It was decrepit, like the schools. Under Blair and Brown it became an excellent service once again. To give Major credit, he started the investment and spending, but with these things the effect takes time to filter through, so his administration probably wasn't the one where the benefit was felt.
With cuts, although it still takes some time, the effect is much quicker. I've had considerable year on year experience of the NHS for the last 12 years at the patient end and it has been a noticeable year on year decline. It has been a NOTICEABLE difference each year.
When people have to tighten their belts, they can made do for a while. When organisations lose staff, people can step up for a while. Often, budget cuts or staff shortages can have a benefit. A bloated organisation can become lean, mean and match fit. We have all worked somewhere where losing 1 out of the 10 members of staff in the unit would have absolutely no effect, because that 1 was a lazy incompetent who everyone else made up for. Then there was the one or two who were so good and so hard working they did about 40% of the work between them. Or at least the hardest, crappiest work.
When you have trimmed the 10% of lazy incompetents and then keep going, when you ask organisations to tighten the belt, mend and make do for a while, making further cuts or making mend and make do go on for a long period is going to have an impact. The strain will tell and there actually comes a tipping point.
We had steady Tory underfunding when actually health requirements have been increasing. Instead of making do for a year or two, it has been 12. Instead of cutting the lazy and incompetent 10% of staff that we didn't need, we were already short of staff 12 years ago. Then we have demonised the immigrant staff who were the sticking plaster preventing the loss of blood reaching terminal levels, invoked brexit as an extra negative factor. That's just on personnel, not to mention the supply chain issues or the impact on certain drugs due to ignorant know it all insisting we leave everything to do with the EU, such as Euratom.
When you are stretched to the limit, even a straw can break the camels back. Brexit alone is more than a straw, when you are underfunded as much as the NHS has been, for as long as it has been. Now add COVID.
We might have coped with the pandemic if the NHS was in a strong position going into it.
This is what happens when ideology (Left or Right) meets reality. Even the Tories now see Andrew Lansley's reforms are a disaster and have had to reverse them.
You want to know where the funding went? Well, it wasn't given, so I guess the answer is to tax cuts for the rich, bribes to pensioners and corrupt kickbacks to tory donors and friends of cabinet ministers.