Oops! I forgot number 11 (Just like Lansley, Milburn, Clarke and many others over last 20 years) :
The representative groups of all the major healthcare professions (eg BMA, RCN, RCM) have been excluded from the health policy making process. The exclusion of the BMA is well described in this excellent BMJ piece by Professor Rudolph Klein. Politicians prefer to trust the opinions of managment consultants from the likes of McKinsey and KPMG rather than frontline clinical professionals. This is because they share a belief in market driven healthcare. However, this has only served to alienate the health professions from the political class, which has been a disaster for the NHS, because research has clearly shown that clinical leadership and followership is crucial to any successful healthcare reform. How can this be possible when ideologies are poles apart and trust has completely broken down?
It is crucial that policy makers and politicians re-engage with the professional representative groups, but this will only be possible if they abandon their unevidenced pro-market ideology. We need to return the NHS to a publicly funded, provided and accountable health system. Anyone who says this is unaffordable should look at the evidence. It is a matter of choice, not affordability. It's time to listen to the NHS consultants, not the management consultants.
Finally, a quote from Arnold Relman, Emeritus Professor of Medicine, Harvard Medical School. (Former editor of the New England Journal of Medicine).