This community site has been developed in response to contradictory statements made at the very top of the NHS leading to a lack of transparency and accountability which:

• directly affects the publics trust
• directly affects the quality of the healthcare provided

The NHS is currently undergoing a reorganisation which lacks a blue print or Critical Path Analysis (CPA) and is based on a Plan – Vision – which we believe to be unsatisfactory.

The NHS CEO himself admits: It is simply not possible to identify from the centre the kind of quality improvements that are necessary…

And although nearly two centuries have passed since the days of Florence Nightingale, her words are true of our hospitals today when she reportedly said: I am shocked at the dirty wards, poor food, bad practices and too many patients dying.

The NHSs Vision offers cleaner hospitals; better food ; safer practices; reduction in deaths and:

Total Transparency; Accountability and Strict Independent Inspections.

But we say:

• Complaints are still dealt with behind closed doors
• Whistleblowers are fired when their identities are revealed
• Patients and staff do not believe they are safe to report concerns without repercussions on them, their friends and/or family.

Numerous reports relating to the Plan, a Vision, are produced by the NHS every year at great expense both to time and to the public purse. Enquiries are held behind closed doors and on our formal request for a copy of a blue print, or preferably a copy of a CPA, we were told none exists!

The NHSs IT project is heading to be ten times over budget and growing (and could even still be binned) and no reasons have yet been provided as to why or who is made accountable for this.

NHS Explained aims to get to the bottom of:

• Who is accountable for the waste in relation to all these reports?
• Who is being held accountable for letting a contract pay 100% for 80% of services?
• Who is being held accountable for the 17 million meals thrown away each year?
• Who is being held accountable for funds not following patients?
• Who is being held accountable for the trusts fiddling their reports?
• Who is being held accountable for the needless and preventable deaths?
• Who is being held accountable for poor casualty services?
• Who is being held accountable for embarking on this massive reorganisation without a proper plan or CPA?
• Who is being held to account in relation to this IT contract starting price £2,3 Billion, last estimate £20 to £30 Billion totally out of control, why? Who was responsible for drafting the specification and drawing up the CPA. This is what happens when you follow aVISION without a CPA.
• Why do Trusts now inspect themselves?

NHS Explained welcomes all direct official or anonymous input by NHS officers/managers and input from patients, relatives and other health-care providers.