Stay up to date with notifications from The Independent

Notifications can be managed in browser preferences.

Nolan told of secrecy in NHS

Rosie Waterhouse
Saturday 17 December 1994 00:02 GMT
Comments

Your support helps us to tell the story

From reproductive rights to climate change to Big Tech, The Independent is on the ground when the story is developing. Whether it's investigating the financials of Elon Musk's pro-Trump PAC or producing our latest documentary, 'The A Word', which shines a light on the American women fighting for reproductive rights, we know how important it is to parse out the facts from the messaging.

At such a critical moment in US history, we need reporters on the ground. Your donation allows us to keep sending journalists to speak to both sides of the story.

The Independent is trusted by Americans across the entire political spectrum. And unlike many other quality news outlets, we choose not to lock Americans out of our reporting and analysis with paywalls. We believe quality journalism should be available to everyone, paid for by those who can afford it.

Your support makes all the difference.

A government committee investigating standards in public life has been given evidence criticising the secrecy surrounding appointments to and operations of health authorities and NHS hospital trusts.

The Public Health Alliance has written expressing concerns about the composition of policy-making bodies within the National Health Service; lack of accountability of boards to local people despite the Government's assertion that reforms in the NHS and community care were designed to bring this about; the secretive nature of the appointments procedure, including reliance on the "old boy network"; the emphasis on the political acceptability of the appointees; the lack of a public register on appointees' political and business interests; and the high representation of business, accountancy and legal professions on health boards.

The complaints are detailed in a letter from Geoff Rayner, chairman of the Public Health Alliance, whose members include professional associations, voluntary and community groups, local and health authorities, trade unions and employers' organisations.

In the letter he calls for the process of appointments to be open to public scrutiny and for different options to be considered for a reformed procedure such as election or competitive application. Complaining that there is "absolutely no accountability to local people" in the way services are managed nor sufficient local involvement in major policy issues, the letter says the greatest area of concern is the manner in which people are chosen for the boards of NHS organisations.

"Appointments are conducted in a secretive manner and appear to have been made on the basis of personal connections rather than objective criteria."

Join our commenting forum

Join thought-provoking conversations, follow other Independent readers and see their replies

Comments

Thank you for registering

Please refresh the page or navigate to another page on the site to be automatically logged inPlease refresh your browser to be logged in