Beds in the NHS. The National Bed Inquiry exposes contradictions in government policy.

News p 463 January was a tough month for British health ministers, as a flu epidemic put the inadequacies of the NHS on the front page of most newspapers, but then it's been a tough two decades for patients and staff in the NHS. The political remedy for the chronic underfunding of the NHS has been perpetual revolution through reorganisation. Recent acute hospital and NHS service reconfigurations around Britain show how management and political reputations have been staked on exploiting the apparently bottomless pit of clinical productivity to fund investment. But judging by rising waiting lists, growing patient dissatisfaction, and low morale among staff, modernisation appears to be a recipe for reducing capacity and loss of service. A government inquiry has now provided the hard data to confirm this impression The National Bed Inquiry, commissioned in 1998 by the Secretary of State for Health to test the hypothesis that bed closures had gone too far, was finally published last week in the form of a consultation document and supporting analysis.1 2 The consultation document, Shaping the future NHS: long term planning for hospital and related services , shows not only that is there is little scope for productivity gains but also that there is no spare capacity in the NHS.1 The …