Sorry to return to a theme again, but my favourite political commentator, Brian Taylor of BBC Scotland has a fantastic piece on his blog about NHS Auditing (financial, not medical) - see Blether with Brian.
My favourite section has to be where he says
Howat agrees with Audit Scotland that “it remains difficult to assess whether the NHS in Scotland is delivering value for money”. Is it perhaps beyond difficult? Is it philosophically impossible?
Further, is it possible that improving the audit capacity may actually hinder or distort the small matter of catering for patients? Has this already happened through the obsession with targets? Did this oblige clinicians to pursue objectives which departed from medical decisions they would otherwise have taken?
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