I’m not sure if this is what Rachel Joyce had in mind when she talked about localising the NHS on ConservativeHome today. 

Radical proposals for East Anglia could see up to 40% of outpatient hospital consultants visiting patients at home. And hospitals can share staff too.

This was announced by Neil McKay, who only four weeks ago took over as chief executive of the new East of England Strategic Health Authority, where local health trusts are desperately trying to claw back millions to make their books balance.

I wonder if there has been any consultation with consultants about this, how can it be cost effective for a consultant to travel around a rural region like East Anglia making home visits?

In theory, it sounds great to have your consultant call at your home, but nobody is going to believe that it is being done for the benefit of the patients.

Neil McKay sounds like a hatchet man to me. He is quoted as saying that balancing the books was the top priority, how hospitals have got to get rid of their debts. I thought the NHS’s priority was to provide a reliable health service, that the health needs of the public were paramount.