英伦广角 2013-06-29 英国国家医疗服务体系年度会议

 Today marks 12 weeks since the Health and Social Care Act in England came fully¹ into force.

 

We are still a long way from seeing the full impact of this unwanted legislation that does nothing to address the very real problems of quality, safety and financial constraints² that we all know exist.

 

The government inflicted³ such unnecessary pain on the NHS that you can’t help wondering if it is one of the few public servants that the government wants to see pensioned off at 65.

 

By the government’s own reckoning, the NHS reforms have cost ￡1.6 billion; other estimates are considerably⁴ higher. And an immeasurable number of staff hours have been squandered⁵. To achieve what?

 

Increased competition; even the government seems to have been playing it down recently. Integration⁶ seems to be the new mantra. Laudable, but how deep does that really go?

 

Taking the politics out of the day-to-day running of the health service; I think not. We only have to look at the government’s – and the opposition’s – recent response to the pressures on emergency medicine departments to see how well that’s gone!

 

Putting clinicians in the driving seat; we put this to the test: we asked doctors how many of them feel more empowered compared to a year ago. Do you know how many? Four per cent.

1 fully   

adv.完全地，全部地，彻底地；充分地

参考例句：

• The doctor asked me to breathe in,then to breathe out fully.医生让我先吸气，然后全部呼出。
• They soon became fully integrated into the local community.他们很快就完全融入了当地人的圈子。

2 constraints   

强制( constraint的名词复数 )； 限制； 约束

参考例句：

• Data and constraints can easily be changed to test theories. 信息库中的数据和限制条件可以轻易地改变以检验假设。 来自英汉非文学 - 科学史
• What are the constraints that each of these imply for any design? 这每种产品的要求和约束对于设计意味着什么？ 来自About Face 3交互设计精髓

3 inflicted   

把…强加给，使承受，遭受( inflict的过去式和过去分词 )

参考例句：

• They inflicted a humiliating defeat on the home team. 他们使主队吃了一场很没面子的败仗。
• Zoya heroically bore the torture that the Fascists inflicted upon her. 卓娅英勇地承受法西斯匪徒加在她身上的酷刑。

4 considerably   

adv.极大地；相当大地；在很大程度上

参考例句：

• The economic situation has changed considerably.经济形势已发生了相当大的变化。
• The gap has narrowed considerably.分歧大大缩小了。

5 squandered   

v.（指钱，财产等）浪费，乱花( squander的过去式和过去分词 )

参考例句：

• He squandered all his money on gambling. 他把自己所有的钱都糟蹋在赌博上了。
• She felt as indignant as if her own money had been squandered. 她心里十分生气，好像是她自己的钱给浪费掉了似的。 来自飘（部分）

6 integration   

n.一体化，联合，结合

参考例句：

• We are working to bring about closer political integration in the EU.我们正在努力实现欧盟內部更加紧密的政治一体化。
• This was the greatest event in the annals of European integration.这是欧洲统一史上最重大的事件。