Pfupisa nyaya yacho:  Vanachiremba vomuzvarirwo ndiwo musuo wokuenda kunorapwa neNHS <unk> kanokwana kasere pagumi, murwere anotanga kuonana nehurongwa hwehutano achishandisa vanachiremba vomuzvarirwo. Bva kuwana vanachiremba vomuzvarirwo kwazova nhau huru yepurogiramu uye yezvematongerwe enyika. Dambudziko riri muA&E rakaita kuti vamwe vapomere kushaikwa kwemikana yokuenda kumadhipatimendi ekukurumidzira. Maawa okuzarura vanachiremba veGPs pakupera kwevhiki ave achirumbidzwa semhinduro - nokuvandudza mikana yokuwana, varwere vakawanda havazodi kushandisa mamwe mabasa okutarisira. Dambudziko riri muA&E rakaita kuti vamwe vanhu vapomere kushaikwa kwezviitiko zveGP zviripo, zvichikurudzira vanhu vazhinji kuti vashanyire dhipatimendi rekukurumidzira panzvimbo. Kubvira muzhizha ra2013, maGP mazhinji muLondon ave achiedza kuvhura kwemazuva manomwe, sechikamu cheChallenge Fund - mari yacho ichangobva kuwedzerwa kubva pa £50 miriyoni kusvika pa £100 miriyoni. Kuburikidza neChallenge Fund, vanachiremba vanovhiya vakakumbirwa kukwikwidza mari yekuwedzera maawa ekuvhura, asi izvi zvaingova zvekuisa mari, semuenzaniso, kugovana zvinyorwa zvekurapa. Mari dzokushandisa dzaifanira kubhadharwa nokuvhiya kubva mubhajeti dzaivapo. Taida kuziva kana kuyerera kwavarwere kuenda kuA&E kubva kune vana veava vanovhiya vari pakati peLondon kwakashanduka zvichienzaniswa neboka rinodzora ravamwe vanovhiya 30 vari pakati peLondon. Muchidzidzo chedu, takawana kuderera kwe8 muzana muvanopinda A&E pakati pevarwere vokuvhiyiwa kwokutanga kana vachienzaniswa neboka rokudzora. Takaonawo kuderera kwe8 muzana kwevanopinda muchipatara cheA&E pakati pevarwere vakwegura, vane makore 65 zvichikwira, pakuvhiyiwa kwaiitwa vanhu ava. Izvi imhaka yokuti vanachiremba vanongwarira vari mumadhipatimendi ezvokukurumidzira kazhinji vanobvuma kuti varwere vakwegura vapinzwe muchipatara, nepo vanachiremba, vanoziva nhoroondo yevarwere vavo, vangava vakasununguka kuvabata nokuvadzosa kumusha. Mugumisiro wacho waivawo mukuru pakupera kwevhiki. Uye kuwira kwacho kwaiva bedzi muzviitiko zvorudzi rwakapfava kusvikira rune mwero. Kwakanga kusina mugumisiro muzviitiko zvokukurumidzira zvikuru zvakadai seizvo zvakakonzerwa netsaona kana kuti kuendeswa kuA&E neamburenzi. Maawa okuzarura kwevhiki nokuda kwavanachiremba vomuzvarirwo ave achirumbidzwa seimwe mhinduro yokuderedza dzvinyiriro inokura...
Muzviitiko zvipfumbamwe kubva mu gumi, murwere anotanga kuonana neNHS achishandisa chiremba wezvokurapa. Dambudziko riri muA & E rakaita kuti vamwe vapomere kushaikwa kwekugadzwa kweGP. Maawa okuzarura pakupera kwevhiki akakurudzirwa seimwe mhinduro. Vikram Pathania mudzidzisi wezveupfumi paUniversity of Sussex.