Tag Archives: NHS

Will the last doctor to leave the NHS switch off the light

 

Whilst the media concentrate on  shortages of beds, longer waiting times and the increasing indebtedness of Trusts,  all of which can easily be solved by investing more money, ie. a choice (or not) of the government of the day, something far more fundamental is happening – doctors are leaving the NHS.

This cannot be solved by money, or government dictat,  because the goodwill of medical staff which successive governments have taken for granted has run out, and frankly, doctors have sufficient skills to go anywhere in the world.

From its inception, the NHS has relied on imported staff from abroad; in the ‘50s and ‘60s it was mainly porters, cleaners and cooks from the Caribbean. In the ‘70s and ‘80s it was doctors from the Indian subcontinent and nurses from south East Asia and since the ‘90s from Europe.

The UK has never produced sufficient home grown doctors, partly because of the idiotic insistence of the system in pretending that almost no-one is academically gifted enough to get into medical school. Getting 4A* has little to do with becoming a good doctor; it’s just an effective way of stopping perfectly good candidates getting into medical school. The medical school expansion programme in the ‘70s didn’t fix the problem and neither will Jeremy Hunt’s offering of 6,000 more places over the next five years; the problem is much, much worse than that.

Posted in Op-eds | 13 Comments

Baroness Joan Walmsley writes…150% rise in patients forced to move GP surgery as practice closures hit record levels

One of the jewels in the NHS, for as long as I can remember, has been the family GP. My GP looked after my mother before I was born and looked after me until I moved away from home. In those days the GP’s long acquaintance with my whole family was important to us. Everyone had a “family doctor”. They even did home visits!

Things are very different now. We still have primary care and acute care, but many more community nurses, health visitors, therapists and care workers, not forgetting the wide range of services offered by community pharmacists and local authorities, where they can still afford it.

Demographic change and rising demand have put enormous pressure on GPs and, in some areas, people turn up at A&E rather than wait for an appointment. However, the role of the GP is still critical to the NHS and it is important that the system enables them to play their part in preventative medicine as well as diagnosis and signposting to other services.

Unfortunately, the demand for a seven-day service, without enough extra money to pay for it, and the enormous pressures on GPs time has made it a less attractive option for newly-qualified doctors. This has led to problems recruiting enough doctors to keep practices going and an increasing retention problem. Many GPs, especially partners who have extra duties and responsibilities compared to salaried GPs, are retiring early. In the last quarter of 2016, there was a net loss of 390 GPs in the NHS. This gives us no confidence in the government commitment to recruit 5000 more GP’s by 2020. According to the BMA, even the 5000 extra training places will only allow us to break even in GP numbers.

Posted in News | Also tagged | 3 Comments

Will current NHS cuts raise prices and lower quality?

 

Most, if not all economic and political decisions have two prime factors – price and quality. And this includes national healthcare. Decision making involves information. Most, if not all information can be placed on a continuum between the verifiable and the fake. (Ditto “News”!) Here are some verifiable items of information relevant to our NHS.

PRICE: Some national average healthcare costs/prices per person per year:

  • The British pay $3,364
  • The Japanese pay $3,713
  • The French pay $4,361
  • The Germans pay$4,920
  • The Americans pay $9,086

Source: OECD Health data 2013

QUALITY: Some healthcare rankings:

  • United Kingdom 18
  • Canada                 30
  • Japan                    10
  • Germany              25
  • France                    1
  • USA                      37
  • Cambodia          174

Source: The Patient Factor

Posted in Op-eds | Also tagged | 19 Comments

LibLink: Norman Lamb: Time for honesty about future funding of our NHS

Liberal Democrats have been talking a lot about health and social care this week. In the Yorkshire Post, Norman Lamb argues for an urgent change of direction to give the NHS a sustainable future which meets our needs.

First he seems out the crisis facing the NHS.

But it seems this Conservative Government has become increasingly ambivalent to the state of our health service. In Yorkshire, vital A&E wards in Dewsbury, Huddersfield and Scarborough are all at risk of being closed or downgraded – it’s the same over the border at Darlington. Communities are set to face even longer waits for emergency care, including those in rural areas who may soon have to travel hours to receive treatment. These changes are happening for a simple reason – this Conservative government is failing to give the NHS and care services the cash they need to cope with rising demand. To make matters worse, local people on the ground are not being given a say into these decisions which will have a huge impact on their lives. The stark reality is that we are seeing the gradual downgrading of our health service taking place behind closed doors.

He attacked the use of well-paid consultancy firms drawing up cuts in services with no consultation of the public.

So what is the solution? It’s two-fold. First of all a cross party commission:

Posted in LibLink | Also tagged | 17 Comments

Farron attacks Government plans to make patients pay upfront for NHS treatment

Don’t make scapegoats out of foreigners for the crisis facing the NHS. That’s Tim Farron’s message to Jeremy Hunt as the Government says it is going to get hospitals to check upfront whether people are eligible for free NHS treatment and charge them before treatment Because NHS staff don’t have enough to do already. Tim said:

We all want to see the NHS recover money owed it to it, but this is a completely disproportionate response to what is a fairly minor problem. The Health Secretary is turning NHS staff into the Border Force, its unacceptable.

Asking people to show their ID before receiving treatment will mean longer waits for treatments and heap more pressure on already overstretched NHS staff.

The government must explain how much it expects the new system will cost to administer and what the impact on patients will be.

Instead of trying to blame foreigners for the crisis facing the NHS, Jeremy Hunt should take responsibility and give our health service the extra investment it needs.

Posted in News and Op-eds | Also tagged | 42 Comments

At some point the Tories will run out of people to blame for the state of the NHS…

I went through just about every emotion there is watching BBC2’s new series Hospital which follows events and pressures at St Mary’s Hospital in Paddington. Partly because some of what was shown is just a bit too close to my recent experience, partly because of the life and death decisions made every day with too few resources, I was in tears several times.  One man awaiting cancer surgery is told at the last minute that they don’t know if they will be able to operate because there isn’t an Intensive Care bed available for him.

This comes as every news bulletin carries ever more harrowing accounts of the pressures in hospitals at the moment. What is the response of the Minister responsible? To blame the public. He talked  saying that 30% of A & E patients don’t need to be there as if it is their fault that they have no other option. If people could get GP appointments or had community pharmacies to go to, they would never need to go to A & E. Whose fault is it that they have no alternative? Step forward Mr Hunt.

Posted in News | Also tagged and | 23 Comments

Norman Lamb leads calls for National Convention to resolve NHS funding crisis

Norman Lamb has co-ordinateda cross-party group of MPs to call for a national convention on health and care to resolve the crisis in NHS funding.

Norman said:

The health and social care system in England is facing unprecedented challenges. Failing to find a solution to this crisis puts some of the most vulnerable people at risk – frail and elderly people in need of care services, disabled people who need support and people with long-term illnesses, particularly those suffering from mental ill health.

Building a sustainable health and care system that can provide high-quality care can’t be realised without putting aside party political point-scoring.

The public is sick and tired of the NHS and care system being treated like a political football.  People have had enough, and are crying out for an honest discussion and bold solutions to these challenges.

It speaks volumes that so many Members of Parliament from across the political spectrum are backing this initiative.  At Prime Minister’s Questions, I will urge Theresa May to recognise the gravity of the situation we are facing, and to agree to meet with us to listen to our proposal.

Norman has persuaded an illustrious group of MPs and former health secretaries to back his call. They include the  Conservative former health minister Dan Poulter MP and Labour former shadow care minister Liz Kendall MP. It is also supported by four Select Committee Chairs – Sarah Wollaston MP (Health Committee), Meg Hillier MP (Public Accounts Committee), Clive Betts MP (Communities and Local Government Committee) and Frank Field (Work and Pensions Committee) – along with former Health Secretaries Stephen Dorrell and Alan Milburn.

The full statement says:

Posted in News | Also tagged and | 24 Comments
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Recent Comments

  • User AvatarMatthew Huntbach 24th Apr - 11:43pm
    Lorenzo Cherin This country needs moderation more than it needs anything now. Ok, but an issue is that what would be regarded as moderate left...
  • User Avatarnigel hunter 24th Apr - 11:30pm
    Someone needs to campaign against Craig Williams!!1
  • User AvatarLorenzo Cherin 24th Apr - 11:24pm
    Apologies to Lynne for the spelling !
  • User AvatarLorenzo Cherin 24th Apr - 11:23pm
    Well said Baroness Feartherstone ! A typically sensible reaction from our front bench stalwart , a typically ludicrous policy ,from a typically preposterous UKIP !
  • User AvatarLorenzo Cherin 24th Apr - 11:20pm
    The person in politics with the most remarkable name !
  • User AvatarSimon Banks 24th Apr - 10:56pm
    With the exception of St Albans, these are seats we held in 2005 or 2010 and that you'd expect to be Liberal Democrat targets irrespective...