Tag Archives: health

Scotland needs urgent action on overdose prevention centres

It is not often that an announcement from a Scottish Government appointee makes me cheer, but the news that the Lord Advocate has finally given the green light to proceed with Overdose Prevention Centres did just that.

The fight to tackle Scotland’s drug death crisis has been a long and often fractious one. Too often, it has been dragged into the constitutional quagmire that bogs so much progress down. Both of Scotland’s Governments have let the victims of this crisis and their families down too many times. Whether it was the Scottish Government’s decision to decimate rehab budgets or the stubborn refusal of the Tories to accept the evidence that mass criminalisation is failing the most vulnerable.

So, finally, we have a ray of light after the Lord Advocate has said that it is not in the public interest to prosecute these much-needed services. Quite why it has taken this long to arrive at that conclusion is anyone’s guess, but this is a welcome step nonetheless.

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Why health is the theme for the Lib Dem local election launch

The Liberal Democrats have been analysing the latest data from the NHS. It shows that there are 547 fewer GP practices in England compared with 2019 – during a period when patient numbers have been rising. Now some of those could be due to mergers of practices, but not all, because we also know that GP numbers have fallen as well.

In fact, there are now 850 fewer NHS GPs than four years ago. Remember that in the last election (in 2019) the Tories promised to recruit 6000 more GPs.

Rural communities suffer most from losing their medical centres. There are 206 villages where patients have a journey of more than 5 miles to see a doctor – this figures is up on previous years as well.

We all know that the NHS is in crisis – appalling ambulance waiting times, long waits for transfer from A&E to hospital beds, unnecessary waits for discharge, unprecedented waiting lists for hospital appointments and for surgery.  On top of that there are huge pressures on GP practices, who are the first point of contact for anyone with a medical worry. It seems that over the last year 29% of UK adults have tried and failed to get a GP appointment.

There is clearly widespread anger and anxiety, although most people realise that none of this is the fault of the medical professionals.

Our simple policies of recruiting 8000 more GPs, and giving patients a legal right to see a GP within seven days, will go some way towards addressing the problems.

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Ed Davey to launch Lib Dem local election campaign

Ed Davey will today launch the Lib Dem campaign for this year’s local elections, which take place on 4th May.

And he’s already getting some good coverage. The theme for today is health, as that is what people are raising most with us on the doorstep. We are calling for an extra 8000 GPs to fill the massive gaps in coverage and service.

Here’s Ed talking to BBC Breakfast this morning:

From the BBC:

Lib Dem leader Ed Davey called on the government to create a legal right for patients to see a GP within seven days.

May’s council elections are the “final chance” to send a message to the government before a general election, Mr Davey will add.

On 4 May, 230 councils across England will hold an election.

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Wera Hobhouse calls for action to tackle eating disorders

Anyone who has supported a loved one with an eating disorder will appreciate Wera Hobhouse’s tireless efforts to get better support and services for those living with these terrible and distressing conditions.

I know first hand how horrendous it is to watch someone suffering in this way. The agony that my loved one went through will stay with me forever, as will all the related anxiety. And I really appreciated that Wera drew attention to eating disorders in men for that reason.

What made things much worse is that there was so little in the way of practical support available. It is great to know that we have a champion in Parliament who gets this and who is fighting for more.

This Eating Disorders Awareness Week, Wera held a Westminster Hall Debate. She called for action to tackle an epidemic of eating disorders. She asked for a targeted strategy for eating disorders to tackle the waiting times for treatment for children and adults, provide training for health and education staff to recognise the signs that an eating disorder might be developing, earlier intervention and evidence based treatments.

The full text of her speech is below:

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186 days – my misadventures with Long Covid

186 days. Not far off half a year. That’s how long it’s been since I first had Covid symptoms.

We had tried very hard to avoid it for 26 months, but our son going to a Marina and Diamonds concert in Dublin at the end of May was always going to be a high risk endeavour. Within days we were all suffering. At first I was the best off of all of us so I was running round after everyone else. Then on 5th June, I could barely get up.

The salutary tale from my experience is that if you are election agent for multiple wards in your local area, get your expenses done immediately after the election. Mine were all done and signed by the candidates before I became ill. I just had to print off my declarations, sign and submit before the deadline on 10th June. I could, thankfully submit them online, but that simple task was herculean and broke me on several occasions before I finally managed it.

Since then, I haven’t got that much better. The cough may have disappeared after a month, but I have yet to manage to spend a whole day out of bed, and if I overdo it, the punishment is vicious. Eight days ago, I went out for a special family lunch. I did get home a couple of hours  later than I’d planned but I didn’t recover from that until midweek. I had a meeting to attend online on the day after but I couldn’t speak reliably. Words were getting lost somewhere between my brain and my mouth.  I had to message someone else and ask them to make the point I needed to make.

The crushing, all-encompassing fatigue is the absolute worst, but it has a backing chorus of pain, nausea, dizziness, breathlessness and gastric issues which, seemingly randomly, throw themselves into the spotlight on any given day.

I reckon that on a good day, I’m operating at about 25-35% of my pre Covid capacity. On a bad day, I am flat out.

Being able to do something one day is absolutely no guarantee that you will be able to do it the next. Some days I can write well in small bursts, but there was one day recently when it took me an hour to put up a relatively simple post on here.

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Does your hospital have dedicated baby loss facilities?

Imagine you have just heard the news that every parent to be dreads – that you are losing your much wanted baby.

Then, you have to give birth, or support your partner giving birth on the labour ward in your hospital. You can hear the sounds of newborn babies crying and the associated sounds of joy, intensifying the agony you are going through.

When that happened to Louise Caldwell from Lanarkshire, she determined to change things. Her campaign for dedicated baby loss facilities has already been successful in her local hospital and the Gilbert Bain Hospital in Shetland where she also experienced the loss of a baby.  The Scottish Government has said that all hospitals will have these facilities within two years.

Next week she’ll be in Westminster talking to MPs about her experience and her campaign in the hope that such facilities will be introduced across the UK?

From the Daily Record:

Louise, from East Kilbride, told Lanarkshire Live : “I never imagined when I started the campaign that I, a mum from East Kilbride, would be speaking to MPs at Westminster.

“To achieve the new unit at Wishaw – which will hopefully open in the coming months – is a fantastic achievement but there is still so much to do – and I can’t do it on my own.

“I want to see the promise by the Scottish Government to have these facilities in hospitals elsewhere fulfilled and I want to see them replicated across the UK.

Shetland’s Lib Dem MSP Beatrice Wishart was the first to raise this issue in the Scottish Parliament and she recently talked about it during Baby Loss Awareness Week.

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The Conservatives fail because they think they know best.

One of the characteristics of this awful government is that they manage to present even ideas with a modicum of sense in a way which ensures they will be unpopular.

Yesterday we had a classic example in the news that the new Health Secretary, Thérèse Coffey as part of her ‘Plan for Patients’ is planning to allow pharmacies to prescribe antibiotics (and other drugs) in some cases. It has also come out that she has said that she has handed out her own antibiotics to friends who were feeling unwell in the past. Reaction to this news has been swift – Stephen Baker, Professor of Microbiology at Cambridge said widening access to antibiotics was ‘nuts’ and Professor Penny Ward, of the Faculty of Pharmaceutical Medicine was equally scathing: “The Health Secretary really should take the time to familiarise herself with what is a difficult topic”

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Lord help us all….Lib Dems react to new Cabinet

So Liz Truss is now ensconced in Downing Street appointing her new Cabinet. And it looks like it is going to be one of the most socially as well as economically conservative governments in over quarter of a century. This is somewhat surprising given that she is the first Prime Minister of my lifetime who is younger than me.

After a 1000 mile round trip to see the Queen, she went  to her private Commons office  to send Rishi Sunak supporters Grant Shapps, Steve Barclay and Dominic Raab packing.

Every time a new Conservative PM announces their top team, you think it couldn’t get any worse. Remember when Theresa May appointed Boris Johnson as Foreign Secretary? And then when Boris in turn made Priti Patel Home Secretary.

So far, Liz Truss has made some very worrying appointments.

First of all, someone who opposes abortion and same sex marriage to health:

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Ed Davey’s speech to Conference: Lib Dems can defeat this awful Government

A powerful selection on Ukraine, a call for Priti Patel to be sacked, a celebration of Chesham and Amersham and North Shropshire, a tribute to Lib Dem by-election stalwart Erlend Watson, a decent gag about Dick Turpin, an evisceration of the Tories over sleaze and partygate (including a call for a public enquiry into Boris Johnson’s relationship with Lebvedev) and an attack on Tory MPs for keeping Boris Johnson in power, setting out what the Lib Dems offer for health and education and a look forward to the local government elections in May…all this and more delivered by Ed Davey to Lib Dem members gathered in York.

 

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A whole systems approach to solving the health and social care crisis

The Health and Social Care Bill currently in the House of Lords is intended to:

  1. sort out the under-funding of social care;
  2. remove the need for people to sell their houses to pay for their care;
  3. promote joined-up service delivery;
  4. replace the competitive model with a collaborative one.

Sadly, as I wrote here, it appears to be a quick fix component level response to a whole systems problem which will simply “kick the problem on for a few more years”. There is little point putting more and more money into the first aid camp at the bottom of the cliff without building a fence at the top.

The cap on the amount which can be spent on care home fees will favour the rich in that people who do not have sufficient savings will still have to sell their house to pay for their care.

The “Integrated Care Systems” and “Integrated Care Partnerships” will be very costly and appear more concerned with preserving:

  • the current configuration of local authorities and NHS Trusts, and;
  • the purchaser / provider split and commissioning;

than they do the provision of integrated care.

Successive Governments have tried to get health, social services, police, education and housing to work together, but none has grasped the nettle of different geographical areas, different funding streams and different lines of accountability, which have been the main impediments.

Since the 1990 National Health Service and Community Care Act the “contract culture” has led to:

  1. a “minding” rather than a “mending” service with social workers increasingly used to assess the eligibility to specific services rather than using relationship and therapeutic counselling to resolve problems;
  2. further fragmentation with different components of a “package of care” bought from different providers, and;
  3. “self-funders” (a dreadful term) being waived away denying them an “independent verification of their wishes” and their families the help and support they need.

There is a wealth of empirical evidence on the “social determinates of health” which have demonstrated the correlation between income and demand upon the NHS.

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Why waiting times matter in mental health

18 weeks. That’s the target waiting time, often missed, from referral to being seen.  From now in deepest darkest December to  Mid April, what an age that is. It’s hard on adults. Arguably harder when that’s how long some of our most distressed young people have to wait for support. 18 weeks or  4 months is a very long time if you are 13. If you are being bullied, if life is becoming more complex and you feel ill equipped to cope. It’s more than a school term, it’s too long and that’s the best on offer. Too often, currently for  1600  children,  the wait was over a year. Let’s be realistic, any child that has asked for help and waits over a year will undoubtedly experience that response as  No, there is no help.

The last 18 months has seen very few of us untouched by the pressures of the pandemic and the impact on the mental health of both adults and the young has been significant. From a self-reported rising anxiety across the population generally to increased rates of disordered eating and self harming amongst young people.  

In my work as Counsellor I have seen this in the increased waiting lists for our third sector services, parents seeking private services for children to avoid waiting times that seem to be never ending and referrals to online services. Even before Covid we were in trouble. One young person I worked with, told me what she’d learnt from 5 years bouncing between referrals from her GP  to the private sector, to CAMHS and to online services as she now transitioned to adult services.

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European health policy and the Conference on the Future of Europe

On the 23rd of October, the Liberal Democrats Abroad and the Liberal Democrats European Group held a discussion session with Irish Senator Timmy Dooley about the Alliance of Liberals and Democrats for Europe’s contribution to the Conference on the Future of Europe. Mr Dooley underlined the importance of hearing British views on Europe’s future, to help learn the lessons from Brexit, meet citizens’ expectations, and shape the EU into an organisation that the British people would be excited to rejoin.

In health, he mentioned the disillusionment caused by an initially slow response to vaccine procurement. Things have vastly improved since then, although, this is an important opportunity to take stock of what Europe does in health – and what else we might like it to do.

Firstly, on pharmaceuticals. Manufacturers can apply to the European Medicines Agency for EU-wide marketing authorisation for their products, but that doesn’t  automatically mean they’ll be available across the EU. Medicine pricing and reimbursement decisions are up to the Member States of the EU. Some have joined together to evaluate the impact of these newly available medicines and decide pricing, such as the Beneluxa group. Is there more Europe can do in this area? Should such coalitions expand to include other EU members – and could the UK get involved?

Europe also offers manufacturers incentives, based on market exclusivity for their new product for a period of time before competing medicines can come into play. The European Commission is examining changes to the rules, which could make these incentives conditional on EU-wide product availability or meeting health needs not yet addressed by existing products. At the same time, it seeks to make the process of getting market authorisation more efficient and less expensive, while maintaining high standards. Should it reform these incentives to influence manufacturers’ behaviour, and if so, how can the EU balance those two issues in a way that works for manufacturers and patients?

The Commission is also reviewing the rules on children’s and rare disease medicines, for similar reasons – how can we incentivise these treatments and make sure patients can access them?

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Dismissing Dysmenorrhea

So, if you have never had bad period pain, how can I convince you that it really is horrible?

You know what bad toothache can be like?

That sort of immersive pain experience that completely consumes you.

There is very little you can do to get relief.  Painkillers barely take the edge off.

Concentrating on anything is virtually impossible.

Thankfully, bad toothache doesn’t come along too often.

But period pain, which is kind of like toothache in the abdomen comes along roughly once a month. I know people who are in absolute agony for a couple of days.

On the Hysteria podcast last week, former White House aide Alyssa Mastramonaco described her lifelong search for the optimum combination of methods of relief for her horrible monthly pain.

When I was a teenager, I used to get such bad pain that I would be sick and sometimes I was at the point of passing out.

This is seriously nasty. And research into alleviating Dysmenorrhea, to give it its medical name, has been relatively sparse and not very well funded.

I was once sent home from school because it was so bad, but I never did that again after getting warned within an inch of my life by my mother.

I was lucky that it got a bit better when I got into my twenties, but some people suffer all the way through their menstruating years.

If you are one of the unlucky ones, you can have 40 years of monthly hell. You have to go through that pain almost 500 times.

It is definitely frowned upon to take time off work for it, although 73% of people surveyed by Bloody Good Period, reported in Glamour Magazine said they had struggled at work because of their periods.

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LibLInk: Christine Jardine on the perfect storm that shows up our bad Governments

In her Scotsman column this week, Christine Jardine looks at the “perfect storm” of food and fuel shortages, health service crisis, Covid and high energy prices we are facing at the moment. She argues that the show how bad both UK and Scottish Governments are – and we shouldn’t let them away with blaming Covid and Brexit for our current travails. They were failing long before then:

It must be tempting for those responsible for the well-being of the NHS to blame its current predicament on all the other elements of the storm. That somehow the crisis which has necessitated calling in the Armed Forces to support our ambulance service is purely the result of the circumstances we find ourselves in. That they can look to the example of our energy industry which is defending itself with evidence of an unusual lack of wind and solar resources and a fire on an interconnector.

But that would be to ignore the reality which we have all experienced in different ways over recent, pre-pandemic years. The damage done by the increasing centralisation of public services and decision-making in Scotland.

On top of everything else, the FLu jag programme has been a nightmare this year.

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Tories backtracking over new Powys Hospitals shows lack of honesty with voters

The admission by the Conservatives that their manifesto pledge to build two new hospitals in Powys won’t be fulfilled has been described as a disappointing breach of trust by the Liberal Democrats.

The Conservative manifesto pledges on both the inside cover and on page two that they will build “five new hospitals.” However Welsh Conservatives have now admitted that only two new hospitals will be built, neither of which will be in Powys and instead that existing hospitals in Newtown and Llandrindod will be upgraded.

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Rennie: Tackle drug addiction with compassion and treatment, not imprisonment

Liberal Democrats care about people being able to fulfil their potential and getting the care and support they need to recover from illness and addiction. That’s why our Scottish manifesto highlights the need to take a public health approach to addiction. Scotland has the highest drug deaths rate in Europe, something which became very real to a friend of mine recently when her son died after taking street valium. Typically, she thought of others before herself and allowed the BBC to film his funeral.

Willie Rennie said today that the next Scottish Government will only end the drug deaths crisis through compassion and health treatment, not prosecution, as he revealed new figures showing 605 people convicted of possession without intent to supply being sent to prison.

Meanwhile, only 108 people received a Drug Treatment and Testing Order during the same three year period (2016/17 to 2018/19).

1264 people died of drug related causes in 2019. Each of them were individuals with talents and skills. Each of them loved and had people loving them. Pretty much 3 people a day lose their lives and each one of them, with the right intervention, could still be alive today.

So the Scottish Liberal Democrats, looking to the best evidence, has the following measures to tackle the harm that drug addiction causes to people and communities that are focused on help and support. The party will:

  • Reduce the misery of drug abuse with compassion and health treatment rather than prosecution.
  • Take radical steps with the prosecution authorities and the Lord Advocate to help establish heroin assisted treatment and safe consumption spaces.
  • Establish new specialist Family Drug and Alcohol Commissions to help provide wraparound services and to take a holistic approach to those reported for drug offences, learning from best international practice such as that in Portugal.
  • Divert people caught in possession of drugs for personal use into education, treatment and recovery, ceasing imprisonment in these circumstances.
  • Protect and enhance drug and alcohol partnership budgets, and adopt the principle that individuals and families shouldn’t have to pay for the care and treatment of those at risk of death from drugs or alcohol.
  • Use emergency housing funding to help people keep their homes and tenancies while they undergo treatment and rehabilitation.

Willie Rennie said:

The SNPs failure was more than just a political failure, it was a failure that cost the lives of hundreds of people.

Not only did the SNP fail to take the necessary action to save lives, they made it worse by cutting the alcohol and drug partnership budgets, surrendering services and expertise.

It was admitted in 2017 that essential drug reforms weren’t pursued because it wasn’t seen as a vote winner. This is political negligence of the highest order.

Scottish Liberal Democrats will put recovery first. We will reduce the misery of drug abuse with compassion and health treatment rather than prosecution. After years of being told no, Scottish Liberal Democrats have just won cross-party agreement for that important principle.

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Build Back Fairer: the new mantra for now

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This title is about health equity issues, however, not building better houses. Professor Sir Michael Marmot, author of the Marmot Review – Health Equity in England Ten Years On which was published in February this year, has led a follow-up study called Build Back Fairer: The Covid-19 Marmot Review.

The new report highlights how inequalities in social-economic conditions before the pandemic contributed to the high and unequal death toll from Covid-19.

The enduring social and economic inequalities in society mean that the health of the public was threatened before and during the pandemic and will be after. Just as we needed better management of the nation’s health during the pandemic, so we need national attention to the causes of health inequalities.

Professor Marmot is as unflattering here about the present state of affairs as he was in his ten-year report. He writes, “Poor management of the pandemic was of a piece with England’s health improvement falling behind that with other rich countries in the decade since 2010”. That, he recalled, was for several reasons including that “the quality of governance and political culture did not give priority to the conditions for good health”, that there was increasing inequality in economic and social conditions, a rise in poverty among families with children, plus a policy of austerity and consequent cuts to funding of public services.

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Munira Wilson gets another PMQ – and calls for removal of “draconian” Coronavirus law

Some MPs never get to ask the Prime Minister a question at the most hotly contested parliamentary event of any week.

Munira Wilson has been an MP for just 9 months, and has had two opportunities in the path month to ask a question at PMQs.

This week she asked him to work cross-party to get a consensus on the laws and powers around Coronavirus, calling the current measures “draconian.”

His response was as dismissive as you would expect:

We are making sure that everybody in our society gets all the protections they need. I am aware of the easements in the Care Act 2014 that the hon. Lady refers to. It was necessary to put them in temporarily, and we now need to make sure we give everybody the protection that they need. That is what this Government will do.

And here’s a reminder of Munira’s debut at PMQs last month when she took Boris Johnson to task over his government legislating to break international law.

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LibLink: Vince Cable Disbanding Public Health England is the last thing the Government should be doing right now

Writing in the Independent this week, Vince Cable condemned the Government’s decision to shut down Public Health England.

He suggested that it was the scapegoat for the Government’s policy failings before setting out why it is such a bad idea:

Aside from practical questions about who is to deal with other public health issues like obesity and sexual health, the long-term challenge for the new agency and its network of local public health officers is to make Britain better prepared for serious pandemics in future. They must be ready, too, for the more predictable annual rounds of flu, which though they are sufficiently understood to be countered by vaccination still affect 15 per cent of the population, and each year kills 10,000 people in the UK and a quarter to half a million people worldwide.

He talks of the need to look at environmental factors at an international level to limit future pandemics:

But prevention cannot be achieved by any one country working alone when we are considering the complex origins of zoonotic viruses which have jumped species. Blame for Covid is placed on Chinese wet markets and dietary preferences which fits the politically convenient narrative of Chinese culpability. But there are deeper problems.

Some scientists point to the impact of deforestation which is bringing humans and domesticated animals into closer contact with previously unknown species and viruses. As forest cover disappears, the species face mass extinction but the viruses contained in the fauna can strike back. And once new, dangerous, viruses are in circulation, growing connectivity means that local outbreaks become global very quickly. Worryingly, there is little sign that the necessary lessons about unsustainable lifestyles are being drawn.

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Making a drama out of a crisis? Taking the harm out of the virus!

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If we believe in anything, it is the Harm Principle of John Stuart Mill. People should be at liberty, to make their own choices, unless they do harm, to others, or to themselves, if in ways that might harm others too. The bar for the deciding of what is a harm, is set higher or lower, according to whether you are a Liberal or a Libertarian. Mill was a Liberal. He believed the state, the government, needed to exercise authority, on, for example law and order. The balance, is what is to be considered. The preamble to the constitution of this party refers to that as “between the fundamental values, of liberty, equality and community.

I have often put it this way. I am a Classical Liberal, on liberty related issues, a Social Liberal, on equality related issues, a Social Democrat, on community related issues. I am of the view that there has rarely been an issue that combines all these and more, and requires strong thinking and action, than Covid19.

I have just written an article for the Ustinov Prejudice Awareness Forum, an organisation of which I am a member and writer. The article is titled “Viral Expertise“, in which I look at greater word length and in different ways, from a more international perspective, at what I want to say here, from a UK Classical Liberal, Social Liberal and Social Democrat point of view. The importance of this issue, is such, that I would very much welcome colleagues visit the link too.

I, we, surely must subscribe to support policies that reveal and encourage, personal responsibility and public good. For all , responsible, for goodness sake, more needs to be done at home and abroad to combat this virus and act as a rehearsal for, an ongoing effort where the world performs better.

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“Society has stopped improving”

That is the bleak message of Professor Sir Michael Marmot in his major new report on health inequality. Entitled ‘Health Equity in England: the Marmot Review 10 Years On’, it assesses lack of progress in the last decade, since his review in 2010 entitled ‘Fair Society, Healthy Lives’.

He writes:

Since 2010 life expectancy has stalled: this has not happened since at least 1900. If health has stopped improving it is a sign that society has stopped improving.

This damage to health has been largely unnecessary.

Health is closely linked to the conditions in which people are born, live, work and age, and inequities in power, money and resources.

He repeats the well-understood expectation that, “The more deprived the area, the shorter the life expectancy”, but finds that inequalities in life expectancy have increased. “Among women in the most deprived areas, life expectancy fell between 2010/12 and 2016-18.” For both men and women, he continues, the largest decreases in life expectancy were seen in the most deprived 10% of neighbourhoods in the North-East, and the largest increases in the least deprived 10% of neighbourhoods in London.

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Santa Rennie delivers festive lump of coal to SNP

It wouldn’t be an election without Willie Rennie doing something eye-catching.

And today, he took part in a Santa dash in Glasgow.

 

He placed the SNP firmly on the Naughty List for the decline in public services since they have been in government and suggested that they’d be getting a lump of coal on Christmas morning.

The only reason that the SNP want to talk about Brexit is because their domestic agenda is truly abysmal.

Hundreds of children are waiting far too long for mental health treatment, the third Police Authority chair in three years has resigned and we are falling down the international education rankings.

This Christmas the SNP deserve a lump of coal for the way they’ve mishandled these services. Our teachers, nurses and police officers are working hard day in day out but they don’t get the support they deserve from an SNP government which has independence on the brain.

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PREVIEW: Luisa Porritt MEP’s Brexit Reality film

London LIb Dem MEP Luisa Porritt has made a film about the reality of Brexit and how it affects the NHS. It’ll be out later this week.

Here’s a preview:

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Is there a scientific basis for the sugar levy?

Discussion of the sugar levy has focused on effectiveness and moral/political hazards. I want to focus on one problem that makes those redundant: Does it make scientific sense?

Not obviously.

A popular narrative: In the past, we thought obese people were that way because they lacked willpower and ate too much food, particularly fat, which obviously made you “fat” – it’s called fat! Then, scientists who had previously been silenced by the nutrition science establishment (which was in Big Sugar’s pocket) bravely spoke up and educated us on the Science!™, and now we know that it’s sugar, not fat, that makes you obese.

Reality is more complicated.

The supposedly debunked “fat = evil” paradigm was never a scientific consensus, but merely a pop-science one. It was less the work of the nutrition scientists than of sugar companies and the makers of low-fat diet products. The supposedly triumphant “sugar = evil” paradigm also has little support amongst nutrition scientists. At best, they are marginally more concerned with the impact of sugar on health than they were 50 years ago, and marginally less concerned about fat.

It isn’t hard to blow the simplistic anti-sugar position out of the water. This graph does it impressively, and should make everyone update their beliefs significantly away from thinking that sugar is a major cause of obesity, and should absolutely torpedo the simplistic “sugar = evil” position that has taken hold in many parts of the population and, seemingly, in government.

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Sugar Tax is nothing more than a money spinning effort

I’ve recently lost a substantial amount of weight. That’s not a humblebrag, it’s going to be relevant, I promise. It’s taken the best part of 20 years to find something that works for me, and I’ll come back to that later. How our society discusses diet and weight was mostly to blame for why it’s taken so long. When I was a teenager, I used to voraciously read women’s magazines while keeping out of the sun during the hottest hours of the day on holiday. Oh, the diet articles in some of those. It was awful. Everything was egg whites and Ryvita. Everything.

And then, imagine, you see something like those Cancer Research adverts. You’ve already seen in the media that a bland diet is something to aspire to, a good way to lose weight, and now you’re seeing that if you’re fat you’ll die. Can you blame a teenager for coming to the conclusion that living longer on miserable food isn’t actually that great a deal? Especially when cheese, chocolate, and chips exist. (Not together, although I did go there on a dare once.)

This is where the recent party proposals on food and drink taxation come in. So, imagine you’re a young adult now, and your understanding of diet is (still) that you can have nice food and be fat or have boring food and be thin. Is a tax going to change your mind about that? Or will you just spend more of your student bursary on that chocolate bar? It’s anecdotal, but that’s how people respond to ‘sin taxes’ more generally. Denmark had a fat tax, and gave up on a proposed sugar tax, because people literally preferred to go to shop in Germany than to pay it. Just process that, for a second: people actively chose to go and shop in a different currency to avoid the kind of tax our party is proposing a consultation on.

In reality, changing the way you eat can’t be done in the short term with nudge policies. Back to what worked for me. It was the concept behind the programme ‘Cook Yourself Thin’. You can eat whatever you like. You don’t have to cut out any food groups. You certainly don’t have own a cupboard full of Ryvita and live on steamed vegetables. What you can do is make lower-calorie substitutions for the things you love. The cookbook’s got a chocolate truffle recipe in it. It even recommends swapping a cookie for Jaffa cakes.

You have to do something which is sustainable for you. Otherwise you simply will not be able to keep it off. Most people put the weight they lose back on again. A sugar tax is nothing more than a money-spinning measure: if you have the spare cash, you’ll still buy it. It won’t make you successfully change the way you live. That’s far more personal and complex than most people like to think. 

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Judith Jolly writes: Lib Dem Brexit health win in the Lords

In the midst of all the Brexit chaos, I want to take a moment to reflect on a significant and unreported win for the Liberal Democrats against the Conservative Government. 

A few months ago, a Bill was introduced into Parliament which seemed fairly uncontroversial – it’s aim was to replicate our reciprocal healthcare arrangements with other countries in the event of Brexit (either in a deal or no deal scenario). However, the Conservative Bill went much further than replicating healthcare with EU countries and was is in fact much more threatening. It opened up health deals with the whole world, one of our fears being that that in Liam Fox’s frantic attempts to sign a trade deal, the Tories were planning to put the NHS on the table as well.  As a result, Sal Brinton, Jonathan Marks and I – along with members of the Labour Party and the crossbenches spent weeks challenging the Government to limit the application of the Bill – with great success! 

One of the privileges of being members of the European Union, is that no matter where we are in the EU, our health needs are safeguarded when we need medical attention. Under EU agreements, the UK has participated in a variety of reciprocal healthcare arrangements with other countries, with the result being that all citizens and visitors are protected. 

The Liberal Democrats with cross-party support worked to amend the Bill significantly. We were clear that this Bill must only allow ministers to replace the health deals we already have with the EU, the EEA and Switzerland. 

The Bill’s scope was extraordinarily wide, and the powers included were unjustifiable. In November, the House of Lords Delegated Powers and Regulatory Reform Committee described its scope as “breath-taking”. 

The Bill had a worldwide scope, it did not just apply to EEA countries and Switzerland – countries we will need to establish healthcare arrangements with in the event of Brexit. We made sure to limit this. 

Not only did Liberal Democrats feel that worldwide powers were being snuck through in the guise of Brexit legislation and were unnecessary, but there was a genuine fear that this was an attempt to allow the NHS to be used as part of trade arrangements when creating new trade deals with countries such as the USA or China. We were witnessing the Conservative Government attempting to steal powers for ministers in Whitehall which could see them selling our NHS down the river. 

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29 November 2018 – today’s press releases (the 500 miles edition)

Later than usual this evening, as I’ve spent the evening at a Proclaimers concert, courtesy of my lovely wife… it wasn’t 500 miles away…

  • PM leaving us in the dark on immigration
  • Cable: May “running scared” of real opposition
  • Lib Dems warn BBC that ‘Brexit debate’ may breach Ofcom code
  • Government has let down victims over second Leveson Inquiry

PM leaving us in the dark on immigration

Theresa May has today refused to confirm when the immigration white paper will be published. She was asked by Liberal Democrat MP Norman Lamb after Ministers originally promised to publish the white paper last year, but that deadline has …

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A Basis for a National Health and Well-Being Policy?

The Frome Model of Enhanced Care is a GP focussed, community serving and using way of creating, assessing and delivering comprehensive health and well-being skills, services and attitudes, in, with and for a community, at a low to negative net cost. Its administration is remarkably inclusive, heterarchical or flat.

It is so attractive that it merits awareness, analysis, adoption and adaption to spread its remarkable and measured attributes.

It has delivered 5 years of medical care with social cohesion. It saves money and is more enjoyable! Somerset CCG reckons some £2 …

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Scottish Conference passes groundbreaking policy on ME

A year ago, Emma Walker hadn’t got round to joining the Liberal Democrats. She finally took the plunge in November 2017 and since then has made a massive impact. She’s launching a pioneering recruitment campaign (of which more in due course) and at last week’s Scottish Conference, she proposed her motion on ME. ME Action Scotland were there and tweeted about the occasion. They think it might be the first time a political party has adopted a policy on ME in the world.

Emma has sent us her proposing speech, which you can read below:

Imagine if, sitting in your seat here at conference, you suddenly begin to feel ill. Your vision blurs, you head begins to pound, and it feels like you may be having a heart attack. Maybe you collapse or you can’t remember your name. Your body has essentially crashed. Although it may take weeks. months or even years for you to receive a diagnosis, you are now one of the 21,000 people in Scotland living with M.E. For so many this is exactly how it starts. What’s more – there is no test, no cure and no proven effective treatment.

M.E, or myalgic encephalomyelitis, is an invisible illness in many ways. People who have mild to moderate M.E often look well, despite facing crippling symptoms such as bone-aching fatigue, excruciating pain and the inability to tolerate light or noise. 25% of all Scottish patients are severely affected – which means that they are house-bound or bed-bound, which in turn means that they are easy to ignore.

Only an estimated 5% of people with M.E recover fully, and some doctors question if they were misdiagnosed with other fatigue conditions. A slightly higher proportion learn to manage their symptoms and some return to work, but M.E remains in their system.

In Scotland, M.E affects more people than Parkinson’s Disease and Multiple Sclerosis combined. Yet we do not have a single M.E consultant and there is only one clinical nurse specialist, here in Fife. Shockingly, it’s the most common cause of long term school sickness absence.

This illness is a stigmatised one and it is characterised as being the fault of the patient. That they are not trying hard enough to get better, or that their belief that they are ill is the reason why they are ill. Those children who don’t attend school are often marked down as ‘refusing attendance.’ Parents have been taken to court for not sending their kids to school even though they are ill. GPs often send adult patients away telling them that everyone feels tired now and again. In fact ‘chronic fatigue syndrome’ is a term that is sometimes used for M.E. But it is so much more than that. We would rightly never limit our definition of dementia to ‘chronic forgetfulness’, so why do we limit M.E patients to one symptom?

Two pieces of research have influenced the field. The first, in 1970, was led by two psychiatrists who after simply reading case notes from an ME epidemic that had occurred in the fifties, concluded that ‘mass hysteria’ was the cause. The reason why they concluded that? “The high rates in females compared to males.”

It’s easy to shrug this off as outdated, misogynistic research but this research delegitimised ME as an illness. It created a hysteria narrative which has paved the way for the ongoing dismissal of patients. In fact throughout the 80’s and 90’s, M.E became known as ‘yuppie flu’ or ‘the lazy disease’.

In 2005 the PACE trial came along. It was another bunch of psychiatrists testing various treatments, mainly Cognitive Behavioural Therapy and Graded Exercise Therapy. The findings were published in 2011. The data suggested that 64% of patients were improved and 22% were cured by the practices of thinking differently and running around the block. Given that the vast majority of patients regard GET as harmful, doctors and patients with any understanding of M.E immediately disputed the figures, and demanded access to the raw data. It took five years, repeated Freedom of Information requests and a tribunal to eventually access the data.

Independent analysts ruled that the PACE authors’ flawed methodology had been based on their preconceived views that M.E was not a real illness.

13% of the study sample had been recorded as simultaneously sick enough to take part and already recovered! M.E patients who couldn’t walk as far as those with Class 2 heart failure were recorded as being fit enough to return to work.

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Vince Cable writes…We need to catch up with our European neighbours in fighting Cancer

Cancer is traumatising. It is universal, leaving no family untouched.

I saw this first-hand. Cancer took my first wife, Olympia, in 2001. To repeat what I wrote in my memoirs, that experience showed me that whatever may be said in criticism of the NHS, the capacity of the system to deliver high quality, sophisticated treatment to the acutely sick is so greatly appreciated by those who receive it.

Living with and caring for a cancer sufferer for 14 years led me to want to help others and to use my political position to do so. I campaigned subsequently for wider breast cancer screening, a screening programme for cervical cancer and the introduction of bowel cancer screening.

So many people work so hard to stop cancer: raising money with bake sales, running marathons, nagging our loved ones to eat better, drink less, stop smoking.

In the 2017/18 alone, there were donations of £192m to Cancer Research UK, a further £153m raised from events and charity shops.

But Cancer Research UK is marking the 70th anniversary of the NHS with a campaign to get the Government to commit to invest in training and employing more specialist staff to diagnose cancer early.

This is because, despite all we are doing, all the money we are raising, the UK is falling behind other European countries in the successful treatment of cancer. Olympia had diagnosis and  treatment that showed the NHS at its best. Others have been less fortunate – an IT glitch meant hundreds of thousands of women in England missed breast cancer screenings. 

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