Tag Archives: health

“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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Does Vince look fat in this?

Not a question I’ve heard, but I got your attention!

The way we view men and women is still fundamentally flawed. I imagine our Lib Dem male MPs have several suits they use in cycle, only having to choose a shirt and tie.

But our women MPs? It’s a different matter, though it shouldn’t be. I imagine hair, makeup, matching shoes, accessories and the right outfit for the right occasion are all things our women MPs think about. Why??

As a prospective parliamentary candidate, one of the women-only training sessions I attended was on image. I …

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Sick absence figures reveal extent of strains on NHS staff as 45 million hours lost in Scotland alone

Last year, my husband spent 51 days in hospital. He received excellent care from compassionate and skilled staff at what was an absolutely terrifying time for us.

That experience gave us an insight into the strains and stresses that the NHS faces. The most common refrain from staff was that it was so stressful and the Winter hadn’t even started yet.

He spent a just over a month in a medical ward in our local hospital and a further three weeks in a specialist centre in our nearest city. On only one occasion in the whole 51 days did I see staff going home when they were actually supposed to. There were times when I was shocked to see the same members of staff on their 5th or even 6th 12 hour shift in a week. One day I arrived at the hospital in the afternoon to see a health care assistant who had been on night shift the previous night. Because the ward was so under-staffed, she had gone home, slept for a couple of hours and come back in for the busy stretch around lunch and dinner.

During their shifts, the nurses did not stop. They were dealing with multiple stressful situations at a time. They were stretched to the limit.

Obviously a situation like that is not sustainable. It’s going to affect people’s health in some way or another. Alex Cole-Hamilton now has evidence of that.

He revealed that more than 45 million hours have been lost by Scottish NHS boards to staff ill health during the past four years and said the immense pressure staff are under could account for rates rising.

Data obtained from health boards under the Freedom of Information Act reveals that the number of hours lost to illness increased from 11.4 million hours in 2014-15 to 13.1 million hours in 2016-17, with the number rising year on year.

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Lamb: Government failing abysmally on GP target

Embed from Getty Images

Last week a study highlighted that almost a million EU workers could leave the UK after Brexit simply because they “feel less welcome and valued” in the country and in their jobs.

The impact that is going to have on our health service and the wider economy is severe.

Today, it emerged that the Government is going to spend £100 million recruiting GPs from abroad .

More than half of the Government’s 5000 targeted increase in the number of GPs are going to be recruited in this way.  Other health workers will also be sought.

As well as the £100 million, each GP who comes from abroad will cost  taxpayers £1000 per year because of the Immigration Skills Charge. Surely the sensible thing to do would be to exempt the NHS when we need these people so badly. In fact, why have it at all? It seems to me like a silly nonsense to convince the Daily Mail that we’re doing something about immigration.

Norman Lamb said that the whole thing was absurd.

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The Press Pack: A round-up of Lib Dem media comments – 22 August 2017

Here’s a roundup of  media comments made by Lib Dem parliamentarians and spokespeople today.

GP numbers

Norman Lamb slammed the Government for failing to deliver more GPs:

The government’s promise to recruit 5,000 more GPs by 2020 lies in tatters, with fewer GPs now than when this pledge was first made.

“The pitiful increase we have seen in recent months is nowhere near enough to cope with rising patient demand.

“This failure to recruit enough doctors will inevitably have a damaging impact on the ability of patients to access the healthcare they need.

“We are already close to breaking point, with people in many parts of the country struggling to get appointments with their GP.

“More doctors are urgently needed to guarantee a fully-staffed NHS that provides everyone with the care they need.

Swinson criticises UK support for Trump Afghanistan move

The government didn’t really get round to condemning Donald Trump’s appalling remarks in the wake of Charlottesville, but they were quick off the mark to support him sending more troops to Afghanistan. Jo Swinson said:

For once, sense seems to have prevailed in the White House.

“But to succeed in Afghanistan will require winning the hearts and minds of its people and working closely with neighbouring countries.

“On that front, Donald Trump has already done untold damage through his proposed refugee ban, Islamophobic comments and cack-handed approach to foreign affairs.

“The government’s rapid statement of support for Trump today contrasts with its failure to swiftly condemn his divisive views and actions in the past.

“Simply pouring more troops into Afghanistan will not work without a broader strategy involving careful diplomacy and redoubled efforts to build a stable government.”

Even Brussels must be tired of this waffle

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LibLink: Paddy Ashdown: Tories’ Royal Marine cut plays fast and loose with UK defence

It makes sense that Paddy should write for the Plymouth Herald on defence given the city’s strategic importance.

He took the Government to task for cutting the Marines – about which he knows more than most people:

For more than three centuries – from Gibraltar and Trafalgar to Normandy and Afghanistan – the Royal Marines have epitomised those qualities. They have fought in more theatres and won more battles than any other British unit. In our nation’s hours of danger, they have been, as Lord St Vincent predicted in 1802, “the country’s sheet anchor”.

So the news that the Government is cutting 200 Royal Marine posts – at such a volatile time in world affairs – should concern us all. They are committing this folly in response to a crisis of their own making.

The cost of Conservative foolishness doesn’t end with the Royal Marines. They’ve cut personnel numbers, breaking their manifesto promise not to reduce the Army below 82,000. Troops on the frontline are deprived of basic equipment and combat training has been slashed, putting soldiers’ lives in greater peril. Warships sit idle at quaysides. No wonder top generals have accused the Government of “deception” over defence.

The Tories are very practised at talking tough on defence in elections. But look at the history: it’s always Tories who cut most on defence in government. It’s now clear that Mrs May will get back in because of the hopelessness of the Labour Party. But it would be very dangerous to give her a big enough majority to ignore us again.

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WATCH: Tim Farron say he’ll reinstate student nurses’ bursaries, give nurses a pay rise and invest in NHS

“I will not have it.” said Tim, saying that the Tories treat nurses like dirt.

He was talking to the Royal College of Nursing conference.

Watch this clip here:

He told them:

The Government’s decision to abandon bursaries for nursing students was clearly wrong.

The evidence has shown a drastic fall in the number of people applying to study nursing following this dangerously short-sighted cut.

We should be supporting more people into these vital professions – but instead this Government are putting up greater barriers.

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Lib Dems would boost mental health care with £1 billion investment

Liberal Democrats have stated that £1 billion of the party’s additional health funding would be spent tackling the “historic injustice” faced by people with mental ill health.

Last weekend, we unveiled a Five Point NHS and Care Recovery Plan to increase funding for health and social care services, including a penny on income tax to provide a £6 billion funding boost.

Today we are saying that £1 billion of this extra money would be ring-fenced as dedicated funding for mental health services.

This would help to deliver on 12 key priorities, including improving waiting time standards for mental health care on the NHS and providing support for pregnant women and young people suffering from mental health problems.

We would  also set out to end the inappropriate use of force against people with mental ill health, end out of area placements for mental health patients and prioritise national action to reduce the number of suicides.

Norman Lamb said:

The Liberal Democrats are committed to ending the historic injustice against people with mental ill health.

Under the Conservative government, services have been stretched to breaking point at a time when the prevalence of mental ill health appears to be rising.

Neither Labour nor the Conservatives have outlined how they will fund mental health services. We’ve made it clear that our priorities will be funded from our ambitious plan to inject £6bn a year into the NHS with an additional penny on income tax.

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Yesterday’s Press Releases in review: 1 May 2017

It may have been a Bank Holiday, but the Press Team never rest. Here are some of the releases they sent out yesterday that aren’t covered elsewhere in our pages;

Farron: FAZ report on May’s Juncker dinner show this Govt has no clue on Brexit

According to damning reports in the German press on Theresa May’s dinner with Juncker last week, EU sources believe there is now more than 50% chance of a disorderly Brexit, while May has made clear to the European Commission she fully expects to be re-elected as Prime Minister.

Liberal Democrat Leader Tim Farron commented:

These reports blow a

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Joan Walmsley writes…Taxing patience and taxing patients

In order to “incentivise employers to think differently about their recruitment and skills decisions and the balance between investing in UK skills and overseas recruitment” (Lord Nash in the Lords on Tuesday) the government has decided to introduce an Immigration Skills Charge, a tax of £1000 per employee, per year, paid in advance by an employer wishing to recruit a skilled worker from outside the European Economic Area.

It does not apply to everyone, of course. Exceptions have been made for a variety of post-graduate scientists (including social and humanities scientists), research and development managers, and higher education teaching professionals.

Two groups that have not been exempted are professionals in health and social care. We know that both of these sectors are heavily dependent upon recruiting professionals from all over the world. We know only too well, from report after report, of the dire financial straits of the NHS: three quarters of NHS trusts are in deficit; nearly every A&E has limped from crisis to crisis this winter; we are short of nurses and retention is awful; hospital doctors’ rosters are unfilled; and GP practices can’t replace retiring doctors. The staff have become the shock-absorber for the NHS.

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Norman Lamb’s speech in health debate at Liberal Democrat Conference

Here s Norman Lamb’s speech from this afternoon’s health debate:

First, we condemn Theresa May for her refusal to guarantee the rights of EU citizens working in our NHS and care services to stay in this country.

We value the vital contribution you make.

We demand that their right is guaranteed.

The Budget completely failed to address the dire financial situation facing the NHS and care.

Whatever your politics, it makes no sense to spend a reducing share of our national income on the NHS as demand rises at 4% every year

Whatever your politics, it makes no sense that in 2018/19 spending per head in real terms will actually fall as pressures grow

Whatever your politics, surely we can’t tolerate over a million older people with care needs left unmet.

Yet this is the reality today.

And it’s not just numbers or statistics – it’s the impact on people which is so disturbing. There are real consequences for families up and down our country.

This is what the brilliant charity, Young Minds, reports from its Parents’ Helpline:

‘The helpline receives calls every day from parents who are desperately trying to get support from Children’s Mental Health Services. We regularly hear from parents who can’t even get a referral or who have been waiting months for an initial assessment and whose children’s conditions have got worse during that time. Children who have started to self harm or become suicidal during the wait – or who’ve dropped out of school, which not only has a big impact on their own education but also means that one of the parents has to give up their job to look after them.

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Can anyone tell me what is wrong with this story in the Independent?

This is the picture of a story from the Independent.

It concerns shocking figures unearthed by Scottish Lib Dem Health Spokesperson Alex Cole-Hamilton which show the terrible lengths of time people can wait for discharge from hospital in Scotland for “health and social care reasons”, There was one example where one person had to wait for almost a year and a half.

 

Alex said:

In November I asked the First Minister about a constituent of mine who had spent 150 nights in hospital due to delayed discharge.

Nicola Sturgeon described the situation as unacceptable.“What then are we to make of patients in hospital for up to 500 nights, perhaps because carers can’t be found to visit them at home or there isn’t a care home place available?

Under the SNP, 1,000 beds were lost from Scotland’s hospitals during the same three years. Our under-pressure NHS can ill afford delayed discharges on this extreme scale.

Our social care spokesperson, Karen Clark added:

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1250 days to save the NHS: A new approach

First a little about myself. I am 53 years old and have worked in health care for over 22 years. I have voted Liberal, latterly Liberal Democrat, for nearly 40 years now. I, like others, have been frustrated by the ongoing swing politics that has affected the United Kingdom since the last war. Whilst like many others I am saddened by the outcome of the referendum I know as a party we are committed to be outward looking and pro-European. This will mean maintaining and fostering close links our European neighbours. However we need to plan now as to how we can win the next General Election in 2020, and in doing so protect to NHS as a public service.

The voting public must be made aware what is at stake and we must put forward a radical but costed vision for the health service. In 1997 New Labour came to power and pumped money into the NHS whilst establishing targets for waiting times. This was a sensible approach, but in recent years this has evolved into ever-increasing ‘fines’ for failing to meet those targets. Therefore, despite the Conservative government’s much lauded promise ‘to increase funding’ for the NHS, the reality is that year on year hospital trusts fall ever further into debt, leading to cuts in staff & frontline services in real terms. This is neither a responsible or sustainable approach to meeting the needs of the public or the NHS.

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We need to reform prescription charges

 

Over the last few years, we’ve seen rise after rise in English prescription charges.

Yet the list of illnesses giving you free prescriptions was set in the 1960s, with cancer being the only recent addition.  Shockingly, it excludes mental health outright.

At this autumn’s South Central Regional Conference, a motion by the author was passed calling for reforms to remove the inequities of the current charging regime.

Take two hypothetical examples.

Jon is 40 and has a weak thyroid. Although he has a well paid job, Jon does not have to pay for his thyroid medication, or for any other medication, no matter what it’s for.

25-year-old Samantha works part time, with an income of £17,000. This takes her over the financial thresholds for free prescriptions. She has asthma, but often cannot afford to fill her prescriptions. Samantha ends up in hospital with asthma several times a year, with frequent GP visits too.

As a doctor, I know that there are many real patients like this.

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Lord Malcolm Bruce writes… Liberalism revitalised

I want to respond to the challenges issued by Paddy and Vince during our conference.

Paddy said the party was “intellectually dead.” Vince said our position on another referendum was disrespectful to the electorate.

Let me take on Vince first. We and our predecessors supported UK membership of the European Community from its inception. The SDP was created largely because of Labour’s equivocation over British membership. We campaigned unstintingly for Remain and we remain convinced that the UK ‘s interests are best served by being a key member of the European Union.

Yes, by a narrow margin the country voted Leave but we have not changed our view and, given that there is no clear idea of what kind of relationship people want – in or out of the single market – let alone the hundreds of cooperative agreements built up over the last 43 years.

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Baroness Joan Walmsley writes…Will new PM’s actions speak louder than her words?

On Tuesday, just two days before parliament starts its recess and less than a week after Theresa May first addressed the commons as Prime Minister, Sir Simon Stevens, CEO of NHS England, wrote about his priorities for the NHS. 

For most of us his comments and overall strategy will seem eminently sensible. The question I ask myself is this: Will Theresa May’s government pay lip service to Simon Stevens’ strategy or will they actually commit to the funds and action needed to carry it through?

You might say I am being unduly cynical and that I am not giving this new PM a chance. You may be right, although keeping Mr Hunt as her Secretary of State for Health does not strike me as very smart, given that he is so toxic to the doctors.

Stevens expresses concerns about two policy areas in particular – obesity & mental health, both of which are not getting the focus they deserve.

He points out the vital importance of effective action on obesity. This is not a matter of the nanny state lecturing people on how much they should eat. This is a critical health issue that affects the whole health service, not just in terms of funding but through the need to treat a whole range of different diseases. Financially the cost to the Treasury is now more than the police and fire services combined. One result of the separation of our health care services into NHS, on the one hand, and local authority social care and public health responsibilities on the other, is that it is your under-funded local council’s job to prevent obesity but it is the NHS that has to treat the myriad of diseases that arise from it. However, there are strong rumours that the long-awaited obesity strategy has been weakened because of business lobbying since it was first mooted by the government last year, while the LGA reports that funding cuts are threatening councils’ ability to be effective in this and other areas of public health.

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Norman Lamb MP writes…Disastrous A & E figures emphasise need for independent commission on NHS future

Every day seems to bring new crushing evidence of the immense strain facing the NHS and social care. Missed key targets have become the norm rather than the exception; A&E is bearing the brunt of cuts to preventive and community services; and few were surprised when NHS trusts recently revealed a record deficit of £2.45 billion.

After hearing anecdotal accounts of ambulances queueing up outside A&E departments due to a lack of available beds in my own county of Norfolk, I decided to investigate the true scale of the problem across the whole country by submitting Freedom of Information requests to each Ambulance Trust in England.

What I discovered was far more shocking than I had feared. More than 10,000 patients were stuck in an ambulance for more than two hours waiting to be handed over to hospital staff last year – a staggering four-fold increase over just three years. The number of people having to endure waits of more than an hour before being admitted has almost trebled in the same period.

In total, almost 400,000 hours were wasted in the last year alone due to handover delays of more than 15 minutes, the national target for getting patients out of the ambulance and into the care of A&E staff. That’s equivalent to 16,554 days of patients waiting in limbo while ambulance crews and vehicles are unnecessarily tied up, unable to respond to new emergency calls.

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LibLink: Kirsty Williams: Cancer care in Wales

Kirsty Williams 2All the parties in Wales have been asked to write a blog for the Tenovus Cancer Care charity’s website. This is what Kirsty Williams had to say:

Cancer is something that will touch the life of everyone in Wales at some point. So when it does, the system needs to be ready to step up and give the treatment and care patients, and their families, need.

Yesterday the Welsh Liberal Democrats launched our manifesto for the next Welsh Government which contained a number of commitments that would transform cancer care. Cancer causes more than one in four deaths, yet Wales is the only UK nation without a cancer awareness campaign and there are huge variations in cancer outcomes within Wales, we must address this.

In government we would develop an all-Wales Individual Patient Funding Requests panel and remove the ‘exceptionality’ hurdle which prevents many patients’ access to drugs that their clinician thinks could help them. Your clinician should choose your medication, not your postcode.

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MPs must work together to safeguard our healthcare

As a doctor, every day I see the enduring effects of short-term political spin on my patients.

Hospitals bursting at the seams, short-staffed and lacking beds, are told desperately needed nurses will only be available if there is ‘surplus winter funding’. Patients ready to leave hospital wait weeks for ‘exceptional funds’ to secure specialist accommodation, while we face a 12% rise in delayed hospital stays. 

The Commonwealth Fund rightfully praised the NHS’s quality. Yet BMA Chair Dr Mark Porter warned we mustn’t be complacent over the perils of short-term partisan meddling. ‘A combination of rising patient demand, staff shortages and falling funding is undermining the very foundations of the NHS, as is the constant short-term interference from politicians of all colours.’

Reinforcing his counsel, unprecedented strikes showed the peril of capriciously uncosted manifesto pledges. This week NHS Chief Executive Simon Stevens called for a national consensus on social care by 2018, as we learned we lag behind similar countries in spending.

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Do you agree with Floella Benjamin on mandatory sugar reduction targets?

Here’s a bit of controversy to liven up a Wednesday evening.

Floella Benjamin has written for Politics Home’s Central Lobby arguing in favour of mandatory sugar reduction targets. It’s another of these issues that you can use liberal principles to argue both for and against:

Many overweight children grow up to be obese adults and there are often serious health consequences for those affected, leading to tremendous pressures on the NHS, through the dramatic rise in type 2 diabetes, heart problems, some cancers and a wide variety of other conditions that require treatment. High sugar consumption is resulting in early tooth decay and is by far the highest cause of hospital admissions amongst 5-to 9-year-olds.

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Kirsty Williams blasts cuts to student nurses’ financial support

One of the worst elements of the Governemnt’s Comprehensive Spending Review was the proposals to cut bursaries for student nurses. This is particularly reprehensible given that nursing students spend so much of their time actually working on wards. In fact, there are many wards that would buckle under the pressure if they weren’t there.

Welsh Liberal Democrat leader Kirsty Williams, who has led the way in proposing a bill that would guarantee safe nurse staffing levels in Wales, has blasted the proposals and written to health secretary Jeremy Hunt to express her concerns. She said:

The UK already has a shortage of nurses; it’s outrageous that the Tories are now scrapping the valuable support available to student nurses. This will likely only exacerbate the problem by putting people off training to be a nurse.

This ill thought-out decision will badly impact student numbers in England, which would then no doubt have consequences for Wales’ ability to recruit too.

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