NHS news review

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I’m going to start with a few comments on Deputy Prime Minister Nick Clegg and the Liberal-Democrat Party. This involves the wider political situation and is not strictly NHS news but it does have relevence to the Con-Dem bill to destroy the NHS.

There were many elections in UK last Thursday. There were local elections for local councils in England and Wales, elections for the devolved Scottish and Welsh parliaments and a vote on the Alternative Vote electoral reform.

Nick Clegg’s Liberal-Democrat party is ruling in coalition with David Cameron’s Conservative Party, the stronger party in the coalition. Nick Clegg’s Liberal-Democrats achieved remarkably poor results in Thursday’s elections – losing 700 hundred councillors and control of many local councils, losing many Members of the Scottish Parliament (MSPs) to the Scottish Nalionalist Party (SNP) and losing the vote on electoral reform. Cameron’s Conservative Party, by contrast, made moderate gains.

This has led to claims by the Liberal-Democrats that they are getting blamed for unpopular Conservative policies. Further, there is the clear implication that such blame is undeserved – that the Lib-Dems are getting unfairly blamed for unpopular Conservative policies. In turn, this has led to Lib-Dems proclaiming that they will distinguish themselves more from their Conservative coalition allies and also that they may veto the bill to destroy the NHS.

Clegg threatens to veto NHS reforms in bid to reassert himself – UK Politics, UK – The Independent

Nick Clegg threatened to veto the Government’s controversial health reforms yesterday as he warned David Cameron that the Liberal Democrats would adopt a more independent stance inside the Coalition.

After a drubbing in last Thursday’s elections and the referendum on the voting system, Mr Clegg bowed to pressure from his party to reassert its separate identity from the Conservatives. The move also reflects the anger in Liberal Democrat circles that Mr Cameron allowed the No camp in the referendum battle to launch personal attacks on Mr Clegg for “broken promises” such as the rises in VAT and university tuition fees, which are government policies.

In an email to all Liberal Democrat members, Mr Clegg admitted he was “deeply disappointed” by a “bad set of results” last week. In a nod to his internal critics, he said: “I think it is clear that we need to do more to show people in the party and beyond what we are doing in Government and, perhaps more importantly, why.

After last week’s referendum showed the public’s limited appetite for constitutional reform, the Deputy Prime Minister has put health rather than an elected House of Lords at the top of his list of policy priorities. He wants to campaign on bread-and-butter issues such as the economy, education, welfare and health.

Yesterday, Mr Clegg declared that he would order his party’s MPs and peers to vote down the NHS reforms unless there are “substantial, significant changes” to the proposals from the Health Secretary Andrew Lansley.

“As far as government legislation is concerned, no Bill is better than a bad one, and I want to get this right. Protecting the NHS, rather than undermining it, is now my No 1 priority,” he told the BBC’s Andrew Marr Show. He said GPs should not be forced to take on the role of commissioning services before they are ready, and that there should be no artificial deadlines. His warning throws into doubt the April 2013 target set by Mr Lansley.

Mr Clegg said: “I am not going to ask Liberal Democrat MPs and peers to proceed with legislation on something as precious and cherished – particularly for Liberal Democrats – as the NHS unless I personally am satisfied that what these changes do is an evolutionary change in the NHS and not a disruptive revolution…. What you will see in this legislation are clear guarantees that you are not going to have back-door privatisation of the NHS.”

There are issues with this analysis.

Firstly, the Lib-Dems are responsible for imposing unpopular Conservative policies and shitting on their pre-election promises e.g. tuition fees and the rise in V.A.T. Putting aside the issue that these were local rather than national elections, it is the logical conclusion that the Liberal-Democrats should be blamed for imposing unpopular Conservative policies. They would not be possible without Liberal-Democrat support.

Secondly, the Liberal-Democrats position is to veto the bill to destroy the NHS. The Liberal-Democrat spring conference in early March overwhelmingly passed a motion opposing the NHS bill.

Nick Clegg suffers defeat as Liberal Democrats reject health reforms | Politics | guardian.co.uk

Nick Clegg suffered a humiliating defeat at the hands of his own party as Liberal Democrat activists voted overwhelmingly against coalition plans for a radical overhaul of the NHS.

Delegates rejected the “damaging and unjustified market-based approach” being championed by the health secretary, Andrew Lansley, as anger over the Tory-led NHS agenda boiled over at the party’s spring conference in Sheffield.

The Lib Dem leadership had gone into the session backing a motion unreservedly supportive of the Lansley approach – only to see the grassroots insert changes that would undermine the basic principles behind it.

After the crushing defeat, Clegg immediately faced demands from former education secretary Shirley Williams that he take the message back to the cabinet and demand that Lansley change the NHS bill to conform with Lib Dem demands.

Motion carried with amendments: Updating the NHS: Personal and Local | The Liberal Democrats: News Detail

Spring Conference 2011: Lines 6-15 deleted, Amendments 1 and 2 carried, Main motion carried as amended.

Twelve conference representatives
Mover: Paul Burstow
Summation: Cllr Richard Kemp

Conference believes that the NHS is an integral part of a liberal society, reflecting the social solidarity of shared access to collective healthcare, and a shared responsibility to use resources effectively to deliver better health.

Conference welcomes our Coalition Government’s commitment to the founding principles of the NHS: available to all, free at the point of use, and based on need, not the ability to pay.

Conference welcomes much of the vision for the NHS set out in the Government’s White Paper, Equity and Excellence: Liberating the NHS which commits the Government to an NHS that:

i) Is genuinely centred on patients and carers.

ii) Achieves quality and outcomes that are among the best in the world.

iii) Refuses to tolerate unsafe and substandard care.

iv) Puts clinicians in the driving seat and sets hospitals and providers free to innovate, with stronger incentives to adopt best practice.

v) Is more transparent, with clearer accountabilities for quality and results.

vi) Is more efficient and dynamic, with a radically smaller national, regional and local bureaucracy.

vii) Gives citizens a greater say in how the NHS is run.

Conference particularly welcomes the proposals to introduce real democratic legitimacy and local accountability into the NHS for the first time in almost forty years by:

a) Extending the powers of local authorities to enable effective scrutiny of any provider of any taxpayer funded health services.

b) Giving local authorities the role of leading on improving the strategic coordination of commissioning across the NHS, social care, and related childrens’ and public health services through councillor led Health and Wellbeing Boards.

c) Creating Health Watch to act as a local consumer champion for patients and to ensure that local patients are heard on a national level.

d) Returning public health duty to local government by ensuring that the majority of public health services will now be commissioned by Local Authorities from their ring-fenced public health budget.

Conference recognises however that all of the above policies and aspirations can be achieved without adopting the damaging and unjustified market-based approach that is proposed.

Conference regrets that some of the proposed reforms have never been Liberal Democrat policy, did not feature in our manifesto or in the agreed Coalition Programme, which instead called for an end to large-scale top-down reorganisations.

Conference therefore calls on Liberal Democrats in Parliament to amend the Health Bill to provide for:

I) More democratically accountable commissioning.

II) A much greater degree of co-terminously between local authorities and commissioning areas.

III) No decision about the spending of NHS funds to be made in private and without proper consultation, as can take place by the proposed GP consortia.

IV) The complete ruling out of any competition based on price to prevent loss-leading corporate providers under-cutting NHS tariffs, and to ensure that healthcare providers ‘compete’ on quality of care.

V) New private providers to be allowed only where there is no risk of ‘cherry picking’ which would destabilise or undermine the existing NHS service relied upon for emergencies and complex cases, and where the needs of equity, research and training are met.

VI) NHS commissioning being retained as a public function in full compliance with the Human Rights Act and Freedom of Information laws, using the skills and experience of existing NHS staff rather than the sub-contracting of commissioning to private companies.

VII) The continued separation of the commissioning and provision of services to prevent conflicts of interests.

VIII) An NHS, responsive to patients’ needs, based on co-operation rather than competition, and which promotes quality and equity not the market.

Conferences calls:

1. On the Government to uphold the NHS Constitution and publish an audit of how well organisations are living by its letter and spirit.

2. On Liberal Democrats in local government to establish local Health and Wellbeing Boards and make progress developing the new collaborative ways of working necessary to provide joined up services that are personalised and local.

3. The government to seize fully the opportunity to reverse the scandalous lack of accountability of publicly-funded local health services which has grown up under decades of Conservative and Labour governments, by:

a) Ensuring full scrutiny, including the power to require attendance, by elected local authorities of all organisations in the local health economy funded by public money, including Foundation Trusts and any external support for commissioning consortia; ensuring that all such organisations are subject to Freedom of Information requirements.

b) Ensuring Health and Wellbeing Boards (HWBs) are a strong voice for accountable local people in setting the strategic direction for and co-ordinating provision of health and social care services locally by containing substantial representation from elected local councillors; and by requiring GP Commissioning Boards to construct their Annual Plans in conjunction with the HWBs; to monitor their implementation at meetings with the HWBs not less than once each quarter; and to review the implementation of the Annual Plan with the HWBs at the end of the year prior to the construction of the Annual Plan for the forthcoming year.

c) Ensuring commissioning of health services has some degree of accountability by requiring about half of the members of the board of commissioning consortia, alongside GPs, to be local councillors appointed as non-executive directors.

d) Offering additional freedoms only to Foundation Trusts that successfully engage substantial proportions of their local populations as active members.

Applicability: England.

Clegg is directed by his party conference to oppose the NHS bill. Liberal-Democrat MPs are also directed by this motion. For further discussion of this motion and the Liberal-Democrat position see

Making sense of the ‘pause’ in Lansley’s Health Bill | Red Pepper

Nick Clegg has said he will not support privatisation of the NHS but he has repeatedly shown himself ready to sacrifice popularity with his supporters for the sake of his wider political ambitions, and Cameron and Lansley maintain that the Bill is not about privatisation, leaving Clegg plenty of room for fudge. The political calculation that he and Lib Dem MPs have to make in deciding whether to let Lansley get away with a fudge is going to be complicated. A key dimension will be how far they think the electorate will forget and forgive them if they allow the NHS to be eviscerated for the sake of their other goals.

Thirdly, Clegg still either doesn’t understand the effects of the bill to destroy the NHS or he supports it. He’s failing to comply with his conference’s directions by proposing only the slightest changes. The bill abolishes the requirement on the Secretary of State for Health to provide a health service. A comprehensive, national health service free at the point of use is to be abolished. Privatisation is what the bill is all about so that patients will have to pay for services no longer provided by the health service and private providers are given hugely preferrential terms to cherry-pick what services are provided.

Just as Clegg and the Liberal-Democrats have been blamed for tuition fees and V.A.T. they will be blamed for destroying the N.H.S. This bill should be opposed in its entirety.

Here’s another opportunity for the Liberal-Democrats to be accused of enabling unpopular Conservative policies. Thousands to march through London in protest over cuts to disability benefits | Society | The Guardian

Conservative election poster 2010

A few recent news articles concerning the UK’s Conservative and Liberal-Democrat coalition government – the ConDem’s – brutal attack on the National Health Service.

David Cameron sends his own spin doctors to help Lansley with NHS reforms – Telegraph

The crisis over NHS changes has already forced David Cameron to “pause” the reforms.

Now the Prime Minister has agreed that a civil service press adviser and his closest health special adviser will transfer from No10 to the Department of Health from Monday.

Much of the criticism of the health reforms from within the Coalition has concentrated on Mr Lansley’s inability to “sell” the reorganisation of services that includes the handing over of £80 billion to GP to provide services directly, stripping out Primary Care Trusts.

Clegg threatens to veto NHS reforms in bid to reassert himself – UK Politics, UK – The Independent

Nick Clegg threatened to veto the Government’s controversial health reforms yesterday as he warned David Cameron that the Liberal Democrats would adopt a more independent stance inside the Coalition.

After a drubbing in last Thursday’s elections and the referendum on the voting system, Mr Clegg bowed to pressure from his party to reassert its separate identity from the Conservatives. The move also reflects the anger in Liberal Democrat circles that Mr Cameron allowed the No camp in the referendum battle to launch personal attacks on Mr Clegg for “broken promises” such as the rises in VAT and university tuition fees, which are government policies.

Lansley health reforms may wreck NHS, doctors warn David Cameron | Society | The Guardian

The leaders of Britain’s 42,000 family doctors are warning David Cameron to radically overhaul the government’s unpopular health plans or risk them wrecking the NHS.

The Royal College of General Practitioners has written to the prime minister demanding major changes are made to the health and social care bill. It is undergoing a two-month “pause” while Cameron, his deputy, Nick Clegg, health secretary Andrew Lansley and a panel of health experts undertake a listening exercise designed to improve Lansley’s plans, which have drawn much criticism.

In a strongly worded submission – the first by a major health organisation during the renewed consultation – the college urges Cameron to remove or substantially amend many of the bill’s central proposals to radically reorganise the health service in England.

Without a major rethink, the NHS will cease to be a truly national service, postcode lotteries in care will be exacerbated and foreign firms will use EU competition laws to take control of hospitals and doctors’ surgeries, it says.

Calls for central funding of research | GP online

University of Cambridge academic and GP Dr Jonathan Graffy warned that ‘responsibility for research will fall to GP consortia’ after the government’s NHS reforms.

In an editorial in the British Journal of General Practice, Dr Graffy, senior clinical research associate in the department of public health and primary care at the University of Cambridge, said the NHS Commissioning Board would be responsible for promoting research nationally.

But it seemed likely that ‘GP consortia will need to review studies planned in their area, not least because of the impact of research on services they commission’, he said.

‘Commissioners who grasp the opportunity to collaborate with researchers in developing and testing their services will attract the best staff and bring new resources and insights to their work,’ Dr Graffy added.

GPC negotiator Dr Beth McCarron-Nash said that research should be funded centrally, especially during at time of economic crisis. She warned that failure to secure investment could put the NHS at risk. ‘Medical research is vital to remain at the forefront of best practice,’ she said.

 

27/11/13 Having received a takedown notice from the Independent newspaper for a different posting, I have reviewed this article which links to an article at the Independent’s website in order to attempt to ensure conformance with copyright laws.

I consider this posting to comply with copyright laws since
a. Only a small portion of the original article has been quoted satisfying the fair use criteria, and / or
b. This posting satisfies the requirements of a derivative work.

Please be assured that this blog is a non-commercial blog (weblog) which does not feature advertising and has not ever produced any income.

dizzy

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There seeems to be very little NHS news today. The news is instead dominated by the results of yesterday’s local and devolved assemblies elections and the vote on adopting the alternative vote voting system. I can’t say that I’m not pleased that the Liberal-Democrats did very poorly.

Conservative election poster 2010

A few recent news articles concerning the UK’s Conservative and Liberal-Democrat coalition government – the ConDem’s – brutal attack on the National Health Service.

Four in ten people cannot afford the dentist – Telegraph

Increased NHS charges and the rising cost of living have forced almost 40pc of people to skip routine visits to the dentist, according to new research.

Higher dental costs have meant that one in five people now pay for this treatment on credit card, potentially incurring interest charges – according to research from insurers Simplyhealth.

But avoiding check ups can prove to be a false economy. The British Dental Association (BDA) said those who cancel appointments and defer treatments often wind up needing emergency treatment which can result in bigger bill – particularly as they may then end up paying for private treatment.

The “free” NHS does not extend to dental charges. In England most adults can expect to pay up to £17 for treatments such as scaling and polishing; £47 for procedures such as fillings or extractions and £204 for crowns, bridges and dentures.

Those who don’t have access to an NHS dentist face even steeper charges, and with latest figures suggesting that one in seven NHS dentist’s lists is now closed to adults – and a further one in 10 refusing children – it is not hard to see why many people have little option but to pay expensive private dental fees.

Fat cats fail to convince over NHS / Britain / Home – Morning Star

Health activists accuse privateers of creating ‘PR puff’ over break-up

Campaigners accused private health companies today of creating “PR puff” to downplay plans to break up the NHS.

An alliance of five leading private health firms dubbed H5 accused unions of “scaremongering” over the shake-up of the NHS under the Health and Social Care Bill, which they stand to rake in massive profits from.

H5 chief executive Matt James said: “Unions have whipped up accusations of privatisation but that is not going to happen. I cannot see the amount of NHS work the private sector does increasing by that much.”

But he neglected to mention the full scale of increasing privatisation in the NHS already taking place, with Cambridgeshire’s Hinchingbrooke Hospital being the first NHS hospital set to be run by a private health firm, Circle.

The future of St Helens and Knowsley NHS Trust in Liverpool was also questioned after Health Minister Simon Burns failed to confirm whether the hospital rejected a government-proposed option for it to be privately managed.

POORLY children in North East Lincolnshire will suffer the most if a heart surgery unit at Leeds Royal Infirmary is forced to close as part of an NHS review, according to health bosses.

POORLY children in North East Lincolnshire will suffer the most if a heart surgery unit at Leeds Royal Infirmary is forced to close as part of an NHS review, according to health bosses.

If the unit closes, children will be forced to travel to Newcastle for treatment – putting local youngsters at the biggest disadvantage because of poor transport links.

Council health bosses claim consultants at the hospital have said the distance children are forced to travel for treatment is crucial and lives could be lost of the closure goes ahead.

It comes as staff at the unit revealed that 11 per cent of all the patients they treat come from the DN postcode area – which covers Grimsby, Cleethorpes, Barton, Barrow, Scunthorpe, Gainsborough and Doncaster.

As reported, the unit is being threatened with closure because of controversial NHS reforms, which will see the number of specialist heart units for children cut from 11 to six or seven.

A petition set up to demonstrate support for the Leeds unit currently has 31,000 signatures.

 

27/11/13 Having received a takedown notice from the Independent newspaper for a different posting, I have reviewed this article which links to an article at the Independent’s website in order to attempt to ensure conformance with copyright laws.

I consider this posting to comply with copyright laws since
a. Only a small portion of the original article has been quoted satisfying the fair use criteria, and / or
b. This posting satisfies the requirements of a derivative work.

Please be assured that this blog is a non-commercial blog (weblog) which does not feature advertising and has not ever produced any income.

dizzy

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A report by the Public Accounts Committee has generated a lot of news. The report raises concerns that there is no healthcare provision in the case of (financial) failure, that ‘reforms’ risk demanded ‘savings’ (cuts) and that they risk patient care. The British Medical Association (BMA) comments on the report.

Conservative election poster 2010

A few recent news articles concerning the UK’s Conservative and Liberal-Democrat coalition government – the ConDem’s – brutal attack on the National Health Service.

GPs ‘may exploit health reforms to boost pay’ – Health News, Health & Families – The Independent

GPs may demand more money before they agree to participate in the Government’s health reforms, ministers have been warned.

Under plans to alter the way the NHS is run, family doctors, many of whom are already earning over £100,000 a year, will be required to form “consortiums” to commission care for their patients.

But ministers have yet to reach agreement with the doctors’ union, the British Medical Association, on making the necessary changes to GPs’ contracts to allow the reforms to go ahead. NHS employers have warned this could cost the Government millions of pounds more in unbudgeted costs.

The last time the government renegotiated the GP contract in 2004, it cost £1.76 billion more than was predicted in its first three years while GP productivity fell. “The last time the government negotiated with the GPs it was quite a horrendous exercise,” said David Stout, deputy chief executive of the NHS Confederation.

“What you have to remember is the GPs are very good at negotiation and the Government’s problem is this: the legislation says that all GPs have to be in these new GP consortiums – but it is not in their contracts. Either the Government chooses to impose this on them or they have to renegotiate and that could be very tricky.”

Fears for NHS services if providers go bust | Society | The Guardian

MPs are demanding that the government urgently put in place plans to ensure vital health services continue if a hospital or other provider goes bust under its NHS reforms.

In a report published on Wednesday, the public accounts committee says the proposals for the NHS do not include details of what will happen if providers fail in the new market model of healthcare provision.

Members of the committee dismissed claims by the most senior civil servant in the Department of Health, Una O’Brien, that the government was “not planning for failure”, and condemned the lack of contingency planning, suggesting that the proposals now pose an intolerable risk to value for money and quality of services.

Richard Bacon, the Conservative MP for South Norfolk, said: “In any organisation as large and complex as the NHS, things can and do go wrong, and the Department of Health has yet to establish a robust framework for dealing with failure in the system. The department must not only understand the danger of either a provider or a commissioner going ‘belly up’, but also toughen up its contingency plans, drawing upon strong, effective and clear chains of governance and accountability throughout the new NHS model.”

NHS Restucturing At Time Of Financial Crisis Is Risky – British Medical Association Comment On PAC Report

In a report published on today, the Committee of Public Accounts has warned that the reorganisation of the NHS in England could “make the challenge of achieving savings for reinvestment even tougher.”

Commenting on the report, Dr Hamish Meldrum, Chairman of Council at the BMA, said:

“Having already been set the massive challenge of cutting costs by £20 billion, the NHS in England is now facing the most fundamental reorganisation in its history. The Public Accounts Committee is right to highlight the risks posed by such a massive restructuring at a time of financial crisis.

“However, it is not just the timing, but also the direction of travel of these reforms that will cause problems. We share the concerns of the PAC that the consequences of increasing competition in the NHS have not been fully addressed. ‘Market failures’ in healthcare have far more serious consequences than in other industries – and may have little connection with quality of care, or even patient demand.”

BBC News – ‘Radical’ NHS shake-up may jeopardise patient care

The planned shake-up of the NHS in England that will put GPs in charge of buying in services could risk patient care, warns a group of influential MPs.

The Public Accounts Committee says pushing through the changes while seeking £20bn in efficiency savings may damage front-line services.

The concerns follow those of others, including Deputy Prime Minister Nick Clegg’s close adviser Norman Lamb.

BBC News – Berkshire mental health beds move to be investigated

A council is to investigate a provisional decision by the NHS to leave east Berkshire without mental health in-patient services.

It would mean patients from Slough and Maidenhead having to travel up to 20 miles for beds at Reading’s purpose-built Prospect Park Hospital.

Three ideas were consulted on but the NHS trust said a plan to build a new facility in Slough was too expensive.

Slough council has set up a working group to look into the decision.

Berkshire Healthcare NHS Foundation Trust, which is trying to save £12m over the next three years, said it was working on a plan to put aside £100,000 a year for travel costs.

Permanent Revolution – MARCH TO SAVE THE NHS

Kill Lansley’s Bill

OUR HEALTH SERVICE NOT FOR SALE

Tuesday 17 May

5.30pm Assemble UCH Gower St

6pm March to Whitehall

Andrew Lansley’s Health and Social Care Bill threatens to break up our health service and hand it to private healthcare companies.

The Bill would open up the entire health service to the private sector and as private companies calculate how much profit is to be made, 50000 NHS jobs are being cut and front line services are under threat.

The government has now been forced to retreat in the face of a huge groundswell of nationwide opposition. Cameron and Clegg had to intervene to “pause, listen, reflect and improve” the plans, but it is clear they only plan minor cosmetic changes.

We have to seize this opportunity to step up public opposition to demand the Bill is dropped and to force the government to really listen. Our NHS is precious and these plans will destroy it. We appeal to everyone to join us on 17 May and to speak out against these threats in what ever way they can.

 

27/11/13 Having received a takedown notice from the Independent newspaper for a different posting, I have reviewed this article which links to an article at the Independent’s website in order to attempt to ensure conformance with copyright laws.

I consider this posting to comply with copyright laws since
a. Only a small portion of the original article has been quoted satisfying the fair use criteria, and / or
b. This posting satisfies the requirements of a derivative work.

Please be assured that this blog is a non-commercial blog (weblog) which does not feature advertising and has not ever produced any income.

dizzy

Continue ReadingNHS news review

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NHS news: PM Cameron takes responsibility, unpersuasive claims that Clegg is demanding reforms and that “substantive” reforms will be made, a report on Dept of Health publishing misleading and biased figures to persuade of the need for reform, opposition to privatisation of the blood service and nurses are backing strikes over further errorsion of their wages. There is also a strange story about Lansley that I haven’t linked to. I can’t see the logic of the argument but the argument is

  1. Lansley suffered a stroke
  2. His wife – a trained medical practitioner demanded further tests
  3. As a result of the demanded further tests, it was recognised that Lansley had suffered a stroke
  4. [Here’s the really strange abandoning of logic] It was only because of the intervention of his wife that his stroke was recognised “My case illustrates a problem with the NHS. If you are articulate and know what you want you can argue your way through to it.”If you’re not, then you just get what you’re given.”so control of a large part of the NHS should be given over to GPs – the very people that did not identify the stroke without the insistence of the wife that further tests were needed?

Conservative election poster 2010

A few recent news articles concerning the UK’s Conservative and Liberal-Democrat coalition government – the ConDem’s – brutal attack on the National Health Service.

Nurses vote for strike ballot over pay freeze – Health News, Health & Families – The Independent

Nursing leaders dealt another blow to ministers yesterday by voting overwhelmingly to ballot for industrial action if the Government attempted to freeze their pay.

Delegates at the Royal College of Nursing (RCN) conference also voted massively in favour of a motion saying Health Secretary Andrew Lansley’s reforms of the NHS would not benefit patient care.

Health minister Anne Milton infuriated nurses earlier in the week when she said an offer was still on the table for no compulsory redundancies in return for nurses accepting a two-year pay freeze when they move up pay bands.

The proposal, made by NHS Employers last year, was rejected by all major health unions including Unison, the British Medical Association and the RCN.

The Operating Theatre Journal : Independent poll shows massive opposition to privatisation of the NHS blood service

Unite, Britain’s biggest union, will meet with Linda Hamlyn, chief executive, of the NHS Blood Service today (Friday 15 April), as the union releases an independent poll of 18,000 people showing that 74 per cent oppose the privatisation of any part of the blood service.

Unite will tell Linda Hamlyn that: “Whether it is the frontline or the back office, privatisation of any part of the blood service contaminates the whole of the blood service.”

The union will demand that the chief executive gives a ‘copper bottomed’ guarantee that there will be no further privatisation of the service. The poll also showed that 70 per cent of those who opposed privatisation had either given blood or had considered giving blood.

The Department of Health is currently leading a review into ways the NHS Blood Service could cut costs. As part of the review the DoH are talking to private providers. Unite has repeatedly asked for clarity on the future of the blood service, but both the National Blood Service and the Department of Health have failed to rule-out privatisation of parts of the blood service despite massive public opposition.

NHS leaflet mixes past and present | Ben Goldacre | Comment is free | The Guardian

HM Government has issued a new leaflet to justify its NHS reforms: Working Together for a Stronger NHS. It was produced by No 10, appears on the Department of Health website, and many of the figures it contains are misleading, out of date or flatly incorrect.

It begins, like much pseudoscience, with uncontroversial truths: the number of people over 85 will double, and the cost of drugs is rising.

Then the trouble starts. In large letters, alone on one entire page, you see: “If the NHS was performing at truly world-class levels we would save an extra 5,000 lives from cancer every year.” The reference for this is a paper in the British Journal of Cancer called “What if cancer survival in Britain were the same as in Europe: how many deaths are avoidable?”

This study does not aim to predict the future: in fact, it looks at data from 1985 to 1999 (seriously), which is a very long time ago. It finds that if we’d had the mean EU cancer survival rates in the 80s and 90s, we’d have had 7,000 fewer deaths then. Not 5,000 fewer. And to put the big number in context, by this study’s calculation 6%-7% of UK cancer deaths were avoidable in the 1990s. Since then, we’ve seen the massive 2000 NHS Cancer Plan, a new decade and a new century. This paper says nothing about the number of lives we “would save” now, and citing it in that context is bizarre.

BBC News – NHS bill to ‘substantively’ change, says Oliver Letwin

“Substantive” changes are to be made to the controversial NHS bill which is going through parliament, Cabinet Office minister Oliver Letwin says.

The amendments would be a result of discussions being held as part of the consultation, the Conservative MP said.

The government recently announced that ministers would take a “pause” to allow further talks to take place.

Labour wants the plans for the NHS in England, which encourage more private sector competition, to be scrapped.

Clegg to Lansley: Change NHS reforms or lose our support – Health News, Health & Families – The Independent

Nick Clegg issued a stark warning yesterday that the Liberal Democrats will not back Andrew Lansley’s controversial health shake-up without “substantial changes” to stamp out the threat of NHS privatisation.

In the clearest sign yet of a major coalition schism over the reforms, Mr Clegg set out five key demands which he insists are “non-negotiable”. They include blocking attempts by big business to “cherry-pick” services, giving doctors and nurses a greater say in contracting care, and delaying the handover of £60bn of health spending to groups of GPs beyond the planned 2013 deadline.

With the Lib Dems’ poll ratings dropping three points to 10 per cent in the latest Independent on Sunday/ComRes survey, Mr Clegg needs to prove his party is able to influence coalition policy ahead of elections on 5 May. The poll also reveals 41 per cent of people believe the Lib Dems should leave the coalition if they fail to secure changes on the health reforms.

The Deputy Prime Minister wrote to all 56 Lib Dem MPs in an attempt to counter claims that the Government’s decision to “pause” the progress of the Health and Social Care Bill was simply a PR stunt.

BBC News – NHS shake-up: I take responsibility, says David Cameron

Prime Minister David Cameron has said he takes “absolute responsibility” for a shake-up of the NHS in England.

He said Health Secretary Andrew Lansley was doing “an excellent job” but the government was considering “real changes” to the plans.

Last week a nurses’ union delivered an overwhelming vote of no confidence in Mr Lansley’s management of the plans.

Dr Grumble: The Plot Against the NHS

The plot against the NHS
The plot against the NHS

If you detected an element of despair in Dr Grumble’s last post you would be right. Dr Grumble has just read The Plot Against the NHS. To be frank the picture on the cover says it all.

For years now poor old Grumble has been banging on about what he has seen being planned for the NHS. For years he has been incredulous at the disparity between the official position on the health service and what is clearly the intended direction of a multitude of policy documents that have emerged from our political masters. For years he has been wrestling to understand the real meanings of deliberately vague words such as contestability and plurality.

Grumble likes evidence. When data are massaged and the whole truth is kept secret, you do begin to wonder if perhaps you have misunderstood or are a victim of a pathological obsession. Can it really be that successive governments have deliberately kept their intentions for the health service a tight secret? Can it really be that the staff in the Department of Health no longer have the ethos of traditional British civil servants and do not ensure that the public know what is going on? Can it really be that we have a government that promises no top-down reorganisation of the NHS but is actually hell-bent on privatisation of our NHS?

 

27/11/13 Having received a takedown notice from the Independent newspaper for a different posting, I have reviewed this article which links to an article at the Independent’s website in order to attempt to ensure conformance with copyright laws.

I consider this posting to comply with copyright laws since
a. Only a small portion of the original article has been quoted satisfying the fair use criteria, and / or
b. This posting satisfies the requirements of a derivative work.

Please be assured that this blog is a non-commercial blog (weblog) which does not feature advertising and has not ever produced any income.

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The Royal College of Nursing (RCN) has voted overwhelmingly that they have no confidence in Health Secretary Andrew Lansley’s proposed ‘reforms’ of the National Health Service.

Leader of the Opposition and Labour Party leader Ed Miliband has made a speech calling for the bill to destroy the NHS to be abandoned.

Conservative election poster 2010

A few recent news articles concerning the UK’s Conservative and Liberal-Democrat coalition government – the ConDem’s – brutal attack on the National Health Service.

Nurses ‘no confidence’ in Andrew Lansley – Health News, Health & Families – The Independent

Nurses today voted overwhelmingly in favour of a motion of “no confidence” in the Health Secretary Andrew Lansley and his management of NHS reforms.

Delegates at the Royal College of Nursing conference in Liverpool voted 99 per cent in favour of the motion, to 1 per cent against.

The RCN’s leadership had attempted to amend the motion to delay any no confidence vote until after the conclusion of the Government’s listening exercise.

But amid angry and passionate scenes on the conference floor the amendment was dropped when nurse after nurse took to the stage to condemn the Government.

Royal College of Nursing passes vote of no confidence in Andrew Lansley | Society | guardian.co.uk

Conference delegates vote 99% in favour of motion as health secretary struggles to persuade public of merits of NHS reforms

The Royal College of Nursing has overwhelmingly backed a motion of no confidence in Andrew Lansley’s handling of the NHS reforms.

Delegates at the RCN conference in Liverpool voted 99% in favour of the motion as the beleaguered health secretary struggles to persuade the public of the merits of his health reforms.

Nurses are angry that Lansley refused to deliver a keynote speech to the conference, opting instead to meet a group of around 60 nurses in Liverpool as part of the government’s “listening exercise” on the controversial reforms.

NHS reforms: Miliband urges government to scrap health bill | Society | guardian.co.uk

The Labour leader, Ed Miliband, has urged the government to “junk” its health bill, identifying five “largely concealed aspects” of the proposed reforms which he said undermined NHS principles.

“The answer to a bad bill is not to slow it down but it is to junk it,” Miliband said at a press conference on the NHS.

“He appears to believe that people don’t like his bill because his government haven’t explained it properly.

“But the opposite is true. The more people understand and hear about these proposals, the less they like them. It’s not a problem of public relations, it’s a problem of principle.

“The bill is actually a pandora’s box. The more people look at the detail, the more profound and worrying the implication appear to be for the NHS.

 

27/11/13 Having received a takedown notice from the Independent newspaper for a different posting, I have reviewed this article which links to an article at the Independent’s website in order to attempt to ensure conformance with copyright laws.

I consider this posting to comply with copyright laws since
a. Only a small portion of the original article has been quoted satisfying the fair use criteria, and / or
b. This posting satisfies the requirements of a derivative work.

Please be assured that this blog is a non-commercial blog (weblog) which does not feature advertising and has not ever produced any income.

dizzy

Continue ReadingNHS news review