NHS news review

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.

Urgent warning on nursing shortage / Britain / Home – Morning Star

The NHS could be short of 100,000 nurses in the next 10 years as the government drives through damaging cuts and reforms, worrying statistics revealed today.

In the worst case scenario 28 per cent of nurses might be cut from the current workforce of just more than 352,000, the independent study commissioned by the Royal College of Nursing shows.

The research carried out at Edinburgh’s Queen Margaret University examined eight possible sequences of events taking into account training places for nurses and midwives, rates of retirement and overseas recruitment.

RCN warned that the results show how small policy changes can have a large long-term effect on staff numbers.

The nursing union’s chief executive and general secretary Dr Peter Carter said: “This report highlights what the truly shocking scale of losses could be to the nursing workforce in England over the next 10 years.

“A loss of more than a quarter of the nursing workforce would be hugely damaging to patient care. The nursing workforce has grown in recent years, but only just enough to keep up with rising demands on healthcare.

Hackney consultant joins protest against NHS changes | Hackney Citizen

A human chain thrown around the Homerton Hospital included some of Hackney’s most senior NHS staff who joined patients and others to protest at radical plans to overhaul the health service

Heavy rain did nothing to dampen the spirits of NHS staff and others who gathered outside Homerton Hospital to voice their opposition to the government’s proposed healthcare reforms as part of the Hands around the Homerton event on July 16.

As the 50-strong group, including a GP and a hospital consultant, congregated on a small piece of parkland next to the hospital, they were roused by a band who played some upbeat numbers. Persevering through the driving rain the protestors marched in single file over to the main hospital building and gathered on the forecourt. They were soon asked to move by one of the nurses from the hospital and readily complied.

Alongside local residents there were a significant number of Homerton Hospital staff, who are concerned about how the reforms could impede their ability to provide quality care for their patients.

Jonathon Tomlinson, a local GP at the Lawson practice in Hoxton said: “The healthcare proposals would be an absolute disaster for the NHS. Personally, I will probably be fine but I’m more concerned about what it means for my patients. There’ll be a conflict of interest because GPs will have to buy in services for their patients, so the focus won’t be on quality of care, but on cost.”

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NHS news review

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.

NHS hospital wins right to challenge closure of children’s heart surgery unit | Society | The Guardian

The Royal Brompton hospital in London has won permission for a judicial review of what it argues are “fundamentally flawed” NHS plans that threaten to close its children’s heart surgery unit.

The hospital stands to lose its unit under proposals to reduce the numbers of hospitals carrying out children’s heart surgery from 11 to six or seven. Experts agree that children will be safer if heart surgery is concentrated in fewer, larger units where surgeons are more experienced.

But the proposals put forward by the “Safe and Sustainable” NHS review, run by a joint committee representing all primary care trusts, have outraged the Royal Brompton, which is one of three hospitals in London undertaking this very specialised surgery and the only one earmarked for closure in the capital. Their services would be merged into those of Great Ormond Street and the Evelina children’s hospital.

The Royal Brompton and Harefield NHS Foundation Trust has now been granted permission to proceed to a full judicial review later this year by Mr Justice Burnett at the high court. It argues that the process leading to the public consultation (which has just ended) on a number of different closure options was fundamentally flawed.

Battle over fate of struggling NHS services – UK Politics, UK – The Independent

The battle over the future of Britain’s hospitals intensified this week as leaked government plans suggested it could become more difficult to close failing services and institutions – something that NHS managers say is essential in order to save the rest.

At least 50 NHS trusts are in severe financial difficulty as a result of the unprecedented squeeze on NHS finances as managers struggle to find £20 billion savings by 2014.

In addition, doctors’ leaders say medical expertise is spread too thinly across the country and must be concentrated in fewer specialist centres to ensure the delivery of safe, high-quality care. This week the Royal College of Obstetricians and Gynaecologists said consultant-led maternity units should be reduced in number and increased in size. But ministers have balked at the challenge of closing local hospitals and units to save cash and improve care because they fear political unpopularity.

NHS ‘golden goodbyes’ exceeding £100,000 – Telegraph

Some managers at primary care trusts (PCTs) are being given payouts of more than a year’s salary, resulting in the six-figure handouts.

At NHS Leeds, one was handed £117,485. At NHS Blackburn with Darwen Care Plus Trust, two have been made redundant since April 2010 on average payouts of £117,284.

And in a third trust, NHS Greenwich in London, 12 employees were given redundancy packages worth on average £83,848.

The figures come from Freedom of Information requests made by the Health Services Journal to all of England’s PCTs, of which just over a third (57) responded.

Health Bill In Commons First Week After Recess

PRESS ASSOCIATION — Controversial plans to radically shake up the NHS will return to Parliament in the first week after the summer recess.

The Health and Social Care Bill, which was sent back to a committee of MPs after an outcry over its original contents, will complete its journey through the Commons in September.

MPs will spend two days in September re-examining the legislation in the Commons chamber.

Shadow Commons leader Hilary Benn called for more time to scrutinise the Bill, which he said was far longer than the legislation which originally set up the NHS.

He said allocating two days for report stage and third reading on September 6 and 7 was “inadequate”.

Mr Benn said: “The Health and Social Care Bill is three times longer than the 1946 Act setting up the NHS and has now been in committee twice.

“But second time around only 64 of the Bill’s 299 clauses were looked at again.”

RCN warns of nursing workforce crisis – RCN

The Royal College of Nursing has warned that the NHS in England could lose nearly 100,000 nurses over the next 10 years, with potentially disastrous consequences for patient care.

An independent report commissioned by the RCN has examined eight possible scenarios for the number of NHS nurses in England during the next decade, taking into account training places for nurses and midwives, rates of retirement and overseas recruitment. It found that in the worst case scenario, 28 per cent of the nursing workforce (99,000 out of a current workforce of 352,104 registered nurses) could be lost during the next 10 years.

The research, led by Professor James Buchan from Queen Margaret University, highlights the vulnerability of NHS nurse staffing numbers to policy changes, for example, the reduction in the number of nurse training places and the possibility of many nurses taking early retirement due to changes to their pension.

The RCN is calling for the Department of Health to set out a clear strategy for the NHS workforce over the next 10 years and for a renewed emphasis on staffing levels. Through its Frontline First campaign, the RCN has already identified almost 40,000 posts that are earmarked to be lost over the next three years across the NHS in the UK.

Related: Fears over ‘28% drop’ in NHS nursing jobs over next ten years | Metro.co.uk Around 100,000 nursing jobs could disappear from NHS in next decade, report warns – mirror.co.uk

 

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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NHS news review – Colin Leys

Healthy alternatives | Red Pepper

Colin Leys looks at how Scotland and Wales have rejected marketising the NHS

As expert commentators have amply shown, the coalition’s plan to privatise the NHS lacks any basis in evidence – no surprise there. What is less well recognised, and so far amazingly unmentioned in the debate, is that powerful evidence against privatisation exists on our own doorstep – namely, the fact that in Scotland and Wales the NHS is working well as a publicly provided and managed system, based on planning and democratic accountability.

Marketisation was tried, especially in Scotland, and rejected. The purchaser-provider split, which is at the root of the marketisation project, was introduced but then abandoned in both nations, and neither foundation trusts nor payment by results were introduced in either of them. PFI was used in Scotland under the first Labour government in Holyrood, and one private treatment centre for NHS patients was opened, but the SNP has since scrapped the use of PFI and taken the treatment centre into public ownership. Wales has used neither PFI nor private treatment centres. The NHS in both countries is once again planned and managed through a mix of democratically accountable central and local structures, as it was in England before the 1990s.

We have an excerpt of The Plot Against the NHS reviewing Scotland and Wales’ approaches.

Selected excerpts from ‘The Plot Against the NHS’ by Colin Leys and Stewart Player. Chapter One is available here. I highly recommend this book available from Merlin Press for £10.

The Plot Against the NHS #1

The Plot Against the NHS #2

 

Continue ReadingNHS news review – Colin Leys

NHS news review

Waiting times rise.

Sir Richard Thompson, president of the Royal College of Physicians says that the National Health Service is “creaking at the seams. Our members are finding it difficult to cope.”

Blindness fears for diabetics as a drug is refused on the NHS.

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.

More patients waiting too long for NHS treatment | Society | guardian.co.uk

Number of cases missing waiting time target of 18 weeks since GP referral soars by a third

The number of patients not being treated within recommended NHS waiting times has soared by a third since the coalition came to power, new official figures revealed.

A total of 27,834 patients in England who received inpatient treatment in May 2011 had waited more than 18 weeks for it since being referred by their GP, compared to 20,504 in May 2010 – a year-on-year rise of 33.5%.

That is higher than the year-on-year rise between April 2010 and April 2011, when it was 24%.

The Department of Health (DH) admitted that while 1.8% of outpatients in May 2010 were not treated within 18 weeks, that had risen to 2.3% in May 2011. Similarly, the proportion of inpatients who had to wait longer than expected to undergo surgery or some other treatment also rose over the same period, from 7.1% to 9.2%.

The deterioration in this measure of NHS performance casts further doubt on David Cameron’s repeated pledges to keep NHS waiting times low, especially the 18-week Referral To Treatment (RTT) target. He last month made that one of his five personal pledges to voters on the NHS.

BBC News – Waits rise ‘leaves NHS struggling to cope’


Sir Richard Thompson, president of the Royal College of Physicians, said: “The apparent rise in waiting lists is both worrying for patients and evidence of an underlying cause – the increasing pressures on the NHS in general.

“The NHS is now creaking at the seams. Our members are finding it difficult to cope.”

And shadow health secretary John Healey added: “The NHS is starting to go backwards again under the Tories.”

But Health Secretary Andrew Lansley said waiting times were a priority for the government and still remained “low and stable”. [?]

Related Rise in long waits for treatment shows you can’t trust Cameron to keep NHS promises – Healey | The Labour Party NHS figures show system is ailing under pressure of cuts, warns chief medic – Health News, Health & Families – The Independent NHS ‘creaking at the seams’ as waiting lists rise – Telegraph RCP President: NHS creaking at the seams | Royal College of Physicians

Blindness fear as diabetics denied drug by NHS rationing watchdog | Mail Online

Hundreds of diabetes patients could lose their sight after the NHS rationing watchdog said it was too expensive to give them a treatment for an eye condition from which many suffer.

The National Institute for Health and Clinical Excellence acknowledged that the drug Lucentis was effective in treating diabetic macular oedema, which affects 50,000 Britons.

But in final draft guidance on the drug yesterday, it refused to make Lucentis available on the NHS, saying it was not ‘cost-effective’ compared with laser treatment.

Diabetes UK said Lucentis was the first licensed treatment to improve vision – and therefore quality of life – in those with sight loss due to DMO. It was also more effective than the laser treatment favoured by Nice.

‘This decision means more people will needlessly lose their sight,’ said a spokesman. ‘We pressed hard to make this treatment available on the NHS and we will campaign for Nice to reconsider its decision.

Related Charity fears more blindness after NHS drug ban – Main Section – Yorkshire Post

 

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

NHS news review

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.

Private medical insurance news: Increased need for private care and insurance

Commenting on the NHS Confederation’s survey findings that 53% of NHS leaders felt NHS availability of care and waiting times will worsen, Debbie Kleiner-Gaines of the Association of Medical Insurance Intermediaries says, “This will be a very worrying concern impacting a lot of people who may now find it necessary to consider having access to the private sector and possibly insurance to fund it. At least then they can be confident speedy treatment will be available if they need it.”

Lansley’s defence of management cuts is disingenuous and dangerous | Leader | Health Service Journal

“I try to avoid saying things that are capable of misinterpretation,” Andrew Lansley told HSJ last week.

Readers will judge for themselves whether the health secretary has been successful in achieving that goal during his first year in office.

Mr Lansley was talking about hospital reconfiguration – but he made much the same point when pressed during his NHS Confederation conference speech on why he had not spoken up more for NHS managers.

As soon as the question was asked, the health secretary adopted his now familiar tone of barely restrained frustration: hadn’t he always attacked “bureaucracy” and not “managers”? Hadn’t he always praised the importance of good “management”?

He was not responsible “for what the Daily Mail writes”.

This is disingenuous rubbish. Mr Lansley – in common with many politicians – is rarely unhappy when talk of “too much bureaucracy” is translated into “too many managers”. Praise for those in management roles is saved for speeches aimed at NHS leadership which are unlikely to get wider coverage elsewhere.

 

 

 

 

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