NHS news review

Dr. Grumble responds to Health Secretary Andrew Lansley’s article.

GPs abandon UK as a response to ‘health reforms’.

Cuts.

Fears that GPs do not have the expertise to commission for particular needs.

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.

Dr Grumble: Just how much can you get from a pint pot?

Never in the history of the NHS has a parliamentary Bill met with the level of opposition that has met the Lansley Health and Social Care Bill. What Lansley lacks in drafting skills he makes up for with tenacity and nobody would be surprised to learn that he is now fighting a rearguard action to drive through the changes he and his henchman have decided are necessary. Now you might think that Grumble is a bit antagonistic towards Mr Lansley. And you would be right. But Grumble is a fair man and he likes to look at the evidence and, if there is no evidence, the arguments. So it was with interest that Grumble read Lansley’s recent article in the Telegraph. Unsurprisingly there is quite a lot wrong with it.

Now if Grumble were to write an article on the NHS he would start with a little homily about the wonders of the health service. It is the obvious way to start but we don’t get this from the Secretary of State. Oh no. Quite the opposite. He sees the NHS not as something to be valued and cherished but a burdensome yoke. Keeping it going as it is will inevtiably lead to a ‘crisis tomorrow’. What is his evidence? It is that there are ‘enormous financial pressures looming on the horizon’. You have heard it all before. This is the ‘something must be done’ argument which politicians use to justify almost anything that they want to change – especially when they have no better argument for change.

Hospital trust to axe 300 posts – Health – Peterborough Evening Telegraph

Wednesday, 12.15pm: Around 300 posts are to be axed across Peterborough and Stamford Hospitals NHS Foundation Trust, which runs the new £289 million Peterborough City Hospital.

As revealed by the Evening Telegraph earlier today (1 June), the trust’s board spent yesterday afternoon locked in talks to decide how to find £38 million worth of savings in its 2011/12 budget.

Trust chairman Nigel Hards suggested that jobs could be lost, but only today has the scale of the losses been announced.

Pulse – GPs heading overseas up a fifth as partners flee pay cuts

Exclusive: The Government’s plans for GP commissioning, threats to the NHS pension and successive falls in partners’ take-home pay have led to a sharp spike in the number of GPs leaving the UK to work overseas, according to recruitment agencies.

The medical recruitment company Austmedics told Pulse it has seen a rise of up to 40% in enquiries about jobs in Australia over the past year – with the number of GPs actually signing contracts up by a fifth.

It cited the NHS reforms and successive GP pay freezes as key factors in the increase, with salaried GPs in Australia able to earn anything from £80,000 to £190,000 – and pay an effective tax rate of just 15%.

The new figures come after a Pulse investigation last year revealed a surge in the number of foreign vacancies being advertised, with almost one in seven job listings now for a job abroad.

Guy Hazel, managing director of Austmedics, reported a ‘very significant rise’ in the number of GP partners leaving the UK. He is currently recruiting on behalf of 78 Australian practices, and has 36 GPs based in the UK who are in the process of signing contracts.

‘Usually we have salaried GPs and very few partners. However this year we have seen a large number of partners resigning and moving to Australia,’ he said.

‘GPs are considering going because of the relentless pace of change – the combination of commissioning and a general feeling that GPs are unappreciated.’

GP commissioning could risk more abuse scandals – 6/3/2011 – Community Care

GPs, who would take over commissioning healthcare for people with learning disabilities under the Health and Social Care Bill, may lack the expertise to do so, it has been claimed.

Earlier this week, BBC’s Panorama exposed a pattern of abuse at Winterbourne View, a private hospital in Bristol for people with learning disabilities, complex needs and challenging behaviour. The case has resulted in four arrests and the suspension of 13 staff.

“The issue for me is that all the people at Winterbourne were funded by primary care trusts,” said Denise Platt, former chair of the Commission for Social Care Inspection, the Care Quality Commission’s predecessor. “You have to ask the question, linked to the NHS reforms, if you have GPs purchasing this care, does it leave the way open to more Winterbournes?”

Keith Smith, chief executive of the British Institute of Learning Disabilities, did not believe that GPs had the specialist knowledge and expertise to commission services for people with learning disabilities and challenging behaviour.

“Getting the commissioning right from this small group of people is a very specialist requirement,” said Smith, whose organisation advises on supporting people with challenging behaviour.

“Within the context of budget cuts, we are losing commissioners with expertise in this area because they are being made redundant.”

 

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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 news is dominated by an article by Health Secretary Andrew Lansley in the Daily Telegraph.


He claims “The majority of the health budget will be controlled by those who are locally accountable, giving patients the power to scrutinise their local health services, their spending, their decisions and their performance.” which is strange since the Kings Fund submission to the ‘listening exercise’ said exactly the opposite – that there will be less accountability. The government appears to be in rapid rebuttal mode.

“We will never privatise our NHS. But if we choose to ignore the pressures on it. the health service will face a financial crisis within a matter of years that will threaten the very values we hold so dear – of a comprehensive health service, available to all, free at the point of use and based on need and not the ability to pay. I will not allow that to happen.”

The abolish the NHS bill is all about privatising the NHS. Private health care providers cartainly realise it

HealthInvestor: Top health CEOs reveal fears for short-term

The NHS reforms will lead to “short-term pain” but huge long-term opportunities for independent healthcare providers, according to a survey of 20 leading chief executives in the sector.

Consultants The Parthenon Group interviewed 20 CEOs from the UK’s biggest healthcare companies including Nuffield Health, Barchester, Four Seasons, BMI and HCA.

Around 8/10 of respondents remain positive about NHS reform in the long term, with the government’s Any Qualified Provider (AQP) policy still likely to open up much of the NHS market.

Alistair Stranack, partner at The Parthenon Group’s healthcare practice, said he expects around 50% of the NHS’s £120bn funding will be up for grabs via AQP when the reforms are finally passed.

But continued bias against the private sector and worsening bureaucracy means the value of contracts actually awarded to the sector is unlikely to rise above 5-10% over the next five years, he said.

One CEO, responding to the survey, said “the bureaucratic burdeon of AQP is likely to slow down private sector participation and may prove more cumbersome than existing systems of choice like Choose and Book.”

There would be “some hiatus in the short term” but there was “no doubt we will see growth in the longer term as new areas are opened up to AQP,” another company leader commented.

Speaking at a Parthenon event in London, Nick Bosanquet, health economist at Imperial College, predicted that the current crisis in the NHS’s finances would lead to up to 25% of all healthcare in the UK being self-funded or insurance-based by 2018.

NHS news review is very brief today due to network issues.

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NHS news review

The NHS listening exercise draws to a close. The BBC reports that “15,000 website responses and 720 letters” were recieved while 38Degrees report that their supporters sent 25,000 emails.

The submission by the King’s Fund claims that accountability will decrease under the proposed ‘reforms’, contrary to the aims of the coalition agreement.

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.


BBC News – NHS ‘listening exercise’ draws to close

Health officials say they have received around 15,000 website responses and 720 letters during their “listening exercise” on the NHS in England.

The Future Forum panel of health workers and patient groups is overseeing the exercise, which ends on Tuesday.

It is due to report its recommendations in mid June.

38 Degrees | Blog | NHS petition hand-in to the Department of Health

Yesterday marked the end of Andrew Lansley’s sham “listening exercise”.

Over the last few days over 25,000 38 Degrees members have emailed in their concerns to the “listening exercise”. Yesterday 38 Degrees members gave in our massive Save the NHS petition. Check out the photographers and film crews who were capturing the hand-in. The Department of Health even locked all the doors! A few members managed to hand over the petition, but it took a little while.

Planned GP consortia could lead to chaos – and top-down diktats – Health News, Health & Families – The Independent

The modernisation of the NHS is in danger of being put into reverse by the Coalition government’s plans for reform, a leading think-tank warns today.

Weaknesses in the governance arrangements for GP consortia, which will be responsible for £60 billion of public money, risk undermining ministers’ aims of reducing top-down management by leaving the NHS Commissioning Board to intervene where there are concerns over performance, the Kings Fund, the health policy think- tank, says. Scaling back the role of the regulator, Monitor, in overseeing NHS Foundation Trusts could also lead to “reductions in the quality and efficiency of hospital services”, it adds.

The submission is among the last of a flood of responses during the Government’s two-month pause on the NHS reforms, which came to an end yesterday. Many of the opinions expressed make contradictory demands, leaving the NHS Future Forum, set up to advise the Coalition government on the way forward, facing a formidable task.

Calls to ditch the Health and Social Care Bill have grown as the prospects of consensus have receded. Critics argue that any Bill that emerged from the inevitable bartering now underway would be so bound by conflicting requirements as to be unworkable.

Health Reforms Will Weaken NHS Accountability Warns The King’s Fund, UK

A new report from The King’s Fund warns that the coalition government’s reforms risk reducing accountability in the health system, potentially undermining the performance of key NHS organisations as a result.

The report looks at accountability for commissioners and providers of health care in the NHS currently and under the reforms set out in the Health and Social Care Bill. It concludes that the reforms are likely to meet the government’s aim of reducing centralised control but fail to deliver on its commitment to improve local accountability, a key pledge in the coalition agreement.

 

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

There is a seperate article addressing UK Uncut’s ‘Emergency Operation’.

NHS news is concerned with various cuts to services, Tory privateer has an undeclared interest and speculation whether Lansley’s on his way.

On a totally different topic: Take a look at these

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.

Mr Cameron must rein back on NHS reform | Observer editorial | Comment is free | The Observer

There were two good reasons why David Cameron stood for election pledging “no more top-down reorganisations” of the NHS. First, voters felt no pressing need for a healthcare revolution and, second, they did not trust the Conservatives to enact one.

It was wise of Mr Cameron to promise timidity in health reform. To have then turned the issue into a vicious political battleground, within a year of becoming prime minister, represents a serious political failure. It is a war he should never have started and one that he is losing.

Is anybody winning? Not really. The Liberal Democrats have at least belatedly discovered some gumption in asserting their blocking power as the guarantors of Mr Cameron’s parliamentary majority. They are threatening to withhold support for the plans set out by health secretary, Andrew Lansley, unless drastic changes are made. Mr Lansley envisaged a health system governed by vigorous competition between different providers, with the private sector encouraged to take over services traditionally run by the state. The Lib Dems want market forces more firmly restrained.

Lansley’s ally on NHS reform faces conflict of interest questions | Politics | The Observer

The Tory MP leading a backbench fightback to save Andrew Lansley’s health reforms is at the centre of controversy over his business links to firms that could benefit from wider private-sector involvement in the NHS.

Nick de Bois, MP for Enfield North, reignited tensions within the coalition government when he called on fellow Conservatives to prevent the Lansley plans from being watered down by Nick Clegg’s Liberal Democrats.

However, De Bois was thrown on to the defensive when a senior Labour MP, Grahame Morris, wrote to the Speaker, John Bercow, protesting that his Tory colleague had repeatedly failed to declare his private interests during the passage of the Lansley bill.

In an email to colleagues, De Bois, who was on the committee that scrutinised the health and social care bill, spelled out to fellow Tories a series of “red lines” that he said must not be crossed if the essence of the Lansley plan was to be retained. These included the idea that “any qualified provider” from the private sector should be able to supply services in the NHS – a key plank of the health secretary’s blueprint.

Transform the banks and save the NHS, say protesters | Ekklesia

NHS Direct Action and UK Uncut activists dressed in medical scrubs have staged a protest outside HSBC’s AGM over the bank’s NHS profiteering.

The demonstration took place on the morning of Friday 27 May 2011, as part of a series of nonviolent direct action initiatives to highlight the gap between rhetoric and reality in the government’s policies – and the way the wealthy are being ‘rescued’ from national debt at the expense of the poor and ordinary people.

A recent BBC investigation found that HSBC used a tax loophole to divert millions of pounds of NHS money into a Guernsey ‘tax haven’, says UK Uncut.

In 2010, a company set up by HSBC made more than £38 million from its 33 PFI hospital-building schemes and paid £100,000 in UK tax – less than half of one per cent of the profits.

Describing such practices as “scandalous”, former Oxford MP Dr Evan Harris has called for new rules to stop NHS money being sent to tax havens.

Stuart Gulliver, the new chief executive of HSBC, recently received a bonus of £9 million – which could pay for the annual salary of over 400 nurses, say campaigners.

BBC News – Labour: ‘Confusion’ on NHS reforms

John Healey claimed it was “hard to tell” the position of the government on NHS reforms. He said “We’ve had Nick Clegg saying one thing, Andrew Lansley saying another and David Cameron saying another”.

Speaking on the Andrew Marr Show the shadow health secretary added that from Labour’s point of view the NHS could not “stand still”.

New Statesman – UK Uncuts hosts 40 direct actions in protest at NHS reforms

The protest group, UK Uncut, yesterday hosted 40 direct actions across the country – the most significant number the group has made since many of its members were arrested outside Fortnum and Mason on the March 26th March for the Alternative. Yesterday’s actions were subtitled the “Emergency Operation” on the group’s website and were directed against the Coalition’s wavering reforms of the NHS headed by Andrew Lansley.

One of the first actions to be held left Soho Square at 11am Saturday morning and I accompanied the group from its meeting point to the target of protest in Camden Town.

The UK Uncut members – dressed as medical workers, bankers and members of the judiciary – were trailed by several police, in riot vans and on foot, from their meeting point through the London Underground and to the intended target of a Natwest bank branch in Camden Town.

No 10 denies Lansley is to resign over NHS reforms – UK Politics, UK – The Independent

David Cameron was forced to issue a vote of confidence in his Health Secretary, Andrew Lansley, yesterday as ministers search for an NHS reform blueprint acceptable to both parts of the Coalition.

There has been growing speculation over Mr Lansley’s future since his plans to overhaul the NHS were dramatically halted by Mr Cameron and Nick Clegg in the face of a rebellion from health professionals.

The Health Secretary, who has spent years drawing up proposals to restructure the service, has made it clear he would quit the Cabinet rather than move to another post.

There were also reports yesterday that the Prime Minister would be prepared to accept his resignation on the grounds that a new face would be needed to make the case for the heavily modified plans.

A Downing Street spokeswoman dismissed as “nonsense” suggestions that he could be sacrificed, adding: “Andrew Lansley is doing an excellent job as Health Secretary.”

BBC News – 800,000 ‘not given help with social care’

Hundreds of thousands of older people in England who need social care are not getting any support from the state or private sector, campaigners say.

Age UK says 800,000 people are excluded from the system – and the figure is set to top one million within four years.

It said budgets had hardly risen in recent years even before the squeeze, despite the ageing population.

The charity renewed its call for an overhaul of the system, something ministers are looking at.
Funding rise

Social care in England is means-tested, which means those with savings of over £23,250 are excluded.

But councils have also been making it more difficult for those who do meet the income threshold to get care, by tightening the eligibility criteria.

Campaigners fear ward closure will reduce hospital to clinic – Local stories – Yorkshire Post

CAMPaIGNERS fighting plans to axe a hospital ward for the elderly in Yorkshire have urged health chiefs to rethink their proposals.

They have handed over a letter of protest to the Leeds Teaching Hospitals Trust in response to news that an elderly care ward at Wharfedale Hospital, Otley, may be axed.

The letter, from the Support Wharfedale Hospital Campaign, urges the trust to ensure that the ward, which campaigners says is the only ward caring for older people, is run by the NHS and continues to serve local people, ideally offering care for elderly patients.

It is facing an uncertain future as Leeds Teaching Hospitals NHS Trust tries to save £60m this year.

Andrew Lansley fights to save himself from the sack – mirror.co.uk

UNDER-fire Andrew Lansley slammed the Lib Dems yesterday as he fought for his political life.

The Health Secretary hit out over the Government’s hated NHS reforms as No 10 was forced to issue a statement denying that he was about to be sacked.

The desperate move by Downing Street came amid reports that David Cameron was willing to sacrifice Mr Lansley if it meant keeping the Coalition together.

Rumours that the Health Secretary’s job is on the line were fuelled after Mr Cameron was reportedly overheard saying the reforms “were nothing to do with him now”.

And Foreign Secretary William Hague is alleged to have told the PM and Chancellor George Osborne that the controversial shake-up was a “reform too far”.

Union warning after NHS challenged to find £64.5m of savings (From This Is Local London)

Unions have warned health care could suffer as the NHS launches another “streamlining” review to find £64.5m savings in south-west London.

NHS South West London, formed by the cluster of five primary care trusts, including Kingston, will again bring doctors, nurses and other clinicians together to consider where the axe will fall.

Michael Walker, Unison nursing officer, said the cuts were significant and would represent a drastic reduction in NHS services with an impact on waiting times.

Geoff Martin, of London Health Emergency, said no area would be immune from the “financial assault”.

He said: “The screw will be turned on everything from acute hospitals to mental health with dire consequences for quality of care.”

Fewer nurses being trained in West Midlands « Express & Star

The number of nurses being trained in the West Midlands will be slashed by almost a fifth – sparking fears over standards.

Health bosses have decided to cut 457 student nursing places at universities in the region, a drop of 17.5 per cent from September.

This is ahead of a planned reduction in professional staff, including nurses and doctors of around seven per cent by 2014.

Hospital beds go in NHS efficiency drive, memo reveals – Telegraph

England’s biggest hospital trusts are cutting up to 10 per cent of their beds as NHS managers try to meet tough efficiency targets.

Some are reducing bed numbers by more than 100, while also cutting headcounts to reduce their pay bills.

The Royal College of Nursing has claimed the moves risk affecting the quality of care – a claim rejected by the hospitals.

The trusts hope to make “efficiency savings” of 4.7 to 7.8 per cent of their budgets, The Daily Telegraph has found.

 

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