NHS news review

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NHS news is dominated by the claim that progress of the bill to destroy the NHS will be delayed or paused for three months. At least two newspapers claimed this story as an exclusive yesterday. The UK Con-Dem – Conservative and Liberal-Democrat – government certainly have huge problems over this bill and many papers suggest that there is no mandate for such ‘reforms’ and that there has been very poor presentation. There has certainly been poor presentation – there has not even been an explanation of why such dogmatic changes are necessary beyond “doing nothing is not an option”. I’m left wondering whether they were trying to do it quickly and ‘under the radar’.  I should write an article on this issue…

There are also suggestions that the Liberal-Democrats will force amendments to the bill.


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.

Exclusive: Cameron signals retreat on NHS reforms – Health News, Health & Families – The Independent

David Cameron will announce this week another humiliating climbdown, putting the brakes on the Government’s health reforms in a desperate attempt to rescue his reputation as a defender of the NHS.

In the latest embarrassing example of the Prime Minister being forced to intervene in the policy of one of his ministers, Mr Cameron will publicly admit to mistakes in the plan by the Secretary of State, Andrew Lansley, to hand £80bn of health spending to family doctors, characterised by critics as privatisation by the back door.

Mr Cameron will announce a “pause” of up to three months in the progress of the Health and Social Care Bill through Parliament, to allow for more time to reassure clinicians, patients and coalition MPs. One option being considered is a series of public meetings at which Mr Lansley would be forced to restate the case for reform in a less confrontational manner.

Leading article: The mystery of NHS reform – Leading Articles, Opinion – The Independent

The kindest way to put it is that we are baffled. The Independent on Sunday was long prepared to extend to David Cameron the benefit of the doubt. In opposition, he made many of the brave and necessary changes to the Conservative Party for it to become electable again – although we were sceptical about, for example, his conversion to the Green cause. One of the most important changes was to neutralise his party’s reputation for hostility to the National Health Service.

Now, less than a year into government, Mr Cameron’s claim to lead the party of the NHS is in doubt. As we report today, the Prime Minister and his deputy are preparing, in conditions of unusual secrecy, to announce this week a delay to the Health and Social Care Bill, which has just completed its committee stage in the House of Commons.

The confusion over the Government’s plans for the NHS is, to put it at its most moderate, surprising. This is a matter not just of ideology but of competence.

The Prime Minister seems to have assumed, despite the evidence over many years, that Andrew Lansley, the Secretary of State for Health, knew what he was doing. When Mr Lansley succeeded in uniting doctors, nurses, public opinion and most Liberal Democrats against his reforms, No 10 seems to have assumed that he needed to communicate the changes better.

It is certainly the case that the communication of the policy has been lamentable. Mr Lansley’s main message has been that GP- commissioning was promised in the Tory and Liberal Democrat manifestos, and in their coalition agreement. That claim lacks a basis in fact, to put it politely. The Tory manifesto spoke of giving GPs the power to commission care, rather than requiring them to do so, and the coalition document was similarly permissive. The Lib Dem manifesto was silent on the issue. The coalition agreement also promises that primary care trusts (PCTs) “will act as a champion for patients and commission those residual services that are best undertaken at a wider level, rather than directly by GPs”. The Bill dispenses with the trusts altogether.

Andrew Lansley: He’s got designs on our health | From the Observer | The Observer

When Labour criticises health secretary Andrew Lansley’s plans for the NHS, David Cameron has a stock riposte. He likes to quote a recent speech delivered by the opposition health spokesman John Healey. “No one in the House of Commons knows more about the NHS than Andrew Lansley… No one has visited more of the NHS. No one has talked to more people who work in the NHS than Andrew Lansley.”

It is one way to take the wind out of the opposition’s sails during prime minister’s questions – but an entirely disingenuous one. Healey was merely noting Lansley’s intellectual thoroughness, and encyclopaedic knowledge, in an address which attacked the plans as a disaster for patients.

Nor does Cameron’s party trick cheer up Tory MPs for long. If there is one domestic issue that worries Conservatives more than any other, it is Lansley’s commitment to force through the most sweeping changes to the NHS since its formation in 1948. The medical profession is uneasy. Inside Downing Street there is profound anxiety. “Why are we taking this on?” officials ask. “Why are we doing this?”

NHS reform fight arrives on Stourbridge MP’s doorstep (From Halesowen News)

CAMPAIGNERS fighting NHS reforms brought their battle to Stourbridge with a 213,000 name petition for the town’s MP.

Representatives from protest group 38 Degrees handed over the petition at the offices of Tory MP Margot James as part of a nationwide campaign opposing government plans to make GPs responsible for most heath service spending.

Ms James is a member of the parliamentary committee which is considering the proposals, 38 Degrees fear the changes will put health care into the hands of the private sector.

BBC News – Cameron and Clegg to push case for NHS changes

PM David Cameron and deputy Nick Clegg are to make a renewed drive to promote planned changes to the NHS in England.

The coalition is also understood to be ready to introduce changes to the legislation when it returns to the House of Lords after May’s elections.

This follows mounting disquiet that ministers have failed to convince voters that change is necessary.

Government ‘planning to water down NHS reforms’ – Channel 4 News

While Downing Street today denied that David Cameron was rowing back on his commitment to the reforms, it is believed that he will agree to some amendments, including the way in which private companies will be able to operate in the new NHS, writes Channel 4 News Social Affairs Correspondent Victoria Macdonald.

He and the Deputy Prime Minister Nick Clegg are also expected to announce that they are about to embark on a “listening exercise” so they can take on board what some of the concerns are.

There were suggestions today, too, that the NHS Health and Social Care Bill would be delayed, but Downing Street has denied this.

Instead, the amendments are likely to include a limit to the ability of private companies to cherry-pick the easiest and more profitable cases; that the regulator, Monitor, will have to promote value for money above competition – at the moment competition is central to its role; and there were will be changes to make GP consortia more publicly accountable.

NHS service backed by 70% / Britain / Home – Morning Star

Public-sector union Unison leader Dave Prentis warned the government today that over 70 per cent of the public oppose plans to pay private contractors to handle blood and organ transplants.

A Unison YouGov poll of over 2,000 people last week found that 72 per cent would oppose private companies running any part of the National Health Service’s Blood and Transplant Service.

The result could prove a stumbling block for Health Secretary Andrew Lansley, who commissioned a review of the service late last year to make it more “commercially effective.”

Mr Lansley then claimed that it would be more cost-effective to contract out some functions of the service “so long as there was no conflict with public health.”

David Cameron set to announce delay to NHS reforms | Politics | The Guardian

David Cameron is preparing to bow to insurmountable political opposition by putting the coalition’s flagship NHS reform bill on hold beyond Easter, and possibly for as long as three months.

The announcement of a delay, agreed at a meeting involving Cameron and Cabinet colleagues last Thursday, is expected to come this week at a joint event involving David Cameron, Nick Clegg and the health secretary Andrew Lansley.

Some sources have told the Guardian that Cameron is no longer listening to Lansley, and is taking his advice from Sir David Nicholson, the NHS chief executive.

In a sign of the political obstacles facing the prime minister, the leaders of a Liberal Democrat revolt against the reforms will release their 23 detailed demands for sweeping changes to the bill.

Cameron poised to water down NHS reforms – Health News, Health & Families – The Independent

The Health Secretary Andrew Lansley is fighting a desperate rearguard action to save his NHS reforms amid pressure to water them down from David Cameron and Nick Clegg.

Mr Lansley is determined not to abandon his plans to transfer 60 per cent of the health budget to GPs and wants to concede only minor changes during the NHS and Social Care Bill’s passage through Parliament.

Cameron poised to water down NHS reforms – Health News, Health & Families – The Independent

The Health Secretary Andrew Lansley is fighting a desperate rearguard action to save his NHS reforms amid pressure to water them down from David Cameron and Nick Clegg.

Mr Lansley is determined not to abandon his plans to transfer 60 per cent of the health budget to GPs and wants to concede only minor changes during the NHS and Social Care Bill’s passage through Parliament.

But there are growing signs that he will be forced to go further than that to allay fears that the shake-up could lead to “backdoor privatisation” and wreck Mr Cameron’s drive to win the public’s trust on health.

Demands for a rethink will grow today when Ed Miliband offers all-party talks on health reform – but only if the Government ditches the Bill first. Speaking to the RSA think-tank in London, the Labour leader will attack the “chaos” over the reforms and say the way they have been handled is a “disgrace”. Mr Miliband will say: “This is a direct consequence of a coalition based on power, convenience and ambition rather than values.”

 

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

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NHS news summary: Yet more confirmation that the Health Bill will destroy the NHS, PM Cameron accused of hiding high satisfaction with the NHS and Unite accuses the Con government of not thinking through NHS reforms.

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.

Health Bill spells the end of the NHS in England, academics warn » Hospital Dr

The Health and Social Care Bill amounts to the abolition of the English NHS as a universal, comprehensive, publicly accountable, tax funded service, free at the point of delivery, academics warn.

Professor Allyson Pollock and David Price, from the Centre for Health Sciences, Barts and The London School of Medicine, argue that the government’s duty to provide a comprehensive health service in England is set to be abolished.

They say that freedoms created under the new Bill will allow corporate commissioners and investors to contract out all NHS services to a range of private providers and redefine the range of NHS services available. They will also be free to charge for some elements that are currently NHS services and to create surpluses for staff and shareholders by under-spending the patient care budget, the authors say on bmj.com.

Paul Blomfield MP challenges David Cameron at PMQs on NHS reforms

At today’s PMQs Paul Blomfield challenged the Prime Minister about the Department of Health’s decision not to publish research that it is has had since last autumn, and which shows the highest ever public satisfaction with the NHS. David Cameron refused to answer the question.

Paul Blomfield MP asked the Prime Minister:
“It was reported at the weekend that the Department of Health has failed to publish research, that it had commissioned and received last autumn, which showed the highest ever public satisfaction with the NHS. Will the Prime Minister urge the Secretary of State for Health to publish this research without further delay or, by not doing so, will he confirm that the BMA was right last week when it deplored “the government’s use of misleading and inaccurate information to denigrate the NHS, to justify the Health and Social Care Bill reforms”?

Speaking after PMQs Paul Blomfield MP said: “It’s not surprising that David Cameron refused to answer my question. The public is more satisfied with the NHS than ever before, which shows that the Tory plans to reorganise the NHS are completely ideologically-driven and not based on evidence. They are going to let private companies start running NHS services and create a two-tier system. The public do not support this and the Tory/Lib Dem government should think again and scrap their dangerous plans.”

The politics of vagueness haunts NHS ‘privatisation’ bill, says Unite

The politics of vagueness haunts the legislation which will herald the biggest ever shake-up of the NHS, Unite, the largest union in the country, said today (Wednesday 23 March).

Unite, which has 100,000 members in the health service, is concerned that health secretary Andrew Lansley has not got a grip on the details of the legislation, which will open up the NHS to the widespread privatisation of services.

Unite cites two examples of this lack of grip – Andrew Lansley’s admission to the Commons health select committee that he was ‘still thinking through’ what would happen if one of the new GP consortia went broke; and a further admission that the role of Monitor – the regulatory body which will oversee fair play in the new ‘market’ – had not been finalised.

NHS reforms ‘could prompt closures’ – Health News, Health & Families – The Independent

Increasing competition in the health service could lead to some hospital units closing, a leading doctor has warned.

Dr Mark Porter, chairman of the British Medical Association’s consultants committee, said NHS hospitals are likely to lose services to private companies under the Government’s reforms, which could leave them struggling.

As a result, many trusts will be “unable to cover the costs of entire departments”, which could lead to their closure, or cuts being made in other ways such as reducing staff numbers.

 

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

Letter to Nick Clegg

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Image of David 'Pinoccio' Cameron and Nick Clegg. Image is originally from the UK's Mirror newspaper. Looks like Bliar doesn't he? Cameron seems to be apingning/copying Bliar's public image ~ speeches aligning himslf with Bliar ... and of course ... who Bliar aligned with ...Portion of a letter to Nick Clegg from Felicity Arbuthnot

Response to Nick Clegg, UK Deputy Prime Minister | Dissident Voice

A “no-fly zone” is another oxymoron, a total contradiction in terms. It means that Colonel Gaddafi’s “brutal, savage and unacceptable treatment”, has been replaced by our “brutal, savage and unacceptable treatment”, using depleted uranium (i.e., nuclear waste) weapons and blowing Libyan people to bits in their uncounted numbers. (“It is not productive” to count coalition deaths as US Generals, led by General Mark Kimmit, have reiterated.)

The region and peoples will become another Fallujah, with the yet-to-be-conceived, even, born with deformities, often making them unrecognisable as human infants. Headless, limbless, organs on the outside of the body, one cyclops eye, no eyes, no brain — a reality witnessed by the writer over many years.

Libya has the ninth largest oil reserves on earth. As Iraq, and as the desire for the vital resources through Afghanistan, no one with half a brain believes your concern for humanity is the real reason. There were no calls from your Party, or the Conservatives, for “no fly zones” of any hue, or for restraint, in “Operation Cast Lead” (Christmas-New Year 2008-2009) as Israel bombarded the people of Gaza, caught, like “fish in a barrel”, to use a term about wanton slaughter, from another US General. That certainly looked like “brutal, savage and unacceptable” treatment, to most observers.

Last July, when you became acting Prime Minister when David Cameron was away, you said, in an exchange with Jack Straw, the previous Labour Foreign Secretary:

Perhaps one day you could account for your role in the most disastrous decision of all, which is the illegal invasion of Iraq.3

This is written on the eighth anniversary of the beginning of that illegal invasion. The invasion George W. Bush declared a “Crusade.” As you embark on the course of decimating another ancient Islamic land for oil – one with an even smaller population than Iraq – another “Crusade” to install another compliant puppet regime, I can only say shame on you all.

Continue ReadingLetter to Nick Clegg

NHS news review

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The Unions are promoting their anti-cuts March for an Alternative event next weekend. There will be a march topped with a rally at Hyde Park. There are rumours that Labour Party leader Ed Miliband will address the rally. It’s disappointing that the unions are still so subservient to the Labour Party after all these years.

Andrew Lansley and the Department of Health are accused of manipulating the presentation – spinning – of the proposed abolition of the NHS by supressing evidence that there is widespread satisfaction with the NHS.

Conservative MP and practising GP Sarah Wollaston savages the proposals to destroy the NHS.

The BMA have published an open letter after their special meeting called for the Destruction of the NHS bill to be withdrawn.

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.

Union leaders turn heat up on Lib Dems over cuts – UK Politics, UK – The Independent

Union leaders are to target Liberal Democrats in a campaign to slow down the speed and scale of public spending cuts as the TUC prepares for the biggest protest yet against the coalition’s economic programme.

Brendan Barber, the TUC’s general secretary, hopes to exploit unrest in Lib Dem ranks to step up pressure on a party leadership which he believes is increasingly isolated from its activists.

In an interview with The Independent on Sunday before next weekend’s anti-cuts rally in central London, Mr Barber attacked the Lib Dems for abandoning their pre-election pledge to delay cuts until the economy was growing. Stressing that the campaign will be a “long haul”, he vowed to step up the political pressure on ministers and coalition MPs to “realise quite how out of touch they are with the wider public”.

Another week, another crisis: Lansley under fire again – politics.co.uk

Andrew Lansley is preparing himself for another bad week at the Department of Health after two new crises hit his plans for NHS reform.

The health secretary was accused of “burying good news” after reports emerged that his department sat on reports showing unprecedented satisfaction with the health service.

Meanwhile, a Tory MP and doctor laid into the reforms in the Daily Telegraph, saying they could change the NHS “beyond recognition”.

The developments follow a tough week for the health secretary, whose reforms have been criticised by health experts, unions, Labour MPs and some Tory backbenchers.

NHS reforms are doomed to fail, warns Conservative GP | Mail Online

The NHS risks being changed beyond recognition by the Coalition’s health reforms, a Conservative doctor claimed yesterday.

Sarah Wollaston, MP for Totnes and a practising GP, branded the reorganisation a ‘Trojan horse’.

In the most scathing attack yet on the plans of Conservative Health Secretary Andrew Lansley, she said that key elements of the shake-up – the biggest in the Health Service’s 60-year history – were ‘doomed to fail’.

 

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 ** UPDATED ** Missed many news links in the original posting

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Of note:

Ed Miliband, leader of the UK Labour Party performs well yesterday against Prime Minister David Cameron at Prime Minister’s Question Time on the destruction of the NHS issue.

David Cameron accuses Ed Miliband of publishing (reading actually) a union press release. There’s a strange ring about that. The BMA is hardly a union – more of a professional body.

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.

UPDATED Missed many news links in the original posting

Outing the NHS reformers

Just as yesterday the British Medical Society urged Andrew Lansley to scrap ‘top-down reforms’ of the NHS, today we see the government’s champions hit the airwaves.

Radio 2’s Jeremy Vine show this lunchtime featured two such champions, one introduced as a GP, the other a ‘health expert’. The former, Dr Paul Charlson, is indeed a GP in favour of Lansley’s reforms. He also runs a private centre which specialises in cosmetic anti aging treatments (Botox), not typical of most GPs.

Charlson is also spokesperson for a lobby group called Doctors for Reform, which is supported by the free-market think tank, Reform. Funding for Reform has come from the UK’s largest private hospital group, General Healthcare Group and other private health companies set to benefit from Lansley’s reforms.

Vine’s ‘health expert’ was Dr Helen Evans, director of Nurses for Reform. Its funding is more opaque, but it does have ties to many free-market think tanks that favour privatisation. These include the Adam Smith Institute and the Centre for Policy Studies, a think tank that promotes “the opening up [of] state monopolies” in health.

Evans has labelled the NHS “a Stalinist, nationalised abhorrence”.

As the criticism of the NHS reforms gets louder, expect to hear more from these two.

BBC News – Southport and Ormskirk Hospital NHS Trust cuts 125 jobs

Up to 125 jobs are set to be cut at Southport and Ormskirk Hospital NHS Trust, managers have revealed.

The trust said the measure was needed to save £8.5m in the next financial year – 5% of its budget – and avert “more radical proposals”.

Other cost-cutting measures include a recruitment freeze and reviewing the trust’s structure and roles.

Managers have blamed government-imposed cuts, a reduction in treatment payments and changes to NHS financing.

NHS ‘privatisation’ bill ‘hangs in the balance’ says Unite [press release]

‘privatisation’ bill hangs in the balance, as opposition continues to mount, Unite, the largest union in the country, said today (Wednesday 16 March).

Unite, which has 100,000 members in the health sector, said that the country faced the biggest battle to save the NHS in its present form since its inception in 1948.

Unite said that health secretary Andrew Lansley and his ministers needed to radically rethink the bill to guarantee that the NHS is the preferred provider of choice – not private healthcare firms, some of which have bankrolled the Conservative party.

Unite general secretary Len McCluskey said: ”The government is on the back foot over its Health and Social Care bill, following the opposition voiced by the British Medical Association yesterday and the Liberal Democrats at last weekend’s spring conference.

NHS reforms mean GPs could double their income to £300,000 a year | Society | The Guardian

GPs could more than double their income to £300,000 a year under health secretary Andrew Lansley’s plans for the NHS, according to an analysis for the Guardian – sparking calls from top doctors for the government to reverse controversial policies that would appear to reward physicians who ration care.

The revelation comes after the British Medical Association voted to scrap the “dangerous” health bill and demanded that Lansley rethink his radical pro-market changes to the NHS.

GPs are central to the government’s programme, and by 2013 will have to band together into consortiums before being handed £80bn of NHS funds to commission care for their patients.

Leading article: NHS reform: ideology, rather than pragmatism – Leading Articles, Opinion – The Independent

It is a serious matter that the British Medical Association has called an emergency meeting – the first of its kind for nearly 20 years – to warn the Government to think again about the pace and scale of its reforms to the National Health Service. The aims of those reforms might be laudable. The Health Secretary, Andrew Lansley, says he wants to set the NHS free from political interference and make it more responsive to patients. And he is right to say that with an ageing population making increasing demands on services, and the cost of drugs and new treatments rising, change is needed.

But he has set in train the biggest reorganisation in the 62-year history of the NHS – at a time when it is being asked to save £20bn from its £100bn budget. And he has done so despite a Tory pledge before the election that there would be no major overhaul of the health service. Doctors’ leaders have rightly complained that the detail on the massive changes were not available at all until the Bill was published two months ago. Mr Lansley’s reforms have been premised on ideological conviction rather than pragmatism; pilot projects should have been trialled first rather than in parallel with the passage of a Bill which is already well on its way through Parliament. No wonder Liberal Democrat delegates rejected the plans at the party’s spring conference last weekend.

NHS reforms: what will happen and why | Society | The Guardian

Why is the government planning a big shakeup of the NHS in England?

The health secretary, Andrew Lansley, says that while the NHS is world-class in some respects, and employs leading medical figures, it is still not good enough in some key areas of care. “For example, rates of mortality amenable to healthcare, rates of mortality for some respiratory diseases and some cancers, and some measures of stroke, have been among the worst in the developed world. International evidence also shows the NHS has much further to go on managing care more effectively,” says the Department of Health. Doctors have cast doubt on the evidence underpinning some of Lansley’s claims about the quality of NHS care, and critics argue that his “modernisation” changes will usher in widespread privatisation of NHS services.

What is the government proposing?

Arguably the most radical restructuring of the NHS since it was created in 1948. England’s 150 or so primary care trusts will be wound up in 2013 and their work, commissioning healthcare, will pass to groups of GPs called general practice commissioning consortiums (GPCCs). Each GPCC, perhaps including scores of existing practices, will have its own budget. The consortiums will have £80bn of NHS funds in all, and agree contracts with hospitals and others. Almost 200 GPCCs have already been set up.

Has Cameron declared war on the BMA? | Left Foot Forward

At Prime Minister’s Questions today, David Cameron complained of “roadblocks” to reform of the NHS, but at first did not refer directly to the British Medical Association; the doctors’ representative body, who called yesterday for the NHS bill to be dumped.

Then, in his answer to Ed Miliband’s final question, he said:

“He should remember the fact that the BMA opposed foundation hospitals, they opposed GP fundholding, they opposed longer opening hours for GPs’ surgeries.

“Isn’t it typical, just as he has to back every other trade union, just as he has no ideas of his own, he comes here and just reads a BMA press release.”

UPDATE follows

BBC News – NHS reforms: David Cameron and Ed Miliband clash

Ed Miliband has accused David Cameron of “threatening the fabric” of the NHS as the two men clashed over the government’s proposed health reforms.

The Labour leader said the government was “wrecking” Labour’s legacy and urged changes to plans to give GPs control over most NHS commissioning.

But Mr Cameron accused Labour of “setting its face” against changes needed to boost patient care.

New Statesman – PMQs review: Cameron rattled by Miliband’s NHS attack

Rarely has David Cameron appeared as rattled as he did at today’s PMQs. Ed Miliband’s decision to lead on the coalition’s troubled NHS reforms proved fortuitous as the Prime Minister struggled to offer a coherent defence of his Health Bill.

Asked if he was planning any further amendments, Cameron prattled on about “cutting bureaucracy” and disingenuously claimed that the coalition would prevent “cherry-picking” by the private sector. As is frequently the case, his disregard for detail let him down. Asked if it was true that the NHS would be subject to EU competition law for the first time in its history, the PM appeared either unwilling or unable to answer Miliband’s question.

Instead, for the third time in recent months, he selectively quoted from a speech by John Healey in which the shadow health secretary declared that “no one in the House of Commons knows more about the NHS than Andrew Lansley . . . these plans are consistent, coherent and comprehensive. I would expect nothing less from Andrew Lansley.”

What Cameron failed to acknowledge is that Healey went on to argue:

They [the Conservatives] believe that competition drives innovation, that price competition brings better value, that profit motivates performance, and that the private sector is better than the public sector. I acknowledge the ambition but I condemn this as the core philosophy being forced into the heart of the NHS. It’s wrong for patients. It’s wrong for our NHS. It’s wrong for Britain.

BBC – Democracy Live – PMQs: Cameron accused of ignoring BMA over NHS reforms

Labour has accused the government of “arrogance” for pushing ahead with NHS reforms despite recent criticism from the British Medical Association (BMA) and the Liberal Democrat spring conference.

At prime minister’s questions on 16 March 2011, opposition leader Ed Miliband asked whether the PM would amend the plans in response to the demands of Lib Dem delegates calling for a halt to the “damaging and unjustified” shake-up of GP services in England.

Meanwhile the BMA described measures that would increase competition in the NHS as “dangerous and risky”.

Mr Miliband accused Prime Minister David Cameron of “ignoring people who know something about the health service” and creating “a free-market free-for-all”.

NHS reforms will see ‘shut’ signs on hospitals, patients warned | Society | The Guardian

Hospitals will shut, others will lose their accident and emergency or maternity units, and some will be downgraded to glorified health centres because of the government’s NHS shakeup, the head of England’s leading hospitals has warned.

Sue Slipman, chief executive of the Foundation Trust Network, told the Guardian that handing GPs control of £80bn of NHS funds, letting private healthcare firms provide treatment and giving patients more choice about where they are treated – key policies promoted by the health secretary, Andrew Lansley – would increase existing pressures on hospitals so much that some will not survive.

“There will be some ‘shut’ signs; I suspect there will be some closures. There will be fewer A&E departments and in urban centres there may well be fewer maternity units,” said Slipman, who predicted unprecedented changes to hospitals over the next few years.

Hospitals will shut, others will lose their accident and emergency or maternity units, and some will be downgraded to glorified health centres because of the government’s NHS shakeup, the head of England’s leading hospitals has warned.

Sue Slipman, chief executive of the Foundation Trust Network, told the Guardian that handing GPs control of £80bn of NHS funds, letting private healthcare firms provide treatment and giving patients more choice about where they are treated – key policies promoted by the health secretary, Andrew Lansley – would increase existing pressures on hospitals so much that some will not survive.

“There will be some ‘shut’ signs; I suspect there will be some closures. There will be fewer A&E departments and in urban centres there may well be fewer maternity units,” said Slipman, who predicted unprecedented changes to hospitals over the next few years.

Tory MPs accused of false election promises over NHS | Politics | The Guardian

The general election battle was in full swing last April in the marginal seat of Bury North when shadow health secretary Andrew Lansley paid a visit to help the Conservative candidate, David Nuttall. Understandably he offered his opinions on a huge local issue: the plan to close the children’s department, including a maternity unit and special care baby unit for ill newborns, at Fairfield general hospital, the town’s much-loved hospital.

As Nuttall’s blog entry for that day records: “Andrew Lansley has reviewed the latest figures for the number of births across Greater Manchester and today said: ‘If I am secretary of state for health after the election, maternity and children’s services will be maintained at Fairfield and I will ensure this happens. In the long term there will be no change without the consent of GPs … who will in our reforms be responsible for commissioning local services’.”

Under the headline “Conservatives will maintain children’s services at Fairfield”, Nuttall added: “The choice for voters in Bury North is clear: vote Labour and these services will be axed from Fairfield. Vote Conservative and if there is a Conservative government the maternity department will be kept open.”

BBC News – Social care ‘facing funding gap of over £1bn’

Social care is facing a funding gap of more than £1bn by 2014 in England – a situation which would have consequences for the NHS, a leading think-tank says.

The King’s Fund analysis predicted councils would struggle to protect home help and care home places as they come to terms with funding cuts.

The report said if this happened there could be more admissions to hospital and longer delays in discharging.

But the government said it did not believe there would be a funding gap.

NHS reforms Q&A: why are hospital services being shut? | Society | The Guardian

Why are hospital services being shut?

Too many hospitals in the wrong places. As towns become cities and population shifts and ages, ministers must reconfigure hospitals and consider closing wards and departments; Labour began doing so.

Why is all this now a problem for Andrew Lansley?

Once Tory leader, David Cameron promised a “bare-knuckle fight” over ward closures. In the election, both sides made extraordinary promises. In a tour of northern constituencies, Lansley pledged to reopen closed hospital wards and A&E departments.

What happened once Lansley took office?

Lansley announced in May 2010 an end to “top-down forced closures”. Instead, health trusts would have to pass several tests to make a closure: support from GP commissioners, better public and patient engagement, and clear clinical evidence to justify the change. But of three dozen closure proposals, only one, Chase Farm in north London, has seen him intervene, merely to delay the decision a month. Lansley has not reopened any services closed under Labour.

BBC News – Unison slams Surrey and Sussex NHS over parking charges

A move to charge hospital staff for parking will cause NHS workers financial hardship, a union has said.

Unison has described the plans by Surrey and Sussex Healthcare NHS Trust as a “hammer blow” to its members.

But a statement issued by the trust said the plans would help to cut congestion and encourage “greener” ways of travelling, such as car sharing.

 

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.

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dizzy

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