NHS news review

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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.

News on NHS ‘was timed to be buried’ (From The Northern Echo)

AN MP from the region has attacked what he called the scandalous timing of a Government announcement that they would be opening up more NHS services to private competition.

Middlesbrough South and East Cleveland Labour MP, Tom Blenkinsop, said Health Secretary Andrew Lansley’s announcement that the Government will open up more than £1bn-worth of NHS services to competition from private companies and charities was timed to bury bad news because TV news was concentrating on the live broadcast of Rupert Murdoch.

In the first wave, beginning next April, eight NHS areas – including musculo-skeletal services for back pain, adult hearing services in the community, wheelchair services for children and primary care psychological therapies for adults – will be open for what Mr Lansley said was competition on quality not price.

Mr Blenkinsop said: “To choose yesterday of all days to announce this is nothing short of scandalous. On any other day, this announcement would be the lead item and would be, rightly, viewed as highly contentious and very disturbing news.”

But the news was welcomed by Shaun Fryer, managing director of the private Newcastle Clinic, who said the Government’s call for changes cannot come soon enough.

Related: Letters: NHS privatisation is slipping under the radar | Society | The Guardian

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The main NHS news is that the British Medical Association (BMA) is to “start a public campaign to call for the withdrawal of the health and social care bill”.

http://www.guardian.co.uk/society/2011/jul/20/doctors-campaign-against-nhs-reforms  NB article recommended.

The BMA, which represents 140,000 doctors, voted to “reject the idea that the government’s proposed changes to the bill will significantly reduce the risk of further marketisation and privatisation of the NHS” and “agreed that the government is misleading the public by repeatedly stating that there will be ‘no privatisation of the NHS'”.

Dr Hamish Meldrum, chairman of council at the BMA, said: “Whilst the BMA recognises there have been some changes following the listening pause, there is widespread feeling that the proposed legislation is hopelessly complex, and it really would be better if the bill were withdrawn.”

His colleague on the council Dr Peedell said that the health bill was “just a privatisation bill with a third of it devoted to [producing] an economic regulated market”.

In the same article, campaigning group 38degrees received huge support to their campaign to save the NHS.

To underline that the government’s attempts to dissipate professional and public anger – such as the legislative pause – have had little effect, internet campaigners at 38 Degrees, which has 850,000 members in the UK, claimed to have raised cash at the rate of £56 a minute via an email marketing campaign on Wednesday.

The money will be used to get lawyers to comb through the 180 amendments produced by the government when it re-submitted the bill for its second reading earlier this month.

“38 Degrees members want to cut through the tangled web of amendments which make up Andrew Lansley’s re-written NHS plans. So we’re chipping in to hire legal experts to go through them with a fine tooth comb,” said the organisation’s executive director, David Babbs. “We’re concerned that real threats to our NHS may still lurk behind Lansley and [David] Cameron’s warm words. Are we on a slippery slope to the NHS being broken up by EU competition laws? Why does Lansley seem to be watering down his legal duty to provide a national health service?”

 

Health treatment restrictions for smokers and fat people. It should be noted that this is rationing of care as a result of cuts.

Cuts hitting the NHS in Wales.

Many articles report on yesterday’s news of Lansley extending privatisation through Any Qualified (Willing) Provider.

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.

Doctors to launch public campaign against proposed NHS reforms | Society | The Guardian

The government faces a summer of discontent over its NHS reforms after doctors voted to launch a public campaign against the health bill, and one of the UK’s internet campaign groups raised £10,000 in three hours after emailing members to pay for expert legal advice over the bill.

The British Medical Association’s council, the executive committee of the union, voted to pass a series of motions critical of the government’s bill – and crucially accepted that doctors “start a public campaign to call for the withdrawal of the health and social care bill”.

Put forward by NHS consultants Clive Peedell and Jacky Davis, the motion will ratchet up the pressure on ministers over the summer break who had hoped that the bill’s third reading in early September would be an easy ride.

The BMA, which represents 140,000 doctors, voted to “reject the idea that the government’s proposed changes to the bill will significantly reduce the risk of further marketisation and privatisation of the NHS” and “agreed that the government is misleading the public by repeatedly stating that there will be ‘no privatisation of the NHS'”.

Dr Hamish Meldrum, chairman of council at the BMA, said: “Whilst the BMA recognises there have been some changes following the listening pause, there is widespread feeling that the proposed legislation is hopelessly complex, and it really would be better if the bill were withdrawn.”

The Operating Theatre Journal : GPs agree ban on operations for smokers and obese patients

GPs have signed off a series of sweeping referral restrictions by NHS managers that will bar smokers and overweight patients from being referred for surgery, as PCTs across the country bring in new cost-saving restrictions.

Both LMCs and GP consortium leaders have backed moves by NHS Hertfordshire to block any patient with a BMI over 30 from being referred for routine joint replacement surgery without first being referred to a weight management scheme. GPs will also be prevented from referring smokers for any orthopaedic surgery until they have been referred for smoking cessation.

GPC leaders are seeking legal advice on the controversial plans and are warning that a number of trusts across England have suggested they may follow suit. Locally, the move has driven a wedge between GPs – with consortium leaders divided over the ethics of the restrictions and Hertfordshire LMC backing the plans by just one vote.

Meanwhile, a Pulse investigation covering 41 PCTs has found two-thirds have added new procedures to ‘low clinical priority’ lists since April, as trusts struggle to cut costs.

Procedures subject to new restrictions include the treatment of ganglions in Hampshire and DEXA scanning in primary prevention of osteoporotic fractures in men and women over 50 in Bristol. NHS Warrington has added 13 restrictions, including the treatment of obstructive sleep apnoea.

But it is the restrictions on treatment for smokers and obese patients that have prompted fiercest debate.

Fears for patient care as Welsh NHS battles to make £455m saving – Health News – News – WalesOnline

Patient services could be threatened as health boards battle to save almost half a billion pounds this year.

The scale of the financial challenge facing the NHS comes after “unprecedented” savings of £435m made last year and a further £1bn made over the course of recent years.

Experts believe patient services will not escape the spending cuts this year and the Western Mail has learned Wales’ seven health boards have not yet identified how they can find almost a third of the £455.7m total saving needed.

Hywel Dda and Cardiff and Vale University health boards have yet to find £39m and £31.5m of savings respectively.

Professor Marcus Longley, director of the Welsh Institute for Health and Social Care, at the University of Glamorgan, said: “Clearly this cannot be done with no impact on patient care because there isn’t half a billion pounds in the system that’s not needed.

More NHS care open to external providers – Public Service
NHS community and mental health services opened up to competition » Hospital Dr
Unions Criticize Government Plans for Patient Choice, Amid Fears of Privatization

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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

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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

 

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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