NHS in crisis :: Caroline Lucas urges Labour to back bill to repeal Tory NHS reforms

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Caroline Lucas urges Labour to back bill to repeal Tory NHS reforms

The Green party MP Caroline Lucas has called on Labour to support a bill that would reverse much of the Conservatives’ NHS reforms, and was previously backed by Jeremy Corbyn.

The private member’s bill, named the NHS reinstatement bill, received cross-party support when it was first introduced to parliament in July, and was signed by Corbyn, the Labour leader, and the shadow chancellor, John McDonnell, when the pair were backbenchers.

The bill would reinstate the secretary of state’s responsibility for the health of UK citizens, something the Health and Social Care Act removed. It would also abolish bodies such as NHS trusts, NHS foundation trusts and clinical commissioning groups, allowing commercial companies to provide services only if they were essential to patient welfare and the NHS could not do so itself.

Continue ReadingNHS in crisis :: Caroline Lucas urges Labour to back bill to repeal Tory NHS reforms

Commentary and analysis of recent political events

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Number of homeless in England has risen for 3 years in a row, report says

Homelessness has increased for three consecutive years, partly because of housing shortages and cuts to benefits, with an estimated 185,000 people a year now affected in England, a report says.

Research by the Joseph Rowntree Foundation and Crisis found almost one in 10 people experience homelessness at some point in their life, with one in 50 experiencing it in the last five years.

Responding to the report, Emma Reynolds, the shadow housing minister, accused David Cameron of breaking his promises to tackle homelessness and get Britain building.

“Homelessness has risen every year under this government, the number of families with children living in bed and breakfasts is at a 10-year high and house-building is at its lowest in peacetime since the 1920s,” she said.

Leslie Morphy, chief executive of Crisis, urged the government to address a chronic lack of affordable housing and consider the impact of its cuts to housing benefit, such as the bedroom tax, welfare cap and shared accommodation rate.

Image of Accident and emergencyA&E Winter Crisis: Patients Wait 12 Hours

Hundreds of patients are being forced to wait more than four hours to be seen by accident and emergency departments as the winter crisis begins.

It is the first time since April that emergency departments have struggled to hit their four-hour targets as admissions to A&E hit the highest level since data started being collected in November 2010.

According to NHS England figures, 3,678 patients across the country were forced to wait between four and 12 hours for treatment.

Five patients were not seen for more than 12 hours last week – the busiest week of the year with 415,000 people visiting A&E departments.

Waiting times were worst in major A&E wards where just 92.2% of patients were seen within four hours.

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The over-policing of America

BoJo the bozo: Cycling safety campaigners slam Boris Johnson over lack of helmet and hi-viz 

Idiot Johnson is not the only one setting a poor example. As a cyclist, I advise you to wear a helmet as I was advised by my GP (doctor). If you fall from a bike, you’re falling six feet or so possibly with your head impacting the ground. Even presidents can have a ‘bicycle accident’.

Continue ReadingCommentary and analysis of recent political events

Coalition cuts blamed for shortage of 20,000 NHS nurses

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http://www.independent.co.uk/news/uk/politics/coalitioncuts-blamedfor-shortageof-20000nhs-nurses-8933661.html

FOI requests reveal ‘hidden workforce crisis’ at odds with official statistics

Image reads Accident & Emergency, A & E

Freedom of Information requests submitted by the Royal College of Nursing (RCN) to dozens of NHS hospitals in England have exposed a “hidden workforce crisis” that has been missed by government statistics.

While official figures say that just 3,859 full-time nurse, midwife and health visitor posts have been lost since the Coalition came to power in May 2010, the RCN said that thousands more nursing vacancies have been created because hospitals have not been replacing staff that have retired or moved on due to reduced budgets.

Staffing shortages have been highlighted in a number of reports into NHS care. Robert Francis drew attention to understaffed wards at the Mid Staffordshire NHS Trust in his report into one of the worst care scandals in the health service’s history.

Howard Catton, the RCN’s head of policy, said that Government figures had not been “fully reflecting the shortages [that nurses] are experiencing at ward level”.

The report came as Downing Street confirmed that the Prime Minister is personally overseeing the NHS’s response to what A&E doctors have warned could be “our worst winter yet”. Many trusts missed their A&E targets last winter and there are fears that amid rising demand and reduced resources, the system may struggle to cope with expected spikes in admissions.

Thousands of patients wait 12 hours in A&E

New figures show 12,000 patients were left lying on trolleys for at least 12 hours in emergency departments last year

Around 12,000 patients spent at least 12 hours lying on trolleys after being admitted to A&E last year, according to new figures.

A further 250 people waited for treatment in casualty wards for 24 hours or more, a Freedom of Information request revealed.

One person was left for 71 hours and 34 minutes, nearly three days, at North West London trust, which runs Northwick Park and Central Middlesex A&E departments.

In another shocking case a patient waited 37 hours at Royal Liverpool and Broadgreen A&E while a third was left for 33 hours at Ashford and St Peter’s in Chertsey, Surrey.

Health campaigners claimed the figures were more evidence of the growing crisis in hospitals’ emergency wards.

The figures came as the government received a warning that the closure of 50 out of 230 NHS walk-in centres in the last three years was putting extra strain on A&E units.

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
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dizzy

Continue ReadingCoalition cuts blamed for shortage of 20,000 NHS nurses

Closure of 23% of NHS walk-in centres ‘will put more pressure on A&E’

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http://www.theguardian.com/society/2013/nov/11/nhs-walk-in-centres-quarter-closedNHS regulator

Monitor says closures of 53 popular clinics could leave vulnerable people unable to access GP care

NHS sign

Despite huge popularity, nearly a quarter of NHS walk-in clinics offering seven-day care and evening opening have closed in the past three years, according to research by Monitor, the health service regulator.

It said there was a danger that closures could leave some patients unable to access GP care, particularly those unable to register with a surgery, as well as low-income working families and high-risk socially excluded groups such as homeless people, refugees and drug addicts.

More than 230 centres offering family doctor services were set up in England in the decade to 2010 under a Labour government initiative to improve access to care for patients who found it hard to register with their local GP or were unable to get a speedy appointment at a time that suited them.

Ironically, some of the closures appear to be the result of the centres being too successful. NHS commissioning authorities that have closed walk-in centres told Monitor that the clinics triggered “unwarranted” demand among “worried well” patients for often minor conditions. Some said they had closed centres to make savings as they could “no longer afford the convenience that walk-in centres offer”.

The closures are widely spread around England including in London, Plymouth, Southampton, Bristol, York, Manchester, Blackpool and Colchester. Six so-called “commuter” walk-in centres based at major railway stations in Manchester, London, Leeds and Newcastle, have closed in recent years after for failing to attract enough patients.

Monitor’s research found nearly two-thirds of patients who attended walk-in centres were already registered with a GP. Of these, just over a fifth said they had contacted their GP practice beforehand but were unable to get an appointment. A further 24% said they did not even bother to contact their GP because they anticipated there would be no convenient appointments available.

Continue ReadingClosure of 23% of NHS walk-in centres ‘will put more pressure on A&E’

Number of NHS ‘super managers’ earning up to £240,000 soars amid pay freeze fear

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http://www.theguardian.com/society/2013/nov/10/nhs-super-managers-428-nurse-pay

Figures undermine David Cameron’s claims that health service bureaucracy is being cut

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The number of elite NHS “super-managers” being paid up to £240,000 a year to implement the government’s controversial health service reforms has soared to more than four times the level originally expected by ministers, the Observer can reveal.

The latest official figures – which show a total of 428 “very senior managers” (VSMs) working in the newly constituted NHS bureaucracy – undermine David Cameron’s repeated claims to be slashing management posts and costs at every level in the service.

The figures will also anger more than a million NHS employees at the other end of the pay scale, including nurses and non-medical staff, such as cleaners, who have been warned that their planned 1% increase for 2014 could be cancelled because there is not enough money to fund it.

In 2010, as the coalition embarked on its controversial reforms aimed at opening the service up to more private competition, ministers told the Senior Salaries Review Body (SSRB) that by the time the changes were completed in April this year, there would be fewer than 100 very senior managers working in the top salary bracket of between £70,000 and £240,000 a year. But the Department of Health last night confirmed recent SSRB data which shows the number is now 428, including 211 super-managers at NHS England, the new body which oversees the budget and delivery of day-to-day services. The average pay of these managers is around £123,000 a year.

Pay review body documents also show that in May 2012, at the height of controversy over the changes, pioneered by the former health secretary, Andrew Lansley, there were 770 VSMs in post “during transition from old to new NHS structures”.

The figures do not include the 259 chief executives of NHS trusts whose pay is set by their own organisations’ remuneration committees and in some cases is more than £240,000 a year.

The revelations will pile more pressure on ministers after it emerged that some 2,200 NHS managers have been made redundant with large payoffs, only to be re-employed soon after.

Continue ReadingNumber of NHS ‘super managers’ earning up to £240,000 soars amid pay freeze fear