NHS news review

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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widespread feeling that the proposed legislation is hopelessly complex, and it really would be better if the bill were withdrawn.”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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NHS news review

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The Lib-Dems [edit: Con-Dems] are announcing an extension of “choice” in the NHS. What this means in actuality is an increase in privatised provision under the Any Qualified Provider scheme formally [edit: formerly] known as Any Willing Provider.

Dr Hamish Meldrum, Chairman of Council at the BMA comments

“We support greater choice for patients, although in an NHS with finite resources it will always be limited. What we would question is the assumption that increasing competition necessarily means improved choice. When competition results in market failure in the NHS, the ultimate consequence is the closure of services, and the restriction of choice for the patients who would have wished to use them.”

The concept of “Chice” as proposed by the Lib-Dems and by Blair previously is far from the simple concept of choice implied by freedom of choice. Do you still have choice in the case of one option or none?

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.

Patients to get choice of providers – Health News, Health & Families – The Independent

Patients will be given a choice of providers for mental health and community NHS services, the Government has announced.

The move, which opponents argue will lead to an increasingly privatised NHS, comes into force from next April and covers services worth millions of pounds.

Health Secretary Andrew Lansley said it was “a big day for patients”, who will be able to choose care from providers who meet NHS standards on quality, price and contracts.

Providers will compete to offer services and are likely to include private companies, charities and voluntary organisations, as well as the NHS.

Eight NHS areas – including musculoskeletal services for back pain, adult hearing services in the community, wheelchair services for children and talking therapies for adults – are being opened up for competition.

A minimum of three services must be offered in each area of England by September 2012.

The concept of “any qualified provider” has caused huge controversy, with opponents saying it represents privatisation of the health service.

Private sector firms invited to bid for £1bn slice of NHS – Health News, Health & Families – The Independent

NHS services costing about £1bn are to be opened up to competition, the Health Secretary said yesterday.

Patients will be offered a choice of provider, including private companies and charities, across eight services including those for back and neck pain, wheelchair services for children and talking therapies for patients with stress and depression, Andrew Lansley said.

Later, further specialities may be included under the “any qualified provider” provision in the Health and Social Care Bill, raising alarm about the privatisation of the health service.

BBC News – NHS competition extended to community care

Patients are getting greater choice over a host of community services as part of the government push to increase competition in the NHS in England.

Choice is already available over the full range of hospital operations.

But ministers now want that extended to treatments such as podiatry, hearing services and counselling from 2012.

It will lead to greater opportunities for charities, social enterprises and private firms to get NHS work – prompting accusations of privatisation.

 

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

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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.

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

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

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

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

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

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

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

Hackney consultant joins protest against NHS changes | Hackney Citizen

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

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

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

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

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

Continue ReadingNHS news review

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.

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

Continue ReadingNHS news review

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

 

Continue ReadingNHS news review – Colin Leys