How austerity caused the NHS crisis

The A&E delays can be traced back to Cameron – and have been worsened by successive health secretaries

Original article republished from Open Democracy under  Creative Commons Attribution-NonCommercial 4.0 International licence.

NHS sign

Danny Dorling

4 January 2023, 1.19pm

When the coalition government first introduced its landmark Health and Social Care Act in 2010, health secretary Andrew Lansley claimed the NHS would never again need to undergo such huge organisational change.

But even at the time, one widely respected commentator warned that – far from being the final fix that Lansley had advertised – the act “could become this government’s ‘poll tax’”.

In the event, it has been a slow-burn poll tax. Only now, ten years after it came into law, are we seeing its full effects, with publications from The Times to the Morning Star reporting that “A&E delays are ‘killing up to 500 people a week’”.

This figure – 5% above the normal number of people who die each week, though that baseline is also rising – can surely be traced back to the act, which ushered in a greater wave of privatisation than ever before. It compelled NHS management to behave as if they were in the private sector, competing to win business, and led to an increase in the proportion of contracts won and the use of contracts overall.

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At the time, the damage caused was little noticed because government cuts in the first round of austerity targeted local authorities and adult social care. The first group of people to see their life expectancy fall were elderly women who most often lived on their own. It was in 2014 that this connection became apparent.

Back then, the government was still confident, with the Department for Health and Social Care rebutting any suggestion that austerity and privatisation might be linked to mortality. The privatisation figures were also opaque. In 2015, halfway through Jeremy Hunt’s tenure as health secretary, it was reported that ministers were misleading the public. By that point, private firms were winning 40% of new contracts – far higher than the 6% spend share claimed by the government and almost identical to the 41% won by NHS bodies.

The first great increase in mortality was recorded in that same year, a 5% rise that the government tried to attribute to influenza. The problem with that explanation was that the stalling and falls in life expectancy were not seen to the same extent anywhere else in Europe.

Last year it was claimed that austerity since 2010 had led to a third of a million excess deaths

By 2019, life expectancy for women had fallen in almost a fifth of all neighbourhoods and in over a tenth for men. Poorer people, both old and young, in poorer areas suffered most, with infant mortality among babies born to the poorest parents rising. Later there was a rise in deaths of women who were pregnant.

As NHS waiting lists spiralled, a tenth of all adults, most of those who could, were resorting to accessing private health care in 2021. But, in doing so, they lengthened the lists further by jumping the queues and thus diverting resources.

By April 2022, the number of vacant beds in hospitals was at an all-time low. Estimates of the damage done kept rising. Less than six months later, it was claimed that austerity since 2010 had led to a third of a million excess deaths, twice as many as from the pandemic.

Now, A&E departments are stretched to capacity, unable to clear patients to other beds in our hospitals as they could in the past. Those other beds cannot be cleared as they were before because adult social care has been repeatedly decimated, with what is left being tendered out to private companies.

All of this was foretold. In the four years after 2015, the value of one group of private sector contracts in the NHS rose by 89%. These figures were released just before the 2019 general election, partly in response to Matt Hancock, then the health secretary, claiming that “there is no privatisation of the NHS on my watch.”

Again, the damage was not so much through the extent of covert privatisation, but through the wider ethos that had been promoted. Take the USA: most of the enormous amount of money spent on healthcare there has little impact on improving health, because the ethos is wrong.

Related content: No one voted for Rishi Sunak to return the UK to crippling austerity

24 October 2022 | Adam Ramsay

OPINION: Sunak wants yet another round of cuts to public spending. And just like in 2010, we didn’t vote for it

It is sometimes said – wrongly, that is – that the NHS has not been further privatised because the share of its spending that went to the private sector remained roughly the same between 2012 and 2020. By 2020 that share was about 7%, or just under £10bn a year. It rose to over £12bn during the pandemic when the government paid private hospitals to treat patients, but because overall health spending rose, the proportion remained roughly the same, still around 7%.

But the number of private companies involved did increase greatly, particularly in areas where there was already more private healthcare. By last year, private firms were delivering a quarter of all planned NHS hospital treatment in the least deprived areas of England, and 11% in the most deprived areas. Those shares – which have risen since 2020 – are higher than the overall 7% because it is in planned hospital treatment where the private sector has most infiltrated the NHS.

Last year, the Health and Care Act of 2022 put paid to Lansley’s claim that he had fixed the NHS ‘once and for all’. The act reduces the compulsion of the NHS from having to tender so many services to private sector bidding in future, but it was not designed to stop the rot. It will not solve the service’s problems, though there is hope that it could be the beginning of an actual change in ethos.

The pandemic made the effects of privatisation clear: Britons now have the worst access to healthcare in Europe and some of the worst post-pandemic outcomes. But the successive health secretaries who inflicted this tragedy are unrepentant.

The pandemic made the effects of privatisation clear: Britons now have the worst access to healthcare in Europe and some of the worst post-pandemic outcomes. But the successive health secretaries who inflicted this tragedy are unrepentant.

In 2018, Lansley criticised Hunt’s cuts in screening services, blaming them for delaying the detection of his bowel cancer. Hunt, meanwhile, went on to become foreign secretary and then chancellor of the exchequer. His legacy, as openDemocracy’s Caroline Molloy wrote last year, is “one of missed targets, lengthening waits, crumbling hospitals, missed opportunities, false solutions, funding boosts that vanished under scrutiny, and blaming everyone but himself.” Hancock is now most remembered for eating a camel penis and cow anus on live TV for money.

Belligerence, bravado and buffoonery. We got here because too many of us believed the words of fools.

Original article republished from Open Democracy under  Creative Commons Attribution-NonCommercial 4.0 International licence.

Continue ReadingHow austerity caused the NHS crisis

WORSE THAN USELESS BORIS AND HIS NASTY TORY PARTY SCUM :: UK :: It’s Murdochracy not Democracy

I am likely to revise this article but I want to get it out. It’s about the historical and continuing malign and corrosive influence of the Australian-American press baron Rupert Murdoch on UK politics. The article starts by looking at Murdoch’s influence over Tony Blair’s government before looking at how he still wields influence over Boris Johnson’s current government (and needs expanding there). I’m only searching the web so you can do this for yourselves.

https://pressgazette.co.uk/rupert-murdoch-documentary-rise-of-dynasty-bbc-tony-blair/

Former Sun deputy editor Neil Wallis was in charge during the 1997 election campaign when then-Sun editor Stuart Higgins was on holiday.

The paper made shockwaves when it published a “Sun backs Blair” front page after declaring “it was the Sun wot won it” for the Conservatives in the previous election.

He said he asked for a first-person piece from Blair on his party’s “cut and dried position” on Europe but it was “a piece of PR flim-flam that actually said nothing”.

“I said ‘I’m not running this Alistair [Campbell, Blair’s spin doctor] because it’s just saying nothing’. But I said ‘for this to be coherent, for this to have an impact, this needs to say you will not go into the Euro without a referendum’.

“And I duly got the piece under Tony Blair’s name committing them to a referendum on the Euro if it was ever considered that they would go into it.”

Former UK Independence Party leader Nigel Farage directly linked this Sun column with the eventual vote to leave the European Union 19 years later.

He told the documentary: “The price of Rupert Murdoch’s support for Tony Blair was that Blair promised he would not take us into the European currency without first having a referendum, and if Rupert Murdoch had not done that we would have joined the Euro in 1999 and I doubt Brexit would have happened.

“So I think when we look at the long history of Britain’s relationship with the European project that led ultimately to the Brexit vote, I think that was a decisive intervention from Rupert Murdoch.”

https://www.mirror.co.uk/news/uk-news/murdochs-blair-chats-492134 July 2007

TONY Blair spoke to media mogul Rupert Murdoch three times in the 10 days before the Iraq war – once on the eve of the invasion – it was disclosed yesterday.

Details were released by the Cabinet Office the day after Mr Blair stepped down as Prime Minister.

https://amp.theguardian.com/commentisfree/2011/sep/05/tony-blair-godfather-murdoch-daughter

Henry Porter writes in Sept 2011

So much falls into place with the revelation that Tony Blair became godfather to one of Rupert Murdoch’s two young daughters and attended their baptism on the banks of the river Jordan last year. True, it isn’t yet clear whether Blair had agreed to become a godparent while he was prime minister [see footnote], and the ceremony did take place after he had left office, but the important point is that the relationship underlines Murdoch’s deep entrenchment in British political life.

Murdoch’s third wife, Wendi Deng, who let slip the information in an interview with Vogue, described Blair as one of Rupert’s closest friends. Blair’s account of the relationship in his memoirs is somewhat different, portraying Murdoch as the big bad beast, who won his grudging respect. That is clearly disingenuous. As other memoirs and diaries from the Blair period are published, we see how close Murdoch was to the prime minister and the centre of power when really important decisions, such as the Iraq invasion, were being made.

Blair and Murdoch didn’t have to be bosom buddies for the relationship to be counter to the interests of a healthy national life and politics. As Lance Price, the former Blair spin doctor, has said, Murdoch was one of four people in Britain whose reaction was considered when any important decision was made during the Blair years.

https://www.independent.co.uk/news/uk/politics/murdoch-pressured-blair-rush-iraq-war-says-campbell-diaries-7855271.html June 2012

Rupert Murdoch launched an “over-crude” campaign to force Tony Blair to speed up Britain’s entry into the Iraq war, according to the final volume of [total cnut] Alastair Campbell’s diaries.

Mr Blair’s former communications director accuses the media mogul of being part of a drive by American Republicans to drag Britain into the controversial war a week before the House of Commons even voted to approve the intervention in 2003.

The claim is explosive because it appears to contradict Mr Murdoch’s evidence to the Leveson Inquiry. The News Corp chief told Lord Justice Leveson in April: “I’ve never asked a prime minister for anything.”

It is the second time that claim has been contested. Sir John Major, the former Prime Minister, told the inquiry this week that Mr Murdoch threatened to withdraw the support of his newspapers for his Government unless it took a tougher stance on Europe.

https://www.liverpoolecho.co.uk/news/liverpool-news/tony-blair-not-order-hillsborough-9658130 July 2015

Liverpool MP Andy Burnham has suggested that Tony Blair did not order a full enquiry into the Hillsborough disaster because he did not want to offend Rupert Murdoch.

Mr Burnham, a Labour leader hopeful said he was told not to pursue his demand for an official investigation when serving under Mr Blair.

As a result a “major injustice” was allowed to remain in place for more than a decade, he said.

Mr Burnham was the driving force behind Gordon Brown’s decision to set up the Hillsborough Independent Panel into the deaths of 96 Liverpool fans.

The Sun caused lasting outrage after publishing a report following the 1989 tragedy accusing “drunken” Liverpool fans of attacking rescue workers.

July 2020

Former Prime Minister Tony has always adamantly denied allegations he had an affair with Wendi, who was married to the News UK magnate from 1999 to 2013. However, the new BBC show spoke about Wendi’s affection towards him, including an unearthed diary entry in which she spoke about his ‘good body and legs’ before adding: ‘And what else and what else and what else…’.

But it was a series of emails, allegedly from Wendi about Blair, that effectively caused their divorce. ‘She made a bad mistake,’ journalist Ken Auletta explained. ‘She was sending emails on Newscorp email, so it’s easy for one of Murdoch’s minions, or lawyers, to extract those emails and see what they said – and they did.

dizzy: At Rupert Murdoch and Jerry Hall’s wedding in March 2016 Boris Johnson, Michael Gove and Priti Patel were invited – three prominent members of the current UK government. David Cameron and George Osborne – anti-Brexiteers – were not invited. Tony Blair was not invited – he’s been dropped by Murdoch after not having an affair with Wendi Deng.

Boris Johnson's thumbs up from Rupert Murdoch
Boris Johnson’s thumbs up from Rupert Murdoch
Continue ReadingWORSE THAN USELESS BORIS AND HIS NASTY TORY PARTY SCUM :: UK :: It’s Murdochracy not Democracy

Cameron’s Pig Society :: Dodgy Banking, government supports tax evaders

I’ve been looking at Cameron, Osborne & Co’s record on tax evasion. Tax avoiders and evaders are ennobled and joining the government, ideological opponents to tax appointed to senior HMRC posts, etc. There’s certainly the appearance that Cameron, Osborne & Co deliberately scupper EU agreements to tackle tax evasion to continue the status of the UK’s tax havens – that they work [ed: in the interests of for] that tiny elite, the super-rich tax evaders.

There’s a suggestion here that Cameron misled the House of Commons yesterday.

I’m still trying to get to grips with this issue. I certainly hope that the Labour Party are doing likewise. In the meantime, a vid about HMRC assisting UK tax evaders back in 2010/11 and ennoblement and appointment to government office.

10pm edit: I’m coming to the conclusion that Cameron, Osborne, Boris, etc – the Conservatives – are and represent the tax-evading super-rich. This is seen in Cameron’s statements and his government’s actions. The rich are asked to pay their taxes as opposed to telling them that they will be prosecuted and imprisoned for the serious crime of tax evasion. Cameron’s government maintain and support the UK’s tax havens. Cameron’s government promote tax evaders and avoiders to the Lords and bring them into his government. Individuals ideologically opposed to taxation are appointed posts in HMRC and HMRC investigators are reduced.

Continue ReadingCameron’s Pig Society :: Dodgy Banking, government supports tax evaders

NHS in crisis :: review

Image of George Osborne asking where is the money to be made in the NHS

The short NHS in crisis series of the past week or so went fairly well. We’ve learned

There are plenty of resources for further research e.g. there’s plenty on what junior doctors are and do at youtube.

I’ll be watching and reporting NHS news. Current NHS news is that the BMA have cancelled an intended 48 hour strike by junior doctors next Tuesday. I’m sure that everyone welcomes that news. Kent CCG (Clinical Commissioning Group) has also signed a deal with a hospital in Calais to treat NHS patients. Far from ideal? barking?

 

Continue ReadingNHS in crisis :: review

NHS in crisis :: Not fair, not safe – 6 reasons junior doctors are preparing to strike

Not fair, not safe – 6 reasons junior doctors are preparing to strike
by Nick Carpenter

Image of George Osborne asking where is the money to be made in the NHS

The junior doctor contract governs the pay and conditions of work from doctors’ foundation year to registrar level. All doctors who are not consultants or fully qualified GPs are considered ‘junior’ doctors. This contract was scheduled for renegotiation, but the British Medical Association (BMA) – the largest representative body of doctors – walked away because the offer on the table was not fair to doctors and not safe for patients.

The government’s initial response was brazen, and threatened to impose the new terms without consultation – a position it has had to water down since the BMA decided to ballot its members for strike action. Here’s why the BMA has done so the first time in 40 years:

  1. An NHS in crisis: overworked and undervalued.

Britain’s doctors have had enough. In a stretched and underfunded health system which doesn’t train enough doctors and nurses to meet its own needs – or invest in the infrastructure needed for new hospitals and facilities unless aprivate contractor is taking a nice slice of the pie – the solution seems to have been ‘work harder and take up the slack’. According to the Royal College of Physicians, the NHS “remains reliant on doctors working longer than their contracted hours…the amount of ‘goodwill work’ is increasing year-on-year.”

Trusts struggling to pay their tithes to the private owners of NHS hospital buildings have responded by reducing staff salaries, meaning fewer doctors and nurses are covering more patients and expected to do so for free. The situation has reached crisis point and doctors are experiencing enormous burnout, with more doctors applying to live abroad every year. Into this context came the new contract.

  1. It’s not about the money.

The ‘offer’ of the new contract has been condemned first and foremost as fundamentally unsafe. Just as with the recent tube strike, the new contract threatens to force doctors to work longer and later with fewer safeguards.

The BMA approached negotiations acknowledging financial limitations but determined to improve safety: it wanted no doctor to work more than 72 hours in a week; no more than four nights in a week on-call; a rest day either side of nights before starting back on day shifts; and facilities to sleep-in for those who otherwise make a dangerous long drive home.

The government was unwilling to accept these terms, and furthermore wanted to reduce breaks to just one 30 minute break in a ten hour on-call shift. As a recent viral video asked, could you save a life if you’d been up all night?

  1. But it is, also, about the money.

The new contract would mean a 15-40% pay-cut depending on your specialism, with GPs and emergency care doctors being some of the hardest hit. Let that sink in.

With wages starting beneath the national median anddecreasing yearly like all public sector pay, and out of pocket expenditure for licensing, exams and indemnities, junior doctors earn significantly less than the tabloids would have you believe. Their reports often use a cunning sleight of hand: taking the figures for the pay of those doctors doing the most private work – GPs who run a private practice and some consultants who run private clinics – and presenting the data as proof of ‘greedy’ public sector workers.

There are two ways doctors’ starting wages increase: extra pay for unsociable hours, and pay advancement as you progress through the ranks of seniority and responsibility. Both of these are under threat in the new contract.

The government has suggested that working from 7am until 10pm Monday to Saturday are sociable hours – and therefore should not be paid extra – which is funny considering MPs just reduced their own working hours and increased their own pay. As for pay progression with seniority, no actual offer was made.

  1. The changes hit women hardest.

The contract changes penalise those who take time out to start a family and those who work part-time –overwhelmingly affecting women in both cases. Additionally there are concerns that changes to breaks will make work more dangerous for pregnant women. As noted above GPs will be amongst those taking the largest wage cut, one of the few specialisms with more women than men.

  1. No confidence in Jeremy Hunt.

More than 200k people signed the petition to debate a vote of no confidence in Jeremy Hunt. He wrongly and infamously implied that doctors don’t work at night or weekends. After blaming the A&E crisis last winter on people attending inappropriately (rather than, say, the reduction of roughly 13k hospital beds over the last five years), Mr Hunt felt it was appropriate to take his own children to A&E rather than wait for an appointment like, you know, the rest of us commoners.

But most of all:

  1. This was an imposition, not a negotiation.

Hunt and the government have shown a complete disdain for even the barest semblance of actual negotiation. When the BMA walked away from negotiations a year ago, it wasn’t as a strategy to get better terms, it was because the negotiations were a farce. It has taken the threat of industrial action for a pathetic attempt at reconciliation to come from the Department of Health, full of vague, unconvincing rhetoric. It is too little, too late. No fruitful discussions can continue with Hunt as health secretary. We have no reason to believe in his word or his competence.

We deserve more. Doctors do not take strike action lightly. Whilst we will always maintain emergency and essential services, the BMA will be balloting its members to strike against the contract in the next month. We hope to see you on the picket lines.

 

  • About the author: Nick is a junior doctor. He tweets at @ZastaNick.This article is published under a Creative Commons Attribution-NonCommercial 4.0 International licence.

 

Continue ReadingNHS in crisis :: Not fair, not safe – 6 reasons junior doctors are preparing to strike

NHS in crisis :: The billions of wasted NHS cash no-one wants to mention

England’s Junior doctors held a 24-hour strike from 8am yesterday. It was the first of a planned series of strikes. Jeremy Corbyn’s Labour Party and the Green Party should be commended for their support of the strike. (The strike only applies to England).

[15/1/16 11.10am The Labour Party’s position on the strike is complex, ” … Labour’s health spokeswoman Heidi Alexander had explained to them that the party would stand by its policy of not supporting industrial action.” John McDonnell joined junior doctors despite Labour agreement to not endorse strike]

While it’s very tempting to address the strike, today’s featured article instead addresses a fundamental problem with the NHS which is largely ignored by corporate media – that of the huge bureaucratic overhead of imposing a fake, imaginary ‘market’ so that the private sector can extort it’s ‘tax’. The conclusions to be drawn from this article should be clear.

Image of George Osborne asking where is the money to be made in the NHS

The billions of wasted NHS cash no-one wants to mention

Continue ReadingNHS in crisis :: The billions of wasted NHS cash no-one wants to mention

Cameron & his Tory shits attack the disabled

I apologise that I’m still trying to get up to speed on this. ILF. Is it The Independent Living Fund that has been abolished?

I’m sorry. I know that this **** ********* (Tory Government – well you can make up your own) has abolished the support that allows disabled people to have a life.

ed: Cameron and Osborne have abolished the support that disabled people need to live independently.

ed: What it means is that they will be denied their independence and will be institutionalised and much more actually. It will mean that disabled people are imprisoned.

ed: It’s happening. Independent Living Fund has been abolished. Disabled people are being institutionalised i.e. imprisoned.

Imprisoned for being disabled?

I want to say that Hitler went for the disabled first but did he? I’m going to say it regardless. There were homos, communist and socialists too. Am I missing something? Well that’s history for you.

08:10ed: Ok I lost the plot there. The point is that the independent living benefit for disabled people has been abolished. What this means for disabled people is that they are institutionalised i.e. imprisoned for being disabled. That’s thanks to Cameron and Osborne who are ever so willing to provide huge benefits for crap bankers.

 

Continue ReadingCameron & his Tory shits attack the disabled

Some thinks …

Thinks to be ammended, changed

Thing(k)s have moved on now since I was politically active.

I think (consider) that it was well out of order that I was (am) considered a suspected terrrist through legitimate political activism. edit: the point here is that legitimate political activists are (were?) labelled and persecuted as terrorists – and consequently subject to arbitary execution – instead of being recognised and respected as participants as should be the case in any democratic society.

It’s outrageous that totally innocent, unsuspecting people were killed for the Neo-Con New Labour project. It lead to the absolute fallacy of UK suicide bombers. The governments of that era are the terrorists and there is evidence of that. Almost a decade ago now and look what they have created … edit: The governments are still the terrrists – Charlie Hebdo BS.

It’s also outrageous that none of them have been held to account for their not only outrageous but clearly so illegal actions. Rendition, state-sponsored terrorism, just plainly covering-up for a blatant murder at Stockwell tube station. edit: I could call it a state-sponsored execution and I know what state did it.

,,,

TBC

3.50 13/6/15 And now we have these incompetent upper-class twats who appear to be lacking in legitimacy (elections). edit: The problem is that if they were not legitimately elected then … are any laws passed legitimate? if they’re not a legitimate government, what of attempts to displace them?

They’re very keen on blaming poor people instead of bankers and their rich mates. Iain Duncan Smith seems very keen on killing people.

edit; They like killing foxes and badgers.

3am 14/6/15

It’s very dark isn’t it? Has it always been this dark and disgusting?

I regarded Tonee as totally insane and installed into his position. Is this continuing? Are leaders of the Labour Party installed by a greater power? and it follows according to their agenda?

Maybe we should ask those labour party members that attend bilderberg meetings? They won’t tell you actually.

They do plan decades ahead. I’m pleased and proud that I played my part in knocking those plans off course. US official policy as prescribed by PNAC was to fight many wars on many fronts. That didn’t work did it?

PNAC policy appears to be total domination of everything. I oppose that.

4.08 14/6/15 PNAC policy is also fake manufactured terrorism. I oppose that too.

Continue ReadingSome thinks …