‘I couldn’t stand the pain’: the Turkish holiday resort that’s become an emergency dental centre for Britons who can’t get treated at home

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This clinic in the Turkish resort of Antalya is the official ‘dental sponsor’ of the Miss England competition.
Diana Ibanez-Tirado, Author provided

Diana Ibanez-Tirado, University of Sussex

It’s a hot summer day in the Turkish city of Antalya, a Mediterranean resort with golden beaches, deep blue sea and vibrant nightlife. The pool area of the all-inclusive resort is crammed with British people on sun loungers – but they aren’t here for a holiday. This hotel is linked to a dental clinic that organises treatment packages, and most of these guests are here to see a dentist.

From Norwich, two women talk about gums and injections. A man from Wales holds a tissue close to his mouth and spits blood – he has just had two molars extracted.

The dental clinic organises everything for these dental “tourists” throughout their treatment, which typically lasts from three to 15 days. The stories I hear of what has caused them to travel to Turkey are strikingly similar: all have struggled to secure dental treatment at home on the NHS.

“The hotel is nice and some days I go to the beach,” says Susan*, a hairdresser in her mid-30s from Norwich. “But really, we aren’t tourists like in a proper holiday. We come here because we have no choice. I couldn’t stand the pain.”

Seaside beach resort with mountains in the distance
The Turkish Mediterranean resort of Antalya.
Akimov Konstantin/Shutterstock

This is Susan’s second visit to Antalya. She explains that her ordeal started two years earlier:

I went to an NHS dentist who told me I had gum disease … She did some cleaning to my teeth and gums but it got worse. When I ate, my teeth were moving … the gums were bleeding and it was very painful. I called to say I was in pain but the clinic was not accepting NHS patients any more.

The only option the dentist offered Susan was to register as a private patient:

I asked how much. They said £50 for x-rays and then if the gum disease got worse, £300 or so for extraction. Four of them were moving – imagine: £1,200 for losing your teeth! Without teeth I’d lose my clients, but I didn’t have the money. I’m a single mum. I called my mum and cried.

Susan’s mother told her about a friend of hers who had been to Turkey for treatment, then together they found a suitable clinic:

The prices are so much cheaper! Tooth extraction, x-rays, consultations – it all comes included. The flight and hotel for seven days cost the same as losing four teeth in Norwich … I had my lower teeth removed here six months ago, now I’ve got implants … £2,800 for everything – hotel, transfer, treatments. I only paid the flights separately.

In the UK, roughly half the adult population suffers from periodontitis – inflammation of the gums caused by plaque bacteria that can lead to irreversible loss of gums, teeth, and bone. Regular reviews by a dentist or hygienist are required to manage this condition. But nine out of ten dental practices cannot offer NHS appointments to new adult patients, while eight in ten are not accepting new child patients.

Some UK dentists argue that Britons who travel abroad for treatment do so mainly for cosmetic procedures. They warn that dental tourism is dangerous, and that if their treatment goes wrong, dentists in the UK will be unable to help because they don’t want to be responsible for further damage. Susan shrugs this off:

Dentists in England say: ‘If you go to Turkey, we won’t touch you [afterwards].’ But I don’t worry because there are no appointments at home anyway. They couldn’t help in the first place, and this is why we are in Turkey.

‘How can we pay all this money?’

As a social anthropologist, I travelled to Turkey a number of times in 2023 to investigate the crisis of NHS dentistry, and the journeys abroad that UK patients are increasingly making as a result. I have relatives in Istanbul and have been researching migration and trading patterns in Turkey’s largest city since 2016.

In August 2023, I visited the resort in Antalya, nearly 400 miles south of Istanbul. As well as Susan, I met a group from a village in Wales who said there was no provision of NHS dentistry back home. They had organised a two-week trip to Turkey: the 12-strong group included a middle-aged couple with two sons in their early 20s, and two couples who were pensioners. By going together, Anya tells me, they could support each other through their different treatments:

I’ve had many cavities since I was little … Before, you could see a dentist regularly – you didn’t even think about it. If you had pain or wanted a regular visit, you phoned and you went … That was in the 1990s, when I went to the dentist maybe every year.

Anya says that once she had children, her family and work commitments meant she had no time to go to the dentist. Then, years later, she started having serious toothache:

Every time I chewed something, it hurt. I ate soups and soft food, and I also lost weight … Even drinking was painful – tea: pain, cold water: pain. I was taking paracetamol all the time! I went to the dentist to fix all this, but there were no appointments.

Anya was told she would have to wait months, or find a dentist elsewhere:

A private clinic gave me a list of things I needed done. Oh my God, almost £6,000. My husband went too – same story. How can we pay all this money? So we decided to come to Turkey. Some people we know had been here, and others in the village wanted to come too. We’ve brought our sons too – they also need to be checked and fixed. Our whole family could be fixed for less than £6,000.

By the time they travelled, Anya’s dental problems had turned into a dental emergency. She says she could not live with the pain anymore, and was relying on paracetamol.

In 2023, about 6 million adults in the UK experienced protracted pain (lasting more than two weeks) caused by toothache. Unintentional paracetamol overdose due to dental pain is a significant cause of admissions to acute medical units. If left untreated, tooth infections can spread to other parts of the body and cause life-threatening complications – and on rare occasions, death.

In February 2024, police were called to manage hundreds of people queuing outside a newly opened dental clinic in Bristol, all hoping to be registered or seen by an NHS dentist. One in ten Britons have admitted to performing “DIY dentistry”, of which 20% did so because they could not find a timely appointment. This includes people pulling out their teeth with pliers and using superglue to repair their teeth.

In the 1990s, dentistry was almost entirely provided through NHS services, with only around 500 solely private dentists registered. Today, NHS dentist numbers in England are at their lowest level in a decade, with 23,577 dentists registered to perform NHS work in 2022-23, down 695 on the previous year. Furthermore, the precise division of NHS and private work that each dentist provides is not measured.

The COVID pandemic created longer waiting lists for NHS treatment in an already stretched public service. In Bridlington, Yorkshire, people are now reportedly having to wait eight-to-nine years to get an NHS dental appointment with the only remaining NHS dentist in the town.

In his book Patients of the State (2012), Argentine sociologist Javier Auyero describes the “indignities of waiting”. It is the poor who are mostly forced to wait, he writes. Queues for state benefits and public services constitute a tangible form of power over the marginalised. There is an ethnic dimension to this story, too. Data suggests that in the UK, patients less likely to be effective in booking an NHS dental appointment are non-white ethnic groups and Gypsy or Irish travellers, and that it is particularly challenging for refugees and asylum-seekers to access dental care.


This article is part of Conversation Insights

The Insights team generates long-form journalism derived from interdisciplinary research. The team is working with academics from different backgrounds who have been engaged in projects aimed at tackling societal and scientific challenges.


In 2022, I experienced my own dental emergency. An infected tooth was causing me debilitating pain, and needed root canal treatment. I was advised this would cost £71 on the NHS, plus £307 for a follow-up crown – but that I would have to wait months for an appointment. The pain became excruciating – I could not sleep, let alone wait for months. In the same clinic, privately, I was quoted £1,300 for the treatment (more than half my monthly income at the time), or £295 for a tooth extraction.

I did not want to lose my tooth because of lack of money. So I bought a flight to Istanbul immediately for the price of the extraction in the UK, and my tooth was treated with root canal therapy by a private dentist there for £80. Including the costs of travelling, the total was a third of what I was quoted to be treated privately in the UK. Two years on, my treated tooth hasn’t given me any more problems.

A better quality of life

Not everyone is in Antalya for emergency procedures. The pensioners from Wales had contacted numerous clinics they found on the internet, comparing prices, treatments and hotel packages at least a year in advance, in a carefully planned trip to get dental implants – artificial replacements for tooth roots that help support dentures, crowns and bridges.

Street view of a dental clinic in Antalya, Turkey
Dental clinic in Antalya, Turkey.
Diana Ibanez-Tirado, CC BY-NC-ND

In Turkey, all the dentists I speak to (most of whom cater mainly for foreigners, including UK nationals) consider implants not a cosmetic or luxurious treatment, but a development in dentistry that gives patients who are able to have the procedure a much better quality of life. This procedure is not available on the NHS for most of the UK population, and the patients I meet in Turkey could not afford implants in private clinics back home.

Paul is in Antalya to replace his dentures, which have become uncomfortable and irritating to his gums, with implants. He says he couldn’t find an appointment to see an NHS dentist. His wife Sonia went through a similar procedure the year before and is very satisfied with the results, telling me: “Why have dentures that you need to put in a glass overnight, in the old style? If you can have implants, I say, you’re better off having them.”

Most of the dental tourists I meet in Antalya are white British: this city, known as the Turkish Riviera, has developed an entire economy catering to English-speaking tourists. In 2023, more than 1.3 million people visited the city from the UK, up almost 15% on the previous year.

In contrast, the Britons I meet in Istanbul are predominantly from a non-white ethnic background. Omar, a pensioner of Pakistani origin in his early 70s, has come here after waiting “half a year” for an NHS appointment to fix the dental bridge that is causing him pain. Omar’s son had been previously for a hair transplant, and was offered a free dental checkup by the same clinic, so he suggested it to his father. Having worked as a driver for a manufacturing company for two decades in Birmingham, Omar says he feels disappointed to have contributed to the British economy for so long, only to be “let down” by the NHS:

At home, I must wait and wait and wait to get a bridge – and then I had many problems with it. I couldn’t eat because the bridge was uncomfortable and I was in pain, but there were no appointments on the NHS. I asked a private dentist and they recommended implants, but they are far too expensive [in the UK]. I started losing weight, which is not a bad thing at the beginning, but then I was worrying because I couldn’t chew and eat well and was losing more weight … Here in Istanbul, I got dental implants – US$500 each, problem solved! In England, each implant is maybe £2,000 or £3,000.

In the waiting area of another clinic in Istanbul, I meet Mariam, a British woman of Iraqi background in her late 40s, who is making her second visit to the dentist here. Initially, she needed root canal therapy after experiencing severe pain for weeks. Having been quoted £1,200 in a private clinic in outer London, Mariam decided to fly to Istanbul instead, where she was quoted £150 by a dentist she knew through her large family. Even considering the cost of the flight, Mariam says the decision was obvious:

Dentists in England are so expensive and NHS appointments so difficult to find. It’s awful there, isn’t it? Dentists there blamed me for my rotten teeth. They say it’s my fault: I don’t clean or I ate sugar, or this or that. I grew up in a village in Iraq and didn’t go to the dentist – we were very poor. Then we left because of war, so we didn’t go to a dentist … When I arrived in London more than 20 years ago, I didn’t speak English, so I still didn’t go to the dentist … I think when you move from one place to another, you don’t go to the dentist unless you are in real, real pain.

In Istanbul, Mariam has opted not only for the urgent root canal treatment but also a longer and more complex treatment suggested by her consultant, who she says is a renowned doctor from Syria. This will include several extractions and implants of back and front teeth, and when I ask what she thinks of achieving a “Hollywood smile”, Mariam says:

Who doesn’t want a nice smile? I didn’t come here to be a model. I came because I was in pain, but I know this doctor is the best for implants, and my front teeth were rotten anyway.

Dentists in the UK warn about the risks of “overtreatment” abroad, but Mariam appears confident that this is her opportunity to solve all her oral health problems. Two of her sisters have already been through a similar treatment, so they all trust this doctor.

Alt text
An Istanbul clinic founded by Afghan dentists has a message for its UK customers.
Diana Ibanez-Tirado, CC BY-NC-ND

The UK’s ‘dental deserts’

To get a fuller understanding of the NHS dental crisis, I’ve also conducted 20 interviews in the UK with people who have travelled or were considering travelling abroad for dental treatment.

Joan, a 50-year-old woman from Exeter, tells me she considered going to Turkey and could have afforded it, but that her back and knee problems meant she could not brave the trip. She has lost all her lower front teeth due to gum disease and, when I meet her, has been waiting 13 months for an NHS dental appointment. Joan tells me she is living in “shame”, unable to smile.

In the UK, areas with extremely limited provision of NHS dental services – known as as “dental deserts” – include densely populated urban areas such as Portsmouth and Greater Manchester, as well as many rural and coastal areas.

In Felixstowe, the last dentist taking NHS patients went private in 2023, despite the efforts of the activist group Toothless in Suffolk to secure better access to NHS dentists in the area. It’s a similar story in Ripon, Yorkshire, and in Dumfries & Galloway, Scotland, where nearly 25,000 patients have been de-registered from NHS dentists since 2021.

Data shows that 2 million adults must travel at least 40 miles within the UK to access dental care. Branding travel for dental care as “tourism” carries the risk of disguising the elements of duress under which patients move to restore their oral health – nationally and internationally. It also hides the immobility of those who cannot undertake such journeys.

The 90-year-old woman in Dumfries & Galloway who now faces travelling for hours by bus to see an NHS dentist can hardly be considered “tourism” – nor the Ukrainian war refugees who travelled back from West Sussex and Norwich to Ukraine, rather than face the long wait to see an NHS dentist.

Many people I have spoken to cannot afford the cost of transport to attend dental appointments two hours away – or they have care responsibilities that make it impossible. Instead, they are forced to wait in pain, in the hope of one day securing an appointment closer to home.

Billboard advertising a dental clinic in Turkey
Dental clinics have mushroomed in recent years in Turkey, thanks to the influx of foreign patients seeking a wide range of treatments.
Diana Ibanez-Tirado, CC BY-NC-ND

‘Your crisis is our business’

The indignities of waiting in the UK are having a big impact on the lives of some local and foreign dentists in Turkey. Some neighbourhoods are rapidly changing as dental and other health clinics, usually in luxurious multi-storey glass buildings, mushroom. In the office of one large Istanbul medical complex with sections for hair transplants and dentistry (plus one linked to a hospital for more extensive cosmetic surgery), its Turkish owner and main investor tells me:

Your crisis is our business, but this is a bazaar. There are good clinics and bad clinics, and unfortunately sometimes foreign patients do not know which one to choose. But for us, the business is very good.

This clinic only caters to foreign patients. The owner, an architect by profession who also developed medical clinics in Brazil, describes how COVID had a major impact on his business:

When in Europe you had COVID lockdowns, Turkey allowed foreigners to come. Many people came for ‘medical tourism’ – we had many patients for cosmetic surgery and hair transplants. And that was when the dental business started, because our patients couldn’t see a dentist in Germany or England. Then more and more patients started to come for dental treatments, especially from the UK and Ireland. For them, it’s very, very cheap here.

The reasons include the value of the Turkish lira relative to the British pound, the low cost of labour, the increasing competition among Turkish clinics, and the sheer motivation of dentists here. While most dentists catering to foreign patients are from Turkey, others have arrived seeking refuge from war and violence in Syria, Iraq, Afghanistan, Iran and beyond. They work diligently to rebuild their lives, careers and lost wealth.

Regardless of their origin, all dentists in Turkey must be registered and certified. Hamed, a Syrian dentist and co-owner of a new clinic in Istanbul catering to European and North American patients, tells me:

I know that you say ‘Syrian’ and people think ‘migrant’, ‘refugee’, and maybe think ‘how can this dentist be good?’ – but Syria, before the war, had very good doctors and dentists. Many of us came to Turkey and now I have a Turkish passport. I had to pass the exams to practise dentistry here – I study hard. The exams are in Turkish and they are difficult, so you cannot say that Syrian doctors are stupid.

Hamed talks excitedly about the latest technology that is coming to his profession: “There are always new materials and techniques, and we cannot stop learning.” He is about to travel to Paris to an international conference:

I can say my techniques are very advanced … I bet I put more implants and do more bone grafting and surgeries every week than any dentist you know in England. A good dentist is about practice and hand skills and experience. I work hard, very hard, because more and more patients are arriving to my clinic, because in England they don’t find dentists.

Dental equipment in a Turkish treatment room
Dentists in Turkey boast of using the latest technology.
Diana Ibanez-Tirado, CC BY-NC-ND

While there is no official data about the number of people travelling from the UK to Turkey for dental treatment, investors and dentists I speak to consider that numbers are rocketing. From all over the world, Turkey received 1.2 million visitors for “medical tourism” in 2022, an increase of 308% on the previous year. Of these, about 250,000 patients went for dentistry. One of the most renowned dental clinics in Istanbul had only 15 British patients in 2019, but that number increased to 2,200 in 2023 and is expected to reach 5,500 in 2024.

Like all forms of medical care, dental treatments carry risks. Most clinics in Turkey offer a ten-year guarantee for treatments and a printed clinical history of procedures carried out, so patients can show this to their local dentists and continue their regular annual care in the UK. Dental treatments, checkups and maintaining a good oral health is a life-time process, not a one-off event.

Many UK patients, however, are caught between a rock and a hard place – criticised for going abroad, yet unable to get affordable dental care in the UK before and after their return. The British Dental Association has called for more action to inform these patients about the risks of getting treated overseas – and has warned UK dentists about the legal implications of treating these patients on their return. But this does not address the difficulties faced by British patients who are being forced to go abroad in search of affordable, often urgent dental care.

A global emergency

The World Health Organization states that the explosion of oral disease around the world is a result of the “negligent attitude” that governments, policymakers and insurance companies have towards including oral healthcare under the umbrella of universal healthcare. It as if the health of our teeth and mouth is optional; somehow less important than treatment to the rest of our body. Yet complications from untreated tooth decay can lead to hospitalisation.

The main causes of oral health diseases are untreated tooth decay, severe gum disease, toothlessness, and cancers of the lip and oral cavity. Cases grew during the pandemic, when little or no attention was paid to oral health. Meanwhile, the global cosmetic dentistry market is predicted to continue growing at an annual rate of 13% for the rest of this decade, confirming the strong relationship between socioeconomic status and access to oral healthcare.

In the UK since 2018, there have been more than 218,000 admissions to hospital for rotting teeth, of which more than 100,000 were children. Some 40% of children in the UK have not seen a dentist in the past 12 months. The role of dentists in prevention of tooth decay and its complications, and in the early detection of mouth cancer, is vital. While there is a 90% survival rate for mouth cancer if spotted early, the lack of access to dental appointments is causing cases to go undetected.

The reasons for the crisis in NHS dentistry are complex, but include: the real-term cuts in funding to NHS dentistry; the challenges of recruitment and retention of dentists in rural and coastal areas; pay inequalities facing dental nurses, most of them women, who are being badly hit by the cost of living crisis; and, in England, the 2006 Dental Contract that does not remunerate dentists in a way that encourages them to continue seeing NHS patients.

The UK is suffering a mass exodus of the public dentistry workforce, with workers leaving the profession entirely or shifting to the private sector, where payments and life-work balance are better, bureaucracy is reduced, and prospects for career development look much better. A survey of general dental practitioners found that around half have reduced their NHS work since the pandemic – with 43% saying they were likely to go fully private, and 42% considering a career change or taking early retirement.

Reversing the UK’s dental crisis requires more commitment to substantial reform and funding than the “recovery plan” announced by Victoria Atkins, the secretary of state for health and social care, on February 7.

The stories I have gathered show that people travelling abroad for dental treatment don’t see themselves as “tourists” or vanity-driven consumers of the “Hollywood smile”. Rather, they have been forced by the crisis in NHS dentistry to seek out a service 1,500 miles away in Turkey that should be a basic, affordable right for all, on their own doorstep.

*Names in this article have been changed to protect the anonymity of the interviewees.


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Diana Ibanez-Tirado, Senior Lecturer in Anthropology, University of Sussex

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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“Austerity is a political choice, not an economic necessity” – Jeremy Corbyn on #Budget24

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https://labouroutlook.org/2024/03/06/austerity-is-a-political-choice-not-an-economic-necessity-jeremy-corbyn-exclusive-on-budget24/

Image of Jeremy Corbyn MP, former leader of the Labour Party
Jeremy Corbyn MP, former leader of the Labour Party

“Today’s budget exposes a government that is blind to the scale of the crises we face. While private companies are taking home more profit than ever before, more than 4 million children live in poverty.”

Jeremy Corbyn MP

“Austerity is a political choice, not an economic necessity” – Jeremy Corbyn exclusive on #Budget24

Jeremy Corbyn MP writes for Labour Outlook on #Budget24.

This is what we said back in 2015, five years into a devastating programme of cuts and privatisation. We knew that austerity would decimate our public services, plunge millions into poverty and send our country into economic decline. It was true then – and it is true now.

Today’s budget exposes a government that is blind to the scale of the crises we face. While private companies are taking home more profit than ever before, more than 4 million children live in poverty. A quarter of a million people are homeless, while millions more languish on social housing waiting lists. Our NHS is on its knees after decades of austerity and privatisation.

Perhaps most alarmingly, we are sleepwalking toward a climate emergency. Make no mistake, the climate crisis is here, and we are running out of time to avoid total catastrophe. People in the Global South are already suffering the worst consequences – more and more people in this country will experience the devastating effects of air pollution, heatwaves and flooding.

The Tories’ economic experiment has failed – and they should not get off lightly. Parroting the language of austerity is a grave mistake, and represents a missed opportunity to bring about the transformative change this country needs. When there are more billionaires in this country than ever before, the idea that we cannot afford to build a fairer and greener society is absurd. We have the means to end poverty, pay our workers properly and save the planet. We just need the political will.

Millions of us still believe in a real alternative.

One that funds a fully-public NHS; austerity and privatisation are the causes of – not the solutions to – the healthcare crisis.

One that introduced rent controls and builds social housing; we will never tackle the housing emergency until we treat housing as a human right, and embark upon a huge council house-building programme.

One that invests in a Green New Deal to transform the economy and create thousands of green, unionised jobs.

One that scraps the 2-child benefits cap; this cruel and callous policy is a moral disgrace, and we could pay for the abolition of this policy seventeen times over with a 1-2% wealth tax on people with assets over £10 million.

One that brings energy, water, rail and mail into public ownership; privatisation has been a total disaster, and it’s time we stood up to the companies holding our country to ransom.

Our economy is not just broken. It is rigged in the interests of the few – and unless we fundamentally rewrite the rules of our economy, nothing will change. There’s nothing fiscally responsible about plunging millions of people into poverty or destroying our natural world. Why can’t we have the courage to campaign for a more joyful, equal and sustainable future?

As the MP for Islington North, I will continue to campaign alongside my community for a redistribution of wealth and power. For an economy that puts human need before corporate greed. For a society that cares for each other and cares for all.


https://labouroutlook.org/2024/03/06/austerity-is-a-political-choice-not-an-economic-necessity-jeremy-corbyn-exclusive-on-budget24/

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Morning Star: We need an emergency Budget – but there’s no relief in sight

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Chancellor of the Exchequer Jeremy Hunt leaves 11 Downing Street, London, with his ministerial box before delivering his Budget in the Houses of Parliament, March 6, 2024

BRITAIN needed an emergency Budget today, one that addressed the profound crises facing local authorities, healthcare, education, you name it.

It got nothing of the sort. A scattering of headline investments like the “NHS productivity plan,” focused on IT systems and ignoring the staff shortages that have led to waiting lists seven million long.

A 2p cut to National Insurance that benefits higher earners more and, by reducing the tax take, tightens the funding squeeze on essential services. Bigger cuts to capital gains tax, incentivising the property speculation that has helped drive the housing crisis.

It was a complacent Budget, Chancellor Jeremy Hunt spending longer trying to explain away Britain’s “technical” recession as some kind of economic success (the same Chancellor said last year he was “comfortable” with Bank of England policy causing a recession to reduce wages) than he did outlining new measures that might make a difference.

Britain has “turned the corner” on inflation, he claims, though prices rising more slowly doesn’t mean prices falling and millions of us know what we pay for food, energy and a roof over our heads has soared in recent years.

There is plenty of money. Last month Britain’s Big Four banks announced their highest annual profits ever.

We see record-breaking profits in the energy cartels, big agribusiness, soaring profit margins in the FTSE 350 table of big companies. These aren’t “difficult economic circumstances.” It is class war.

And if Labour won’t strike a blow for workers in that war, unions will need to find another way to change our country’s direction.

Continue ReadingMorning Star: We need an emergency Budget – but there’s no relief in sight

Greens say that people can see through pre-election Budget tax bribes

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Image of the Green Party's Carla Denyer on BBC Question Time.
Image of the Green Party’s Carla Denyer on BBC Question Time.

“People can see through these pre-election tax bribes that will have to be paid for by cuts to our NHS and other vital public services,” says Green Party co-leader Carla Denyer. 

Denyer said: 

“People are crying out for investment in social care, in our NHS and in dentistry. We needed a ‘care full’ Budget but have ended up with a careless, reckless Budget. 

“Chancellor Jeremy Hunt is attempting to bribe the electorate through tax cuts, which can only mean more pain for public services that are already on their knees.   

“People won’t be richer, healthier or happier because of this Budget. People know a con when they see one.  

“The Fairness Foundation found only 16 per cent of the British public and 17 per cent of Conservative voters would support tax cuts if it meant public service cuts.

“Councils are going bust up and down the country, NHS waits are getting longer, dentists can’t be found, while anyone travelling by train or bus, or visiting our town centres feels the lack of investment all around them. 

“These headline tax cuts will do nothing to reverse the decade-long, real-terms wage freeze most workers have faced under successive Conservative governments. 

“The Resolution Foundation says those earning up to £19k pa will be losers because of freezing of tax thresholds, while pensioners and those on benefits gain nothing at all.

“There is wealth in the UK, but it is distributed unfairly. Our economy is failing because our wealth, rather than circulating and benefiting everybody, is held in the stagnant assets of the super-rich.  

“So, we needed a Budget that released the money available from a wealth tax to invest in the green jobs of the future, to cut NHS queues and restore nature and the places we live and work. 

“We needed a Budget that introduced a Wealth Tax, and reformed Capital Gains Tax and National Insurance to raise over £50bn per year.

“That would have provided the vital public investment our country is crying out for. 

“Now we have Labour huffing and puffing but offering no real alternative to being locked into a Conservative-forged cuts straitjacket. 

“Thankfully, a General Election is coming where people can vote Green for the real change that will lead to a fairer, healthier and more caring country.” 

Continue ReadingGreens say that people can see through pre-election Budget tax bribes

Natalie Bennett: The state of our NHS is down to long-term political failure

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https://leftfootforward.org/2024/02/natalie-bennett-the-state-of-our-nhs-is-down-to-long-term-political-failure/

The Green Party holds that the profit motive should have no place in our health care – in any form of care

Natalie Bennett is a Green Party member of the House of Lords. She was leader of the Green Party of England and Wales from 2012-16.

Perhaps because it is a continuing story of disaster, there’s few stories now also about the impact of privatisation, despite the level continuing to rise. In 2022 nearly 10 per cent of treatments for NHS patients, more than 2 million people, were provided by private companies, up from 3 per cent in 2011. Yet there’s evidence that in areas where privatisation is at the highest levels the outcomes are dire – in the form of more people dying from treatable causes.

In mental health care – in the face of terribly tragedies, and much higher levels of privatisation, with public provision gutted – there’s been more attention. Now 55 per cent of under-18 inpatient mental health care is delivered by for-profit providers.

Meanwhile, we are all continuing to pay for the disaster of Labour Party-promoted Private Finance Initiative (PFI) schemes. That sees some hospitals paying a sixth of their total budget on payments, frequently to offshore hedge funds, and from a £13 billion original investment a final bill that will reach £80 billion, the equivalent of £1,200 for each person in the UK.

The Green Party holds that the profit motive should have no place in our health care – in any form of care – but the current largest opposition party, Labour, appears to be a fan of even further steps of privatisation.

There’s also long term underfunding, with austerity in the face of a growing and ageing population having disastrous impacts. Provision for investment on infrastructure and technology collapsed; the RAAC crisis was just one visible tip of a very large iceberg of decline.

And that austerity saw a collapse in real terms of the pay of nurses and doctors, which has seen a huge exodus overseas and to other jobs, meaning huge understaffing, which puts massive pressure on remaining staff.

Make no mistake. The state of the system is not the fault of medical staff. It is not the fault of managers. It is a long-term political failure, the application of ideology over evidence, the interests of private companies over public good.

https://leftfootforward.org/2024/02/natalie-bennett-the-state-of-our-nhs-is-down-to-long-term-political-failure/

Continue ReadingNatalie Bennett: The state of our NHS is down to long-term political failure

Government delays plans to double number of medical students in England

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https://www.theguardian.com/society/2024/feb/25/government-u-turn-on-plans-to-double-number-of-medical-students-in-england

Junior doctors walk through a hospital corridor. Photograph: sturti/Getty Images

Fears for impact on NHS workforce as leaked letter reveals ministers stall on aim to increase trainee doctors to 15,000 by 2031

Ministers have dramatically stalled plans to double the number of doctors being trained in England by 2031 in a move that has caused dismay across the NHS, as well in medical schools and universities, the Observer can reveal.

In June last year, ministers backed a long-term plan to expand the NHS workforce and pledged, amid great fanfare, to “double medical school places by 2031 from 7,500 today to 15,000, with more medical school places in areas with the greatest shortages to level up training and help address geographic inequity”. Labour is also committed to raising the number of doctors to 15,000 by 2031.

But a leaked letter written jointly by health minister Andrew Stephenson and the minister for skills, apprenticeships and higher education, Robert Halfon, to the independent regulator the Office for Students, says they will fund only 350 additional places for trainee doctors in 2025-26. This is less than a quarter of the annual number widely anticipated and there is no guarantee that even that level of resource will be repeated.

https://www.theguardian.com/society/2024/feb/25/government-u-turn-on-plans-to-double-number-of-medical-students-in-england

Continue ReadingGovernment delays plans to double number of medical students in England

Rishi Sunak only has himself to blame for failing to bring NHS waiting lists down

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https://leftfootforward.org/2024/02/rishi-sunak-only-has-himself-to-blame-for-failing-to-bring-nhs-waiting-lists-down/

NHS sign
That’s a funny-looking bus, it’s Boris’s lying anti-EU bus promoting money for the NHS when all the anti-EU shites are anti-NHS Neo-Liberal shites.

Sunak’s pledge to bring down the NHS waiting lists wasn’t an off-hand pledge, an off-the-cuff remark, or a long-term policy proposal

Dr Julia Patterson is Chief Executive of EveryDoctor, a doctor-led campaign organisation fighting to save the NHS

We’ve been hearing Rishi Sunak blaming the length of the NHS waiting lists on striking NHS staff for many months now. Despite recent analysis from The Health Foundation which showed that industrial action from consultants and junior doctors had only contributed to 3% of the overall size of the waiting list, he has repeated his rhetoric again and again. 

Several days ago, Sunak admitted for the first time (to Piers Morgan during an interview) that he had failed his pledge to bring down the NHS waiting lists. This received a huge amount of attention in the national media, and for good reason. Sunak’s pledge to bring down the NHS waiting lists wasn’t an off-hand pledge, an off-the-cuff remark, or a long-term policy proposal. It was one of the 5 key pledges he made as Prime Minister in January 2023, and it was made in the midst of the worst NHS winter crisis that we have ever experienced. 

Several days before Sunak’s pledge was made, Dr Adrian Boyle (president of the Royal College of Emergency Medicine) had publicly stated that up to 500 people could be dying each week because of their inability to access urgent care within the NHS. The situation was incredibly stark. I run the organisation EveryDoctor (www.everydoctor.org.uk) and we were hearing from both NHS staff and patients who were experiencing terrifying situations. Patients were calling for ambulances which simply never arrived. GPs were driving emergency patients to hospital in their own cars, because they had no other option. When patients arrived at A and E departments, they were met often with chaos. Beds had been removed from A and E cubicles to make way for 6 patients to sit on chairs. Patients were receiving life-saving treatment in non-clinical areas, in corridors, even on the floor, as staff held up sheets to try to preserve their dignity. 

https://leftfootforward.org/2024/02/rishi-sunak-only-has-himself-to-blame-for-failing-to-bring-nhs-waiting-lists-down/

Continue ReadingRishi Sunak only has himself to blame for failing to bring NHS waiting lists down

Green peer Bennett tables ‘fatal motion’ vs govt plan for ‘physicians’ with no medical training

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https://skwawkbox.org/2024/02/07/green-peer-bennett-tables-fatal-motion-vs-govt-plan-for-physicians-with-no-medical-training/#comments

Former Green Party leader says Labour’s support is needed for chance of defeating DHSC move to push ‘associate’ roles that look like doctors but don’t have medical training

Green peer and former Green Party leader Natalie Bennett has heeded the calls of doctors – and independent MP Claudia Webbe, the only MP to speak against the government’s backdoor legislation when it was pushed through – to stop the government’s dangerous new move to have ‘physician associates’ (PAs) and ‘anaesthetist associates’ (AAs) regulated by the General Medical Council (GMC), despite them not having medical training.

90% of doctors believe this move puts patients at risk and at least two patients have died after PAs, who the patients thought were doctors, dismissed serious medical conditions as a muscle strain and a panic attack respectively.

https://skwawkbox.org/2024/02/07/green-peer-bennett-tables-fatal-motion-vs-govt-plan-for-physicians-with-no-medical-training/#comments

Continue ReadingGreen peer Bennett tables ‘fatal motion’ vs govt plan for ‘physicians’ with no medical training

Left Foot Forward

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A few articles from Left Foot Forward, this blog’s favourite blog

This is how we can start to curb fat-cattery and low pay

Inequitable distribution of income has severe consequences.

The Post Office scandal has once again exposed the shortcomings of performance related pay for company directors. The company had remuneration committees staffed by hand-picked obedient non-executive directors. None opposed the rewards accruing from wrongful prosecution of more than 900 subpostmasters and dutifully rewarded directors. Paula Vennells, chief executive from 2012-2019 picked up bonuses of £2.2m for wrecking lives.

Performance related pay has boosted the remuneration of directors even when performance is negative, as exemplified by the 2007-08 financial crash, collapse of Carillion, BHS, London Capital and Finance, Patisserie Valerie, Debenhams and others.

The bottom line is a key feature of most performance related remuneration schemes. The median tenure of a FTSE100 CEO is about 3.75 years and temptation is to grab higher pay in the shortest possible time. Profits can be boosted by depressing wages, dodging taxes, postponing repair and maintenance; cutting investment and spending on innovation; and by using novel accounting practices. Directors are rewarded for such tactics as shareholders chase short-term returns. Little attention is paid to the long-term damage and social cohesion.

Workers invest their brain, brawn and life in companies but have become just another disposable commodity. In the words of former US President Abraham Lincoln: “Capital is only the fruit of labor, and could never have existed if labor had not first existed. Labor is the superior of capital, and deserves much the higher consideration.”

Inequitable distribution of income has severe consequences. Millions struggle to have access to good food, housing, education, pension and other essentials. Inequalities are a threat to democracy as the rich are able to control media, buy lobbyists and fund political parties to advance their interests, to the exclusion of the vast majority of the people.

Demands for public ownership as water bills set to rise above inflation

Feargal Sharkey exposes injustice of water bill rise in a single tweet

Question Time audience slams government’s position on Gaza ceasefire

“I have never been more upset and disappointed in our current government”

“I think a ceasefire is crucial,” one audience member said, adding: “What I also think is crucial is that the UK government is held to account for their role in licensing arms to Israel at the moment.” Her contribution was met with applause from the rest of the audience.

Another member of the audience echoed her comments, saying: “I have never been more upset and disappointed in our current government, with how they have dealt with the situation.”

He then went on to say: “Whether it’s the Conservative Party, and even the Labour Party – it’s an absolute disgrace. How many lives need to be lost? We have been 25-30,000 Gazan lives, people who have done nothing wrong. I completely echo what you say. Israel do have a right to defend themselves – absolute. But at the risk – not at the risk – the death, murder of 25-30,000 people who have done nothing wrong, I can’t understand this.”

Bombshell poll reveals the extent to which the public think Brexit has been a failure

Four years on after Britain left the European Union, a damning new poll shows just how disillusioned the public are with Brexit, with the majority believing it to be a failure.

The poll, carried out by Ipsos for the Evening Standard, found that 57% believe Brexit has been more of a failure than success, while only 13% say that it has been a success.

Younger adults, Londoners, and graduates are more likely to say that Brexit has been a failure.

A breakdown of the survey results showed that 70% of 18 to 34-year-olds think Brexit has been more of a failure, as do 64% of 35-54s, compared to 38% of those aged 65+.

Many of the promises made by Brexiteers have failed to materialise, including grater control of borders, free trade deals with America and of course who could forget the promise to invest £350 million more a week into the NHS after Brexit.

Continue ReadingLeft Foot Forward