The State of Wales: we should all rage against it dying

Update 6th December 2013: We should rage against the dying of Wales by Peter Hoskin in The Times December 6th 2013

Update 3rd November 2013:

House repossessions in the UK. The graphic from The Times 1st November speaks for itself.

Safe as Houses - repossessionsJuly2013

If any of my readers listened to BBC Wales NHS debate this evening (30th September 2013)  (added 1st October and only available until 7th!) they will agree that there was no mention of philosophy, only one of patient self-responsibility and a complete lack of engagement by the Welsh Labour party who did not send a representative.  The “community denial” of the problems facing a disunited and Regional Health Service will not be solved soon, and the culture of fear, lack of openness and dispirited staff is set to continue. The political denial (where greater funding has led to worse outcomes in Wales) is the greatest problem…. meanwhile why not get together with friends and colleagues to rent a property in England where at least you will get choice? I have rarely listened to such a dispiriting program, but I have often listened to a presenter who failed to ask the appropriate questions.

BBC News reports 30th September 2013:

NHS targets review pledge by Carwyn Jones

“Targets for treating patients on the NHS are being reviewed and could be replaced, the first minister has said.

Carwyn Jones said one option was giving doctors the ability to set treatment targets for individual patients instead of setting national targets.

Following the recent disappointing Welsh Health Service news on Singleton and… it is not surprising that the minister wishes to remove any possibility of meaningful comparable statistics with England…

Owain Clarke et Al. report…..

12 September 2013 BBC News reports: Deterioration in emergency NHS care in Wales, says 16th July 2013 BBC news: Wales Audit Office finds NHS ops postponed to cut costs
30 Sept. 2013 BBC News reports: Betsi Cadwaladr C. diff outbreak manslaughter inquiry call
6th Sept 2013: Expert’s concern at lack of Welsh brain injury facilities
30th Sept 2013. Patients at risk as NHS fails to respond to safety alerts

The problems in Swansea Hospitals are printed here in full from The Times 28th September 2013. Bullying and cultural degradation – as predicted by this author. Heart patients die waiting as surgeons bully staff at Swansea hospital

Some consolation can be had from the news that Private Medical Insurance companies such as BUPA are also limiting choice….(Health insurers) and that the reality of insolvable issues is leading to an “NHS at WAR“….. Without discussion of philosophy this decline is set to continue. Whilst most patients are still getting a good service, more and more are not…

Update 1st October BBC News:

NHS Wales: Changes to help health boards ‘balance books’

If I really felt the situation would be any different in 3 year’s time, I would support this change. Because the fundamental philosophy of “everything for everyone for ever” remains the same, I would not support the temptation to overspend in one term of office in order to buy votes to get in for a second term, when the financial reality will hit home.

Update 8th October 2013:

Extra £570m NHS funding in Welsh draft budget !!!!

Update 3rd Nov 2013 Credit contraction offers opportunity to close gaps in health inequities

Professor Sir Michael Marmot, chair of the World Health Organization’s commission on social determinants of health, discusses the impact of the world’s financial crisis on global health.

Not sure how this will help Wales!

Update 3rd December 2013:

BBC Sean Coughlan reports: Pisa tests: UK stagnates as Shanghai tops league table

and

Pisa ranks Wales’ education the worst in the UK

So not much chance in the competing world for Welsh students outside Wales..

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This entry was posted in A Personal View, Professionals, Stories in the Media on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

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