Monthly Archives: November 2013

Obamacare Update: The impact of healthcare for ‘all’ (from the right wing)

ABBY GOODNOUGH reports for mobile New York Times from San Diego: The impact of healthcare for ‘all’ – Medicaid Growth Could Aggravate Doctor Shortage

“SAN DIEGO — Dr. Ted Mazer is one of the few ear, nose and throat specialists in this region who treat low-income people on Medicaid, so many of his patients travel long distances to see him.

But now, as California’s Medicaid program is preparing for a major expansion under President Obama’s health care law, Dr. Mazer says he cannot accept additional patients under the government insurance program for a simple reason: It does not pay enough.

“It’s a bad situation that is likely to be made worse,” he said…..”

The right-wing owned, and media led society in the USA is trying to justify a downgrading or rejection of Obamacare before figures show the number of lives that can be saved.. If the citizens read these reports retrospectively  some may,  perhaps, understand how biased they were..

Just to show an example of news on Obamacare from The Jamestown Sun in a few weeks of October look here. (there are many pages so just page through to read the invective) The Rapid City Journal from South Dakota is little different, and somehow I doubt any of the id west or bible belt newspapers will demonstrate contrition when the lives of Americans are patently saved.

Good News: HPV vaccine could be given to boys as well as girls in UK

The Guardian  reports 28th November 2013: HPV vaccine could be given to boys as well as girls in UK

“Government advisers are to consider whether the HPV vaccine, routinely offered to girls at the ages of 12 and 13 since 2008 to help protect them against cervical cancer, should also be offered to boys and some men.

They are to review “all the issues” on HPV, including whether targeted vaccination would help cut the risk of anal and throat cancers among men who have sex with men as well as the wider question over whether a universal male vaccination programme given to pre-teen or teenage boys is necessary as well, an idea that has previously been rejected.

The review is revealed in draft minutes of the Joint Committee on Vaccination and Immunisation (JCVI), the UK-wide advisory body….”


Jimmy Savile: 19 more hospitals to investigate links. A National Disgrace.

BBC News reports 29th November 2013: Jimmy Savile: 19 more hospitals to investigate links

“A further 19 hospitals are to carry out investigations after receiving police information about serial sex attacker Jimmy Savile, the government has said.

The Metropolitan Police have passed material about Savile to the Department of Health, which has given it to the 19 hospital trusts to investigate.

Health Secretary Jeremy Hunt said he expected reports on visits by the late DJ to those hospitals by next June.

It brings the total number of hospitals under investigation to 32.

Savile is believed to have abused hundreds of victims.

The former BBC presenter of Top Of The Pops and Jim’ll Fix It died aged 84 in October 2011 – a year before allegations that he had sexually abused children were broadcast in an ITV documentary…..”

This is a National Disgrace. It shows how we now live in a media led society, and one without the management skills and morality to cope with the media. It is the media who are also winding up the debate regarding attitudes to closures and locality rationing of health services.

Royal Shrewsbury hospital A&E: 5,000 sign petition to save services

BBC News reported 29 August 2013: Royal Shrewsbury hospital A&E: 5,000 sign petition to save services

“More than 5,000 people have signed an online petition calling for the Royal Shrewsbury Hospital to keep its accident and emergency department.

Earlier this month, the chief executive of the Telford Princess Royal and Royal Shrewsbury hospitals said it was “unrealistic” both would keep A&E.

A consultation process has been started into the future of emergency care.

The online petition was launched by councillors in mid Wales worried about how far patients would have to travel.

‘Extra mileage’

Powys county councillor Joy Jones said: “It’s quite difficult already to get to Shrewsbury because of the mileage.

“Also the roads that ambulances travel on are all single carriageway until we get to the town itself so, dependent on the traffic, it can take 40 minutes to an hour…..”

Infrastructure with good fast ways to transfer patients is a necessity if we are to match other countries performance. Air ambulances in vast countries like Australia and Canada give better results than our rural areas because we dont have to helicopters or the fast roads..

Final baby born at Enfield’s Chase Farm Hospital

The Mercury – a local newspaper for Cheshunt and Waltham reports: Final baby born at Enfield’s Chase Farm Hospital

“A BABY has been born for the last time at Chase Farm Hospital in Enfield,  after maternity services were transferred to Barnet Hospital.

The baby girl, Amelie Williams-Gracia, was born on November 19. Her parents  were pleased with the care they had received.

“The experience was amazing. We’ve been so well looked after under difficult  circumstances for the staff here,” Amelie’s mother, Valeria Gracia, who lives in  Enfield, said. “It’s been great to be here.”

Proud new father Justin Williams was nostalgic about Chase Farm, adding: “It’s nice that I was also born here myself 42 years ago.”

Under the new arrangements, mums-to-be will be able to receive some care at  Chase Farm, including antenatal classes and ultrasounds and postnatal care from  their team of community midwives.

However, pregnant women will have to travel to either Barnet or  Edgware Hospital to give birth.

Read more:

Closures are much more acceptable in areas of denser population.

Trust Special Administrators have their powers clipped by the Court of Appeal

NHSrationing November 28, 2013 by David Lock comments: Trust Special Administrators have their powers clipped by the Court of Appeal in Lewisham case and government attempt to reverse this looks ineffective.

“The problem of how to tackle poor performing NHS Trusts has dogged the NHS for many years.  Companies that fail can be put into liquidation, factories close down and people lose their jobs.  However a failing hospital is not a factory.  An overspending hospital cannot “fail” and be closed because that would leave local people without acute health services……..


A poorly performing trust can be taken over and its range of services reduced or changed to meet its ability to cope. The resistance to change in rural areas will be the greatest…..



Burnout forces almost 10% of GPs to take time off work as pressure on occupational health services grows

Pulse Christian Duffin reports 26th November 2013:

Burnout forces almost 10% of GPs to take time off work as pressure on occupational health services grows

Exclusive One in 11 GPs has taken time off work due to stress or burnout within the past 12 months, and as many as a third expect to do so within the coming year, according to a Pulse survey that lays bare for the first time the impact of GP burnout on the wider NHS.

It comes as the Practitioner Health Programme, the largest service in Europe for doctors with health concerns, revealed the number of new doctors and dentists seeking help has more than tripled in the past four years.

Asked whether stress or burnout was affecting their ability to work, some 9.3% of the 688 GP respondents to Pulse’s mutli-topic survey said they had had to take time off within the past 12 months. A further 32.5% said they had not taken time off but thought it was likely that they might need to in the coming year. The remaining 58.2% said they had not had to take time off work and did not expect to.

The findings comes as part of Pulse’s Battling Burnout campaign, which aims to raise awareness of the problem and lobby for better monitoring of GP workload and better occupational health support for those who need it. A separate Pulse assessment earlier in the year of almost 1,800 GPs using the validated Maslach Burnout Inventory tool found that 43% are classified as being at a very high risk of developing burnout, with partners and those working in deprived areas particularly badly hit.

Professor Clare Gerada, the immediate past chair of the RCGP and new medical director of NHS London’s Practitioner Health Programme (PHP), said the programme was now supporting between nine and 11 new doctors or dentists each week, compared with around three new practitioners a week four years ago….

I am not surprised but despite this the new RCGP Chairperson Maureen Baker comments (Pulse 27th Nov 2013) : Patients may think service cuts are sign that GPs want an easy life! Seems like GPs might be following the England cricketer Jonathan Trott out of the “war zone”.. Its no wonder so many are asking to go “part time” and trying to have “portfolio careers”. The goose that lays the golden NHS eggs may well be killed off before honesty and open rationing occur.