“Will all those that are not dying please go home!” Rationing hits the headlines..

Its all going the get worse….“Will all those that are not dying please go home!” Rationing hits the headlines again and again whilst denied by government.. More and more Health Service employees realise the truth and are voting with their feet. Katie Gibbons reported 2nd August – “Exodus of paramedics causes 999 crisis” and nobody cares…The Perverse Incentive to deny is evident in the fact that none of the paramedics or the midwives (see below) will get even get an exit interview, so their masters will not hear the truth.

Rob Merrick reports in the Independent firstly on 18th October: Jeremy Hunt tells NHS Bosses who are “rationing” not to make ‘easy’ choices

The Health Secretary also dropped his claim that the NHS had been given all the money it requested – admitting it was only enough to “get going” on a restructuring plan

19th October 2016: Theresa May fails to rule out possible casualty department closures in hunt for ‘efficiencies’

Challenged by Jeremy Corbyn, the Prime Minister said key decisions must be made ‘at local level’

and the Guernsey Press on the same day reports: Charity calls on Jeremy Hunt over pledge to ‘step in’ where care is rationed

A fertility charity has called on the Health Secretary to take action after he promised to “step in” where care was being rationed.

Laura Donnelly in The Telegraph on 19th October reports: NHS spending will drop per head despite ageing population and growing demand, says chief executive 

…Officials said it is unclear whether a per capita cut to the health budget has ever happened before in the NHS’ entire 68-year history….The NHS last year recorded the biggest deficit in its history, at £2.45bn, and hospitals across the country are drawing up plans to try and make services “sustainable”….

“We are looking after one million more over 75s than were were five years ago and in five years time we will be looking after another million over 75s in England and that produces massive pressure on the NHS front line.

“People working in hospitals have never been busier, people in GP practices and in the social care sector the same.”

The Health Secretary refused to be drawn on recent reports that Theresa May has said the health service will see no increase in funding, or on whether the Autumn statement will see a boost for social care.

Mr Hunt said all areas of the NHS needed to make “painful and difficult efficiency savings”. But he said this should not mean denying patients the care they needed.

“I don’t at all accept that in order to make these efficiency savings we need to reduce the quality of care for patients,” he said….

Mr Hunt pledged to intervene, if the local NHS took decisions to ration care for patients.

“When we do hear of occasions that we think are the wrong choice has been made – where an  efficiency saving has been proposed that we think would impact negatively on care – then we step in,” he said.

He said improvements in safety and quality of care would save the NHS money, in the long run.

“If you get an infection when you are having a hip replaced that will cost theNHS £100,000 to sort out as well as being incredibly painful and horrible and for the patient concerned,” he said.

Improvements in cancer care would save NHS funds, as well as lives, he suggested.  “We know its two to three times cheaper to catch cancer at stage one rather than stage three or four,” he told the select committee.

Guernsey Press: Government to step in if local NHS chiefs make ‘wrong choices’ over care

The Government will step in when it thinks local NHS leaders have made the “wrong choices” about care being rationed in the health service, the Health Secretary has warned.

The Times reports 19th October: Midwives quit over dangerous work conditions and Kate Gibbons reports that “A third of ambulances miss emergency response targets”

Civil Unrest starts in Enfield? This site began life on 15th October 2016: Defend Enfield NHS – Their strap line is “Will all those that are not dying please go home!” 


This entry was posted in A Personal View, Commissioning, Midwives, Paramedics, Perverse Incentives, Rationing, 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.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )


Connecting to %s