Crisis – what crisis?

Only the informed, the lucky, or those living near a tertiary centre are likely to get the best of care in the near and foreseeable future. There are not enough staff, doctors or nurses, to diagnose and care properly. The result has to be an increase in private medicine, and private medical insurance (PMI). This trend is all part of what is making voters more fascist. The media has not grasped the implications – civil unrest. Examples of the types of “stress” on our society litter the media, and some are included below. Since NHSreality wrote about the pressures on GP practices in Jan there have been many more closures. Ignoring petitions and triage at a distance is going to lead to problems.. (Health Service rules mean that GPs cannot provide the triage – only private companies. I suspect the company triaging Goodwick is owned and run by a group of GPs) Why is it not being run by Pembrokeshire GPs? What is the litigation cover?

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The sick parade – of GP closures. This list heralds the end of the health service as we knew it.

Jack Furness in The Sentinel reports 10th November 2016: Jeremy Hunt asked to intervene on plans to axe beds at Bradwell Hospital

Keane Duncan on the 6th November in the Gazette tries to explain: Q&A on A&E plans: What changes are proposed for Tees health services and why? – Health bosses have drawn up plans as services face increasing funding pressure

The Western Telegraph reports 5th November 2016: GP resigns from troubled north Pembrokeshire surgery and a triage system from Cardiff is being attempted. And for Goodwick Surgery the council has imposed car parking charges to boot. Car park fees slammed as ‘tax on illness’ to stay (Chris Betterley 14th October in the County Echo).

On Wednesday 12th October the Yorkshire Post reported: Fury as hospital beds and minor injuries units face closure and the community have organised their petition to be given to Mr Hunt (The Stoke Sentinel 10th November 2016 – Jeremy Hunt asked to intervene on plans to axe beds at Bradwell …)

London is not immune and in June the Guardian reported: North Middlesex hospital A&E faces closure on safety grounds. Dennis Campbell comments: “Move would be first in NHS history, as internal documents seen by the Guardian show junior staff often left in charge of casualty unit”..

Laura Donelly in the Telegraph foretold 26th August: NHS takes axe to hospital units amid financial crisis – The NHS has begun drawing up a formal list of hospital departments which will be closed amid the worst financial crisis in the history of the health service, officials have revealed.

Hospitals will embark on a “glut” of closures, with Accident & Emergency units and key services for the elderly among those stripped out and centralised, NHS leaders have said.

It came as two NHS hospitals suspended A&E services for children, after admitting they could not run them safely……..

One fortunate patient (a child in Fishguard) managed to get access to some of the best available treatment (available since 1990 in USA). Nobody seems to be asking whether referral before the original surgery would have given a better outcome, and why the UK still has too few Proton Beam therapy units. Ceri Coleman-Phillips , reported in the Western Telegraph 8th March 2016: Fishguard girl Abbie Dunn, 22, to get pioneering proton beam therapy treatment for rare brain tumour

Proton Beam Therapy – it’s covert rationing in all UK regional health services since 1990!

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This entry was posted in A Personal View, General Practitioners, Nurses, Paramedics, Patient representatives, Post Code Lottery, 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.

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