It’s falling apart, and it’s going to get worse… for everyone except the top managers and politicians.

The trouble with apologising, when you and your family don’t use the service, is evident. A cynical medical profession regards statements from highly paid administrators and politicians as sarcasm, or cynical below the belt humour. Politicians and medical administrators on £400,000 a year are likely to use private facilities for their nearest and dearest. they do not appreciate the reality of undercapacity rationing and the gradual removal of the safety net that Aneurin Bevan put In Place of Fear . Covertly rationing by cutting differing sized holes in the net in different post codes is unethical. No UK citizen knows what is unavailable to them. Therefore they cannot plan for the shortfall. It’s falling apart, and it’s going to get worse…

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Kate Gibbons reports December 8th 2016: Patients wait for hours as bed shortage worsens

Hundreds of thousands of patients are waiting more than four hours on hospital trolleys as accident and emergency departments experience a fivefold increase in delays finding beds.

NHS officials warn that a sharp rise in “trolley waits” is likely to get worse over winter. Between October 2015 and September 2016, 473,453 emergency patients waited longer than four hours to be transferred to a bed — almost five times higher than in 2010-11, according to analysis by the BBC…..

Chris Moulton, of the Royal College of Emergency Medicine, said: “We simply don’t have enough [beds]. If you compare us to other European countries we are really short.”

•Patients are waiting longer to see a consultant. NHS waiting lists have grown in the past eight years from 2.35 million people waiting to start treatment led by a consultant in December 2008, to 3.7 million in September this year, according to a study by the Nuffield Trust and the Health Foundation.

1 Month ago Lindsay Mackintosh reported: NHS chief apologises for patient wait times

The chief executive of NHS Scotland has apologised to patients who have waited longer than they should have to be treated. Paul Gray was speaking at the health committee in Holyrood in response to a report by Audit Scotland that found health boards have failed to meet seven out of eight key targets.

The convener Neil Findlay said that almost every witness that appeared before the committee raised issues over cuts to services and said: “What comment do you have to those patients who have been waiting longer for treatment than they should because seven out of those eight targets have been missed?”…

Patients wait 15 months for cataract operations

Hundreds of patients wait in A&E for eight hours or more

One in ten emergency patients has four-hour wait for bed

It’s no horror fantasy— without reform, our NHS faces apocalypse –

Councils fail on mental healthcare – Kate Gibbons – Rationing the softer target

Health officials ignored early warning by GPs – Billy Kember reports on “drug prices rising by 2,600% – and this was a legal loophole that the bureaucrats failed to close. (Rationing other treatments by incompetence as a result)

Full IVF care only provided in Manchester

Chris Smyth December 7th reports: NHS pays £430,000 salaries to stand-in bosses – Watchdog slams hospitals over deals for bosses

Hospitals have been ordered to end “eye-wateringly high” payments to stand-in bosses after a watchdog found that salaries of more than £400,000 have become routine.

Some temporary staff could avoid tax on their NHS pay under arrangements described by regulators as deeply unpalatable. Costly employees are not monitored properly and hospitals have little idea whether they are any good, according to NHS Improvement, the financial regulator…..

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This entry was posted in A Personal View, Commissioning, NHS managers, Post Code Lottery, Rationing, Stories in the Media, Trust Board Directors 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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