Trolley Wars: It is good news that it’s being talked about – but as for action….

In the Times 9th Jan 2017 Sam Coates reports: Just a handful of patients on trolleys now, says Hunt and Michael Savage reports: “Talk of an NHS crisis is overblown, Tories Insist” & “Two patients die each day from thirst or starvation“… Laura Donnelly reports in The Telegraph 7th Jan 2017 ‘Humanitarian crisis’ in NHS warns British Red Cross as A&Es are overwhelmed by demand”  and, in keeping with the “post truth” service,  says “Heads of NHS trusts urged to play down scale of crisis on wards“.. Katie Gibbons in the Times tells it as it really is: Shortage of beds “means doctors choose who lives” (Hospital: Wednesday, BBC Two 9pm) More importantly, Jane Merrick opines “Our health service needs a national solution” – The crisis in A&E has caught the public’s attention and needs to be addressed by all parties, (see below) but all these avoid the “R” word, as does Chris Ham in his letter to the Times today… Rationing by denial?

Image result for trolley health hospital cartoon

Mike Adamson of the Red Cross opines in the Times 9th Jan 2017 on the trolley delayed patients: Try telling patients on a trolley this isn’t a crisis – The Red Cross believes that the suffering in A&E is not unlike that in war zones

….This humanitarian crisis needs urgent action.

In considering making this statement, I went back and looked closely at the definition of a humanitarian crisis: it refers to the scale and depth of need facing a population.

In this case we are seeing large numbers of vulnerable people facing a threat to their health, safety or well-being. At the most extreme end this has led to deaths; in a broader way it has led to prolonged physical and mental distress….

We are talking about this now because there has been a significant change in the system over recent months, as demonstrated by the Nuffield Trust research last week showing that a third of NHS trusts were at their highest or second-highest level of pressure. Over new year we were called in to support the East Midlands Ambulance Service across Nottingham, Leicester, Lincoln, Kettering and Northampton. One hospital in the southwest last week specifically requested our help in A&E to get things moving….

It is clear this is not something that is going to go away overnight. We all need to work together to solve this problem…..

Image result for trolley health hospital cartoon

Mayday Mayday – for the Health Services: Hospital faces charges over Caesarean tragedy. Dead patients dont vote.

Patients suffer in GP funding lottery. Ager and civil unrest to follow?

Child cancer results improving. In a “cradle to grave” Health Service we are not doing badly at cradles.. but we are doing badly as patients approach their grave.

Dead people don’t vote… End-of-life care ‘deeply concerning’

The NHS and reckless election promises. How about posthumous voting?

Advanced directives needed. Choice in death and dying. Lord Darzi warns of “draconian rationing”. GPs need to be involved at the interface of oncology and palliative care.

Grieving for the NHS. The softer specialities and locums. Ration for higher earners, and where insurance could cover.

Doctors form new pressure group to prevent “marketisation” of NHS – Rationing by chaos

Palliative and Terminal Care should be fully funded.

The Full text of Kate Gibbons article is here: shortage-of-beds-means-doctors-choose-who-lives

Jane Merrick opines: our-health-service-needs-a-national-solution

cost-of-caring- Letter from Chris Ham

 

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This entry was posted in A Personal View, Good News, Patient representatives, Political Representatives and activists, Professionals, 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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