General News regarding the 4 UK Health Services in last 2 weeks.. Worse and worse…

Readers might well ask “What is the legal situation regarding rationing?” Well, as long as its called something else, prioritisation, restriction, limiting or excluding, trusts can, within certain limitations, ration health care. The risk of anarchic rationing by post code was exposed by NHSreality last week. (NHS rationing and the Law by Warwick Heale in Devon) The risk is getting higher….. and as each week draws nearer to Brexit day, UK citizens might wish to consider how they can reduce risk. Private insurance is all very well for “cold care” (Non urgent) but emergencies are unpredictable, A&E s are understaffed, and capacity is limited as well as funding. The safety net which was there when I qualified in 1974 is well and truly holed. I strived to find “good news”, and note the savings on syringes and gloves.. but this is child’s play compared to the waste elsewhere. The return of fear and the ultimate lottery in health care has arrived. The average citizen/punter will not recognise the problem until they or their next of kin are ill….. The current funding and the system for funding health overall is a political decision. The need for change is paramount, but in the Brexit limbo iceberg of today, no important changes are likely. Its going to get worse…

NHS rationing and the Law – by Warwick Heale in Devon

Gareth Iacobucci in the BMJ reports 16th September: GP exodus could force hundreds of practices to close in next five years, royal college warns

and on 2nd October David Oliver reports:  The crisis in care home supply

Mark Smith for Walesonline 22nd October reports: Welsh NHS boss quits and is moving to England to get better cancer care for her husband –  Prof Siobhan McClelland says she has lost faith in the Welsh NHS

and the Welsh Health Minister “rejects her claims” in the Mail

Michael McHugh 22nd October 2018 in the Belfast Telegraph: Cancer treatment in Northern Ireland receiving ‘sticking plaster’ approach, says campaigner – Co Down woman blasts care available to patients

and Northern Ireland health service facing resourcing crisis amid 1,800 vacancies – health chief Valerie Watts – An extra £100 million has been set aside to overhaul the system as part of the DUP’s confidence and supply agreement.

and MP’s ‘real concern’ at disparity in health service between Northern Ireland and UK

In BBC Scotland Glen Campbell reports 16th September: Health board says Brexit poses ‘very high’ risk of disruption after August : NHS Scotland works up ‘detailed’ no-deal Brexit plan

BBC News Holyrood Louise Wilson 22nd October: Statements on abuse, NHS and P1 assessments – Worse waiting lists, waiting times, cancer waits, and outcomes wompared to England.

ITV News reports something good: NHS saves £228m on syringes and disposable gloves!

and there are “not enough showers or toilets” in a Broke Trust.

Jamie Doward in the Observer Sunday 21st October: Ten NHS trusts ‘wasted £235m to hire private ambulances’ – Union anger over bill for outsourcing while service starved of cash

Dennis Campbell Sunday 21st October: NHS £20bn boost risks being spent to pay off debts, experts warn – PM urged to write off £12bn in hospital overspending or extra healthcare will be unaffordable

Martin Shipton for Walesonline 28th September: Welsh councils demand health cash is spent on schools and social care – Local authorities want the Welsh Government to give them some of the extra money that is coming to Wales as a result of NHS funding rises in England

Cathy Owen for Walesonline 18th September: Iceland is giving NHS staff free ice cream and pizza – Workers who have signed up to the supermarket’s Emergency Services Bonus Cardiff will benefit

David Williamson for Walesonline: GPs in Wales are getting a major pay hike – what the 4% deal means for staff  – Doctors are delighted but dentists are upset

Richard Youle 3oth September: Health board wants to ditch Welsh-only name because it thinks it’s putting people off working there – But it fears ending up being called Healthy McHealth Board, if it lets the public vote for a new name, following the Boaty McBoatface debacle

Mark Smith and Ruth Mozalski: Deaths of 26 babies being investigated by Cwm Taf health board

A review has found 43 maternity cases where there was an ‘adverse outcome’ since the start of 2016

Adam Hale 9th October: NHS managers ‘used names of U2 band members to cover £700,000 fraud’ – The trio allegedly helped secure payments for building work which had ‘major deficiencies’ and cost £1.4m to rectify

Strand News Service: Boy left brain damaged by ‘negligent care’ at Welsh hospital is awarded millions in compensation  – The boy, who is now eight, suffered ‘catastrophic injuries’ in the first few days of his life

Doncaster, which cannot attract doctors easily. is taking matters into it’s own hands: NHS Trust looks to Doncaster school for future staff (BBC News 19th October)

NHSreality wonders if it was a doctor who first saw the young man in Tonbridge Wells: Tunbridge Wells man died after misdiagnosis of sepsis symptoms (BBC News 18th October)

And in the Isle of Wight: Isle of Wight hospital trainee doctors ‘left alone’. – Hospital patients on the Isle of Wight suffered as a result of trainee doctors being left to make decisions they were not qualified to make, inspectors said.

BBC News 22nd October: King’s Lynn QE hospital head quits following ‘inadequate’ report

Dennis Campbell on 21st October in the Observer: NHS £20bn boost risks being spent to pay off debts, experts warn – PM urged to write off £12bn in hospital overspending or extra healthcare will be unaffordable

Are we to expect rationing by anarchy? Will we repeat the lessons of the past?

NHS rationing and the Law by Warwick Heale in Devon

 

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