And it’s getting worse still… predicted

Rajeev Syal in the Guardian 24th June reports: Areas with most homeless deaths disproportionately hit by cuts.

This applies to medical care as well as social care. As the system implodes further, those areas where the population has more income and wealth are able to pay for disproportionately more services privately. Going abroad can help the NHS – Chris Smallwood in the Guardian 2016.

Anecdotal evidence of declining care is all over the place.  Here is an example in the Mirror. 111 service calling is pretty useless. The  is another sign of the problem, and this is endemic miscounting and configuring (Temporary escalation) of beds. Dennis Campbell in the guardian 22nd June reports that we need 10,000 more beds, but however many we create will never be enough. Point surveys in Hospitals have repeatedly shown that 80% don’t need to be there at any one time, given a celestial discharge option.

More and more people should be demanding to go abroad for medical treatment. The barriers for this are custom, fear, and the risk of complications that then have to be dealt with locally. Other countries are in equal financial difficulty, but have far less manpower planning failure. There are many more staff in France, Netherlands and Germany than there are here.

A new “Gambleing clinic for children” reveals how desperate things have become. The decline of sport in school, the impression that sport is only worth doing if one is in the top team, and then has a professional outlet is morally wrong. Teachers and teaching have been downgraded, and mistreated to the point where team sport experience becomes rare rather than the rule. The suggested mandatory levy in gambling firms is a good idea, but will it reach statute, and will it be practical in an e-world?

And the 4 dispensations will have even worse finances and outcomes after brexit according to Dr Chaand Nagpaul, Chairman in the BMJ.




This entry was posted in A Personal View, 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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