Rich and poor should be treated alike, (for the major things) but a wealthy society needs to agree that richer people must pay for high volume low cost services and treatments. If we do not agree this then there will be a two tier society, exactly what Aneurin Bevan tried to avoid. In place of fear did not anticipate that the pace of technological advance would be faster than any government’s ability to pay. I live in a marginal seat, now without an A&E, and although health is devolved, the financing of health, the recruitment and retention of medics, is central government controlled. Conservatives should rightly be blamed for the neglect, but Labour take equal responsibility over the decades. Lets give the Liberals a chance. Big spending will only make a short term difference. It is the rules of the game that need to change… Bigger than money in the short term is staff recruitment and retention…. (See graphics below)
NHS investigators are to meet the family of a young, autistic man – left starving and desperately thirsty in hospital while waiting for a delayed operation.
Mark Stuart spent five days in agony and died following a catalogue of failings by NHS staff. His parents say they have been battling for answers for four years.
His parents feel guilty that they did not act strongly as his advocates, trusting their local facility (Blackburn NHS Trust) to deliver. They were wrong…
Funnily enough that’s exactly how I felt when I attended our local A&E (Now renamed an “Emergency and Urgent Care” centre. I also trusted, as a retired professional, that standards would be sufficient to deal with me. I even sent my advocate (wife) home as I knew there would be some waiting. Little did I appreciate that I would be ignored, the same as Mark Stewart’s father.
Wales’ Health Services are failing, as are many of the DGHs in the poorest areas of the country, where recruitment poses the biggest problem.
There is a long history of under-investment in people and plant, and over management. This has occurred since Labour and Tony Blair, continued through Conservative and Coalition governments, and is unlikely to change whilst we have a politicised health service, and 4 devolved systems all managed differently.
encouraged a unified health care system. Bevan is against an insurance based system ”
The really objectionable feature is the creation of a two-standard health service, one below and one above the salt. It is merely the old British Poor Law system over again. Even if the service given is the same in both categories there will always be the suspicion in the mind of the patient that it is not so, and this again is not a healthy mental state.
The essence of a satisfactory health service is that the rich and the poor are treated alike, that poverty is not a disability, and wealth is not advantaged.
He also says, with respect to size of “Approved Societies” ( Nowadays read devolved governments ) :
We had experience of this in Britain where certain of the Approved Societies under the old National Health Insurance recruited a disproportionate number of members from industries with a high degree of sickness and accident rate and affected by serious industrial depression. The result was that these Approved Societies were compelled to curtail benefits to their members, while other societies with a different industrial composition were able to distribute the full benefits. That situation consequently helped the strong and hurt the weak.
MANIFESTO FOR NHS – The Times letters 26th November 2019
Sir, Although it is good to see that the prime minister is making the NHS an election priority (“Johnson places NHS at heart of ‘critical’ election”, Nov 25), we should perhaps remember that the present state of the health service is the direct result of years of Conservative rule. In government the party has cut 15,000 beds (the equivalent of 30 district general hospitals); removed bursaries for student nurses; created a hostile environment for vital overseas staff; presided over an unacceptable increase in waiting times for cancer treatment and allowed trolley-bound patients to line our hospital corridors.
Mr Johnson should not be surprised if we view his promises to conjure up thousands of new nurses and doctors with some suspicion.
Dr Bob Bury
Ret’d consultant radiologist, Leeds
……Perhaps a bigger problem, though, is staff. One NHS post in ten is vacant and Mr Murray says the success of any funding plan will “rest on the ability to recruit and retain enough workers”. The headline-grabbing promise in the Tory manifesto is a commitment to ensure that the NHS has 50,000 more nurses in five years than it has now.