Monthly Archives: April 2020

The figures are wrong. Deaths are much greater than reported….

It looks as if the figures are wrong and that we have had far more deaths from CV19 than indicated in the official media reports. Care Homes have been the case in point, and without the necessary PPE (Personal Protective Equipment) their situation could have been a lot worse. Once again the location is centripetal (focused on the middle of the population centres). An interesting reflection also comes from the figures on travelling frequency and relative populations…..Countries With The Highest Number Of Air Passengers

The Times gives excellent graphics and critique of where we are now, today 29th April, but no ideas about a strategy for emergence. The same paper Chris Smyth and Francis Elliott report Surge in care home deaths blamed on PPE mistakes and British death toll rises 17% under new counting method and in its leader: Crisis in Care – The elderly and infirm are most vulnerable to Covid-19 but resources for social care have been inadequate. The gaps must be plugged now and paid for later. 

And just to emphasise that “gagging” is occurring outside the 4 Health Services Charlotte Wace reports that: Care home PPE whistleblowers fired, charity claims

All this without mentioning the Dilnot report on Social Care. (2012)  which has evidently been “bookshelved” by Conservatives for 8 years. Long term unofficial, post code and indiscriminate illogical rationing has led to this, along with our unpreparedness and poor actions on recognising the outbreak.  Political short-termism is built into our electoral system. It needs to change.

So much reporting relates to England, rather than the whole UK, and decisions are announced as if they cover the whole when they only apply to England. Lets have a truly “N”ational Health Service. Added to this there are far fewer Post Mortems than there were 40 years ago. The ultimate truth comes from the pathologist, and we are missing this.

Jacob Jarvis in the Evening Standard 30th April 2020 reports: UK coronavirus LIVE: Huge jump in death toll as Covid-19 figures for fatalities in hospitals, care homes and the community revealed

Matthew Lesh at the Adam Smith Institute opines in the Telegraph 28th April 2020: It’s no good protecting the NHS by leaving people to die elsewhere

We entered lockdown to prevent healthcare overload. The point of “flattening the curve” is to ensure that acute cases do not rise above bed capacity. This is essential for medical reasons, but it is just as important politically. The Government did not want horrifying footage on the nightly news of patients lying in hospital corridors as in Wuhan, Lombardy or New York.

Prime Minister Boris Johnson announced outside Number 10 on Monday that, against all predictions, this mission has been accomplished for now. About one-third of intensive care beds are available, including thousands more than usual. The impressive Nightingale facilities are almost empty. Now we are waiting to lift lockdown until we can prevent the slightest risk of a second wave that overloads the system. We must not fool ourselves: protecting the NHS is costing lives….

In keep our NHS public and not for sale: Pressure on under-resourced NHS causes grave concern over “Do Not Resuscitate” orders.

‘Do Not Attempt Cardiopulmonary Resuscitation’ (DNACPR) agreements are part of good medical practice, but should never be driven by panic or unethical decisions relating to rationing…….

There is an urgent need for national guidance from the DHSC and NHSE on how to manage if resources run out.  In the absence of such guidance, clinicians in individual hospitals

Press coverage has indicated that ‘Do Not Attempt Cardiopulmonary Resuscitation’ (DNACPR) agreements have been misused.

A conflicting pair of views of the UK from across the pond..

We often see the right wing media and tabloids denigrate the  UK Health Services. But all 4 are much better than the USA. If you ask a proud American “Why is the life expectancy in Cuba longer than in the US?” he probably wont know that’s true, and he will be unlikely to know the answer.  That is unless he is an immigrant or a person with a chronic disease and no insurance cover. The Democrats know..but they seem afraid to suggest a proper solution as advocated by Bernie Sanders.

But the Health Services have become a problem in both USA and here. Technologies advance faster than any governments ability to pay. In comparing the two systems we should consider average life expectancy and numbers excluded or uncovered. In both the US scores worse than the UK. At the bottom of this post is a list of posts from NHSreality comparing us with the USA. We don’t just need more money: we need a better system. But Jeff Reynolds is right about the rationing, which is covert, and of which most are unaware until they need the rationed service..

But the overheads and unnecessary costs, investigations, treatments, the false economic rentals, and back scratching of the American system make it far worse for patients.  ( & More lucrative for doctors)

The loneliness of old age and the divorced and single people has led to: More than half of Britons support offering arts on prescription to tackle loneliness – YouGov poll

In NHSreality opinion there ahs to be a line drawn about what is “In place of fear”, and I don’t think many people are afraid of loneliness. When it happens, from whatever cause, our internal props and resources are the main help, but knowing where to turn is helpful. The TV and Radio are great treatments for loneliness. But should loneliness be cover for free when there are all sorts of other more expensive treatments that cannot be funded, or are post code rationed? A small payment seems appropriate, for everyone, and it could be means tested. The other solution is the volunteering groups set up across the country as a result of Covid. NHSreality feels that it is here that loneliness should be addressed.

FOR:   The Conversation: Boris Johnson wont have to pay any medical bills…

This is an expression of interest from America. The Republicans will not listen though..

YouGuv in 2014 acknowledged: Brits still love the NHS, but they are nervou about it’s future.

AGAINST: Jeff Reynolds for P J Media opined April 14th: Here’s How Medicare for All Would Deal with the Coronavirus Pandemic.

Frail coronavirus patients my be denied critical care under an NHS scale system designed to free up ICU beds.

The controversial ‘Clinical Frailty Scale’ (CFS) ranks patients’ vulnerability from one to nine in order to prioritise those most likely to recover from the killer virus.

Those with a combined score of more than five are said to have uncertainty around the benefits of critical care, according to the system, which has been implemented while NHS hospitals desperately scramble to free up beds and ventilators.

It comes after NHS sources denied that elderly patients would be rejected from critical care using a scoring system – where over-65s with the deadly virus were to be ranked out of 10 based on their age, frailty and underlying conditions.

The NHS even published a handy chart to show everyone who lives and who dies:
The Daily Mail notes that the NHS scrapped a scoring system that automatically scored older patients as less likely to receive care, after accusations of age discrimination. The NHS has issued clarifications that this is only a tool to assist in making care decisions. The NHS was unable, however, to notice the elephant in the room – universal, government run health care always leads to rationing of care because the government can’t run anything efficiently.
Does anyone believe Medicare for All would run health care more cost effectively without having to ration care?
Jeff Reynolds is the author of the book, “Behind the Curtain: Inside the Network of Progressive Billionaires and Their Campaign to Undermine Democracy,” available now at www.WhoOwnsTheDems.com. Jeff hosts a podcast at anchor.fm/BehindTheCurtain. You can follow him on Twitter @ChargerJeff.

October 2019:

As seen from USA Nationalisation of Health gives worse outcomes…… than the G7 excluding USA!

Do you have a tendency to Diabetes? Be grateful you dont live in USA

The decline of suicide (except for the USA). No GP should avoid psychiatry training..

Feb 2018: Standards “Going into reverse”….There is no button to push… we need tens of thousands of staff

The difference between the UK and the USA is that they are destroying Obamacare deliberately, whereas we are destroying our service by neglect and denial.

Some words from the USA that strike a chord with Doctors in the UK

Will the UK follow the USA in physician suicides? The stress and reduced expectations suggest it might…

May 2014: Child deaths amongst the worst in Europe (still better than the USA)

Feb 2014: A Carnival of Perverse Incentives – in the USA and the UK?

 

The “N”HS is a lie. Politicians have a duty of candour.

Update 6th May. Apps are different in different diverged dispensations. How can it be “National”? Philip Hayward for Walesonline 11th April reports: New app created to track coronavirus in Wales and Philip Sim in BBC Scotland  5th May asks “Will Scotland have its own coronavirus app?”

How can we still call this a National System?

BBC Wales reports 4th May 2020 on “Coronavirus: What decisions are made in Wales?”.

in the Times today 27th April the following small paragraph (Not on line):

Free Prescriptions Poll

Six in ten healthcare workers oppose prescription charges, according to a poll. The YouGuv survey of 1,027 professionals found 61% oppose the charges, with 31% strongly opposed, and only 25% in favour. Prescriptions are free to Scotland, Wales and N Ireland, but rose to £9.15 per item in England this month.

On the YouGuv site Health is now the most important issue for75% of people..

Well, first comment is “What was the question, and how was it’s lead in?”

All health service staff would like free parking, but the short termism of managerial decisions, trying to meet their 1 year financial obligations, meant that some of the “family silver” was sold off years ago. The family silver consisted of houses surrounding DGHs where newly recruited staff could have a sponsored home allowing them to save for a house in their first year or two in post. They consisted of car parks, now franchised off, and land or access to land, which has been privatised and developed, usually for housing or commercial activities. It consisted of loyal staff who have been disillusioned and retired early, or emigrated, or gone off sick.

When I arrived in Pembrokeshire the rugby club was next to the hospital. It was obvious when it came up for sale that the Hospital / Trust should buy it, but it never happened. Those managers moved on, retired, promoted or emigrated. Their abilities were assessed on the way they managed the balance sheet more than any other parameter. They still ran at a deficit, but it was not as large as it might have been.

One of our managers left for NHS111, another went overseas, and another into industry. Another retired. A couple were promoted to spread their methodologies in other areas of the UK’s 4 health systems, but of course only for a couple of years. They realised they had to move on before the long term effects of their actions became evident.

SO it is with prescription charges. Most of the people do not think long term. They will always vote for “free” without realising they are voting for a paternal state, and for themselves to behave as infants. Without duties as well as rights ….  In Wales we have a large underclass who expect everything for free, as Aneurin Bevan promised, from “cradle to Grave”.  ( In Place of Fear A Free Health Service 1952 Chapter 5 ) He had to amend this with eye, dental and prescription charges within 5 years..

Without offering reality choices, the type of choices that the politicians and our 4 health services have ducked, any question would have been disingenuous.

My own MBA involved a project with a questionnaire conducted by Gallop trained  staff, and questioned an equal number of patients and medical staff, and matched across social classes. I predicted that the patients would choose to avoid rationing, the opposite for medical staff. In fact, given the questions and the introductory background information BOTH elected to choose rationing. I was wrong. Those questioned all lived in West Wales where prescriptions are free…. but cancer care is inferior, waiting lists are longer, standards are lower, and choices are reduced.

Interesting that in 70 years there are no NHS replicas extant. NZ and Scandinavia tried, but have redacted…

Charities should not be needed in a comprehensive, cradle to grave health service

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.

Cradle to grave? Why the cost of dying is rising.

The NHS and ‘cradle to the grave’

Implicit rationing! Not a bad climb down from the Chief Executive NHS England

Doctors warn NHS is rationing best drugs to cut costs

Changing the rules of the game

Political collusion to neglect…? If the Regional Health services were companies they would be bust and run by the reciever

Meetings in the Regional Health Services – tarnished with the NHS managerial inactivity brush

Trying to defuse some of the invective against NHS managers.

A first debate in West Wales BMA – on rationing – wins a majority in favour

Equality in Cancer Treatments (Oncology)

NHS ‘postcode lottery’ denies Welsh nurse £70,000 treatment for rare stomach cancer because the hospital is across the border in England

Its easy to say you will fund a treatment, but much harder to say what you won’t fund. How long will the English and Welsh hold out against the media led pressures? Emergency loans for Trusts merely delays the inevitable.

The Welsh Green (nearly white) paper on Health – and the BMA Wales response. The candour of honest language and overt rationing, & exit interviews to lever cultural change..

Welsh NHS ‘is a scandal’, says David Cameron. The philosophy of not aspiring to excellence, but rather to reducing inequalities

 

Rationing needs to be explicit; just like SAGE. Too many committees in disunited health service..

It is part of being a Liberal to believe in an honest open and transparent society. Not many of us would call China transparent, especially if we believe the reporting about the initial cases and the doctor who was “gagged” from speaking out. He eventually died. First cases occurred on 17th November 2019. Dictators put their system ahead of honesty, and a free press and media are anathema. Such reporting exposes their inadequacies. Would the Chinese ever allow their debating to be in public?

So it is with UK  government. The politicians wish to pass blame and scrutiny to the scientists, but the scientists wish to offer facts, and leave the important decisions to the politicians. They can outline the relative risks of different strategies, but they should and do not decide how and who and why and where to ration resources and health care.

Having a political representative on the SAGE is not a problem provided his role is controlled by the chair. The only way the public can be reassured to this effect is if there are minutes, and / or even a recording of the session. It would also help if the chair was constant.

The argument against knowing the members, and for the chairman changing as needed, seems to me to be spurious. They may be got at, influenced, or bribed? They may not speak up when they should? So, in an honest open and transparent Liberal government i would hope the whole would be made public. If the argument is that the public cannot handle the facts, or weigh the evidence, well that is true of some politicians too. If a patient is dying he has the right to know if he so wishes, or the right not to know if pre-expressed. A nation deserves to have the opportunity to know the truth; equally everyone has the opportunity not to listen or not to read any notes.

In the health services, all four that is, we have covert rationing. This means we as the public do not know which services will be unavailable in our particular region or post code, until we have an illness that may need that service. The motive is possibly that the politicians wish to protect us from the word rationing, and all its connotations. In a paternal way they think we are not ready to know, and if we are we would be better off not knowing anyway. They bury the truth with alternative words: restricting, prioritising, reducing, delaying, etc. The Chinese were covert about the CV19 virus, not because they wanted to protect their public, but because they wanted to protect themselves. Are we better or worse?

We have no such perverse incentives as the Chinese. We must persuade our media that the needful and explicit rationing which is going on today, honestly, needs to be repeated in its truthfulness once we return to normal. To do this the SAGE committee needs to be overt. We cannot have “everything for everyone for ever”, and there is a triad of “Unlimited demand, limited resources, and no disincentive to make a claim”. To make it worse we rejected “No fault compensation”, and so the lawyers are tempted to fleece the system on “no win no fee” contracts with clients. The unfettered market extends to the lawyers, who add nothing to community of society as a whole, but gain for themselves and their clients. And to make it worse still, the post code nature of rationing means some regions, usually the poorest, are deprived of the choices available to the richest. The populism of devolution weakens health care. An independent England will weaken Scotland, Wales and Ireland further.

See the source image

UK’s Government’s and their committees.

The Health and Social Care committee England and Wales 

Was chaired by Sarah Wollaston, but is now chaired by Jeremy Hunt, who is unlikely to criticise his own judgements, which are now being implemented. There is a “blatant conflict of interests“.

Welsh Health Service Specialised Team committee

Scottish Health Council Committee

The Northern Ireland Committee for Health 

Scotland Health and Sport Committee

Wales Health Social Care and Sport committee

The Intelligence and security committee (ISC) 

The Scientific Advice Group for Emergencies (SAGE)

The Science and Technology Committee (Commons)  Severin Carroll and others report in the Guardian 24th April 2020 that  “The case for Transparency has never been clearer.”

Business IQ reports: What is the Scientific Advisory Group for Emergencies and …

The group provides scientific and technical advice to support decision makers during emergencies.

The make-up of experts can change depending on the nature of the emergency, meaning there is no membership.

The objective is to “get the right expertise around the table to come up with a consensus view”, according to Professor Sir Ian Boyd, who attended Sage meetings in the past.

– How do experts join Sage?

Sir Ian, who was chief scientific adviser at the Department of Environment, Food and Rural Affairs from September 2012 to August 2019, and was involved in advising the Government after the Novichok poisonings in Salisbury in 2018, explained: “There’s a pool of experts, and those people from within that pool, who are relevant to a particular topic will be called on at any particular time.

“What happens is that you get an email through or you get a calendar invite through which is a calling notice that says there’s going to be a Sage at a particular time you’re invited to attend, and here’s the agenda.”

He added that participation is voluntary.

– Should the names of the scientific advisers be shared with the public?

See the source image

Todays Sunday Times and other papers give the following evidence for rationing (which does not happen according to our ministers). 

Andrew Gregory reports: Hospitals hit by drug shortages for coronavirus victims in intensive care wards – Doctors forced to ration key drugs.

Andrew Gregory with Sam Griffiths report: Take more coronavirus patients to hospital, paramedics told – A change in London’s NHS guidance has added to fears patients have been taken to hospital too late to save their lives

This was rationing by paramedics on a reasonable (but covert) basis, on a score ( Scorecard News2 ) that had no research on CV19 behind it. We also had to ration the PPE, and the viral tests, because we did not have enough. This was because we were not prepared, even though we had SARS and were warned 5 years ago….

Andrew Gregory again reports: Coronavirus tests run out in minutes again — and results will take a month

Tom Ball reports on charitable causes for the health services. Thousands take on marathon challenges to fill funding gap  Why is there any need for charities for health when the service is full, universal, cradle to grave, without reference to means and free at the point of uptake?

Rosamund Unwin reports: Coronavirus: NHS will fall short of 1bn items of protective gear, review reveals and asks for us all to send boiler suits.

Matthew Syed in opinion reminds us that we have chosen to ration wealth as well as health, in order to save the population of elderly citizens. You won’t see it on any death certificate, but recession is a killer just like the coronavirus

And for that matter why is social care for elderly and demented patients (are they ill?) not funded as a health issue, but all care for children and infants is? Cradle to grave is untrue. Cradle to active old age, but not whilst you decline and die, would be more accurate. In the affluent areas your death may be in a hospice (private, charity), but in a poorer area it is likely to be in Hospital.

In the Telegraph today 26th April 2020:

Paul Nuki, (Global Health Security Editor )in the Telegraph opines:  Two new waves of deaths are about to break over the NHS, new analysis warns – Radical solutions will need to be found if the health service is to avoid formal rationing

Laura Donelly reports: Dialysis could be rationed amid shortage of machines to treat sickest coronavirus patients – Specialist machines are used to treat acute kidney failure, which research suggests affects 29 per cent of ventilated Covid-19 patients

Two years ago litigation reserves for health were £1,200 each. They will be much more now…

It is easy to forget the problems that beset the 4 health services before the recent viral pandemic. But standards were not rising to meet the challenge of modern day standards and expectations. This is reflected in the lower survival from cancers, especially rarer or non-target cancers, in the G8. Two years ago litigation reserves for health were £1,200 each. They will be much more now that compromises are being made and doctors are being asked to work in unfamiliar areas. Some areas / regions of the country are worse off than others, usually where there are long waiting lists and poor or no choice.. This is a recipe for increasing inequalities.

The new “duty of candour” does not help with litigation unless there is no-fault compensation. Barristers are there for their clients, and no win no fee ensures they put the state’s (population’s) needs last.

See the source image

In the Law section of the Times 23rd April Catherine Baksi reports: NHS faces billions in coronavirus claims – the government has been asked to protect the service against legal action

The Medical Defence Union (MDU), which indemnifies against clinical negligence claims, says that doctors should be spared the stress and anxiety of legal actions and has asked ministers to debate giving them immunity… The cost of medical negligence against the NHS has climbed steeply in recent years. In 2018 NHS Resolution, the operating name of the NHS Litigation Authority, estimated it was facing claims of £83.4 billion.

See the whole article here: Baksi Times Legal 042020

The  charity Action against Medical Accidents (AVMA), is reported in the Times 23rd April as recommending a suspension of litigation risk during the CV19 crisis…

Cases taken on by firms dealing with medical negligence have highlighted many complaints — from botched amputations to cancer claims, infections to spinal injuries — but Covid-19 has not yet been one of them.

The weekly public “clap” has demonstrated an affection and appreciation for the NHS, and few lawyers want to be seen as disloyal to a national treasure.

Not long ago, however, that picture was different. For many people, 2018 was a year of NHS scandal with investigations into hospitals in Shrewsbury and Telford unearthing evidence that dozens of babies unnecessarily died.

That same year an investigation into Gosport War Memorial Hospital revealed how whistleblowers had been ignored and more than 450 patients may have died from the use of unnecessary opiate……

Action against medical accidents

Its good news: “More people dying from rarer cancers” so less are dying from the more common ones..

Health professionals call for NHS Wales ‘vision’ by prospective parties. If you don’t have a choice in Wales, you can buy or game that choice….

NHSreality posts on litigation and no fault compensation

See the source image

FT offers free access to Coronavirus latest news.

Since the main knock on effect is economic, the FT is naturally concerned to show the full effects on economies, and the potential for recovery.

This link will take you to the latest news on CV19.

On 22nd April 2020 the following was reported as graphics and text. Look to the link and the date for the graphs.

Please use the sharing tools found via the share button at the top or side of articles. Copying articles to share with others is a breach of FT.com T&Cs and Copyright Policy. Email licensing@ft.com to buy additional rights. Subscribers may share up to 10 or 20 articles per month using the gift article service. More information can be found here.
https://www.ft.com/coronavirus-latest

The human cost of the coronavirus outbreak has continued to mount, with more than 2.49m cases confirmed globally and more than 163,500 people known to have died from the disease.  The World Health Organization has declared the outbreak a pandemic and it has spread to more than 190 countries around the world.  This page provides an up-to-date visual narrative of the spread of Covid-19 so please check back regularly because we will be refreshing it with new graphics and features as the story evolves. LATEST CHANGES April 9: All maps and charts now exclude nursing home deaths from France’s totals to maintain cross-national comparability April 8: Added streamgraph and stacked column charts, showing regional daily deaths of patients diagnosed with coronavirus. April 7: The maps now display total deaths rather than confirmed cases. Europe became the focal point of coronavirus in early March when the disease spread rapidly across the continent. Italy soon became the country hardest hit by Covid-19 after China. After weeks of strict lockdown, Italy is on the verge of turning the corner and the rate of deaths is beginning to decrease. The US, however, is still in the acceleration phase. The daily death tolls in more than 10 countries are in the hundreds or even thousands, and in all but a few cases those numbers are still rising. Cases within countries are not evenly spread. Lombardy in Italy and Spain’s Madrid eclipsed Wuhan in China as the most badly affected parts of the world. In both these areas of Europe the daily death toll appears to be flattening. The hardest-hit urban centre in the world is New York. The state’s death toll is rising faster than in any other subnational region at this stage of its coronavirus outbreak. At the beginning of March, Asia accounted for more than 60 per cent of coronavirus-related deaths. Within a week, attention shifted to Europe, with Italy and Spain the new global hot spots. Although the region still accounts for more than half of global deaths, the focus has now turned to the US, where the death toll remains consistently high. The US now has the highest number of new cases globally. Total infections in the past week topped 100,000. However new confirmed case counts in some European countries have begun to plateau, and in Italy they are starting to fall. More from the FT on coronavirus How dangerous is the coronavirus and how does it spread? How Singapore waged war on coronavirus Scientists hopeful warmer weather can slow spread of coronavirus The worst of the outbreak seems to be behind China but several European countries have just entered the peak phase, with daily increases of new confirmed cases of more than 1,000. As Covid-19 spread beyond China, governments responded by implementing containment measures with varying degrees of restriction. Researchers at the University of Oxford’s Blavatnik School of Government have compiled data on a range of government response measures, such as school and workplace closures and restrictions on travel and gatherings, to create a stringency index. Recommended AnalysisCoronavirus Coronavirus economic tracker: latest global fallout East Asian countries including South Korea and Vietnam were the first to follow China in implementing widespread containment measures, with much of Europe, North America and Africa taking much longer to bring in tough measures. India’s sudden implementation of a strict 21-day lockdown propelled it to the top of the index, making it the first country reported to have hit the index’s upper limit of 100 for more than a single day. Help the Blavatnik School of Government at Oxford university improve the stringency index used in this map by providing direct feedback. The FT is mapping the virus as it spreads. Check back for our up-to-date figures. The death toll has now passed 100 in 20 European countries. The region accounts for more than 50 per cent of new daily cases. Coronavirus has spread to all 50 states in the US. More than 800,000 cases and 40,000 deaths have been confirmed in the country. SOURCES The data for these maps come from a dashboard maintained by the Johns Hopkins University Center for Systems Science and Engineering, which has combined data from the World Health Organization, the US Centers for Disease Control and Prevention, the European Centre for Disease Prevention and Control, the Chinese Centers for Disease Control and Prevention. It also incorporates data from the Chinese medical community website DXY, which aggregates live situation reports from the Chinese National Health Commission and local CCDC. Additional data are also supplied by Worldometers. Help us improve these charts: Please email coronavirus-data@ft.com with feedback, requests or tips for sources of subnational data. We continue to incorporate your suggestions and data every day. We will respond to as many people as possible. Reporting, data analysis and graphics by Steven Bernard, David Blood, John Burn-Murdoch, Max Harlow, Caroline Nevitt, Alan Smith, Cale Tilford and Aleksandra Wisniewska. Edited by Adrienne Klasa Correction: Due to a typographical error, the first paragraph of this story incorrectly stated the number of people who had died from Covid-19 for several hours on April 9. At the time, that figure should have read 87,741.

Maternity care out of tertiary centre is shameful. The Shrewsbury problem is endemic..

The reality of the 4 UK health services is that they were in complete mess even before the CV19 epidemic. Just read this article and wonder what else is less than candid in your area of the country. Just like the patients who queued round the block to protest at a Non-Doctor being removed from practice, the people of Shrewsbury value their local service. As standards fall further, due to inadequate numbers of trained professionals, tribalism, and denial, we may see the locals change their minds about the past, but not about the future. NHSreality believes the Shrewsbury problem is everywhere, and worse, people are not learning from their mistakes. What is worse is that the “experts” have being ignored, even in Public Health, in our populist world.

Neil Johnston in the midlands reports for the Times 22nd April on an entirely expected increase in maternity disasters. – Shrewsbury and Telford NHS Trust: Maternity scandal inquiry grows by hundreds of cases

An inquiry into poor maternity care at a scandal-hit trust where dozens of babies died or suffered avoidable brain damage has widened to nearly 1,200 cases.

Since 2017 investigators have been examining failings that harmed mothers and babies at Shrewsbury and Telford NHS Trust in Shropshire. Last year a leaked interim report said that there was a “toxic” culture at the maternity unit dating back 40 years.

The review submitted by Donna Ockenden, a midwife, to NHS Improvement identified at least 45 avoidable deaths, including 42 babies and three mothers, 51 cases of brain damage or cerebral palsy in infants and 47 further incidents of substandard care.

The cases were between 1979 and 2017 but deaths and injuries were still being reported to the panel up to the end of 2018. Now Ms Ockenden has revealed that the review has been informed of 1,170 cases.

The new total includes hundreds of families whose details were passed to the inquiry by the trust after it examined its records for 2007-18 and found potential failings. Ms Ockenden has now written to those families inviting them to participate in the review.

“Throughout the autumn and winter of 2018, the trust, supported by NHS Improvement, undertook its own review of maternity care,” Ms Ockenden said. “This led to the identification of just over 330 families who at that time were not known to my review team.”

Another 70 families who came forward after media reports about the scandal or who had begun their own legal action have also received the letter asking for their consent to be included.

The inquiry was commissioned following concerns raised by the parents of Kate Stanton-Davies and Pippa Griffiths, who died shortly after birth in 2009 and 2016 respectively.

Midwifery is tribal, and the Shrewsbury has the same problem as St George’s Hospital cardiac surgeons

Bribery and corruption. We have a media led society and its the media’s duty to expose this.

Disgraceful leadership, and a longstanding culture of fear. Successive PMs of all colours are to blame. Spending money on bribing the electorate will bring only short term gains..

Royal Shrewsbury hospital A&E: 5,000 sign petition to save services