GPs warn face-to-face appointments plan could lead to exodus of doctors | GPs | The Guardian


British Medical Association says blueprint could exacerbate GP shortage and see many leave the profession

 

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This may be correct to some extent, but is it the Government or the GPs who are out of touch, as I feel patients will largely welcome face to face, rather than the impersonal telephone appointments or video if you are lucky. In fact you are extremely lucky to get any form of appointment currently.

Currently my own health is not good so I am contacting my GP more often than I would normally have done and when I have managed to get through, after, more often than not, having been in a queue for going on 30 mins and sometimes a hour, only to be told all appointments have gone and never even offered any face to face, for those gone are only telephone appointments . My practice does not extend to video and telephone is the only form of communication as they have not joined the email age.

So are my practice offering face to face, who knows for the Receptionists are not forthcoming.

In the past, well before COVID, I have said that some face to face are not required, especially  if it is just to get results of tests, but then you were never offered telephone appointments, only face to face.

So it has gone from one extreme to another, when it should be a suitable mix.

I sometimes get the opinion that patients are just getting in the way and that no one in the practice cares anything for patients, this is, to some extent, also the way with hospital appointments, but not as grave as with GPs.

It is also one of the reasons why A&E visits are more in demand than previously, as people know when you get there you will be seen, even though the wait will be very lengthy. But not so with GPs for you are not allowed to enter a surgery unless you have a face to face appointment, when you can get one.

GPs could well be voting with their feet and yes they are under great pressure and well over worked, but so are very many of us.

But by not seeing patients many diagnosis are going unknown, for much of a diagnosis process is by observing patients, which can’t be done over a telephone and also not in some instances by video, if you can get them.

This is leading to many conditions not being diagnosed until it is too late, as many with, say, Cancer have found to their cost.

There is a shortage of GPs and if some are leaving this will make a serious situation very much worse, but there are shortages in many areas and in some of these health is also at stake, such as lack of social care, but the Government is virtually doing nothing on this.

All parties need to be listened to, being GPs, Government and patients and a suitable package worked out for all concerned.

I feel it is going to get much worse before there are any signs of any improvements.

Source: GPs warn face-to-face appointments plan could lead to exodus of doctors | GPs | The Guardian

Austerity in England linked to more than 50,000 extra deaths in five years | Public sector cuts | The Guardian


Researchers looked at 2010-2015 when Cameron cuts to NHS and social care were starting to bite

 

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This was inevitable, as the austerity cuts made Local Authorities and Health Authorities to make savings due to the cuts where savings could not realistically be made, so essential services were being run on a ‘shoe string’ and then the next and next and next, etc, meant that the shoe string was getting shorter and shorter.

If you had money then the cuts really did not touch you greatly, but for the masses who don’t have money, many only having an income which is just sufficient and with some not even sufficient, it touched them greatly.

So for those you could least afford it suffered the worst and are still doing so. The Prim e Minister Boris Johnson talks about leveling up, but he keeps saying this but has no idea what it means. For to level up the resources which have been taken away since 2010 need to be returned and then more. For even in 2010 the levels were not correct, and many were below the levels. To put right money needs to be invested in all areas which are insufficient and it will not be cheap.

A start would be to fund Social Care and then health so that all you need care can reasonably get it without having to think where the money is coming from. For Social Care needs to be funded just as the NHS is thereby making it free on the point of delivery, which it should always have been.

This was a major mistake in 1948 for then Social Care and health should have been looked at as one and be managed together, with public health included.

As it was health was looked after, but not social care, even though they were inter-related.

So, the paltry amounts that the Prime Minister announced some weeks ago fell way short of what is actually required and social care will by doing so will always be the poor relation as care services go.

So due to insufficient funding deaths will continue to soar due to the severe lack of care services.

 

Source: Austerity in England linked to more than 50,000 extra deaths in five years | Public sector cuts | The Guardian

Priti Patel’s revenge on climate protesters is a dramatic curb on our democratic rights


Priti Patel’s revenge on Insulate Britain climate protesters is a dramatic curb on our democratic rightsThe ‘criminal disruption prevention orders’ announced by the Home Secretary would mean banning people from protests based on nothing more than suspicion

 

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Yes, it is, but should by allowing one persons rights, should that curb another’s, especially if they are innocent bystanders, surely not.

So by allowing Criminal disruption prevention orders Priti Patel is safeguarding the rights of innocent bystanders. By all means disrupt the Government and any others who are involved, but not innocent bystanders.

Source: Priti Patel’s revenge on climate protesters is a dramatic curb on our democratic rights

Raising taxes will be a disaster for Britain – and here’s the proof


The last Labour government hiked the top tax rate to 50pc, and it was a policy disaster

 

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This is so true, but one that Labour fail to realise as they are so engrossed in trying to take from the assumed rich, that they fail to see that the very rich have the means to legally reduce their tax burden or even more leave the UK completely. Then you don’t even get the tax they were willing to pay before. It is a fine dividing line between what one is willing to pay and one is not. While those who are not rich have no option but to pay the tax they are requested to do.

So rather than increase tax rates considerably, why not just increase by 1% or 2% rather than 10% to bring in a top rate of 50%.

But, Conservatives are so determined not to increase tax for the rich, so they try to get more from the poor and not so rich. by increasing lower tax rates and also not increasing the initial tax free element.

By increasing the tax free element to line with the National Living Wage and increase rates slightly this would enable people to spend more and thereby get money from VAT and also increase slightly Capital Gains Tax and Inheritance Tax.

Also reverse all austerity cuts, thus allowing Local Authorities to create more job opportunities, rather than cut employment to save money. Also allowing more money to be made available for Social Care so the abysmal rates of pay could be eliminated and allow starting pay at £14 or even £15 per hour so encouraging more to enter the profession.

Alter Immigration requirements so all persons willing to work in the UK could do so and thereby enable more non-UK persons to enter the UK to work, while removing any non-UK persons who are not willing to work.

 

Source: Raising taxes will be a disaster for Britain – and here’s the proof

Sarah Everard: Women Police Officers Are ‘Vilified’ For Reporting Misconduct Of Male Colleagues, Ex-Senior Cop Says | HuffPost UK


Former Met chief superintendent condemns “sexist” service that sees men “close ranks” and potentially abandon women while on duty.

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Yes, the Met commissioner Cressida Dick should go and should have gone long ago for there have been many incidents occurring under her tenure one being, Jean  Charles De Menezes, https://www.theguardian.com/uk-news/2019/feb/10/cressida-dick-de-menezes-shooting-met-police-desert-island-discs-radio-4, they say ‘lessons will be learnt’ but are they ever. In many instances the answer is no as for lessons to be learnt there as to be a concerted effort and in the Met is that concerted effort there, I fear not under Cressida Dick.

She is always too quick to come to the defense of the Met, as many in the Met are also. But it is not just Cressida who needs to go for many in the Met need to go also for the supporting officers under Cressida have not been supporting in good quality policing, only in supporting fellow officers, of which they were excellent.

But Police need to be there firstly for the public and if they are not should they be there.

It is not just how women are thought of both in and outwith the Police forces, but there are also serious concerns regarding Racism, membership of secret Societies and many more.

But is it just the Met, I fear not and this is an opportunity to have an in-depth investigation of not just the Met but every police force, but who would do it for are we trusting that the police can really police themselves. It needs to be done by a cross section of the public and also in the open.

There was a time when virtually everyone respected the Police, but now and for many years that is not so for that respect as changed to fear and mistrust.

Source: Sarah Everard: Women Police Officers Are ‘Vilified’ For Reporting Misconduct Of Male Colleagues, Ex-Senior Cop Says | HuffPost UK

Petrol queues: Doctors and emergency medics must be given priority access at petrol stations, says leading GP


Professor Dame Clare Gerada, former president of the Royal College of GPs, said: ‘If it’s going to go on for any length of time, then we’ve got to make sure that essential services take priority’

 

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Yes, this sounds good, but Doctors, nurses and emergency medics are not the only ones, for all those employed in health are essential, domestics, support workers, administration workers, then there  are  the police and fire services, care workers, in Residential/nursing homes, home carers, and other care workers, then the are workers in food supply organisations, utility workers and many others.

For these days no one organisation is an island, for we are all interdependent.

Professor Dame Clare Gerada is not thinking it through.

The whole employment structure in the UK needs to be looked at for in many ways we are all interdependent. The UK can’t, well certainly in the short term be solely dependent on the UK workforce and in many areas we do need persons from outside the UK, so the UK immigration policy needs to be flexible enough to accommodative all aspects of #employment.

 

Source: Petrol queues: Doctors and emergency medics must be given priority access at petrol stations, says leading GP

Mum paralysed by stroke after M25 protest delayed trip to hospital by six hours – Mirror Online


The woman’s son Chris said he was ‘so angry and so upset’ as he watched his mum ‘slip away’ while they were stuck in standstill traffic on the M25. Doctors said her recovery would have been minimal if she had arrived within 90 minutes

 

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While I agree drastic actions need to be taken regarding climate change, but to cause all this disruption and also much pain and suffering should not be the way.

The people kept in these jams caused by these protestors actions are in no way to blame, by all means go after those in the Government but not the innocents.

Yes, these protestors have a right to protest, but the persons held in these jams also have rights and by exercising one right should not mean that other rights are ignored.

Source: Mum paralysed by stroke after M25 protest delayed trip to hospital by six hours – Mirror Online

HS2 minister fails to rule out that eastern leg between Leeds and Birmingham will be scrapped | Yorkshire Post


The minister in charge of HS2 failed to rule out that the eastern leg will be scrapped.

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The whole HS2 project has been and still is a Love and Hate project for many due to various opinions and various degrees of opinions.

Whether this is a good or bad project I will leave to others, but what I wish to look at is both the North/South divide and then the West/East divide.

Take the North/South there is a vast difference in investment both potential and actual over many years and while objections and supportive comments are always submitted on the the projects, it does feel that in more cases than not the South Projects seem to move forward and are completed, while this does not seem so for those in the North.

I can remember many years ago that with the Euro line there was to be a link to the North which for one reason or another did not take place. But the South, especially around London have had Cross Rail for one and many upgrades and new projects re the London underground.

As to the West/East there was the rail electrification where the West Coast  was electrified but not the old Midlands line from St Pancras to Leeds was not, but investment was made to the Kings Cross to Newcastle.

So even in the East, the Middle misses out as it may well do so re HS2 and where is the mention of HS3.

Source: HS2 minister fails to rule out that eastern leg between Leeds and Birmingham will be scrapped | Yorkshire Post

Social Care will it survive, now that is the question?


Social care has been in decline for far too many years, due to successive governments lack of actions to do something to ensure that it will survive. Now we have a Prime Minister who has done something, but it is way too little and way, way too late. It would have been too late, if the necessary money was made available yesterday, but to say it will now not be available for 3 more years, is adding insult to injury. People ease in need of Social Care so deserve so much better, for their pain and suffering will continue and not just continue, but will get much worse and they could not well survive, especially 3 more years, but is that the outcome this Government is working to.

Many years of very serious underfunding has and is taking its toil, as it was in serious decline in 2010 when the Conservative Government decided to introduce austerity cuts and these went on for at least 10 years and then came COVID. The austerity cuts came to ensure Local Authorities (LAs) made savings in their budgets, when any fool could see there were no savings to be made, except Government fools. So to work to the reduced budgets services had to be cut, even essential services. and this eventually included Social Care, as many LAs tried to shield Social Services from cuts, but eventually they had to come and it was the persons in need of Social Care who were made to suffer and they still do, well those still alive do.

I applaud those who have decided to become employed in Social Care, however not all who came in were there for the benefit for whom they are caring for and some of the Care Provider when also in there to make profits from the services.

Those providers should not have been there but many still are and they are destroying the reputations of the Care Providers who do care, just as the care workers who don’t care are destroying the reputations of the care workers who do care and it is the persons in need of care who were left to suffer.

It is said that during the COVID Pandemic people were Clapping for carers, but were they for were they only clapping for certain carers, namely Nurses. Now, while those nurses did deserve the clapping they were not alone for there were many others in health who were as deserved as where the care workers in the care profession. Certainly those in Care and Nursing homes did, but they were not alone, for it is not just the elderly in care/nursing homes who are in receipt of care, as we are left to believe from those who should know better . such as , the Prime Minister and his fellow Ministers, all the MPs and those in the media. Can we blame many of the population for believing that Social care is just for the elderly, well I believe we can for children and any adults can, through no fault of their own find themselves in need of accessing Social acre, either on a temporary basis or on a more permanent basis. For the elderly will only be for some for a short period, when you look at the length of the ‘Cycle of Life’ as some are in need as soon as they are born and then until their dying day, but why are these persons not seen for they are there in full sight, well it is because the people are not seeing them, many because they do not want to, others because they can’t understand the whys and wherefores and some who couldn’t careless, for all they care about is themselves.

Then we have the unpaid carers who currently save the UK well over £132 Billion every year by them caring for their relatives, until they can care no more, by reason of their own death or they become ill and need support themselves.

There are many reasons why people do not enter the care profession, which include

  1. the derisory salary for the work undertaken, which is more likely to be around the National Living Wage of £8.91 per hour, rather than the Real Living Wage of £9.50 per hour. When this is compared that persons could earn well over £13 per hour working at Amazon, surely someone looking after your relatives lives should at least be earning £14 per hour
  2. insufficient persons in the UK who are willing to work in the Care Profession for any reason, when there are many outside the UK will but are unable to do so because of the UK’s Immigration policy. in the 1950s when there was a lack of works due to WWII the government of the day went to various countries to encourage workers to come to the UK, many from the Caribbean, while today there are many still in Europe and certainly in many of the African countries and others, if only they were given the opportunities.
  3. but there are also lack of travel expenses, suitable sick pay, unsocial hours payments and other terms and conditions

But firstly we need a Government who understands care and will do what is required, not the Paltry offer from Boris Johnson, who after COVID is insulting all care workers.

I am not saying the NHS is not deserving the money it has been offered, but both need to be the money required, for not to do so will see the complete demise of Social Care and this will then truly bring the eventual demise of the NHS, just because Boris and his Ministers in Crime are not prepared to take the required actions needed urgently.

So the actions need to be taken now for 3 years is much too long to wait.