Ministers to crack down on overprescription of medicines on the NHS | The Independent


Government-commissioned review finds 10 per cent of drugs prescribed by primary care doctors are not wanted or needed

 

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This may or may not be true, for we can only know if we see how this conclusion was reached.

For medications are given to individuals and like all individuals we could all experience problems in many different ways.

Unfortunately the NHS does not treat people as individuals, especially in these times of non-face to face consultations. and then the problems in getting repeat consultations when needed. This is the same for both GP and hospital consultations.

They all treat the condition in a ‘one fits all’ approach, instead of a ‘person centred ‘ approach. Also and especially hospitals treat conditions in isolation, but many have multiple conditions and with GPs and some extent hospitals appointments are time time related., otherwise the appointment system get out of line and appointment times are then not met if appointment times are exceeded.

But, if you have more than one issue when seeing a GP and want to relate to your list, the GP could well say, just give me the top of your list and we will discuss the rest on your next appointment, and that is a major problem for when will that next appointment be, certainly not the next day or even the next week could be weeks or months. Even getting through to a GP surgery is a major exercise for it could take time to get even in a queue and then wait to be connected to the receptionists, to be then told all that days appointment haver been taken, no offer for any face to face for the appointments referred to are telephone appointments. It was said sometime ago that going on 80% of a GP consultation was from the patient and not any GP checks, but with a telephone appointment the only vehicle of communication is voice, no understanding of tone, body language and any other observations, so again the appointment is somewhat not sufficient.

As I said, even with a face to face you are usually restricted to around 10 mins, which gives no time for many patient to mention all they wish too and a patient is not an expert of medical issues only on their body and how they are feeling, much of which can’t be expressed over the phone.

Yes, GPs are over worked and there are too few of then, but don’t we all have stressed lives and who is to say how much effort it took a patient to try and get an appointment in the first place, is there any wonder why A&Es are so busy these days, as patients will mainly take going to A&E and suffer the long waits there for they know they will be seen, but again by an overworked, mainly junior doctor, not saying they are not fully trained, but long hours can lead to mistakes being made and they are made and one mistake is one too many.

The NHS has been underfunded for many years, but then so as Social Care which is another story, but as equally important, if not more so.

Money is not everything, for there has been much Government interventions into the NHS and mainly not for the better. Care of any nature is more than likely to be long term and costly.

Don’t get me wrong for we in the UK are extremely lucky to have the NHS, and I bless the Labour Government in the 40s for all their work and will to create the NHS in 1948. But in those days Doctors and Dentists and the BMA were not fully in favour of the NHS, as I am lead to believe they did not wish to lose their access to their private practices, so a compromise was reached. This was on the lines that if they agreed to be brought into the NHS not as employees, but as self employed they could retain their private practices and still work for the NHS. So even tough they are contracted to be in the NHS it is the practice and not the individual doctors. So they can withdraw from the NHS if they wish and still work on  private patients, which many |Dentists have done, so creating many problems for |NHS Dentistry, in that there is a very serious lack of capacity in NHS Dentistry, as so many people are experiencing in not being able to find an NHS dentist, and then afford it, for Dentistry was removed for ‘free at the point of delivery’ many years ago, although the NHS payment is subsidised through the NHS.

|Both the N HS and also Social Care need to be fully funded, but that takes money and one of then should not be left short to fund the other. This is not the fault solely of this Government, but of many previous Governments who have left the NHS somewhat underfunded and even more so, Social Care,  latter even true today, in fact very true and the question is will both be able to survive, especially social care, for the current lack of social care is already having an effect on the over use of the |N HS and if it were to get worse,which it is every day, or even disappear, the NHS would not be able to cope and that would mean disastrous consequences for all who need these services and have no ability to pay.

So urgent action is still required and the announcement a few weeks ago was way to little and way too late.

So medication is but one problem in many others. But I would not just say there is over prescription, which in some instances there will be, especially in some instances of antibiotics and in some anti depression. But please before any thing is done view the patient and not just the assumed overt prescribing.

 

 

Source: Ministers to crack down on overprescription of medicines on the NHS | The Independent

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

Almost one fifth of non-profit workers earn below the real living wage 


The National Living Wage is a disgrace as it is insufficient to live on.

Yes, the Government says there are various credits to claim, but the claiming process is very arduous and very time consuming and the barriers you have to overcome are very off-putting.

With some benefits it is as though you are deemed as claiming a benefit to which you are not entitled and in many instances the assessment process, especially face to face is very demeaning and in some instances insulting.

The Queen used to pay some of her staff below the Real Living Wage and was, I believe reported as saying ‘they can claim benefits’

How some are now paid.

Many Charities have restricted income which is not guaranteed and as they rely on donations and grants which have to be bid for, these grants are time limited may be for one year or could be up to 3 years, so Charities are continually having to submit bids for grants which may or may not be granted. The grants always come with attached conditions and to even bid you have to fit the expressed criteria, which can be very detailed.

With grants the organisations providing grants also only have a limited amount of money available to provide so all eligible bids will not be granted if the total amount of bids exceeds the amount available for when this as been reach there is no more available.

Source: Almost one fifth of non-profit workers earn below the real living wage 

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

Belarusian political activist Maria Kolesnikova given 11-year jail term | Euronews


Kolesnikova was a key figure of the Belarusian opposition in last year’s disputed presidential election.

 

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Political trials are alive and well in Belarus.

 

 

Source: Belarusian political activist Maria Kolesnikova given 11-year jail term | Euronews

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.

US supreme court refuses to block extreme Texas abortion law | Reproductive rights | The Guardian


Court voted 5-4 to deny emergency appeal against law that bans abortions once medical professionals can detect cardiac activity


Is this using the Law correctly or incorrectly or is it just using politics incorrectly or some other.

 

Source: US supreme court refuses to block extreme Texas abortion law | Reproductive rights | The Guardian

Tony Blair slams Joe Biden’s ‘imbecilic’ retreat from Afghanistan


America shuts Kabul airport as Dominic Raab is forced to turn to China and Russia for help in Afghanistan

 


 

I rarely agree with anything the former Prime Minister, Tony Blair, ever says, well in effect I never have, until now, when he talks about, Joe Biden’s ‘imbecilic’ retreat from Afghanistan.

For it is imbecilic, as while, military forces would have to be withdrawn eventually, it should not have been until all or most of the persons who wished to leave Afghanistan had already left. For to not do so, will as we have seen, cause panic and chaos leading to deaths and distrust in Western powers.

The decision to withdraw troops was originally from former President Donald Trump that should have been a clue as to how misguided it was, but Biden took what he thought was the easy way out and a vote winner. Well he won the vote in the US Presidential elections last, but could well lose the re-election in 2024, due to his decision to continue with the troop withdrawals.

Or could Biden be a reincarnation of Trump, not a good thought to have, but could be the answer to the obvious lack of thought behind the decision and the misguided continued decision to not see how misguided it was.

 

Source: Tony Blair slams Joe Biden’s ‘imbecilic’ retreat from Afghanistan

Make lying in the House of Commons a criminal offence – Petitions


The Government should introduce legislation to make lying in the House of Commons a criminal offence. This would mean that all MPs, including Ministers, would face a serious penalty for knowingly making false statements in the House of Commons, as is the case in a court of law.

Source: Make lying in the House of Commons a criminal offence – Petitions