New prime minister must prioritise NHS, say doctors’ leaders | The BMJ


Liz Truss, the UK’s new prime minister, must act decisively on the key challenges facing the NHS and social care or face an “uncontrollable crisis” this winter, doctors’ leaders have warned.Truss became the fourth Conservative prime minister in six years after gaining 81 326 votes (57.4%) of Conservative party members, defeating her rival, Rishi Sunak.The most pressing item in Truss’s in-tray will be tackling soaring energy bills that will have severe health implications if people, particularly if they are elderly or clinically vulnerable, are forced to choose between food and heating.During the leadership contest the NHS received relatively little attention, but in her victory acceptance speech Truss pledged to “deliver on the …

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Yes, sorting out the NHS needs to be a priority, but also does sorting out social care for if it is not, sorting out the NHS will never be successful.

Both social care and the NHS are as important as each other and it could be said that social care even more so. For any lack of social care, as much detrimental effects on the NHS, creates more health situations and of greater degrees, leading to many more access to GPs and eventually hospitals. The hospital  says could then be longer than they should be, due, not only to the gegree of health, but when patients are ready for discharge, but are still not fully able to care for themselves, but there is then an insufficiency of social care to undertake care of themselves. Thus creating bedblocking, which in turn means A&E are unable to free areas in A&E as there are no free beds on wards due to the bed blocking. This then means there are insufficient A&E capacity for ambulances to transfer their patients into A&E, so ambulances have to wait at hospitals under acces to A&E is available. This then creates a shortage of available ambulances for picking new emergency callouts.

The problems with social care are far from new, but no government as so far done much to solve the social care crisis, in fact many, if not all have been ignoring social care for many years. This was made worse since 2010 with the introduction of Tory austerity cuts and then additional costs of COVID.

So doctors leaders, do not be as shortsighted as the Government and include social care within your campaign for funding.

 

Source: New prime minister must prioritise NHS, say doctors’ leaders | The BMJ

GPs given record pay rises in Covid pandemic


Wages hit a ‘difficult to justify’ level of £142,000 as patients were turned away from surgeries

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While I don’t begrudge the GPs their wage rise, they are only one part of the NHS, so why not similar rises for all NHS workers, for without the other workers GPs wouldn’t be in the position they are.

No one section of the NHS should be dealt with in isloation, but where one section gets a good pay rise, that rise should be considtent throughout the NHS. For it is team work and all parts of the team are just as important and necessary as all the other parts.

 

Source: GPs given record pay rises in Covid pandemic

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

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

NHS Staff Will Able to Refuse Non-Emergency Treatment to Patients Being Racist or Sexist : Global Citizen


NHS Staff will able to refuse non-emergency treatment to patients being racist, sexist, or homophobic under new rules from April.

Source: NHS Staff Will Able to Refuse Non-Emergency Treatment to Patients Being Racist or Sexist : Global Citizen

Shock figures from top thinktank reveal extent of NHS crisis | Society | The Guardian


The NHS has among the lowest per capita numbers of doctors, nurses and hospital beds in the western world, a new study of international health spending has revealed.

The stark findings come from a new King’s Fund analysis of health data from 21 countries, collected by the Organisation for Economic Cooperation and Development. They reveal that only Poland has fewer doctors and nurses than the UK, while only Canada, Denmark and Sweden have fewer hospital beds, and that Britain also falls short when it comes to scanners.

“If the 21 countries were a football league then the UK would be in the relegation zone in terms of the resources we put into our healthcare system, as measured by staff, equipment and beds in which to care for patients,” said Siva Anandaciva, the King’s Fund’s chief analyst.

“If you look across all these indicators – beds, staffing, scanners – the UK is consistently below the average in the resources we give the NHS relative to countries such as France and Germany. Overall, the NHS does not have the level of resources it needs to do the job we all expect it to do, given our ageing and growing population, and the OECD data confirms that,” he added.

The report concludes that, given the dramatic differences between Britain and other countries: “A general picture emerges that suggests the NHS is under-resourced.”

 

Source: Shock figures from top thinktank reveal extent of NHS crisis | Society | The Guardian

I’ve been an NHS doctor for five years. The Home Office wants to deport me : The Guardian


A year ago I had a stable job working as a trainee GP in Greater Manchester and was due to qualify in February this year. I was in a relationship, had my own car and everything was great.

But for the last eight months my life has been a living hell.

My troubles began towards the end of last year when I applied for indefinite leave to remain in the UK. I am from Singapore. I was five months away from qualifying as a GP and had studied medicine at Manchester University, starting as a doctor in the NHS in 2012.

 

Source: I’ve been an NHS doctor for five years. The Home Office wants to deport me : The Guardian

Seven-day NHS plan puts weekday surgeries at risk, warns top GP : Welfare Weekly.


Of course this 7-Day NHS is unrealistic especially for GPs, as because of reduced funding my own GP practice, although open for 5 weekdays it is in effect only open for 4 days in total, as on Tuesdays and Thursday the practice closes at 12 noon.

There are already insufficient GPs throughout the country and some areas are worse than others.

So, in effect, it is both lack of funding and insufficient trained GPs, while some are taking early retirement due to the pressures they are already experiencing.

The NHS underfunding is a choice. And people are dying. [video]


juniordoctorblog.com

It’s really hard to capture and keep even the most interested and motivated persons attention long enough to explain how and why the NHS is being underfunded and the truly catastrophic impact of this.

This rather excellent video series does this perfectly.

https://vimeo.com/189849180/8b41b9e6e5

Share and RT, write to your MP. It’s your choice too; stand by and let the NHS die, or do something about it.

View original post

The NHS is Collapsing. Part 3: The collapse is a choice, not a necessity


juniordoctorblog.com

It’s my job as a doctor to interpret trends and analyse hodgepodge information to predict an outcome. I look at the NHS and see a single direction of travel: collapse without rapid and drastic intervention.
In a series of posts we will look at exactly why and how this is happening. This is what I see- you can decide yourself what you see.

In the part 1 here, we looked at why the NHS budget must rise 3-4% per year just to stand still.

In part 2 here we saw exactly how this isn’t happening and the catastrophic effect it’s having on the National Health Service.

Now we examine why.


It’s clear the trend of rising demand and falling budget is not compatible with a sustainable health service, and after six years, the NHS is about to collapse. The question we have to ask is why would our leaders stand…

View original post 1,191 more words