Category Archives: NHS

Surprised? Rich and poor in England receive different levels of service from the NHS

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Frequently reported differences in health outcomes are generally ascribed to factors beyond the control of the health service, such as unhealthy lifestyles or poor living conditions. However, research has disclosed that there is a difference in the level of service received by poorer communities.

Though the NHS’s funding formula is designed to provide more money to the neediest areas, an FT article reported last week that – according to data analysed by the Nuffield Trust for the Financial Timessome poorer communities being “left behind” when accessing GP services.

Sarah Neville, Global Pharmaceuticals Editor, summarising the data, reports that rich and poor people in England receive different standards of care from the UK’s universal free health service.

Despite the higher burden of ill health in lower socio-economic groups, there are markedly fewer GPs per head in poorer areas of England than in richer areas

There was an average of 1,869 patients on GP lists for each doctor in the most affluent clinical commissioning groups, compared with 2,125 in the most deprived, according to Nuffield researchers. One in seven people in the poorest areas was unable to get a GP appointment, compared with one in 10 in the richest areas.

As GPs act as the crucial “gatekeeper” to other health services, a delay in seeing a doctor can lead to delays in securing other appropriate treatment. Emergency admissions were nearly 30% higher in the most deprived fifth of CCGs, compared with the least deprived fifth, which could point to delays in securing — or seeking — the right treatment. (See references to Sandwell here)

Nigel Edwards, chief executive of the Nuffield Trust, said that the new analysis showed there were “concerning discrepancies between the standards of care rich and poor receive from some NHS services”.

NHS England, “more medical treatment isn’t by itself the only answer”:

“ (T)he NHS long-term plan will be setting out new action to tackle inequalities including in access to primary care. But with the root cause of ill health lying in factors such as diet, smoking and exercise, income security, housing, air pollution and social connection, more medical treatment isn’t by itself the only answer.”

Ms Neville concludes that the findings raise questions about how well the 70-year-old National Health Service is meeting its founding principles of equity. They increase pressure on the NHS to outline plans to reduce health inequalities when it publishes its long-awaited spending plan next month.

 

 

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Broken Britain 19: poor redress for war veterans damaged by government policy

At last, the case of people whose health has been seriously damaged caused by infected blood bought by a government agency is coming to the fore. But the plight of farmers, whose health suffered because government compelled them to use organophosphate sheep dips, is yet to be addressed – many affected veterans and farmers have died after long suffering.

OP-affected Richard Bruce writes: Dr Davis and Dr Ahmed wrote some informative papers on the subject. One may be read here: https://psychcentral.com/lib/what-is-functional-magnetic-resonance-imaging-fmri/

Allowed to sink into obscurity

In 1996 Defence minister Nicholas Soames confirmed that many of the soldiers returning from the Gulf War reporting fatigue, memory loss, weakness, joint and muscle pain and depression – a condition now known as Gulf War Syndrome, had been exposed to some sort of organophosphate pesticide.

From the archives:

1999: the US Government accepted that their veterans’ illnesses were mostly due to service in the Gulf. Of their 700,000-plus troops deployed there, 88% became eligible for benefits through their equivalent of the Veterans Agency and 45% had by then sought medical care. The US Government also accepted the extremely serious consequences of using organophosphates.

2000-2001: the UK government funded more research into the effects of organophosphate exposure and poisoning. The results of some studies provided support for the poisoning hypothesis but the research was delayed by the FMD outbreak and only completed in 2007.

2004:  A study published in the British Medical Journal: ‘Overcoming apathy in research on organophosphate poisoning, concluded that high rates of pesticide poisoning in developing countries and increasing risk of nerve gas attacks in the West mean effective antidotes for organophosphates should be a worldwide priority.

2008: the American government concluded an intensive study into the cause of “Gulf War Syndrome” Their $400,000 study found that OPs had causal responsibility for the harm inflicted. This finding was reported to the British Government by the Chief of Defence Staff [RAF].

Conflicts of interest: those campaigning for a ban on organophosphate pesticides have to face opposition from the agro-chemical industry, whose representatives sit on expert committees advising governments on pesticide safety.

As the Countess of Mar explained: There seems to be a nucleus of about 25 individuals who advise on a number of committees. The scientific community is very close-knit and because the numbers of individuals in specialties is small, they will all know one another. They are dependent upon one another for support, guidance, praise and recognition. If they wish to succeed, they must run with the prevailing ethos of their group, department or specialism Hansard 24 Jun 1997: Columns 1555-9

The Scotsman reported the findings of the 2004 independent inquiry into illnesses suffered by veterans of the first Gulf War which was headed by the former law lord Lord Lloyd of Berwick, called on the Ministry of Defence finally to recognise the existence of a “Gulf War syndrome”. It said that it was clear the cocktail of health problems suffered by an estimated 6,000 veterans were a direct result of their service in the 1991 conflict and urged the MoD to establish a special fund to make one-off compensation payments to those affected.

Is the long and inhumane delay due to the fact that the establishment of a link between Gulf War Syndrome and organophosphate poisoning would cost the MoD vast sums in compensation?

 

 

 

 

 

Austerity 5: former Conservative MP deplores the effects of austerity

Matthew Parris writes in the Times, “the cracks are showing in austerity Britain”

We don’t think enough about local government, one of whose jobs it is to mend potholes. When in our own lives our nearside front tyre is shredded, the pothole, Parris believes, represents “a momentary twitching-back of one tiny corner of a great curtain, behind which lie, no, not potholes, but a million anxious human stories, caused in part by cuts in public spending”.

He adds that accidents due to potholes are usually relatively trivial compared with cuts which for others may have meant:

  • the loss of social care in dementia,
  • no Sure Start centre for a child,
  • the closure of a small local hospital
  • or the end of a vital local bus service.

Potholes are a parable for others that matter even more. Unfilled potholes put lives at risk and have become a symbol of the damage done to every walk of life by spending cuts.

All the pressures on those who run government, local and central, are to worry about the short-term. it is usually possible to leave issues like road maintenance, decaying school buildings, rotting prisons, social care for the elderly, Britain’s military preparedness or a cash-strapped health service, to tread water for years or even decades. “They’ll get by,” say fiscal hawks, and in the short-term they’re often right.

  • Nobody’s likely to invade us;
  • the NHS is used to squeezing slightly more out of not enough;
  • cutting pre-school provision is hardly the Slaughter of the Innocents;
  • the elderly won’t all get dementia at once;
  • there’s little public sympathy for prisoners;
  • teachers can place a bucket under the hole in the roof
  • and road users can dodge potholes.

Parris continues: “But beneath the surface problems build up. The old get older, and more numerous. Potholes start breaking cyclists’ necks. Care homes start going under. The Crown Prosecution Service begins to flounder. We run out of social housing. Prisoners riot. And is there really no link between things like pre-schooling, sports and leisure centres and local outreach work, and the discouragement of knife crime?”

“When New Labour was elected in 1997 we Tories groaned as it tipper-trucked money into the NHS, school building and other public services. Thirteen years later when Labour left office the undersupply was monetary, the red ink all too visible”.

Parris asks: “Must we forever oscillate like this?

One answer: Green & Labour Party leaders would meet these needs and avoid red ink by redirecting the money raised by quantitative easing.

 

 

 

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Accountable Care Organisations in the NHS: a privatising mechanism?

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On 1 April 2018 the government will introduce the first Accountable Care Organisations (ACOs), which are to act as partnership bodies incorporating hospitals, community services and councils into the NHS in England. 

The Health Service Journal reports that ACOs organisation, a corporate joint venture with GPs, will bring together most of a local area’s NHS services under a single budget, run directly by one big organisation – the ACO. which are to act as partnership bodies incorporating hospitals, community services and councils

Government intends to pass laws allowing ACOs to be set up (see above) without an automatic vote in Parliament.

The Accountable Care Organisations Briefing may be downloaded here

A BBC website reports that campaigners has been given permission to challenge a government health policy in the High Court. They will pursue a judicial review against Health Secretary Jeremy Hunt and NHS England over plans to create ACOs. Campaigners say it risks privatisation, but this is denied by ministers. The group bringing the case to court says an act of Parliament would be needed for the changes.

The DHSS said the claims would be resisted and it is irresponsible scaremongering to say ACOs were supporting privatisation. A spokesman said: “The NHS will remain a taxpayer-funded system free at the point of use; ACOs are simply about making care more joined-up between different health and care organisations. “Our consultation on changes to support ACOs is entirely appropriate and lawful”.

Dr Kailash Chand, an honorary Vice President of the British Medical Association, claimed ACOs could be a “Trojan horse for privatisation” adding:

“At worst, they are the end game for the NHS.”

The British Medical Association union warned: “Combining multiple services into one contract risks the potential for non-NHS providers taking over the provision of care for entire health economies.”

And the Commons Health Committee chair Dr Sarah Wollaston (Conservative) said: “There is a great deal of anxiety out there that this is going to be a mechanism for privatising the NHS.”

 

 

 

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Francesca Martinez: a word on the latest Corbyn ‘mural’ outrage

While we’re all debating whether Corbyn’s a spy or a Putin stooge, or an anti-semite, people are dying in NHS corridors, disabled people are starving to death, our public services are being cut, our assets are being privatised, our wages are being driven down, our environment is plundered and polluted, and wealth and power remain in the hands of the 1%.

Francesca writes:

This is, as always, about politics. If anyone needs convincing, please read about other socialist leaders around the world. They are routinely called commies, anti-semitic, insane etc. It is an age-old tactic.

Corbyn can’t be touched on policy so they have to manufacture shit-storms.
He is a life-long anti-racist campaigner with a thirty year record of standing against racism in all its forms.

He is one of only 8% of MPs to have signed the five UK parliamentary motions that condemned antisemitism.

No other MP has such a record of commitment to fighting racism and anti-semitism.

While we’re all debating whether Corbyn’s a spy or a Putin stooge, or an anti-semite, people are dying in NHS corridors, disabled people are starving to death, our public services are being cut, our assets are being privatised, our wages are being driven down, our environment is plundered and polluted, and wealth and power remain in the hands of the 1%.

Make no mistake, this is a war.

If Corbyn goes, we, the 99%, all lose.

 

We will never achieve a more equal, democratic, humane and peaceful society, if we allow the elite to destroy anyone who stands up against them.

 

 

 

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Assisted Dying 14: Or be ‘sentenced to years of mournful dissolution’

In 2016, former archbishop, Lord Carey, and Archbishop Emeritus Desmond Tutu declared in favour of assisted dying – as do over 80% of the British public whenever polled.

Under a crude and ungracious Times headline, Jason Allardyce now quotes Richard Holloway, former bishop of Edinburgh, writer and TV/radio broadcaster, who notes that keeping most people alive into their eighties is one of the ‘successes’ of modern medicine.

He reflects that doctors fight too hard to keep old people alive, leading to “a medicalised existence whose sole purpose is staying alive long after any joy in doing so has fled” and adds that it is having “a profoundly distorting effect on the balance of society as a whole”, placing a huge financial strain on the NHS.

In his new book, Waiting for the Last Bus, which is out in March, he writes: “Care of the elderly is close to swamping the resources of the National Health Service, turning it into an agency for the postponement of death rather than the enhancement of life.”

He claims that “modern medicine keeps too many people alive long after any pleasure or meaning has gone from their lives” and that old age can be bitter if experienced “not as a period of calm preparation for death but as a grim battle to keep it at bay”.

Holloway, who favours legalising assisted suicide, has found that instead of being “sentenced to years of mournful dissolution” many of them “long to be blown out like a candle”.

 

 

 

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Secret State 19: the government’s Brexit impact studies

There has been a lot of interest in ’50 secret studies’ the government has undertaken into the impacts of Brexit. A British MEP, Dr Scott Cato, wrote to Brexit Secretary David Davis after hearing of these alleged studies requesting further details. See her article for politics.co.ukWhy is the government so afraid to publish its Brexit impact studies?

The government refused to disclose the findings but acknowledged in a response, that they have conducted analysis of the impacts of Brexit in over 50 sectors of the economy. Since these studies came to light, she has been urged to get them released through a Freedom of Information request. That she now done.

One study undertaken by the Department of Health was leaked. This revealed that Brexit could result is a shortage of more than 40,000 nurses by 2026. To avoid prevarication on grounds of cost and other spurious reasons, she limited the request to the release of details on this one study. More information here.

The European Movement, with the support of Scientists for EU and Healthier in EU, has set up a new petition, calling on the government to publish all the findings. This initiative is receiving cross-party backing and strong support from the public.

The petition is already on its way to 13,000 signatures. She asks all to add their name if they haven’t done so already and to share widely through the usual channels. Dr Scott Cato ended:

“Whether you voted Leave or Remain, it is surely in the public interest that the Brexit process is as open and transparent as possible. If the government is withholding significant information about the future of our country, then it is working against the very principle of democracy”.
 

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Did the young Michael Fallon, Jeremy Hunt and Theresa Brasier play SimCity?

Having seen the beneficial effect of this computer game on a six-year old, a teacher advocates placing it on the national curriculum.

In every different edition of SimCity, the player is given the task of founding and developing a city from a patch of green land, defining what buildings are constructed via development zones – residential zones for Sims to live in; commercial zones for Sims to shop and have offices within; industrial zones to provide work through factories, laboratories and farms – as well as ensuring their citizens are kept happy through establishing various services and amenities, all while keeping a stable budget.

People report problems and the mayor addresses them – his objective: to keep as many people happy as possible.

SimCity 3000: (the environment and localisation now come into the equation); by allowing certain structures to be built within the city, the player could receive a substantial amount of funds from them. The four business deal structures are the maximum security prison, casino, toxic waste conversion plant, and the Gigamall (a large shopping center). Business deal structures however have serious negative effects on a city. The toxic waste dump lowers both the land value and residential desirability in the area surrounding it and produces massive pollution. The prison dramatically decreases land value. The casino increases citywide crime and the Gigamall weakens demand for local commerce.

Too late now – but if the young Michael Fallon, Jeremy Hunt and Theresa Brasier had been educated by the SimCity ’game’ (now used in urban planning offices!), Michael might well have grown up less willing to play real-life war-games, Jeremy could be ensuring good care for all the sick and frail and Theresa might be putting into practice her rhetorical concern for the less fortunate in our society.

 

 

 

 

 

Crystal ball: if Theresa May wins in June will it be ‘goodbye to the NHS and hello to Kaiser Permanente’?

Online diagnosis a speciality

Kaiser Permanente members annually have more than 100 million encounters with company physicians, 52% of which are now virtual visits, according to Kaiser Permanente CEO Bernard Tyson. The transition from physical to virtual visits has been enabled by Kaiser Permanente’s ‘aggressive spending’ on information technology – cheaper to provide, profits rise?

Tom Pride explains that Kaiser Permanente is an American private healthcare organisation based in California. McKinsey extols this company’s work in the US, because it provides a complete model of integrated pre-paid insurance along with healthcare which is supposedly free at the point of need but is:

Secretary of State for Health Jeremy Hunt and other ministers have visited the company at its California headquarters several times.

And Kaiser’s website lists other recent visitors from the UK, including many representing NHS hospitals and NHS trusts as well as HM Treasury and the Ministry of Health itself (click on link above to find and enlarge):

In January the Prime Minister faced repeated questions about how much she was prepared to give away, ahead of her face-to-face talks with President Trump. Jeremy Corbyn urged her to rule out any deal that would give US healthcare giants a toehold in the NHS – after similar concerns over an aborted EU-US agreement – but Theresa May specifically refused to guarantee she would not open up the NHS to US firms in a post-Brexit trade deal across the Atlantic.

Is the lack of action to resolve the worsening NHS crisis likely to make the public support changes to a system that is being deliberately run down?

Will a Conservative government replace NHS England with private US healthcare system Kaiser Permanente aka The Center for Total Health?

 

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Broken Britain 3: ‘strong and stable government’: by the rich, for the rich, at the expense of the rest

Government for Britain’s rich: strong and stable; for its 99%: a crumbling NHS and farming sector, expensive public transport, vanishing libraries and cuts for the young, the poor and the frail .

Those who are ‘just about managing’ live in the only ‘big advanced economy’ in which wages contracted (2007-2015) while the economy expanded, the cost of living rose and multinational profits rocketed.

Pett lists the end goals which would benefit the 99% and the wreckers

As Eisenhower said, we need a humane government which would focus on the well-being of all, not the profits of the few and stop being complicit in slaughter . . .

 

and we should strengthen local/regional economies.

 

Close the global casino and the revolving door between big business and government

and offer all, especially superfluous managers and young commodity traders, socially beneficial work

 

 

 

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