Gransnet forums

Blogs

LucyGransnet (GNHQ) Thu 10-Nov-16 11:51:16

We need to protect our NHS

"Whatever the differences between the NHS in 1970s and today, one thing remains the same – we need to protect it."

Sarah Beeson MBE, an author and health visitor with over 40 years of experience, is worried about the future of our much-loved institution. Here's why...

Sarah Beeson MBE

We need to protect our NHS

Posted on: Thu 10-Nov-16 11:51:16

(77 comments )

Lead photo

Sarah in action in the 1970s

Life is certainly better for patients today who are being treated for cancer, trauma or receiving a transplant – the technology and treatment now available with the NHS was unimaginable when I wore a nurse's cape and cap. But something my readers often point out is that in both hospitals and community healthcare there was more freedom to care individually for patients.

The size of today's NHS is massive and every day thousands of patients in hospitals, clinics, GP surgeries and in the community are seen. As our population grows and people live longer so the demand on the NHS increases but that doesn't mean we should think of patients as numbers, budgets and ailments – they are people who deserve not just our care but our time – and it is often time that is in the shortest supply.

In the early 1970s, I trained as a nurse at Hackney Hospital in the East End of London. It was, like many NHS hospitals, rather old fashioned and parts of it had been The Workhouse. I recall one elderly lady getting terribly distressed as she remembered it as such, and in her confusion thought she was being sent there to die. On that ward not every nurse was kind and caring. Just like today, some were angels of mercy and some were dismissive, rude and at times cruel in their lack of compassion for their patients.

We worked on Nightingale wards organised in long rows with a desk at the top and a small office for Sister. Florence Nightingale's maxim that 'Every patient was an honoured guest,' still held true. Matron, Sisters and Charge Nurses were sometimes fearsome, but at the top of their profession, and taught us by example in the hospital and not at a university. We learnt at Nelly's Elbow and our classrooms for lectures and teaching were in a block on hospital grounds. We lived all in, room and board in the nurses' home and there was a great sense of community and belonging.

Decisions are increasingly made not in the interests of those patients but by politicians, policy-makers and managers who sometimes seem to outweigh the numbers of staff actually delivering the service.


From these strong women we learnt to be confident, capable and, most importantly, compassionate nurses. But not everyone made it. Fifty girls started with me in Preliminary Nurse Training in January 1970 and when we'd finished our training three years later and lined up in Matron's office to be handed our frilly nurse's caps only six student nurses were left, the rest having realised nursing wasn't for them and dropped out or else they'd failed part of the training and left.

By today's standards we were exploited. We worked 55 hour weeks with only one day and a half day off (not to be taken consecutively) and we had huge responsibilities. Our patients often suffered from symptoms I'm thankful we see less of today thanks to better housing, education and immunisation but there was a simplicity to the work and value placed on the nursing profession that I fear is being eroded by an under-resourced NHS that is not respected by the state that funds it.

When I started health visiting in the mid-1970s in rural Kent I had a big caseload (800 families and counting!) but I also had the freedom to give the time and care my mothers and families needed, which went far above and beyond the prescribed service.

The role that you play as a health visitor to each family is very different. Some mums need breastfeeding support, others might be going through a divorce. I had the freedom to shape my own practice around my mothers' needs. It's much harder for health visitors to do that now there are so few of them and so many families, and a lack of understanding from funders about the important work they can do.

We are losing experienced health visitors through redundancy. In March and April this year, 433 health visitors were lost from the service. There are now only 9,711 health visitors left, and last year 697,852 babies were born in England and Wales. If the cuts go ahead there will be even fewer health visitors, and the service I've worked in for over four decades will be lost. Once it's gone, there's no way to get it back.

Today's government doesn't listen to the dedicated NHS staff who are on the frontline caring for patients. Decisions are increasingly made not in the interests of those patients but by politicians, policy-makers and managers who sometimes seem to outweigh the numbers of staff actually delivering the service.

It is the principle of giving all people in the UK access to free health care at the point of need that makes the NHS one of the most important, if not the most important, service the British people have. Everyone needs the NHS and you never know when your hour of need will come. Whatever the decade, we need to protect it.

Sarah is the author of several books, including The New Arrival, chronicling her training in Hackney, and Our Country Nurse, a memoir of her time as a health visitor in a small country village. They are both published by Harper Element and available from Amazon.

By Sarah Beeson MBE

Twitter: @NewArrivalBook

Maranta Mon 14-Nov-16 10:48:18

You're lucky there kitty. I couldn't get an appointment today and am waiting for a call back.

Tegan Mon 14-Nov-16 10:53:42

Since they closed down our village surgery it's very difficult to get an appointment at the main surgery. We provided a very caring service at the surgery which I'm sure was cost effective in the long term. On the subject of pharmacies taking the burden off GP's I believe the government are in the process of closing a lot of pharmacies; also walk in centres that take pressure off both GP's and A&E departments. More must be done to educate people on living healthier lifestyles. Private healthcare is being introduced by stealth and most of us won't be able to afford it. We need to protect something that we tend to forget was the envy of the world for a long time.

durhamjen Mon 14-Nov-16 13:14:17

The point is that it's all these little stabs that harm the health service and make people think it's the NHS as a whole that's at fault, when it's really a battle of attrition by the government against the NHS.

As far as meals in hospitals are concerned, I doubt whether any catering services are run inhouse now. It's all been privatised as part of the PFI, same as cleaning.

Is there anyone else who is a member of KONP or any other group fighting to keep the NHS?

annsixty Mon 14-Nov-16 13:30:31

I duly rang at 1:14, got through at 1:20 and all the appts had gone. I have been given one for Nov 22nd!!!
I am beyond angry and frustrated.

AlieOxon Mon 14-Nov-16 13:38:10

I made an appt for a flu jab today and got it for - 10.30 tomorrow! (I was expecting at least a fortnight's wait and had my possible days written on the leaflet they sent.)

BUT this is not usual at all, and my recent chest appt at the JR was a three months wait.

Anya Mon 14-Nov-16 13:41:13

There's such a disparity across the UK. If you ring our GP practice at 8.30 you might have to keep ringing for 10-15 minutes, but you are guaranteed an appointment that same day.

What's more difficult is to book a non urgent appointment a week or two in advance.

Annie I rang about the result of my DEXA scan and was told the GP wants to see me to discuss managing my condition and the receptionist made me an appointment there and then for a couple of days ahead. That's now tomorrow.,

kittylester Mon 14-Nov-16 13:52:03

Is it still possible to ask for Dexa scan? At the rate I'm collapsing it might be a good idea!

kittylester Mon 14-Nov-16 13:53:23

I think our local hospital has taken cleaning back in-house.

Anya Mon 14-Nov-16 14:04:57

Yes kitty just ask your GP to refer you.

kittylester Mon 14-Nov-16 17:28:09

I forgot! Maybe I should ask for a referral to the memory clinic too! grin

durhamjen Tue 15-Nov-16 23:53:32

This is where NHS money goes.

voxpoliticalonline.com/2016/11/15/nhs-spends-600m-a-year-fixing-botched-ops-by-private-healthcare-and-hunt-praises-the-privateers/

This is why you can't see a doctor when you need one any more.

durhamjen Wed 16-Nov-16 23:25:28

www.radicalteatowel.com/image/cache/tea-towel-aneurin-bevan-700x700.jpg

durhamjen Thu 17-Nov-16 18:41:52

www.telegraph.co.uk/news/2016/11/16/street-protests-could-halt-hospital-closures---nhs-boss/

He says it could halt STPs if we protest enough.
I don't know where to protest. I have just had an email from our councillor who says that our CCG is in two STPs. Not sure which one wants us and which one doesn't.
Apparently we are in Newcastle and Northumberland, and also in Durham, Teesside and North Yorkshire.
Durham Council doesn't know, either.

durhamjen Fri 18-Nov-16 00:20:55

skwawkbox.org/2016/11/16/endgame-tories-bring-nhs-unthinkable-out-of-hiding/

Making us pay for our treatment.

durhamjen Fri 18-Nov-16 00:31:01

Labour used PFI to build new hospitals to replace crumbling ones. The Tories have used more PFI but the hospitals are still crumbling.

t.co/DwYzVjPTYn

durhamjen Fri 18-Nov-16 00:43:19

Anyone live in Peterborough?

www.independent.co.uk/news/uk/politics/nhs-contract-farmed-out-to-the-lowest-bidder-public-accounts-committee-warns-a7419266.html

This is what's in line for all of us unless we fight back and stop the privatising of NHS services.

paddyann Fri 18-Nov-16 23:49:17

IAM68NOW....the NHS in my area is performing better than the rest of the UK,I can have anappointment the same day with my GP if I need one and the care I've received from Gyneanacologists and oncologists over the past two years has been second to none.Even being told if I changed my mind about a surgery I didn't feel was what I wanted/needed to just call the department and I could be in within a week .My OH had a heart attack 5 years ago ,his treatment and the aftercare was also fantastic with nutritionists and exercise classes and lots of follow up appointments .It IS possible to make the system work but only when the government WANTS it to work.NHS England and Wales aren't so lucky with their leaders .Money is misdirected and then the system is blamed rather than the decision makers

durhamjen Sun 20-Nov-16 23:34:35

Five years ago isn't now. The NHS had a major reorganisation on 1st April, 2013.
It is now undergoing another one with the footprint system.

www.theguardian.com/society/2016/nov/18/ae-cancer-and-maternity-units-to-close-in-major-nhs-overhaul

durhamjen Mon 21-Nov-16 12:55:08

For those who still think the government is not out to privatise the NHS.

www.independent.co.uk/news/uk/politics/nhs-privatisation-charges-professionals-in-house-agency-a7426966.html

gillybob Mon 21-Nov-16 13:12:23

Talk about a waste of money.

I attended an appointment with my dad yesterday afternoon (Sunday) in a huge city centre hospital. We parked up and walked through the various corridors until we reached the outpatients department which was lovely and warm, well lit and almost deserted except for about 8 nurses chatting in the waiting room 2 receptionists and the consultant whom my dad was seeing in his private clinic kindly paid for by the NHS. We were in the department for around 1 hour and did not see any other patients. confused

durhamjen Mon 21-Nov-16 15:28:31

His appointment might have been paid for by the NHS, but not the private clinic. The money for all those staff would not come out of the NHS budget.

durhamjen Mon 21-Nov-16 16:03:09

Interesting to see the names on the letter to Hunt complaining about the fact that he's done nothing to help those with mental health issues.

www.huffingtonpost.co.uk/2016/11/18/ex-labour-and-tory-health-secretaries-unite-to-condemn-jeremy-hunt-for-mental-health-promises_n_13070556.html?utm_hp_ref=uk-politics&ir=UK+Politics

If the NHS was given the money it was promised, there would be no problem. However Hunt can't help but lie about that, too, as did Theresa May in last week's PMQs.

www.huffingtonpost.co.uk/2016/11/19/the-nhs-could-employ-100000-nurses-and-doctors-if-it-really-had-10bn-extra-a-year_n_13106412.html?utm_hp_ref=uk-politics&ir=UK+Politics

durhamjen Mon 21-Nov-16 21:26:02

Why does this not apply to the NHS? It says that all central government contracts worth over £5 million have to check on the tax status of the companies bidding.

www.taxresearch.org.uk/Blog/2016/11/21/councils-are-increasing-the-pressure-on-tax-dodging-companies/

If councils can do it, why not the NHS?

durhamjen Mon 21-Nov-16 22:00:13

And while the government is happy for tax fraudsters to take NHS money, the ordinary folk like us might be asked to show passports if we need NHS treatment.

www.theguardian.com/society/2016/nov/21/hospitals-may-require-patients-to-show-passports-for-nhs-treatment

All of us, that is, not just visitors.

durhamjen Tue 22-Nov-16 18:28:21

So they can collect the £200 million pounds due from foreigners. It will cost more than that to collect, but at the same time, Hunt wants to rob the NHS of £22 billion.

I don't have a passport. What will I do?