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News & politics

NHS winter crisis looms

(439 Posts)
JessM Fri 09-Dec-16 19:46:17

The NHS is struggling and winter is setting in.
Jeremy Hunt is asking for "efficiency savings" - in other words he is making cuts when demand is rising steeply as a result of our aging population. This means that every year the NHS needs a lot more money, to just maintain their service.
Over the last 6 years Trusts have been heavily pressured by Jeremy Hunt to cut beds - "increase bed occupancy" - to become "more efficient". So there are fewer beds in the system to cope with the inevitable rise in winter admissions.
Social care budgets have been heavily cut in England so there is less of a safety net for frail people living at home - so more likely to end up in hospital.
Noro virus outbreaks in hospitals are already up on the last few years - and that tends to close whole wards.
Today I read that 7% that is one in 14 English people are waiting for non-routine operations. Suspect there aren't going to be many beds available for those on the lists. Longest waiting list for 9 years
www.theguardian.com/society/2016/dec/08/one-in-14-people-waiting-operations-demand-nhs-soars
www.bbc.co.uk/news/health-38263593
And is this a taste of things to come - flu closing school in Manchester? if there is a flu epidemic things are going to get really nasty. Best advice is, if you haven't had a flu jab yet, get one. They're about a tenner in a pharmacy near you, if you're not entitled to a free one!
www.bbc.co.uk/news/uk-england-manchester-38241513

daphnedill Fri 30-Dec-16 10:52:43

I read that article too. I'm not comfortable about the NHS providing services on a commercial basis, nor being involved in complicated trade deals. I knew about HealthcareUK and I admit that I'm suspicious, because it could be privatised. It seems like the NHS is behaving like a commercial organisation and the patients are incidental. This is a far cry from what was originally intended. I wish somebody (journalist, politician, charity/think tank, etc) would investigate what's going on in detail. I have a horrible feeling that money intended for patient care is somehow being 'leaked'. The same thing is happening with the academisation of schools, which I know more about.

durhamjen Fri 30-Dec-16 11:03:27

www.nhsforsale.info/

durhamjen Fri 30-Dec-16 11:06:00

keepournhspublic.com/useful-links/

Lots of links on here to groups that are investigating and campaigning.

durhamjen Fri 30-Dec-16 11:14:05

This shows the reorganisation of the NHS, the numbers of staff working in each department. There is no mention of Healthcare UK.

chpi.org.uk/

durhamjen Fri 30-Dec-16 11:17:55

chpi.org.uk/santas-transformation-plan-stp/

durhamjen Fri 30-Dec-16 11:22:13

This shows some information about financial gains from the NHS, and where the money goes.

www.nhsforsale.info/private-providers.html

daphnedill Fri 30-Dec-16 11:37:18

Healthcare UK is not part of the NHS. It is a separate organisation formed by the Department of Health, UK Trade and Investment and NHS England - different thing entirely.

daphnedill Fri 30-Dec-16 11:42:32

I couldn't find the list, but noted the reason for setting up CHPI:

"The need for such a Centre has been evident for a number of years. Over the last decade a democratic deficit has emerged where key decisions about health and social care policy have been taken by a tight network of actors to the detriment of the public interest. This was brought into sharp focus when the 2011 Health and Social Care Bill made its way through Parliament.

No independent research-based body currently exists to present an alternative view of the reform agenda which has led to the largest reorganisation of the NHS in England since its creation.

Moreover, policy making has become less transparent, more opaque and more centralised than ever before and there are increasing concerns about conflicts of interest emerging for practitioners of health care in England, as well as for policy makers themselves."

Very, very true! That's the problem. Nobody understands where money is being spent. Stories about stationery are being used as a cover up to the real wastages. They make great headlines, because they're easily understood and the general public doesn't know any different anyway.

durhamjen Fri 30-Dec-16 11:48:11

chpi.org.uk/wp-content/uploads/2014/01/The-architecture-of-power-in-the-NHS-Scott-Greer-Jan-2014.pdf

Sorry, page 7 onwards of this.

daphnedill Fri 30-Dec-16 13:07:34

Thanks for the link. Healthcare UK isn't there, because it's not part of the NHS. It's a trade/marketing organisation set up by government departments to support/faciltate trade in healthcare products.

This is a link to the government's press release about the healthcare mission to China:

www.gov.uk/government/news/uk-organisations-sign-new-deals-in-china

It states that deals worth £250 million were signed in total. It doesn't say how much Royal Liverpool University Hospitals paid for the scanner, nor whether the money was in the UK's or China's favour.

Eleven deals were concluded. Two of them were with hospital trusts, which operate as individual institutions with their own budgets.

However much the scanner cost, it's not true that the money could be spent elsewhere within the NHS, because it will come out of RLUH's budget. RLUH possibly think that it can recoup some of the money by charging other NHS trusts to use it.

durhamjen Fri 30-Dec-16 20:10:04

www.gov.uk/government/organisations/healthcare-uk

It's part of the Department of Health and UK Trade and Investment. It must have people working for it outside those two departments.

durhamjen Sat 31-Dec-16 10:50:43

butnhs.wordpress.com/2016/12/29/there-is-a-toxic-culture-at-the-top-of-the-nhs/

I wish all these groups would get together. The anti-Hunt brigade needs a single voice. We need a TUC for the NHS.

durhamjen Sat 31-Dec-16 13:18:29

Good. One council fights back.

www.stratford-herald.com/63615-council-clear-rejection-nhs-transformation-plan.html

daphnedill Sat 31-Dec-16 13:38:30

I don't understand the point you're making, dj. Healthcare UK has been set up as a separate body with its own governance. It is accountable to the DIT and DH, but not part of either, in the same way that outsourced healthcare providers often display NHS logos. The DH is not the same as the NHS either.

durhamjen Sat 31-Dec-16 13:49:47

Exactly, daphne. There are far too many bodies involved in the NHS nowadays. Use of the NHS logo in no way implies that the company is part of the NHS. Any company can buy the right to use the logo.
Completely wrong in my opinion.

Have a Happy New Year.
Off to celebrate now, with my son.

durhamjen Sat 31-Dec-16 13:56:35

Can oyu tell me who governs Healthcare UK? As far as I can see there is only one director. Can't find out any more information.

Jalima Sat 31-Dec-16 15:21:04

Healthcare UK is a joint initiative of the Department of Health (DH), UK Trade and Investment (UKTI) and NHS England.
www.gov.uk/government/organisations/healthcare-uk/about

There is a Governance Board

Jalima Sat 31-Dec-16 15:21:58

is it a Quango?

I thought there was going to be a bonfire of Quangos

durhamjen Mon 02-Jan-17 11:47:03

I know all that, Jalima, but it doesn't tell you who is on the governance board. I can only find one name, and that does not make a board.

www.taxresearch.org.uk/Blog/2017/01/02/there-would-have-been-no-social-care-crisis-if-half-of-all-qe-had-been-given-to-the-local-and-devolved-governments-of-the-uk/

This can solve the NHS and social care crisis, if there is the will to do so.

durhamjen Mon 02-Jan-17 11:50:03

www.gov.uk/government/people/deborah-kobewka

durhamjen Mon 02-Jan-17 22:20:53

www.welfareweekly.com/nhs-staff-morale-hits-rock-bottom-as-confidence-in-jeremy-hunt-plummets/

durhamjen Wed 04-Jan-17 22:39:43

A shame it's behind a paywall in the BMJ. I'd like to read it all.

www.thecanary.co/2017/01/04/theresa-may-just-savaged-nhs-tory-health-chair/

durhamjen Wed 04-Jan-17 23:40:27

twitter.com/hashtag/DoHballs?src=hash

durhamjen Fri 06-Jan-17 18:13:36

For heavens sake, is this what the Red Cross is for?

www.pulsetoday.co.uk/news/commissioning/commissioning-topics/emergency-admissions/red-cross-deployed-to-cope-with-nhs-humanitarian-crisis/20033586.article

The government should be ashamed of this.

Lazigirl Sat 07-Jan-17 11:55:12

I just can't believe that this government is allowing this to happen in our affluent country, and why everyone isn't out on the streets protesting, but I suppose until you are personally affected it doesn't hit home. God help us if there is a flu epidemic. Shaming indeed.