Keir Starmer, yearly review

Casdon

Grany

Casdon

Grany

Didn’t see it Casdon What’s it about?

This one.
news.sky.com/story/principles-would-not-have-fed-me-angela-rayner-says-she-has-to-compromise-to-win-power-12783700

I don’t think much of the Labour Party at the moment under Starmer and the rest of them. Starmer is a liar.

I was asking specifically what you thought of Angela Rayner’s interview though Grany, I already know what you think about Starmer and Streeting?

She is backing Starmer following party line from what I’ve seen.

Grany

Casdon

Grany

Casdon

Grany

Didn’t see it Casdon What’s it about?

This one.
news.sky.com/story/principles-would-not-have-fed-me-angela-rayner-says-she-has-to-compromise-to-win-power-12783700

I don’t think much of the Labour Party at the moment under Starmer and the rest of them. Starmer is a liar.

I was asking specifically what you thought of Angela Rayner’s interview though Grany, I already know what you think about Starmer and Streeting?

She is backing Starmer following party line from what I’ve seen.

Do you think she has sold out?

Grany

Yes we have to get rid of the Tory government Labour will be slightly better, they will privatise NHS like the tories, putting private interests before public NHS.

Like they have in Wales you mean?

Far too many people are struggling to get a GP appointment when they need one, leaving them waiting anxiously for the care they deserve.

In September alone, 8.9 million GP appointments involved a wait of more than a week, with 5 million waiting longer than the Government’s own target of two weeks.

People across the country are suffering from years of neglect under the Conservatives

This has terrible consequences for people’s health, and for our NHS. It can lead to important diagnoses being missed or delayed, and can force desperate people to call an ambulance or take themselves into A&E.

The blame for this crisis is clear, and it isn’t the country’s overstretched GPs. It’s the Conservative Government. Back in 2019, the Conservatives promised to deliver 6,000 more doctors, but the number of qualified GPs has actually fallen by 500.

People across the country are suffering from years of neglect under the Conservatives, who have repeatedly broken their promises on local health services. It’s just not good enough.

we can make sure everyone gets the care they need, when they need it.

That’s why the Liberal Democrats are calling for patients to have a new right: to see a GP within 7 days, or within 24 hours if they urgently need to.

Of course, delivering on that right can’t mean copying the Conservatives’ failed approach, of just setting the targets, cutting GP numbers, and then blaming GPs when the targets are missed.

That’s why we have set out a clear plan for how the Government should step up and recruit 8,000 more GPs and free up more of their
People across the country are suffering from years of neglect under the Conservatives, who have repeatedly broken their promises on local health services. It’s just not good enough.

We can make sure everyone gets the care they need, when they need it.

Of course, delivering on that right can’t mean copying the Conservatives’ failed approach, of just setting the targets, cutting GP numbers, and then blaming GPs when the targets are missed.

That’s why we have set out a clear plan for how the Government should step up and recruit 8,000 more GPs and free up more of their time, including by:

Increasing training places for GPs and medical school places across the country.

Fixing the broken NHS pension rules to help experienced GPs stay in the profession.

Giving more prescribing rights and public health advisory services to qualified pharmacists, nurse practitioners and appropriately trained paramedics.

ntroducing a 24/7 phone line to manage the booking of appointments more efficiently.

Empowering GPs to spend more of their budgets as they see fit by removing top-down bureaucracy.

By giving doctors the time and the tools they need to do their jobs, we can make sure everyone gets the care they need, when they need it.

www.libdems.org.uk/news/article/a-new-right-to-see-your-gp-within-7-days

‘Fixing the broken NHS pension rules to help experienced GPs stay in the profession.‘
It’s not the NHS pension rules that are the problem varian, it’s the Government’s pension pot cap.

Otherwise all the LD suggestions are sensible, but not revolutionary. The main difficulty is that to train doctors to become GPs takes so long - assuming there are enough who want to go down that route, which at the moment, young doctors don’t on the whole - it’s too gruelling.

An additional problem with training is finding the training places. Training takes experienced staff away from their main duties and medicine isn't the kind of course where hundreds of extra places can just be found in a lecture theatre. I'm not saying they're not needed, but it's not going to be an overnight solution.

I also think it's a bit silly making promises to patients about guaranteed appointments. GPs are genuinely overstretched. They just can't create appointments out of thin air.

Given that capacity can't be increased in the short term, I think solutions have to be found to take the pressure off primary care eg. by giving pharmacists more prescribing rights. Many GPs prefer to be salaried rather than partners because they have fewer management responsibilities.

The one thing which must be avoided is allowing more private providers to take over GP practices because profits would be deducted from the amount of money available for patient care. The current model of partnerships makes private buy outs easier.

What’s the bleeding policy. video on Not Andrew Marr

Starmer was saying if you have internal bleeding assess yourself

Starmer and the conservatives and privatisation lobby want to break the first port of call triage they want to break the relationship between the patients and the general practitioner

Is he Labour?

He’s right though Grany. If you have internal bleeding you potentially have a serious medical problem, and there should be a fast track referral system so you can be seen and diagnosed within a few days rather than the current system of making an appointment with your GP who then refers you anyway to the hospital service. It’s common sense, and would save lives.

He is suggesting a free for all expecting people to have a medical degree before they decide where they need to go. Say’s Dr Bob Gill.

The fast track is triage what Starmer conservatives and privatisation lobby wants to break.

Grany

He is suggesting a free for all expecting people to have a medical degree before they decide where they need to go. Say’s Dr Bob Gill.

I’m not sure you understand the benefit of the proposal to patients, the triage would be done at the point of decision, cutting out the middleman. From a patient perspective that will save time, diagnose their problem and give them reassurance. It’s nothing to do with a public/private debate, it’s just more efficient.

Casdon

Grany

He is suggesting a free for all expecting people to have a medical degree before they decide where they need to go. Say’s Dr Bob Gill.

I’m not sure you understand the benefit of the proposal to patients, the triage would be done at the point of decision, cutting out the middleman. From a patient perspective that will save time, diagnose their problem and give them reassurance. It’s nothing to do with a public/private debate, it’s just more efficient.

You understand what he proposing not many people do. From what this Doctor is saying he is backing the privatisation lobby. Looks to many he and his front bench has hi jacked the party and took it to the right. He is establishment.

Grany

Casdon

Grany

He is suggesting a free for all expecting people to have a medical degree before they decide where they need to go. Say’s Dr Bob Gill.

I’m not sure you understand the benefit of the proposal to patients, the triage would be done at the point of decision, cutting out the middleman. From a patient perspective that will save time, diagnose their problem and give them reassurance. It’s nothing to do with a public/private debate, it’s just more efficient.

You understand what he proposing not many people do. From what this Doctor is saying he is backing the privatisation lobby. Looks to many he and his front bench has hi jacked the party and took it to the right. He is establishment.

Have you actually listened to what he said rather than what a very left wing GP activist claims he said Grany? I have.

Grany

He is suggesting a free for all expecting people to have a medical degree before they decide where they need to go. Say’s Dr Bob Gill.

No he isn't. I see Dr Gill is highly praised here thecommunists.org/2018/07/24/tv/dr-bob-gill-the-nhs-conspiracy/ ... and people say there are no extremists on GN. There are - of both extremes.

While I sincerely hope we never see either a communist or fascist government, some on here, while possibly not recognising them for what they are, would support one or other of those extremes.

Grany What Streeting has proposed isn't privatisation. On the contrary, it could prevent more privatisation.

There's currently a very well-reasoned article in the BMJ about it. I was also reading a sensible Twitter thread yesterday. Some of his Streeting's suggestions have been discussed amongst GPs for years.

Both patients and staff are unhappy about the way the current GP model is working and there does need to be a conversation about the way forward. It can't carry on as it is. Yes, it needs more funding, but it isn't just about money.

Reforming the GP partnership model

www.bmj.com/content/380/bmj.p134

You can’t have it both ways either you are for a renationalised NHS or privatisation.

Grany

You can’t have it both ways either you are for a renationalised NHS or privatisation.

Why? Compromises have to be made to get to the end goal, which is still free healthcare at the point of delivery. We don’t all live in a purist world, some (?most) of us want to get the best healthcare for the population as soon as practicable rather than us or others dying for our principles.

I agree Casdon but then I’m a consensus kind of labour supporter not a momentum member

There’s a very interesting The Rest is Politics where they discuss how health systems work in other European countries. I think they gave Holland as a main example. When we think of privatisation of any kind we tend to think of the USA which seems to be ‘you’re not insured so go away and die’.I had a NHS dental check up the other day. The place had had a complete make over and I can’t help but suspect it’s going to become a private practice in the future. We have got to become a healthier nation, though. As I’ve got older I’ve realised that a lot of health problems are sheer bad luck but there are still a lot of things that should be preventable.

Grany

You can’t have it both ways either you are for a renationalised NHS or privatisation.

If by that you mean we either go back to 1948, or privatise, that is simply not true and seems an exceedingly short-sighted view of life.

The NHS wasn't totally nationalised even in 1948. Dentists, opticians and GP practices have always been small businesses.

Grany

You can’t have it both ways either you are for a renationalised NHS or privatisation.

No, you have to be practical. Its not an either/or. I'm another non momentum Party member and in fact have just attended a very positive local Zoom on what policies exactly we need for local and national MH funding and changes and in terms of acute wards

It's got to be a compromise unless staffing NHS levels could rapidly rise, which they cant. (tho if we paid nurses decent wages and not totally stressed out conditions a lot would be attracted back into the service as well as training enough for the future).