asterisk2a + cep   62

NHS shake-up is not a Trojan horse for privatisation, says top doctor | Society | The Guardian
accountable care organisations (ACOs).
Another body to control for quality, beyond CQC!? Tories already made CCGs accountable. //&! http://www.bbc.co.uk/news/health-42873285 - NHS plans: Privatisation or progress? //&! https://www.newstatesman.com/politics/health/2018/02/jeremy-hunt-still-clinging-his-job-because-he-has-big-plans-april - There is much merit in merging services like this, but the way Hunt intends to set up ACOs will open them to competitive tender, with opaque lines of responsibility once contracts are awarded. This is exactly what the huge private health care companies have been waiting for – the chance to take over whole chunks of the NHS and social care sectors and run them on commercial lines.
ACO  NHS  CCG  Politics  CQC  STP  Austerity  Privatisation  rationing  staff  crisis  sickcare  healthcare  demand  PFI  Council  ageing  demographic  bubble  population  premature  CEP  elderly  care  adult  social  Cancer  obesity  CVD  overweight  chronic  sick  waiting  times  bedblocking  bed  blocking  treatment  delay 
january 2018 by asterisk2a
Boss quits as his Major NHS trust put in special measures - BBC News
https://www.theguardian.com/society/2017/dec/11/nhs-bosses-bloody-stupid-to-demand-4bn-cash-injection & https://www.theguardian.com/commentisfree/2017/dec/11/the-guardian-view-on-nhs-funding-hospitals-are-hurting & https://www.theguardian.com/commentisfree/2017/dec/10/quit-hospital-boss-nhs-chair-kings-college-hospital-london & https://www.theguardian.com/society/2017/dec/11/nhs-managers-england-back-kerslake-underfunding-claim - in protest at what he says is NHS underfunding and hospitals being given unrealistic savings targets. & https://www.theguardian.com/society/2017/dec/10/nhs-trust-boss-bob-kerslake-resigns-underfunding-health-services // A major London hospital trust has been placed in special measures because of funding problems.
NHS Improvement announced the sanction against King's College Hospital NHS Foundation Trust the day after chairman Lord Kerslake resigned criticising the "unrealistic" approach to NHS finances.
The regulator said a deficit of £92m was now forecast this year - more than twice the original £38m planned for.
Chief executive Ian Dalton said the position was simply "not acceptable".
NHS  Austerity  STP  CEP  CQC  sickcare  demand  healthcare  chronic  sick  population  winter  crisis  Council  bedblocking  bed  blocking  Jeremy  Hunt  Simon  Stevens  waiting  times  elective  care  CVD  Cancer  diabetes  treatment  delay  rationing  ageing  demographic  bubble  CCG  Trust  IVF  obesity  overweight 
december 2017 by asterisk2a
Boss quits as his Major NHS trust put in special measures - BBC News
https://www.theguardian.com/society/2017/dec/10/nhs-trust-boss-bob-kerslake-resigns-underfunding-health-services // A major London hospital trust has been placed in special measures because of funding problems.
NHS Improvement announced the sanction against King's College Hospital NHS Foundation Trust the day after chairman Lord Kerslake resigned criticising the "unrealistic" approach to NHS finances.
The regulator said a deficit of £92m was now forecast this year - more than twice the original £38m planned for.
Chief executive Ian Dalton said the position was simply "not acceptable".
NHS  Austerity  STP  CEP  CQC  sickcare  demand  healthcare  chronic  sick  population  winter  crisis  Council  bedblocking  bed  blocking  Jeremy  Hunt  Simon  Stevens  waiting  times  elective  care  CVD  Cancer  diabetes  treatment  delay  rationing  ageing  demographic  bubble 
december 2017 by asterisk2a
Portsmouth hospital missed lung cancer cases - BBC News
A hospital failed to spot cases of lung cancer because it did not check patients' chest X-rays properly, the Care Quality Commission has found.
The health watchdog found that three patients at Queen Alexandra Hospital in Portsmouth suffered "significant harm".
It emerged that junior doctors complained they had been asked to carry out specialist radiology work without the appropriate training.
The CQC has now launched a review of NHS radiology services in England.
All NHS bodies have been instructed to provide details about their backlogs, turnaround times, staffing and arrangements for routine reporting of images.
NHS  Cancer  staff  shortage  recruitment  radiology  locum  hiring  Austerity  waiting  times  treatment  delay  CQC  rationing  CVD  Junior  Doctors  Consultant  Nurses  Jeremy  Hunt  Simon  Stevens  STP  CEP  CCG  GP  A&E 
december 2017 by asterisk2a
Jeremy Hunt orders NHS England bosses to stick to waiting time limits | Society | The Guardian
Jeremy Hunt orders NHS England bosses to stick to waiting time limits
Health secretary swiftly rejects service chiefs’ public warning that meeting targets is impossible with current funding [...] In an unprecedented move reflecting a widening gulf with the government, NHS England used its board meeting to warn that it had to make “difficult choices” next year that would involve limiting what it could provide for patients. [ only providing basics life saving treatments - not life improvement treatments (elective surgery) ] [...] NHS England has also said it is unable to implement best practice as advised by Nice on a routine basis – an extraordinary state of affairs. We have now reached a point where the NHS constitution will be routinely breached and NHS services are being withdrawn.”
NHS  Jeremy  Hunt  Simon  Stevens  Philip  Hammond  Theresa  May  budget2017  rationing  treatment  delay  waiting  times  CVD  Cancer  A&E  diabetes  overweight  obesity  chronic  sick  population  ageing  premature  demographic  bubble  sickcare  demand  healthcare  CCG  CEP  STP  GP  elective  surgery  OAP  disabled  bedblocking  bed  blocking  Council  Austerity  adult  social  care  elderly  NICE  patient  safety  CQC  mental  health 
november 2017 by asterisk2a
How to avoid blame for the underfunding of the NHS | Letters | Society | The Guardian
[ NHS re-org was done for politics ] If the amount on offer was inadequate in his view, then given his formal role Simon Stevens could not continue in office without making clear in public that it would not be enough to maintain an adequate service. This structure, which is now widespread in the public sector, is convenient for ministers who want to avoid responsibility for day-to-day operations in public services. But the divided responsibility promotes “small government” dogma and unaccountable power.
NHS  Simon  Stevens  Tories  Conservative  Party  UK  nasty  Austerity  CEP  CCG  STP  rationing  waiting  times  treatment  delay  Jeremy  Hunt  Privatisation  CQC 
november 2017 by asterisk2a
Review of the Year: Transition and transformation for the NHS - PharmaTimes Magazine December 2017
Accountable Care System (ACS) (also known as ACO) removing NHS decisions (CCG CEP STP rationing, denying care, not offering IVF etc etc) further away from Westminister NHS England Jeremy Hunt. &! https://www.theguardian.com/society/2017/nov/07/vital-nhs-account-acos-legal-challenge
NHS  STP  CEP  ACS  ACO  A&E  GP  rationing  sickcare  demand  ageing  chronic  sick  population  Cancer  CVD  NICE  diabetes  obesity  public  health  prevention  overweight  budget2017  Jeremy  Hunt  Austerity  Simon  Stevens  Tories  Conservative  Party  nasty  Privatisation  management  CCG  Council  bedblocking  bed  blocking  mental  Disabled 
november 2017 by asterisk2a
Budget 2017: NHS trusts given extra £350m for entire winter, despite Brexit bus promising £350m a week | The Independent
Budget had also nothing on social care! -
http://www.bbc.co.uk/news/health-42065767 &! http://www.bbc.co.uk/news/uk-england-norfolk-42096941 begging patients &! http://www.bbc.co.uk/news/health-42082602 more rationing and restrictions in the books by CCGs eg physical rehabilitation services could be cut. http://www.dailymail.co.uk/health/article-5112803/NHS-prepares-ration-painkillers-routine-operations.html &! https://www.thesun.co.uk/news/4978787/cuts-to-patient-services-feared-after-budget/ // The NHS is getting £1.6bn in extra funding next year, less than half asked for by the NHS to keep the service running //&! https://www.gponline.com/gps-ignored-2017-budget-nhs-england-hints-cuts-services/article/1450955 - GP leaders hit out at chancellor Philip Hammond for ignoring general practice in his 2017 budget, as NHS England officials hinted that a 'disappointing' £2.8bn funding hike for the health service could force cuts. //&! http://www.gazette-news.co.uk/news/national/15676761.Budget_2017__Additional_funds_for_NHS_will_not_plug_gap__Sir_Bruce_Keogh_says/ - the NHS “can no longer avoid the difficult debate” on what can be provided by the health service on the funds it is operating on. //&! https://www.theguardian.com/society/2017/nov/23/conservatives-will-break-nhs-funding-pledge-labour-claims - An analysis carried out for Labour by the House of Commons library shows that despite the chancellor, Philip Hammond, announcing an extra £2.8bn in day-to-day funding, real-terms funding per head is set to fall in 2018-19, and remain flat for two years after that.
NHS  winter  crisis  budget2017  GP  A&E  Austerity  CEP  STP  sickcare  demand  healthcare  chronic  sick  population  ageing  demographic  bubble  Cancer  CVD  diabetes  obesity  overweight  England  waiting  time  treatment  delay  rationing  mental  health  locum  staff  Nurses  hiring  paycap  Doctors  Junior  recruitment  stress  burnout  sickleave  Philip  Hammond  Theresa  May  Council  bed  blocking  bedblocking  adult  social  elderly  care  Disabled  Privatisation  Simon  Stevens  Jeremy  Hunt 
november 2017 by asterisk2a
NHS Budget plan not enough, say bosses - BBC News
NHS Bosses Simon Stevens and Health Improvement have asked for 4bn more each year to meet targets again // Traditionally the health budget has got an extra 4% a year above inflation to help it cope with the ageing population and cost of new drugs and treatments.
Since 2010 that figure has dropped to close to 1% - and this extra money does little to improve that.
Those working in accident and emergency units point out that the £350m for this winter could easily be swallowed up by spending on agency staff.
It is why staff on the front line are still predicting rising waiting times for treatment.
NHS  Simon  Stevens  Philip  Hammond  budget2017  Austerity  sickcare  demand  winter  crisis  STP  CEP  rationing  waiting  times  treatment  delay  A&E  GP  staff  locum  Nurses  Doctors  Junior  recruitment  hiring  retention  Brexit  bedblocking  bed  blocking  Council  elderly  care  adult  social  healthcare  demographic  bubble  chronic  sick  population  ageing  CVD  Cancer  diabetes  obesity  overweight 
november 2017 by asterisk2a
Jeremy Hunt's GP recruitment pledge in tatters as 1,000 full-time NHS doctors quit last year | The Independent
Despite £20,000 incentives to attract trainees and attempts to hold on to senior staff, the NHS is now 1,200 GPs further away from its target of recruiting an extra 5,000 GPs by 2020 than when it was first set by Health Secretary Jeremy Hunt in September 2015.

The Department of Health baseline at that time was 34,592 full-time GPs, but two years on the September 2017 figures show overall numbers stand at 33,302. &! https://www.thesun.co.uk/news/4969314/nhs-workforce-crisis-sees-1600-gps-quit-since-since-health-bosses-pledged-to-tackle-shortages/
NHS  GP  staff  shortage  recruitment  hiring  locum  A&E  Austerity  healthcare  demand  sickcare  chronic  sick  population  demographic  bubble  ageing  Jeremy  Hunt  Simon  Stevens  Junior  Doctor  contract  burnout  stress  part-time  Nurses  paycap  CEP  STP  rationing  referral  waiting  time  treatment  delay  nasty  party  Tories  Conservative  Privatisation 
november 2017 by asterisk2a
A Budget For Better Mental Health?
as long as jeremy hunt, in law, does not force CCGs to spend allocated £ ONLY on mental health. additional mental health funds will be continued to be misappropriated by CCGs to plug other holes. and wait lists.
NHS  mental  health  CCG  Jeremy  Hunt  Austerity  Politics  Privatisation  accountability  STP  CEP  rationing  waiting  times  treatment  delay 
november 2017 by asterisk2a
These little-known opaque bodies could run health services. Are they legal? | Denis Campbell | Society | The Guardian
divorcing NHS failure from politics westminster and health minister. as jeremy hunt says ccgs are accountable: eg mental health spending.
NHS  England  ACO  Privatisation  accountability  Politics  Austerity  CCG  STP  CEP  Jeremy  Hunt  Simon  Stevens  rationing  waiting  times  CQC  treatment  delay  excess  death  patient  safety  outsourcing  PFI 
november 2017 by asterisk2a
My5 - Episode - Benefits and Bypasses: Billion Pound Patients S1 E1
25bn a year. diet lifestyle - smoking tobacco alcohl food - obesity cvd diabetes amputations complications medication - liver disease
NHS  Austerity  sickcare  demand  chronic  sick  population  obesity  CVD  Cancer  tobacco  alcohol  alcoholism  diet  lifestyle  public  health  prevention  self-medication  coping  maladaptive  mechanism  poverty  education  CEP  STP  CCG  rationing  elective  care  surgery  premature  ageing  demographic  bubble  food  S.A.D.  western  mental 
november 2017 by asterisk2a
NHS faces even worse winter crisis than last year, watchdog warns | Society | The Guardian
In an update on how the NHS in England performed between July and September, NHSI said hospitals did not succeed in freeing up the target of 2,000-3,000 beds by September, which would have helped them cope with the extra winter demand.

NHS leaders and the health secretary, Jeremy Hunt, told hospitals in the spring that they needed to reduce the number of beds occupied due to “delayed transfers of care” – patients who are fit to leave but cannot safely be discharged – to 3.5% of their total number by September. But 5% of beds are still occupied with such cases, NHSI said.
NHS  winter  crisis  bedblocking  bed  blocking  ageing  chronic  sick  population  elective  surgery  Cancer  CVD  diabetes  Council  STP  CEP  CCG  Austerity  rationing  treatment  delay  waiting  times  GP  A&E  adult  social  care  premature  demographic  bubble  sickcare  healthcare  demand 
november 2017 by asterisk2a
Number of NHS patients waiting over six months for surgery up 40% | Society | The Guardian
Royal College of Surgeons says 151,710 patients in England were waiting more than six months for non-urgent operations
NHS  elective  surgery  rationing  waiting  times  referral  treatment  delay  CCG  GP  winter  crisis  Austerity  sickcare  demand  healthcare  Cancer  CVD  STP  CEP  patient  safety 
november 2017 by asterisk2a
NHS battle for money: Where will it end? - BBC News
[ Simon Stevens could walk away, creating a new crate for May's government, as BOE Mark Carney did not extend his BOE gov role beyond Brexit ] If there is a significant financial settlement for the NHS in England, Mr Stevens can claim vindication for his strategy.
But if there isn't, he is faced with a difficult choice - either soldier on with a service under great strain and his five-year plan objectives under threat, or walk away.
He will be well aware of the risk he has taken with his speech.
But perhaps he is ready to go if he has to, arguing that at least he tried to get the NHS the money it needed. &! https://www.youtube.com/watch?v=wXlTwgfL6tU - Head of NHS England demands more money (Channel 4 News) &! One short picture of the winter crisis last time around 16/17 - https://www.youtube.com/watch?v=TNu3O3Pqebk &! 13/14 - https://www.youtube.com/watch?v=qGulU83N6Gc
NHS  Austerity  Simon  Stevens  Crisis  winter  Theresa  May  Philip  Hammond  Jeremy  Hunt  CEP  STP  CCG  rationing  waiting  times  treatment  delay  GP  A&E  bedblocking  bed  blocking  Council  adult  social  care  elderly  sickcare  demand  healthcare  chronic  sick  population  Cancer  CVD  diabetes  overweight  obesity 
november 2017 by asterisk2a
NHS staff 'working on edge of safety' - BBC News
NHS staff in England are working on the "edge of safety" as rising demand is outstripping the increasing numbers being employed, health bosses say.
There are now 6% more staff than there were three years ago, but demand for services has risen by three times as much in some areas.
NHS Providers, which represents health chiefs, said staff shortages was now the number one concern in the NHS.
NHS  patient  safety  CQC  staff  shortage  Nurses  Doctors  GP  Crisis  recruitment  hiring  locum  Austerity  CEP  STP  rationing  waiting  times  Cancer  CVD  diabetes  premature  sickcare  healthcare  chronic  sick  population  demographic  bubble  ageing  public  health  Council  bedblocking  bed  blocking  demand  winter  A&E 
november 2017 by asterisk2a
NHS offers smartphone GP appointments - BBC News
[privatisation cherry picking, another example, the easiest things ]
"We notice there is an extensive list of patient conditions such as frailty, pregnancy and mental health conditions that are the essence of general practice and which GPs deal with every day, but which are not eligible for this service. &! http://www.bbc.co.uk/news/health-41111553 - NHS launches £100m drive to recruit foreign GPs &! http://www.bbc.co.uk/news/health-39522137 - GP practices close in record numbers &! http://www.bbc.co.uk/news/health-41888952 - Online GP consultation: Opportunity or threat? - two-tier system, creaming off the healthiest patients. cherry picking. see privatisation of elective care and non-challenging adult elderly care. [...] The RCGP argues that existing community practices will be left with lower revenue and having to look after the sickest with the most complex conditions, hence the claim that there was a danger of "twin-track" general practice evolving. ALSO How easy will it be to avoid prescribing antibiotics - just to be on the safe side?"
GP  NHS  Crisis  sickcare  demand  healthcare  chronic  sick  complex  diseases  population  ageing  demographic  bubble  recruitment  hiring  training  staff  shortage  locum  Nurses  Doctor  rationing  waiting  times  treatment  delay  Privatisation  profit  maximisation  Austerity  STP  CEP  elective  surgery  time 
november 2017 by asterisk2a
Jeremy Hunt faces legal action over attempts to 'Americanise' the NHS | The Independent
more two-tier options for users w ACO offering from the get go two-tier adult and social care services/options. AND like most private provides taking on NHS business, avoiding also tax! Hnt himself said in committee hearing that our ageing population is private money fest opportunity.
NHS  Privatisation  Austerity  ACO  CEP  STP  CCG  CQC  rationing  waiting  times  profit  maximisation  neoliberalism  public  health  good  neoliberal  bedblocking  bed  blocking  adult  social  care  Council  disabled  ageing  population  chronic  sick  sickcare  healthcare  demand  demographic  bubble 
november 2017 by asterisk2a
GP leaders prepare for explosive vote on practices leaving the NHS | News Article | Pulse Today
Englands GP not able to take it anymore. want to private like a dentist who accepts private patients and NHS patients.
NHS  England  GP  Privatisation  Austerity  STP  CEP  healthcare  sickcare  demand  chronic  sick  population  ageing  demographic  bubble  A&E 
november 2017 by asterisk2a
'Radical changes' needed to £1bn stroke care - BBC News
[ 50% of disability in over 50 from Stroke ] Caring for people who have suffered from stroke is costing Wales £1bn annually, according to a leading charity.
The Stroke Association has also warned the figure could almost triple to £2.8bn by 2035 if immediate action is not taken.
The charity said the "vast majority" of the financial burden is placed on families and carers.
Strokes cost the UK as a whole £25.6bn per year.
NHS  Council  adult  social  care  Stroke  CVD  Cancer  diabetes  disabled  ageing  chronic  sick  population  prevention  sickcare  healthcare  demographic  bubble  public  health  Crisis  STP  CEP  rehabilitation  rationing  treatment  delay  A&E  GP  economic  damage  premature  Austerity 
october 2017 by asterisk2a
NHS failing to tackle 'significant safety risks', warns its medical chief
Patients were being left at risk of suffering needless harm – including amputations, devastating maternity complications and deaths – because of the lack of action to protect them, the former heart surgeon said.

In an interview with The Telegraph, Sir Bruce said there were too many organisations vying for attention and instead, one simple system was needed to issue safety directives.

He also said too many hospitals were putting cost-cutting ahead of patient safety.
NHS  patient  safety  Austerity  STP  CEP  rationing  delayed  treatment  waiting  times  healthcare  demand  sickcare  ageing  chronic  sick  population  demographic  bubble  Disease  complex  staff  shortage  Nurses  recruitment  Crisis  winter  hiring  training  adult  social  care  Council  bedblocking  bed  blocking 
october 2017 by asterisk2a
Thanks but no thanks, CareRooms. In the NHS we need staff, not beds | Rachel Clarke | Opinion | The Guardian
Trained staff – carers – are what the sector lacks, not physical spaces in buildings. Urgent investment in trained, regulated carers is the only safe way to address this, not outsourcing the problem to random homeowners with no clearly defined standards for safeguarding, clinical governance and infection control, not to mention other risks to patients who are at their most vulnerable.
NHS  Crisis  bedblocking  bed  blocking  adult  social  care  Council  STP  CEP  Austerity  staff  hiring  recruitment  locum  shortage  rationing  waiting  times  treatment  delay  chronic  complex  diseases  ageing  demographic  bubble  population  premature  frail 
october 2017 by asterisk2a
Badly-behaved surgeons are ​putting patients' lives in danger ​due to 'culture of bullying', report finds
The Sunday Telegraph says trainee surgeons have complained that an endemic culture of bullying among senior colleagues is putting patients' lives at risk.
The paper says some surgeons have reported being assaulted during operations for raising safety concerns, and an atmosphere of fear is said to be leading to failures in concentration that directly harm patients.
NHS  Austerity  chronic  staff  shortage  burnout  stress  Whistleblower  bullying  patient  safety  STP  CEP  rationing  waiting  times  treatment  delay  Culture  HR  human  resources  recruitment  hiring  training  CQC  excess  deaths  sick  population  healthcare  demand  sickcare  complex  diseases  governance  accountability 
october 2017 by asterisk2a
Doctors to breathalyse smokers before allowing them NHS surgery | Society | The Guardian
He said that by introducing “increasingly harsher policies” CCGs might believe they were alleviating financial pressure but they could actually cost more in the long term because of the risk of complications and the cost of healthcare in the interim. The CCGs said no financial savings were expected as a result of the measures, which they claimed were aimed at improving the long-term health of residents. They also stressed that if at any time the harm of waiting for surgery outweighed the benefit of losing weight or stopping smoking, then the patient would be referred.
NHS  CCG  STP  CEP  Austerity  rationing  obesity  overweight  healthcare  demand  sickcare  chronic  sick  population  demographic  bubble  Cancer  CVD  diabetes  referral  waiting  times  patient  safety  delayed  treatment  premature  ageing  GP  A&E  IVF 
october 2017 by asterisk2a
NHS waits for cancer care, A&E and ops worsen across UK - BBC News
Twelve out of 135 English hospital trusts, four out of five Northern Irish health trusts and five out of seven Welsh trusts have failed to hit any target in the past 12 months. //&! http://www.bbc.co.uk/news/health-41656674 &! http://www.bbc.co.uk/news/health-41643145 << ageing population w complex care needs for chronic diseases &! Wales worst - http://www.bbc.co.uk/news/health-41649870
NHS  sickcare  demand  healthcare  health  care  Austerity  ageing  chronic  sick  population  winter  crisis  demographic  bubble  bedblocking  bed  blocking  Council  CEP  STP  rationing  waiting  times  referrals  GP  A&E  delayed  treatment  burnout  staff  shortage  locum  Cancer  CVD  diabetes  obesity  overweight  England  Wales  Scotland  patient  safety  CQC  adult  elderly  social 
october 2017 by asterisk2a
Jeremy Hunt considers barring walk-in patients from A&E | Society | The Guardian
“We know that the main issue contributing to pressures in A&E is not inappropriate attendance, but a lack of hospital beds, and a lack of the community support services patients need when they are discharged, so they end up staying in hospital for longer than they needed to.” [...] She added: “Maybe a pilot will identify some good ways of reducing genuinely inappropriate use of A&E, but that this idea is even circulating speaks volumes about the consequences of the government’s decision to underfund the NHS. The chancellor must take note, and respond in his budget next month.”
NHS  A&E  healthcare  demand  111  GP  winter  crisis  referral  waiting  time  flu  fluseason  influenza  ageing  chronic  sick  frail  population  demographic  bubble  bedblocking  bed  blocking  elective  surgery  delay  treatment  times  care  adult  social  elderly  Council  Jeremy  Hunt  rationing  sickcare  Cancer  CVD  diabetes  obesity  overweight  Austerity  STP  CEP 
october 2017 by asterisk2a
NHS operations could be cancelled for months this winter, senior medics warn
"If, as we expect, we see a flu outbreak, I think the NHS - in terms of both beds and clinical staff - will break far worse than last year and elective activity will almost certainly cease for several months." [...] Meanwhile, leaked documents seen by Health Service Journal suggest that an NHS trust with a history of high death rates agreed savings plans, despite warnings from its then finance director that doing so could threaten patient safety.
NHS  winter  crisis  flu  influenza  Brexit  staff  shortage  Nurses  GP  A&E  elective  care  surgery  Cancer  CVD  recruitment  hiring  immigration  ageing  chronic  sick  population  demographic  bubble  premature  bedblocking  bed  blocking  Council  Austerity  norovirus  adult  elderly  social  Disabled  vulnerable  frail  STP  CEP  rationing  waiting  times  treatment  delay  patient  safety 
october 2017 by asterisk2a
A Simple Way to Involve Frontline Clinicians in Managing Costs
NHS hospitals exploring how to tighten the belt // This testing in NHS Scotland has taught us several lessons about the approach to managing value in a busy health care environment. First, point-of-care leaders, if armed with information about costs and quality, can improve both. // debate abt value v overtreatment. nurses and doctors now not only have to navigate overtreatment, patient safety/satisfaction but also keep in mind the purse of the nation v every single one patient they are seeing.
NHS  Austerity  sickcare  healthcare  demand  STP  CEP  rationing  waiting  times  delayed  treatment  delay  bedblocking  Council  care  social  adult  elderly  Disabled  chronic  sick  population  CCG  staff  shortage  locum  Nurses  hiring  GP  accountability  stress  Burnout  recruitment  demographic  bubble  premature  ageing  babyboomers 
october 2017 by asterisk2a
Council and NHS in £19.5m funding row over patients staying in hospital too long - Stoke Sentinel
[first NHS Councils blame each other for little progress, now NHS Department withholding funds bc no progress from Council ] But now NHS England is threatening to withhold the cash (one tranche from the Better Care Fund) because the authority is failing to reduce its bed-blocking figures by ensuring care packages are in place. Council leaders say the target – cutting social care-related delayed transfers of care by two-thirds in eight weeks – was unrealistic and set at ‘extremely short notice’. Now they are lobbying the Government on the issue, and working with the local NHS to find alternative ways of paying for the affected services. It comes after the council had to make cuts in areas such as drug and alcohol services after the NHS withdrew £15 million last year.
NHS  England  Council  bedblocking  bed  blocking  elderly  social  adult  care  sickcare  healthcare  demand  health  UK  ageing  demographic  bubble  premature  chronic  sick  population  complex  diseases  CVD  Cancer  diabetes  obesity  disabled  overweight  Austerity  CEP  STP  rationing  treatment  delay  patient  safety  waiting  time  public  Crisis  winter  CCG 
october 2017 by asterisk2a
NHS future precarious, says regulator - BBC News
The Care Quality Commission (CQC) says the health system is "straining at the seams" and faces a "precarious" future.
The England's regulator's annual report raised concerns about staff shortages, rising demand and the number of patients with preventable illnesses. It said so far the quality of NHS and council care has been maintained but warned standards were likely to drop. //>> GPs not focused to reverse diet lifestyle diesease. // "We are going to see a fall in the quality of services that are offered to people and that may mean that the safety of some people is compromised,"
NHS  GP  public  health  Crisis  bedblocking  bed  blocking  chronic  sick  population  Cancer  CVD  diabetes  obesity  overweight  complex  diseases  ageing  premature  demographic  bubble  babyboomers  prevention  diet  lifestyle  S.A.D.  western  food  food–industrial  A&E  type2  reversal  stress  coping  mechanism  Alcohol  alcoholism  fast  lobby  Sugar  Tax  junk  UK  economic  damage  Productivity  sickleave  DWP  mental  immune  system  inflammation  Alzheimer  dementia  autoimmune  healthcare  demand  sickcare  STP  CEP  rationing  waiting  times  delayed  treatment  patient  safety  CQC  Austerity  Council  staff  locum  shortage  Nurses  recruitment  hiring  paycap 
october 2017 by asterisk2a
Telephone consultations - no cost savings, but increased GP workload by BMJ talk medicine
Independent evaluation result (v private company claims) = no savings, increased workload. OVERALL outcome slightly increases 8% in workload. But screening (triage) is a disincentive for some. Big variation in attitude. And one size fits not all. eg teachers can't receive a phone call during day, another issue could might be (time will tell) detecting sepsis, angina and other stuff that needs to see doc urgently till its too late. easier diagnostic seeing patient eg how ill they look. 'it is no magic wand to eradicate gap between healthcare demand and available resources' - http://www.bmj.com/content/358/bmj.j4197
NHS  Privatisation  GP  Austerity  CCG  STP  CEP  rationing  A&E  referral  waiting  time  health  care  demand  ageing  chronic  sick  population  telemedicine  demographic  bubble  complex  diseases  CVD  diabetes  Cancer  obesity  overweight  treatment  delay  management  premature  burnout  staff  locum  hiring  recruitment  morale  shortage  patient  safety  healthcare  sickcare 
october 2017 by asterisk2a
Royal Cornwall hospital put in special measures after patient deaths | Society | The Guardian
Royal Cornwall Hospital, Cornwall Country, South England ... yet another one cant handle demand w given resources. // CQC put in place by tories/jeremy hunt, to do for him the clean up, otherwise if he would have to respond help w more money and clean up he would have been long gone. its outsourcing of responsibility and accountability at best, same w CCGs and re-org, tenders/privatisation, market mechanism. // see cancer surgery delay = add to excess death. same w bed blocking news, that bed blocking leads to excess deaths eg infection risk. malnutrition. wasting of muscles. &! http://www.bbc.co.uk/news/uk-england-cornwall-41500555
NHS  England  STP  CEP  Austerity  CQC  rationing  waiting  times  treatment  delay  Jeremy  Hunt  Simon  Stevens  Privatisation  health  care  demand  ageing  chronic  sick  population  demographic  bubble  babyboomers  baby  boomers  CVD  diabetes  obesity  overweight  premature  Cancer  bed  blocking  bedblocking  Council  social  adult  elderly  Disabled 
october 2017 by asterisk2a
Care homes places 'crisis' in five years across England - BBC News
Consumer group Which? said "urgent action" was needed because of a rising population of older people.
England has 407,000 care home beds but would need another 50,000 by 2022 to meet demand.
Health secretary Jeremy Hunt said he was "addressing" the issue and £1bn was invested in 2017. [...] The problems are "systemic" and as it can take up to seven years to plan and build a new care home, the sector "won't be able to meet the growing need of the country's ageing population", Which? said. &! https://www.channel4.com/news/most-councils-will-not-have-enough-care-home-places - five years’ time, nine out of ten local authorities in England will not have enough care home places to match the demand of the growing elderly population.
NHS  bedblocking  bed  blocking  Council  social  adult  elderly  care  Austerity  STP  CEP  rationing  waiting  times  elective  delayed  treatment  Nurses  health  demand  demographic  bubble  ageing  population  chronic  sick  CVD  Disabled  diabetes  obesity  overweight  Alzheimer  dementia  Crisis  staff  shortage  locum  patient  safety  Brexit  immigration  mental  diseases  complex  needs  Jeremy  Hunt  surgery  GP  A&E 
october 2017 by asterisk2a
NHS plans to introduce an 'App' for staff to 'work extra hours at short notice'
https://skwawkbox.org/2017/10/03/video-hunt-ill-give-nurses-an-app-to-work-longer-at-short-notice/ - VIDEO: HUNT – “I’LL GIVE NURSES AN APP TO WORK LONGER AT SHORT NOTICE” //&! Several changes to nursing education were also announced during the conference including; increasing the number of trainee nursing associates and introduce nursing apprenticeships. apprenticeship nurses! are you kidding me!? http://www.bbc.co.uk/news/health-41489986 // from reg nurses w work experience and college/uni time to nursing associates to apprenticeship nurses! // Jeremy thinks you can catch patient safety w Nursing for Idiots. As well as allowing family to wash their relatives. // [...] [ending free nurse training = policy blunder bc also pay cap, austerity, not valued = training numbers down] Mr Hunt's announcement begs a big question - why is the Government flagging up a route to nurse qualification with no tuition costs at the same time as scrapping free tuition for student nurses? Could the Health Secretary have realised that making nurse trainees pay for their tuition might deter future applicants?
NHS  Nurses  Junior  Doctor  gig  economy  1099  on-demand  Jeremy  Hunt  Brexit  immigration  EU  staff  recruitment  Austerity  remuneration  Crisis  staffing  hiring  locum  CEP  STP  rationing  waiting  times  delayed  treatment  bedblocking  Council  bed  blocking  Simon  Stevens  quality  patient  safety 
october 2017 by asterisk2a
England and Wales death rate rise linked to longer stays in hospital | Society | The Guardian
The sharp rise in the death rate in recent years could be down to the number of people being kept too long in hospital, inadequate social care and austerity-linked pressures on the NHS, academics say.

About 7,800 extra deaths a year in England and Wales are being caused by the dramatic increase in the number of people being forced to stay in hospital longer than necessary because they cannot safely be discharged, it is claimed.
NHS  bedblocking  bed  blocking  Council  social  elderly  care  ageing  chronic  sick  population  Austerity  STP  CEP  waiting  times  rationing  demographic  bubble  mental  health  loneliness  recovery  infection  Nurses  staff  shortage  Crisis  winter 
october 2017 by asterisk2a
Leading doctor warns frontline NHS services in danger of "disappearing altogether" | HeraldScotland
“We are unable to attract high quality candidates from throughout the UK as a result of Scottish Government policy in relation to remuneration and working conditions,” he said.

“This pattern is slowly eroding the calibre of the workforce as well as the numbers available to provide the service.”

He added: “It is only a matter of time before every health board in the land is so afflicted as services deteriorate and, in some areas, it is inevitable that the day will come when some services will disappear altogether. This is not scaremongering. This is what is happening.”
NHS  Scotland  England  recruitment  hiring  crisis  staff  shortage  training  education  policy  UK  locum  morale  health  care  demand  rationing  waiting  time  delayed  treatment  chronic  sick  population  ageing  demographic  bubble  medical  advances  STP  CEP  Austerity  paycap  public  services  CCG  NICE  mental  Council 
october 2017 by asterisk2a
Mental health: 10 charts on the scale of the problem - BBC News
Over 10 years NHS prescriped 100% more anti-depressants. Medicalised Society. Parked indefinetly on management medication no healing. Left behind. // But so too is the fact prescribing patterns have changed. Doctors are much more likely to keep people on drugs for longer with evidence suggesting it is a more effective way of treating patients.
But as common as antidepressants are, the fact remains the majority of people with mental illness report they are not getting help.
Only one in three of those polled said they were receiving treatment, according to NHS Digital.
NHS  Society  Gesellschaft  mental  health  big  pharma  GP  care  demand  Austerity  CEP  STP  rationing  waiting  times  treatment  delay  self-medication  coping  mechanism  chronic  stress  working  poor  Precariat  poverty  trap  Deprivation  Depression  public  economic  damage  prevention  Social  Media  Facebook  Instagram  well  being  welfare  DWP  JSA  ESA  Selbstdarstellung  Consumer  unhappy  Consumerism  consumerist  Capitalism  Exploitation  Scotland  England  Jeremy  Hunt  CCG  Simon  Stevens  accountability  Theresa  May  unemployment  prejudice  stigma  Disabled 
october 2017 by asterisk2a
Baby heart images could help reduce miscarriage, Leeds research suggests - BBC News
CCGs still have to approve new stuff not approving bc no money for existing health care demand. thus new medical advances to improve care can and will not be improved and or at best rationed: Another example. http://www.bbc.co.uk/news/health-41399159 - 'Instant' blood test for heart attacks // or the recent evidence based findings of the anti-inflammatory jab after heart attack reducing recurrent attack. 13% ish reduction. NICE can recommend it. But clinicians need CCG money to buy use it.
NHS  CEP  STP  Austerity  rationing  health  care  demand  medical  advances  NICE  CCG 
september 2017 by asterisk2a
Patients screened by receptionists under NHS scheme | Daily Mail Online
squeezing out the last 1-2% that is there to squeeze out of the NHS. Patient docotor relationship may deterioate. first the double check w board of GP is referral is needed. sending ppl to pharmacy first. waiting times up elective last. health care demand chronic sick population ageing population bed blocking Council. --- perfect storm for worse outcomes. most vulnerable will fall to the wayside! - mental health. and prevention falls way behind bc of ongoing fire fighting.
NHS  GP  rationing  Austerity  STP  CEP  referral  England  A&E  waiting  time  treatment  delay  Privatisation  Cancer  CVD  diabetes  chronic  sick  population  ageing  premature  demographic  bubble  mental  health  prevention  public  obesity  overweight  bedblocking  bed  blocking  Council 
september 2017 by asterisk2a
Exposed: ‘secretive’ NHS cost-cutting plans include children’s care | Society | The Guardian
Documents reveal £5m cuts in South Gloucestershire will include cancer diagnostics and treatment for children with complex needs
NHS  CEP  STP  rationing  Cancer  CVD  diabetes  Austerity  health  care  demand  CCG  waiting  times  treatment  delay 
september 2017 by asterisk2a
NHS slams big pharma in High Court row over drug pricing powers
The row is over powers introduced in April giving NHS England the right to ration costly medicines, including if they are expected to cost more than £20m in any of their first three years of use. Previously medicines signed off as clinically effective and good value for money by public drug price regulator Nice had to be automatically funded and made available by the NHS within three months. [...] The drugmakers argue the changes will limit patients’ access to cutting-edge treatments, particularly for rare diseases where the benefits are large but the patient numbers are small. In their claim the drug firms argue Nice acted beyond its powers to introduce the so-called budget impact test and failed to consult properly with ­industry on the detail of the proposals.
NHS  NICE  big  pharma  Cancer  CVD  health  care  demand  Austerity  STP  CEP  rationing  waiting  times  delay  treatment  chronic  sick  population  prevention  babyboomers  baby  boomers  premature  ageing  demographic  bubble  cost  Council  bedblocking  social  adult  elderly  bed  blocking  dementia  diabetes  obesity  overweight 
september 2017 by asterisk2a
NHS accused of keeping secret its plans to cut services | Society | The Guardian
STP + CEP + CCG's discretion what and who is more important // The NHS has been accused of keeping the public in the dark about controversial plans to plug a £250m funding gap by rationing services.

The crowdfunded campaign group 38 Degrees submitted freedom of information (FOI) requests to the government, NHS leaders as well as trusts and clinical commissioning groups in the 13 areas affected but all except two refused to release details of planned changes.

Leaked proposals from three areas have already revealed plans including downgrading or closing A&Es and extending waiting times for operations, and 38 Degrees says the public is entitled to know what else is in store.
NHS  Austerity  STP  rationing  GP  A&E  health  care  demand  waiting  times  delay  treatment  CEP  CCG 
september 2017 by asterisk2a
NHS boss puts service on high alert in case of heavy winter flu burden | Society | The Guardian
Ministers must admit that the health service can’t cope. NHS bosses know the health service cannot meet demand and that patients are suffering, but won’t admit it. - https://www.theguardian.com/society/commentisfree/2017/sep/12/ministers-must-admit-nhs-cant-cope - Most egregious STPs and CEP capped expenditure process. and CCG using mental health money to pluck other holes as well as the extra money they've been given with councils to create more community care (bed blocking) is also diverted. &! http://www.bbc.co.uk/news/health-41241639 &! http://www.bbc.co.uk/news/health-41189137
NHS  winter  crisis  chronic  sick  population  influenza  flu  ageing  demographic  bubble  pneumonia  bedblocking  bed  blocking  Council  Austerity  STP  rationing  CVD  diabetes  Cancer  Privatisation  Simon  Stevens  Jeremy  Hunt  Tories  nasty  party  Conservative  CEP  CCG  transparency  corruption  mental  health  GP  A&E  waiting  times 
september 2017 by asterisk2a

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