asterisk2a + bubble   1338

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 
yesterday 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 
2 days ago by asterisk2a
Lincolnshire NHS enforces three-month wait for surgery | Society | The Guardian
The commonest non-urgent operations hospitals perform include removal of cataracts, replacement of a worn-out hip or knee and the repair of a hernia. << hernia - obesity/overweight + weak muscles in old age.
NHS  Austerity  healthcare  demand  sickcare  chronic  sick  population  CEP  CCG  STP  rationing  waiting  times  treatment  delay  ageing  demographic  bubble  premature  CVD  diet  lifestyle  diabetes  obesity  overweight  UK  public  health  prevention  elective  surgery  bedblocking  bed  blocking  Council  adult  elderly  social  care 
2 days ago by asterisk2a
Facebook founding president sounds alarm - BBC News
do you know your neighbour? Chomsky manufactured consent. perfect personal propagandist. outrage machine. time waster. feedback loop for No Representation feelings. “I use these platforms, I just don’t let these platforms use me,” // Adam Curtis - FB can not present you with a future, a proposal. bc it is insular isolated environment (perfect personal propagandist) even if you are 'connected with the world.' It's a sham. Its millions of bubbles. not "A" world connected. Occypy was better than facebook. But Occupy hat not even a handful of leaders. political social economic movements need leaders to refer to, dialogue, interview, sign policy papers, etc etc. mass democracy still needs a leader and leadershuip and management and people skills. see Momentum.
Facebook  Social  Media  Twitter  Instagram  YouTube  Selbstdarstellung  Zivilgesellschaft  Zivilcourage  Gesellschaft  Anarchism  Anarchy  addiction  dopamine  coping  mechanism  Chomsky  filterbubble  Filterblase  Newsfeed  filter  bubble  Brexit  Trump  Donald  DonaldTrump  AfD  PEGIDA  fake  news  Nationalism  Propaganda  journalism  journalismus  profit  maximisation  attention  span  neuroscience  mental  health  well-being  wellbeing  maladaptive  behaviour  well  being  Superficial  democracy  No  Representation  Culture  alt-right  right-wing  PC  far-right  White  Supremacy  Nazi  neo-Nazi  neoNazi  hate  speech  Data  Privacy  abuse  gaming  Snapchat  Psychology  Sociology  Society 
8 days ago by asterisk2a
Roger Cohen on Trump and the Erosion of American Greatness - SPIEGEL ONLINE
"To refuse the obligations of international leadership and our duty to remain 'the last best hope of earth' for the sake of some half-baked, spurious nationalism cooked up by people who would rather find scapegoats than solve problems is as unpatriotic as an attachment to any other tired dogma of the past that Americans consigned to the ash heap of history.
DonaldTrump  Donald  Trump  Brexit  AfD  Nationalism  scapegoat  patriotism  Orwell  Orwellian  Technology  Facebook  Newsfeed  filter  bubble  Filterblase  technocracy  Plutocracy  Oligarchy  totalitarianism  Super  Rich  1%  economic  history  inequality  Precariat  working  poor  poverty  trap  exploitation  fake  news  Fascism  alt-right  right-wing  far-right  neo-Nazi  Nazi  GOP  Republicans  Tories  nasty  party  Conservative  UKIP  Front  National  France  UK  Germany  USA  American  Dream 
9 days ago by asterisk2a
'Bed-blocking' in Scottish hospitals falls by 9.6% - BBC News
About 400 people were left in hospital because the social care support they needed in order to live in their own home was not available, while more than 200 had to wait for a place in a nursing home.
Of those who could not leave hospital in September 2017, 1,140 had to wait for for more than three days.
A third of delayed patients had to wait in hospital for more than six weeks - a 2% increase from last year, despite the fall in the figures overall.
NHS  Scotland  bedblocking  bed  blocking  Council  Austerity  adult  social  care  ageing  chronic  sick  population  sickcare  demand  healthcare  public  health  demographic  bubble  premature  Crisis  rationing  elective  surgery  GP  A&E  referral  treatment  delay  waiting  times 
11 days ago 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 
11 days ago by asterisk2a
Wrexham woman's 999 call classed in 'wrong category' - BBC News
A post-mortem examination revealed evidence of a previous heart attack.
Assistant coroner Nicola Jones said it was a "ticking bomb" which nobody knew about. On the night she died, she was suffering heart failure.
public  health  UK  premature  ageing  CVD  Ambulance  A&E  sickcare  healthcare  demand  NHS  Crisis  chronic  sick  population  babyboomers  demographic  bubble 
12 days ago 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 
12 days ago 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 
13 days ago by asterisk2a
Study shows dementia is biggest killer in affluent areas - BBC News
Dementia and Alzheimer's disease is the leading cause of death in affluent areas in Wales, new figures have shown. [ statistical fluke attributed to longer lifes and better med patient adherens eg statins and reduce alcohol intake - poorer may die earlier - cancer cvd]
dementia  Alzheimer  public  health  sickcare  healthcare  demand  chronic  sick  population  premature  ageing  demographic  bubble  CVD  Cancer  diabetes  obesity  overweight  NHS  Council  adult  social  elderly  care  disabled 
14 days ago by asterisk2a
Record numbers dying while waiting for hospital appointments | Scotland | The Times & The Sunday Times
Regional differences are also exposed. In some parts of the country, including Greater Glasgow and Clyde, Grampian, and Ayrshire and Arran, the number of patients dying while waiting for a hospital consultation has more than doubled.
NHS  Scotland  Crisis  healthcare  demand  sickcare  chronic  sick  population  ageing  demographic  bubble  rationing  waiting  times  referral 
14 days ago 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 
14 days ago by asterisk2a
NHS Scotland plots urgent measures to support practices at 'tipping point' | News Article | Pulse Today
Dr McDevitt had earlier told delegates that ‘you’re not going to vote for this contract because it becomes with a pay rise’.

Among the detail announced so far includes a wider healthcare team taking over some jobs traditionally done by the GP, including some chronic disease management, routine checks, and drug monitoring.

GPs will have access to NHS-run services including prescribing and treatment room services to reduce their workload.
NHS  Scotland  GP  Crisis  sickcare  healthcare  demand  chronic  sick  population  demographic  bubble  ageing  CVD  diabetes  Cancer  obesity  overweight  A&E 
14 days ago by asterisk2a
Social media firms under scrutiny for 'Russian meddling’ - BBC News
Facebook, Twitter and Google lawyers defended themselves to US lawmakers probing whether Russia used social media to influence the 2016 election.
The three firms faced hard questions at a Senate panel on crime and terrorism about why they missed political ads bought with Russian money. &! https://www.the-american-interest.com/2017/10/30/social-media-democracy/ - Francis Fukuyama - This is not the situation that prevails in today’s internet world. There are not a variety of competing platforms with differing points of view; rather, there is Facebook, which has become a sort of global utility. [ creating for each their own bubble own world, enabling to reject, deny reality in spite of fact. Orwell on nationalism: https://en.wikipedia.org/wiki/Notes_on_Nationalism - Indifference to reality ] ESPECIALLY when the user is the product, sold to corporates. Keep users more and more clicking = keep making more and more money. &! Displayed in their dedicated teams in-house support for Trump campaign! $85m. Client satisfaction and profit maximisation. --- https://www.buzzfeed.com/alexkantrowitz/facebooks-2016-election-team-gave-advertisers-a-blueprint?utm_term=.ox8O6gxWY#.ji2Ngpmoz &! https://staltz.com/the-web-began-dying-in-2014-heres-how.html
Facebook  democracy  presidential  election  2016  Brexit  Donald  Trump  DonaldTrump  AfD  far-right  right-wing  alt-right  Social  Media  Newsfeed  bubble  algorithm  filter  bias  Gesellschaft  Nationalism  Orwell  Orwellian  Patriotism  demagogue  Twitter  Google  monopoly  duopoly  monopsony  Amazon  antitrust  Francis  Fukuyama  totalitarianism  Capitalism 
18 days ago 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 
18 days ago by asterisk2a
Calls for change in Westminster culture - BBC News
http://www.bbc.co.uk/news/uk-politics-41821671 - Labour activist 'warned' about pursuing rape claim // &! DSK Domonik Strauss Kahn! - BULLY! BULLIES! 3 way relationship: the bully the vicitim the onlookers - https://www.theguardian.com/commentisfree/2017/nov/05/dsk-sexual-assault-feminism-weinstein-casting-couch //&! http://www.bbc.co.uk/news/uk-41857807 - Tory rape claims 'ignored by Commons' &! http://www.bbc.co.uk/news/uk-politics-41881125 - Westminster sex scandal: Theresa May to call for 'culture of respect'
Westminster  bubble  sexual  assault  rape  sexism  Sexismus  Feminism  feminist  UK  Harvey  Weinstein 
18 days ago by asterisk2a
(4207) Inside the mind of white America - BBC News - YouTube
3:30 "most of it I hear is from the news and it is mostly negative." // white privilege also means not knowing about your advantage as white white neighbourhood white name white parents and grand parents and grand grand parents // Institutional racism
post-racial  America  Racism  USA  American  Dream  DonaldTrump  Donald  Trump  deprivation  inequality  social  mobility  income  Exploitation  segregation  Nationalism  populism  alt-right  far-right  right-wing  Xenophobia  Homophobia  LGBT  poverty  trap  Precariat  economic  history  neoliberalism  Capitalism  Media  Facebook  Newsfeed  bubble  presidential  election  2016  institutional  discrimination  BAME  UK  privilege  Privileged 
20 days ago by asterisk2a
Patients are suffering while the SNP shamefully dithers | Kevin McKenna | Opinion | The Guardian
One senior health professional told me last week: “Yes, there is a backlog for operations, but the issue is the front and back door – not the bit in the middle. They are trying to solve the wrong problem and bringing on these new centres will only add to the problem. In addition, there is a huge problem with a lack of doctors across parts of the system. If they are moving planned care into these new elective centres, how are they going to staff them?”
NHS  Scotland  Austerity  healthcare  demand  sickcare  elective  surgery  GP  A&E  bedblocking  bed  blocking  Council  adult  social  care  waiting  times  treatment  delay  rationing  mental  health  complex  chronic  sick  population  ageing  demographic  bubble  premature  CVD  Cancer  diabetes  obesity  overweight  alcohol  self-medication  addiction  winter  staff  Crisis  recruitment  hiring  training  Nurses 
20 days ago 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 
21 days ago 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 
22 days ago by asterisk2a
“I think it’s to do with fear”: Russell Brand on America’s love of guns - Vox
usa got much more intensive media - driven by profit motive. the click. the outragous. the absurd. the funny. to keep you watching. confirmation bias. division. divisor. fear mongers hate mongers demagogue. protect what you've got bc gov is out to take it from you. - guns false security, consumption false identity, trump false Heilsbringer. and your neighbour is an illegal alien ...
Russell  Brand  Anarchism  mental  health  well-being  wellbeing  trust  fear  Gesellschaft  Zivilgesellschaft  Society  book  Alain  de  Botton  Facebook  bubble  filter  Newsfeed  Media  Social  Dopamine  trustagent  USA  post-racial  bias  prejudice  DonaldTrump  Donald  Trump  inequality  poverty  trap  Precariat  insecurity  America  American  Dream  economic  history  Chomsky 
23 days ago by asterisk2a
NHS suspends operations over Christmas and new year - BBC News
NHS Tayside has put on hold all planned, non-urgent operations for three weeks over the festive period.
The health board said emergency surgery, urgent procedures and all cancer surgeries would still be carried out.
But there will be a "step-down of all planned procedures" at Perth Royal Infirmary, Ninewells Hospital in Dundee and Stracathro Hospital, near Brechin.
The disruption will last from 18 December to 8 January 2018. & https://www.eveningtelegraph.co.uk/fp/nhs-tayside-chairman-predicts-serious-difficulties-current-level-spending-continues/ - Tayside to save 200m over 5 years ... &! http://www.heraldscotland.com/news/15626138.Crisis_at_NHS_Tayside_deepens_over___6m_overspend/ closed 60 beds
NHS  winter  crisis  Scotland  Austerity  healthcare  demand  sickcare  ageing  chronic  sick  population  demographic  bubble  CVD  cancer  diabetes 
28 days ago 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 
4 weeks ago 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 
4 weeks ago 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 
5 weeks ago 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 
5 weeks ago by asterisk2a
Falling number of nurses in the NHS paints a worrying picture | The King's Fund
Similar recruitment and retention problems have arisen with GPs, but here, interestingly, the government is intending to pull the international recruitment lever with a vengeance. Time will tell how successful this will be in the current environment: the plan is to attract at least some of these from other EU countries and as the nursing numbers show us, the UK is no longer quite so attractive a destination for clinical staff for obvious reasons.

At a deeper level, Brexit has again exposed the fragility of NHS workforce planning. This may be most immediate for nursing but the need for an integrated short and long-term plan for the NHS workforce long precedes Brexit. After all, there will be little point in giving the NHS its (disputed) extra £350 million a week if there are no staff to spend it on.
NHS  Brexit  UK  immigration  staff  Nurses  GP  locum  recruitment  hiring  crisis  winter  healthcare  demand  sickcare  ageing  chronic  sick  population  demographic  bubble 
5 weeks ago by asterisk2a
Homes are not assets to be passed on to children, says minister | Society | The Guardian
houses became a mini-social welfare net among families. and a helping hand in social/income mobility for those benefiting/children and children children. // also current gen funding elderly care have less wage, less money (inflation), less prospects, no mobility, student debt, and high rents.
Erbschaftsteuer  dementiatax  dementia  taxation  property  bubble  UK  housing  crisis  rentier  economy  Alzheimer  demographic  ageing  premature  social  care  adult  elderly  Council  bedblocking  bed  blocking  chronic  sick  population  sickcare  demand  healthcare  health  NHS  Austerity  asset  inheritancetax  inheritance  Generationengerechtigkeit  Generation  Rent 
5 weeks ago by asterisk2a
Scottish GPs to access NHS-run 'treatment rooms' for procedural tasks | News Article | Pulse Today
treatment rooms = sickcare rooms - are they opening up extra clinics for diabetes CVD obesity and other chronic conditions? putting it out of GP services, but they are still there. &! GPs in Scotland will have access to prescribing and treatment room services and a chronic disease monitoring team to reduce their workload under plans being drawn up as part of the new contract. /... but have to
NHS  Scotland  GP  healthcare  demand  sickcare  chronic  sick  population  diabetes  Cancer  CVD  obesity  overweight  inflammation  health  care  ageing  premature  disabled  demographic  bubble  babyboomers 
5 weeks ago 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 
5 weeks ago 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 
5 weeks ago by asterisk2a
'High risk' of NHS Tayside failing to balance budget - BBC News
NHS Tayside delivered £45.5m in efficiency savings in 2016/17, nearly double the savings of the previous year.
However, the auditor general said that was still £1.3m below target.
The main overspends last year were on workforce, prescribing costs, and clinical supplies.
NHS Tayside chief executive Lesley McLay said the board was "actively addressing" its issues. &! https://www.eveningexpress.co.uk/news/scotland/nhs-tayside-faces-extremely-challenging-position-of-50m-funding-gap/ &! http://www.bbc.co.uk/news/uk-scotland-tayside-central-38330662 - NHS Tayside must save £214m over next five years
NHS  Scotland  Austerity  healthcare  demand  health  care  sickcare  chronic  sick  population  demographic  bubble  ageing  premature  Cancer  CVD  diabetes  obesity  overweight  rationing  waiting  times  referral  treatment  delay  patient  safety  bedblocking  bed  blocking  Council  adult  elderly  social  Disabled 
5 weeks ago 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 
5 weeks ago by asterisk2a
At last, we seem to be awakening from the bad dream of “tick-box medicine”
Doctors allowed themselves to be reduced to automatons. [...] NICE has recently changed the rubric that prefaces its guidelines, stressing that they are not mandatory and that they must be tailored to each individual patient. This would once simply have been good practice. That it has become necessary for NICE to spell it out shows just how far the profession has been degraded by the tick-box culture. [...] reduced to automatons, and their patients to pill-swallowing machines.
NHS  GP  public  health  prevention  incentive  QOF  NICE  chronic  sick  population  CVD  Cancer  obesity  overweight  healtcare  demand  care  ageing  premature  diet  lifestyle  demographic  bubble 
5 weeks ago 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 
5 weeks ago by asterisk2a
FactCheck: Theresa May’s claim about housing doesn’t give the full picture – Channel 4 News
There have been six full financial years since the Tories took office in 2010. In four of those years, the number of new houses being built was lower than it was at any time under Labour.
UK  social  housing  Council  affordable  Crisis  Austerity  cartel  duopoly  Generation  Rent  Generationengerechtigkeit  disposable  income  discretionary  spending  debt  bubble  growth  secular  stagnation  immigration  homeownership 
6 weeks ago by asterisk2a
Altenpflege und der Personalmangel: "Wir laufen auf eine Katastrophe zu" - SPIEGEL ONLINE
Kurz vor der Wahl wird der Pflegenotstand zum Thema. Im Interview spricht Ökonom Stefan Sell von Niedriglöhnen und Personalmangel - und erklärt, weshalb Altenpfleger in die Gewerkschaft eintreten sollten.
UK  NHS  Germany  health  care  demand  adult  Altenpflege  elderly  social  demographic  bubble  babyboomers  chronic  sick  population  premature  ageing  complex  Diseases  working  poor  Austerity  Altersarmut  CVD  diabetes  Cancer  obesity  overweight  patient  safety  Privatisation  profit  maximisation 
6 weeks ago by asterisk2a
Virgin Care asks Bath staff not to report safety concerns to health watchdog - Bath Chronicle
Virgin Care asked staff in the Bath area not to report their safety concerns to the health watchdog.

Registered managers in health and social care have a legal obligation to report issues to the Care Quality Commission if they feel their service is unsafe.
NHS  Privatisation  CQC  Whistleblower  patient  safety  health  care  demand  rationing  adult  social  elderly  Council  demographic  bubble  ageing  population  chronic  sick  Disabled 
6 weeks ago by asterisk2a
Care Appointments | Extra £5 million for NHS Scotland to reduce delays and ease winter pressures
Last winter health boards were given £12 million in additional winter resilience funding and the previous year they received £10.7 million.

This year’s funding follows a £59 million health service cash boost announced in May to drive down waiting times, £9 million of which was targeted at improving A&E performances on waiting times and delayed discharges.
winter  Crisis  NHS  Scotland  Grampian  health  care  demand  ageing  chronic  sick  population  demographic  bubble  babyboomers  premature  Cancer  CVD  diabetes  obesity  overweight  Austerity  elective  surgery  bedblocking  bed  blocking  Council  elderly  adult  social  Disabled  waiting  time  treatment  delay  rationing  A&E  GP 
6 weeks ago by asterisk2a
Health bosses apologise as number of ops in cancelled by NHS Grampian increase - Evening Express
MSPs held a debate in the Scottish Parliament on the situation at NHS Grampian after new figures showed 9% of all planned operations were cancelled in August. &! https://www.eveningexpress.co.uk/fp/news/local/nhs-report-shows-rise-in-vacancies/ - The number of vacancies for consultants and nurses in the North-east has increased. &! http://www.bbc.co.uk/news/uk-scotland-north-east-orkney-shetland-41497626 - NHS Grampian 'sees 75% of locum spending in north of Scotland' &! Stress fissure show everywhere, even higher up: https://www.pressandjournal.co.uk/fp/news/aberdeen/1336268/apology-after-health-report-error-for-neabsh-p10/
NHS  Grampian  elective  surgery  health  care  demand  ageing  chronic  sick  population  demographic  bubble  bedblocking  bed  blocking  ICU  Council  A&E  GP  babyboomers  Cancer  CVD  diabetes  obesity  overweight  waiting  times  treatment  delay  patient  safety  adult  social  elderly  Disabled  staff  shortage  winter  Crisis  recruitment  hiring  locum  Nurses 
6 weeks ago 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 
6 weeks ago by asterisk2a
NHS Grampian 'sees 75% of locum spending in north of Scotland' - BBC News
NHS GRAMPRIAN Looking to save 30m for the next 3 financial years 2017/18 18/19 19/20. &! https://www.eveningexpress.co.uk/fp/news/local/nhs-report-shows-rise-in-vacancies/ &! 22.2million for locum 2015/16 - https://www.pressandjournal.co.uk/fp/news/highlands/1336016/nhs-temps-cost-100k-every-day-report/ &! Grampian now so desperate w hiring, considers, planning outsourcing GP services to private provider, which will charge for a profit ~10-30%. &! desperate measures, small change, to keep people away from the hospital/GP/doctors/ ... "link workers", at best you could call em Prescreening. Like in England they want you to go to the Pharmacy first. - https://www.pressandjournal.co.uk/fp/news/aberdeen/1334444/new-multi-million-pound-scheme-to-reduce-stain-on-gps/
NHS  Grampian  staff  Crisis  locum  Nurses  hiring  Austerity  health  care  demand  rationing  elective  waiting  times  delayed  treatment  Scotland  ageing  chronic  sick  population  demographic  bubble  CVD  Cancer  diabetes  overweight  obesity  recruitment  GP  A&E  Privatisation  outsourcing 
6 weeks ago 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 
6 weeks ago by asterisk2a
Scotland's health: What we learned - BBC News
Among adults aged 16 and over, 15% had some form of cardiovascular disease (CVD) and 5% had diabetes.
Older people were more likely to have some form of CVD or diabetes than young people (47% of those aged 75 and over compared with 5% of those aged 16-24). [...] Scots are only eating 3-a-day
NHS  Scotland  health  care  demand  CVD  diabetes  Cancer  chronic  sick  population  obesity  overweight  babyboomers  ageing  premature  demographic  bubble 
6 weeks ago by asterisk2a
Health boards to share resources in face of challenges | Inverness Courier | News
Stealth mega merger of northern Healthboards, as preveiously reported about "thoughts" to form 4-5 mega trusts/healthboards for scotland. // A regional delivery plan for the north of Scotland will see health authorities in Highland, Grampian, Tayside, Orkney, Shetland and the Western Isles form a partnership, members of the Highland board have been told. [...] "With even more challenging times ahead we are absolutely going to need to share our infrastructure across the six health boards in the north."
NHS  Grampian  Scotland  Austerity  merger  rationing  efficiency  health  care  demand  ageing  chronic  sick  population  staff  crisis  medical  advances  demographic  recruitment  hiring  bubble  babyboomers  CVD  Cancer  diabetes  obesity  overweight  mental 
6 weeks ago 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 
6 weeks ago 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 
6 weeks ago by asterisk2a
NHS staff shortages 'mean patients dying alone' in hospitals - BBC News
&! filling gaps w associate nurses, lower quality = lower care and skill quality. hiring and retirement does not keep up w health care demand: http://www.bbc.co.uk/news/av/uk-39913481/nhs-nursing-up-to-40000-posts-unfilled
NHS  Austerity  CEP  STP  staff  shortage  Nurses  morale  locum  patient  safety  health  care  demand  ageing  population  premature  demographic  bubble  babyboomers  baby  boomers  chronic  sick 
7 weeks ago by asterisk2a
Chronic ill health among working age population poses 'unsustainable drain' on NHS | HeraldScotland
Currently 39 per cent of the working age population in Scotland has at least one long-term condition, but that is forecast to surge as the population ages and Scotland grapples with the fallout of an obesity epidemic.

Prof MacDonald said a failure to prevent and manage long-term conditions properly would be catastrophic as pension age increases to 68 or more.
UK  Scotland  NHS  health  care  demand  chronic  sick  disease  population  babyboomers  baby  boomers  ageing  premature  CVD  Cancer  diabetes  obesity  overweight  pain  inflammation  demographic  bubble  England  Disabled  Council  adult  social  medical  advances  western  diet  lifestyle  S.A.D.  sedentary  prevention  public  intervention  GP  nanny  state  self-medication  Alcohol  junk  food  fast  mental  DWP  ESA  JSA  unemployment  stress 
7 weeks ago by asterisk2a
Data on NHS waiting lists in Scotland ‘suggests interference’ | Scotland | The Times & The Sunday Times
[ar politicians meddling with the statistics?] The UK Statistics Authority, the official regulator, has looked into a complaint about the publication of waiting list information by the Scottish NHS and concluded that staff made “a series of misjudged decisions”. They accuse the statistics arm of NHS Scotland — the Information Services Division (ISD) — of “catering more for the needs of policy officials” than patients. &! http://www.heraldscotland.com/news/15562974.Scotland__39_s_health_data_body_rebuked_over_way_data_on_waiting_times_was_presented/ - It was concerned figures given by the Information Services Division (ISD) did not give a full picture of the scale of the problem and that patients returning for treatment, as well as first time patients, had to endure long waits.
NHS  Scotland  Politics  SNP  waiting  time  referral  Grampian  accountability  statistics  GP  delayed  treatment  Cancer  CVD  diabetes  obesity  pain  elective  urgent  A&E  care  social  adult  Council  bedblocking  bed  blocking  overweight  mental  health  Disabled  chronic  sick  population  ageing  premature  demographic  bubble  babyboomers  baby  boomers  disease 
7 weeks ago by asterisk2a
NHS takes control of record number of GP practices | Holyrood Magazine
Health boards in Scotland have taken control of a record number of local doctors' practices in recent years, figures from the Royal College of GPs (RCGP) have revealed.

Facing a recruitment crisis as family doctors take early retirement and remote locations struggle to attract new GPs, practices are being handed back to health boards as they struggle to meet their commitments.

This means the number of patients treated directly by the NHS in so-called “2c” practices has doubled since 2007 to around 160,000. [...] Dr Miles Mack, Chair of RCGP Scotland, said: “In particular, it means that GPs are no longer in a leadership role and there is less continuity of care for patients.

Mack said public funding on GP services as a proportion of NHS spending has declined.

“Sufficient action must be taken to fill the projected shortfall of 856 GPs across Scotland by 2021,” he said.

“To fund that appropriately we need 11 per cent of NHS Scotland’s budget to go to general practice services.”
NHS  Scotland  GP  recruitment  hiring  staff  shortage  morale  locum  health  care  demand  chronic  sick  population  ageing  demographic  bubble  CVD  diabetes  obesity  overweight  mental  Cancer  premature  disease 
7 weeks ago by asterisk2a
Millions may lose promised pension payout - BBC News
gov has to bail out again corporate greed // Three million savers in final-salary pension schemes only have a 50/50 chance of receiving the payouts they were promised, a study has concluded.
Some employers were under pressure to meet their pension obligations, the Pensions and Lifetime Savings Association (PLSA) said.
High-profile cases such as the BHS collapse have highlighted concerns over the future of workplace pensions.
The PLSA said one solution could be the pooling of resources into "superfunds".
pension  retirement  crisis  TBTF  bailout  corporate  subsidies  subsidizing  scheme  UK  USA  ZIRP  NIRP  GFC  recovery  ageing  population  babyboomers  baby  boomers  demographic  bubble  Productivity  secular  stagnation  growth  inflation  401k 
7 weeks ago 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 
7 weeks ago by asterisk2a
Staff shortages fuelling worst Scottish cancer waiting times for ten years | HeraldScotland
CANCER waiting times are the poorest for a decade amid fears staff shortages in the NHS is impacting on treatments. New figures show that just 13 per cent of patients urgently referred to cancer specialists fail to begin treatment within the target time of 62 days - a three per cent deterioration on the previous year. The biggest falls were in lymphoma, urological and head and neck cancers. Only three of the 14 NHS boards in Scotland met the two-month objective – NHS Lanarkshire, NHS Dumfries and Galloway and NHS Orkney. [...] “A number of health boards are reporting capacity issues [...] NHS Grampian which had the third worst record with 17.7 per cent of referrals failing to meet the standard, said it was facing "ongoing recruitment challenges to medical posts" and "ongoing bed capacity pressures affecting diagnostic tests requiring admission".
NHS  Grampian  Cancer  CVD  diabetes  elective  health  care  demand  chronic  sick  population  ageing  premature  demographic  bubble  Scotland 
7 weeks ago by asterisk2a
NHS Grampian in heart patients deal with Newcastle hospital - BBC News
In May the health board said it could not meet the Scottish government's target 12-week timescale for all patients to be given planned surgery. It also said it had been forced to start prioritising the most urgent cases. The issue was raised with the Scottish government by Tory MSP Jamie Halcro Johnston on behalf of a constituent forced to wait three months for surgery. [...] [= delay of all elective surgeries] [...] "However, this service in Newcastle is their third back-up option behind Lothian and Glasgow, and it has not yet been used by patients." [...] £5m has been provided to NHS Grampian." [ to reduce wait lists 2017/18 budget, 28m budget cut planned for 2017/18 ] &! http://www.heraldscotland.com/news/15553268.Grampian_patients_offered_heart_ops_in_Newcastle_amid_theatre_staff_crisis/ &! bigger waiting times for non urgent care (budget stays same) http://www.northern-scot.co.uk/News/Chronic-pain-patient-slams-hospital-treatment-22092017.htm
NHS  Grampian  Scotland  staff  shortage  Nurses  morale  health  care  demand  Cancer  CVD  diabetes  Austerity  demographic  bubble  ageing  premature  population  chronic  sick  rationing  GP  A&E  referral  waiting  time  delayed  treatment  public 
7 weeks ago by asterisk2a
Tony Booth: Till Death Us Do Part actor dies at 85 - BBC News
Booth, who was 85, had been suffering from Alzheimer's for more than 10 years and had suffered heart problems.
premature  death  Alzheimer  dementia  CVD  health  care  demand  Council  NHS  bedblocking  bed  blocking  rationing  elderly  adult  social  babyboomers  baby  boomers  demographic  bubble  ageing  chronic  sick  population 
7 weeks ago by asterisk2a
Loneliness: The cost of the 'last taboo' - BBC News
There are an estimated 1.2 million people in the UK who have "chronic" loneliness, with links to poorer physical and mental health and increased use of GPs, hospitals and social services.
The campaign says it should be seen as a problem in public health terms, like obesity and smoking.
For a decade of an older person's life, the extra economic cost of loneliness is calculated as £6,000. [...] "Everyone's on their phones, they're closed off."
public  health  mental  Social  Media  loneliness  Einsamkeit  obesity  chronic  sick  population  overweight  coping  mechanism  self-medication  dopamine  serotonin  food  junk  Alcohol  Gesellschaft  Society  Zivilgesellschaft  Tobacco  Depression  ageing  premature  demographic  bubble  stigma  prejudice  isolation  NHS  Dementia  babyboomers  baby  boomers  care  demand  GP  Austerity  mobile  homescreen  Facebook  Instagram  Selbstdarstellung 
8 weeks ago 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 
8 weeks ago by asterisk2a
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