asterisk2a + elective   21

NHS cancels surgery for tens of thousands to avoid winter crisis | Society | The Guardian
In an unprecedented edict, NHS England has told hospitals to delay operations such as cataract removals and hip and knee replacements until mid-January. The only exceptions to the new policy are cancer operations and also what the NHS called “time-critical procedures” where the surgery has to go ahead to avoid the patient’s condition deteriorating further.
NHS  winter  crisis  elective  surgery  Cancer  CVD  Austerity  sickcare  demand 
december 2017 by asterisk2a
NHS Grampian puts cap on non-urgent surgery over winter - Evening Express
NHS Grampian has confirmed it is only booking category one and two patients, who require surgery within a month or within three months respectively, in January and February.

The health board said the move was part of its winter plans and there would be exceptions where surgeries do not impact on beds. [...] It follows a row in October after NHS Tayside announced it had put on hold all planned, non-urgent operations for three weeks over the festive period. Category three patients, who require surgery within a year, will not be routinely booked for January and February, under NHS Grampian’s plans.
NHS  winter  crisis  elective  care  surgery  rationing  Grampian  Scotland  sickcare  demand  chronic  sick  population  ageing  demographic  bubble  Austerity  waiting  times  backlog  Council  GP  referral  A&E  bedblocking  bed  blocking 
december 2017 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
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
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
'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 
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
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 
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
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 
october 2017 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 
october 2017 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 
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
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 
september 2017 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 
september 2017 by asterisk2a

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