asterisk2a + morale   97

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
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
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 
september 2017 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 
september 2017 by asterisk2a
Midwives: NHS spending on agency staff in England doubles to £25m - BBC News
The NHS in England spent £25m on agency midwives last year - more than double the figure for 2013, the Royal College of Midwives has reported.
NHS  Crisis  Austerity  locum  staff  shortage  morale  England  health  care  demand  ageing  population  sick  demographic  bubble 
october 2016 by asterisk2a
BBCSML: Are there too many foreign workers in UK? (09Oct16) - YouTube
pandering to the sentiment of Brexit (England) w foreign workers list seen only by Gov. // talking about problems only through the prism of immigration bc it is the easiest. them. bc i've voted 2 times tories and it can't be me votin tories and tories policy ...
Theresa  May  UK  immigration  EEA  Amber  Rudd  Brexit  NHS  Austerity  structural  unemployment  technical  long-term  staff  shortage  morale  education  policy  Manufacturing  Apprenticeship  wage  growth  income  underinvestment  Workers  Trade  Union 
october 2016 by asterisk2a
England's academy trusts 'run up debts of £25m' - BBC News
The numbers raise "serious concerns about the accountability" of the system, said Meg Hillier, chairwoman of the Commons Public Accounts Committee.
More than half of England's secondary schools are run by self-governing academy trusts.
The government said financial oversight of academies was "more robust than in council-run schools".
The DfE's Education Funding Agency investigated one academy trust, Lilac Sky Schools, over its financial governance.
It runs nine primary schools in Kent and East Sussex. The most recent accounts show a deficit of £665,972.
Governance  Education  Policy  UK  Privatisation  Academy  attainment  gap  inequality  poverty  social  mobility  Austerity  staff  morale  shortage 
october 2016 by asterisk2a
Cash-strapped schools consider introducing four-day week | Education | The Guardian
Schools in West Sussex are warning they may have no option but to cut their hours – even floating the idea of a four-day week – unless they are given emergency financial help from the government.

After years of underfunding, headteachers in every primary, secondary and special school in the county have written to parents saying all the obvious cuts to school spending have already been made. Now they are considering “modifying school hours” as a last-ditch attempt to cut costs.
UK  Austerity  education  policy  staff  shortage  inequality  gini  Coefficient  social  mobility  morale  downward  squeezed  middle  class  Brexit 
october 2016 by asterisk2a
Cancer charities: missed treatment target 'unacceptable' - BBC News
Cancer charities have said it is "unacceptable" that a key waiting times target has been missed. All but two health boards failed to meet a target to treat 95% of urgently-referred cancer patients within 62 days between April and June. //&! GP Crisis - http://bbc.in/2cBZQcv - Dr Mack believed it was "crucial" to look at the issues and take the right steps.
GP  staff  shortage  morale  locum  doc  CVD  cancer  diet-related  lifestyle  Scotland  NHS  ageing  population  sick  premature  Shona  Robinson  Crisis  demographic  bubble  health  care  demand 
september 2016 by asterisk2a
Hospital doctors ‘miss signs of illness’ because of chronic staff shortages | Society | The Guardian
Professor Jane Dacre, president of the Royal College of Physicians, said: “Patient care is being compromised by gaps in trainee rotas. This is a major challenge for the NHS and it is having a detrimental effect on the morale of both trainees and consultants. We need more doctors.”

One medic said that hospitals’ growing inability to have a full complement of doctors on duty meant “we don’t have time to review patients properly. [I am] constantly fighting fires as covering three people’s jobs, so never have time to think about a patient properly.”
NHS  Crisis  staff  shortage  morale  England  Scotland  Junior  Doctor  Contract  Jeremy  Hunt  bed  blocking  health  care  demand  locum 
august 2016 by asterisk2a
Taxpayers fund large wages and lavish perks of academy school chiefs | Education | The Guardian
Expense claims released under the Freedom of Information Act lay bare for the first time what critics claim is an extraordinary extravagance by some academy chain chief executives and principals, at a time when schools are struggling financially.
Academy  education  policy  governance  Privatisation  UK  Westminster  Whitehall  Public  Services  service  austerity  Tories  Conservative  Party  teacher  pay  teacher  shortage  staff  shortage  staff  morale  David  Cameron 
july 2016 by asterisk2a
Life-or-death 999 call target missed for year
Crews are meant to reach patients who have had cardiac arrests or are not breathing - so-called Red 1 calls - within eight minutes.
But performance data from NHS England for May showed for the 12th month in a row the 75% target has been missed.
The target for Red 2 calls, for other life-threatening cases such as strokes, has not been met since January 2014.
During May, 70.5% of Red 1 calls were met in eight minutes and for Red 2 calls it was 65%.
NHS England blamed the problem on the rising number of calls - there have been nearly 11m in the past year, an increase of 7% on the previous year.
A&E  sick  population  chronic  disease  chronic  diseases  diet-related  disease  diet-related  diseases  heart  attack  stroke  NHS  NHS  England  ageing  population  demographic  bubble  premature  ageing  premature  death  cancer  OAP  Simon  Stevens  Jeremy  Hunt  Cardiovascular  disease  dietary  cholesterol  obesity  epidemic  overweight  obesity  staff  morale  staff  shortage  health  care  cost  health  care  demand  health  care  budget  health  crisis  health  care  spending 
july 2016 by asterisk2a
NHS budget control 'will require staff cuts'
It says the government should be honest about NHS spending plans at a time when patient demand is rising. [...] The NHS leadership is set to unveil plans to get hospitals and other trusts to stick to agreed spending limits. In the last financial year, trusts ran up a collective deficit of £2.4bn - and the aim is to cut that figure significantly. [...] "It is no longer credible to argue that the NHS can continue to meet increasing demand for services, deliver current standards of care and stay within its budget. This is widely understood within the NHS and now needs to be debated with the public. "There are no easy choices, but it would be disastrous to adopt a mindset that fails to acknowledge the serious state of the NHS in England today." //&! bbc.in/29mkr7G - An overspend would be a serious breach of Whitehall protocol and lead to senior officials being hauled over the coals by the National Audit Office.
CQC  NHS  England  NHS  Scotland  health  care  demand  health  care  cost  health  care  spending  Baby  Boomers  babyboomers  Simon  Stevens  Jeremy  Hunt  chronic  disease  chronic  diseases  austerity  cancer  heart  disease  diet-related  disease  diet-related  diseases  GP  A&E  bed  blocking  adult  social  care  elderly  care  staff  morale  staff  shortage  locum  doctor  locum  staff  sick  population  UK  obesity  obesity  epidemic  overweight  diabetes  high  blood  pressure  dietary  cholesterol  fatty  liver  disease  liver  disease  waiting  times  Sugar  Tax  meat  Industry  stroke  heart  attack  premature  ageing  premature  death  public  awareness  dietary  guidelines  Fiber  animal  protein  animal  fat  Free  Oil  Salt  processed  food  food  engineering  Fish  Industry  carbon  pollution  big  pharma  pharma  pharmaceutical  preventative  care  prevention  preventive  care  preventive  medicine  medical  school  medical  training 
july 2016 by asterisk2a
Jeremy Hunt to impose new contract on junior doctors | Society | The Guardian
Health secretary says introduction of contract will go ahead in October, after doctors rejected it in ballot //&! A shortage of nurses in the UK will continue for years to come and could get worse, experts are predicting. - bbc.in/29pQKA9 //&! Thousands of nurses were denied permission to work in England last year, despite hospitals facing staff shortages, new figures show.- bbc.in/29H3H9d //&! Junior doctor leader quits after proposed terms rejected - bbc.in/29GC6rZ //&! 'Uncertainty' in NHS over Brexit - bbc.in/29fhAgW
Jeremy  Hunt  Conservative  Party  nasty  NHS  general  election  2015  Manifesto  staff  shortage  staff  morale  locum  doctor  locum  staff  austerity  ageing  population  demographic  bubble  sick  population  chronic  disease  chronic  diseases  immigration  BMA  EEA  Brexit  George  Osborne  Simon  Stevens  sustainability  sustainable 
july 2016 by asterisk2a
Patient lay dead in London A&E for 'hours' before being found
"We were told one recent SI investigation concluded that a failure to take hourly rounds meant that a patient had lain dead for up to four-and-a-half hours before being found," the report said.
NHS  NHS  England  NHS  Scotland  staff  morale  staff  shortage  A&E  locum  doctor  locum  staff  ageing  population  demographic  bubble  sick  population  chronic  disease  chronic  diseases  GP  austerity 
july 2016 by asterisk2a
NHS short of front-line staff after bad planning, say MPs
Bad planning and cost-cutting have left the NHS in England short of vital front-line staff, MPs are warning.
The Public Accounts Committee said the shortfall in doctors, nurses and midwives could even get worse if ministers did not get a "better grip".
The group also warned there had been "no coherent attempt" to work out the staffing needed for a seven-day NHS.
NHS  Jeremy  Hunt  staff  morale  staff  shortage  locum  doctor  locum  staff  sick  population  ageing  population  chronic  disease  chronic  diseases  diet-related  disease  diet-related  diseases  heart  disease  cancer  mental  health  David  Cameron  George  Osborne  Tories  Conservative  Party  austerity  nasty  demographic  bubble 
july 2016 by asterisk2a
Brexit 'will make NHS staff shortages worse'
The vote to leave the EU risks making staffing shortages in the NHS worse, health leaders are warning. The NHS Confederation said doctors and nurses from Europe may be put off accepting jobs after the referendum. If that happened the NHS could face some major problems, it said. [...] Ms Zanon also said Brexit could have an impact on medical research and the free healthcare Britons received when abroad. But she said the workforce issue was the most pressing, as the impact could be felt straightaway. And there were signs this had already started happening, with reports that an EU recruitment drive in West Yorkshire had already run into difficulties.
NHS  NHS  Scotland  NHS  England  austerity  staff  morale  staff  shortage  locum  doctor  locum  staff  Brexit  immigration  Jeremy  Hunt  Brexit 
july 2016 by asterisk2a
'Safety risk' at ambulance trust
Long call waits and out-of-date maps affected the service offered by the South East Coast Ambulance Trust (Secamb), which now faces investigation by the Care Quality Commission (CQC). The Department of Health said: "poor leadership" had "put safety at risk". The trust said it was working hard to address the issues raised. Last October it emerged that Secamb, which covers Sussex, Surrey and Kent, had delayed sending help for certain calls to allow extra time for patient assessments. Its chairman, Tony Thorne, resigned in March, and chief executive Paul Sutton left the trust in May. //&! North Middlesex hospital A&E faces closure on safety grounds - bit.ly/1U6WFZz - Move would be first in NHS history, as internal documents seen by the Guardian show junior staff often left in charge of casualty unit - & http://bit.ly/1ZQ1QAM & deaths - bit.ly/267Jjne
staff  morale  austerity  NHS  NHS  England  A&E  A&E  A&E  CQC  Jeremy  Hunt  staff  shortage  ageing  population  sick  population  chronic  disease  demographic  bubble 
june 2016 by asterisk2a
The Fix: Can The Junior Doctors' Strike Save The NHS? ( Novara Media )
new junior doc contract is a back door to privatisation in the future. those new contracts. [...] some areas of healthcare will always be unprofitable ... [...] 7 day NHS is smokescreen [...] stealth cuts (pay and pension already, now contracts, and also the bursaries turned into debt contracts thus that item off the gov balance sheet) [...] "need to treat the public as grown ups ... that is how much health care for a sick and old population cost." [...] "we need honesty"
Junior  Doctor  Junior  Doctor  Contract  Junior  Doctors  NHS  NHS  England  Jeremy  Hunt  locum  locum  staff  staff  morale  staff  shortage  austerity  health  care  budget  health  care  cost  health  care  demand  health  care  spending  ageing  population  demographic  bubble  OAP  diet-related  disease  chronic  disease  complex  condition  complex  needs  elderly  care  adult  social  care  cancer  obesity  heart  disease  overweight  chronic  low-grade  inflammation  high  blood  pressure  cholesterol  Privatisation  privatization  PFI  scandal  single-payer  healthcare  Workers  Union  Trade  Union  neoliberal  neoliberalism  free  market  George  Osborne  David  Cameron  nasty  party  Conservative  Tories  general  election  2015  election  campaign  promises  Manifesto  Toff  Privileged  Establishment  No  Representation  health  inequality  Career  Politicians  health  crisis  sick  population  prevention  GP  A&E 
april 2016 by asterisk2a
Government should 'get its act together' over nursing shortage
http://www.bbc.co.uk/news/health-35929383 - 2009-2015, nurse numbers have grown only 1.1%, while GP referrals over the same time period rose 16% and A&E admissions rose 18%. [...] not just rise in population but also more people w complex, multiple, chronic, conditions.
OAP  ageing  population  demographic  bubble  babyboomers  sick  population  complex  needs  complex  condition  diet-related  disease  chronic  disease  health  crisis  locum  doctor  locum  staff  staff  morale  staff  shortage  NHS  England  austerity  health  care  budget  health  care  cost  healthcare  cost  budget2010  budget2015  elderly  care  adult  social  care  Council  bed  blocking  Services  Public  Services  Simon  Stevens  health  policy  health  prevention  intervention  GP  cancer  diabetes  high  blood  pressure  quality  of  life  well  being  loneliness  Disabled  heart  disease  Food  Politics 
april 2016 by asterisk2a
NHS in £2.4bn funding boost for GP services in England
NHS chiefs in England have announced a five-year plan to help GP surgeries "get back on their feet" and to improve access for patients. The rescue package will see an extra £2.4bn a year ploughed into services by 2020 - a rise of 14% once inflation is taken into account. It will pay for 5,000 more GPs and extra staff to boost practices. [...] It means more than 10% of health spending will go on GP care - up from just over 8% currently.
OAP  GP  A&E  waiting  times  NHS  England  NHS  health  care  cost  health  care  demand  health  care  budget  health  care  spending  ageing  population  demographic  bubble  premature  ageing  diet-related  disease  chronic  disease  cancer  diabetes  obesity  chronic  low-grade  inflammation  well  being  sick  population  health  crisis  high  blood  pressure  osteoporosis  osteoarthritis  babyboomers  rationing  staff  shortage  staff  morale  locum  doctor  locum  staff  Simon  Stevens 
april 2016 by asterisk2a
Revealed: England faces shortfall of 10,000 primary school places
[ we are not all in it together ] Councils say funding pressure is deepening crisis but Department for Education says free schools will make up the numbers [...] [north and deprived areas] The latest data reveals that the councils facing shortfalls in places by 2019-20 are Bolton, Manchester, Oldham, Leeds, Leicester, Birmingham, Walsall, Bexley, Greenwich, Richmond upon Thames, Sutton and Slough. //&! Poor children need better chance of good school place, says report. High-performing primary schools are under-selecting pupils from low-income families, claims education charity - bit.ly/23AJFFf
staff  shortage  staff  morale  austerity  education  policy  Academy  Nicky  Morgan  Michael  Gove  Council  Public  Services  Social  Services  deprivation  Gini  coefficient  Generationengerechtigkeit  triple-lock  pension  mobility  income  mobility  poverty  trap  child  poverty  food  poverty  fuel  poverty  well  being  poverty  selection  bias  prejudice  snap  judgement  George  Osborne  David  Cameron  budget2015  budget2016  general  election  2015  constituency  Party  Funding  election  campaign  promises 
april 2016 by asterisk2a
GP appointment waiting times crisis revealed in Labour research
Research finds 14.2m patients waited a week to see their doctor or did not manage to get an appointment at all in 2015 [...] Many of the UK’s 9,770 GP surgeries are struggling to cope with a growing and ageing population and as pressures have risen, the number of GPs has not kept pace, with an increasing number opting for early retirement. That has coincided with a failure to attract enough graduate medics into choosing general practice as a career.

Labour, which conducted the research, said constituents have desperately sought their help to get a GP appointment. The revelation in December that patients were having to queue in the dark from 6.30am outside their surgery in Surrey helped to highlight the problem.
NHS  England  austerity  GP  staff  shortage  staff  morale  locum  doctor  locum  staff  NHS  health  care  demand  ageing  population  sick  population  health  crisis  premature  ageing  diet-related  disease  chronic  disease  babyboomers  UK  OAP  Jeremy  Hunt  health  care  cost  public  health  rationing 
april 2016 by asterisk2a
Is the NHS in England stuck with soaring demand?
service struggling to keep up with demand. [...] ambulance response times, delays in A&E, and treatment for cancer - have been missed. All this against a background of increased attendances, more referrals & GPs being busier than ever. So is the NHS is stuck in a never-ending cycle of soaring demand? The kitchen at Stanborough Lodge care home in Welwyn Garden City is part of the NHS frontline in the fight to ease the strain on hospitals. [...] Staff and residents of care homes are being taught to cook nutritious foods [...] "And I think we're going to have to see the NHS pull its finger out a bit in terms of making those investments." Whatever differences there may be about why the NHS is so stretched, there is no denying that with money so tight and performance slipping on many fronts, time to find a solution is running out. //&! bbc.in/23xX0yf &! bbc.in/1S95lh1 [...] system facing both inexorably increasing patient numbers and severe financial strain."
rationing  health  inequality  NHS  NHS  England  NHS  Scotland  NHS  Wales  Jeremy  Hunt  health  care  budget  health  care  cost  health  care  demand  health  care  spending  diet-related  disease  chronic  disease  sick  population  health  crisis  heart  disease  cancer  obesity  overweight  diabetes  self-medication  addiction  substance  abuse  alcohol  abuse  alcoholism  coping  mechanism  food  abuse  Politics  food  poverty  food  borne  illness  food  born  pathogen  food  poisoning  Standard  American  Diet  Western  pattern  lifestyle  tobacco  binge  drinking  OAP  ageing  population  demographic  bubble  babyboomers  fast  food  junk  food  animal  protein  animal  fat  processed  food  food  engineering  bed  blocking  elderly  care  adult  social  care  austerity  public  health  policy  prevention  GP  health  coach  short-termism  waiting  times  A&E  complex  needs  staff  shortage  staff  morale  locum  doctor  locum  staff 
april 2016 by asterisk2a
A&E delays reach new record level
A&E performance in England sank to a new low in February for the second month in a row, official figures show. [...] And in another sign of growing A&E pressures, a unit in Lancashire is being forced to close overnight from next week because of a staffing crisis. Bosses running the Chorley A&E said they had to take the step because they did not have the doctors to staff the unit. //&! Staff shortage prompts Chorley Hospital A&E temporary closure - bbc.in/1Wta823 //&! Chorley A&E closure: A cautionary tale? [...] [cap on locum staff and doctor pay] Like many A&E units, Chorley relies heavily on locum staff. This is because there is a national shortage of doctors willing to work in emergency departments full time. [...] As one person put it to me: "The problems being experienced in the health services are simply too great to be resolved by knee-jerk government policies - no matter how well intentioned they are." - bbc.in/23xX0yf
NHS  NHS  England  austerity  A&E  A&E  A&E  Budget2016  health  care  demand  OAP  sick  population  health  crisis  babyboomers  diet-related  disease  chronic  disease  premature  ageing  staff  shortage  staff  morale  locum  doctor  locum  staff  Junior  Contract  Junior  Doctors  Jeremy  Hunt  public  health  public  health  policy  prevention  GP 
april 2016 by asterisk2a
ACTION NEEDED TO MAINTAIN NHS SCOTLAND SERVICES, REPORT WARNS
NHS Scotland will not be able to provide the same level of service in the future unless urgent action is taken to alleviate the pressures it faces, according to a new report. The health service is struggling with tightening budgets, rising costs, higher demand for services, pressure to meet targets and increased staff vacancies, Audit Scotland said. It warned the Scottish Government has not made sufficient progress towards its 2020 vision to change the balance of healthcare to more community-based settings. [...] Boards spent £284 million on temporary staff in 2014/15, an increase of 15% from the previous financial year.

The number of agency nursing and midwifery staff increased by 53% while s pending on locum doctors increased by 22%.
NHS  Grampian  NHS  Scotland  austerity  staff  morale  staff  shortage  locum  staff  locum  doctor  SNP  health  care  budget  health  care  cost  health  care  demand  health  care  spending  sick  population  demographic  bubble  health  crisis  OAP  babyboomers  chronic  disease  diet-related  disease  cancer  heart  disease  obesity  diabetes  GP  A&E  austerity  A&E  prevention 
april 2016 by asterisk2a
Nicky Morgan heckled by teachers, walks off stage in silence - NASUWT Conference 2016
Chris Keates' Response to Secretary of State for Education Nicky Morgan - youtu.be/UAB5X0WYI9s //&! 4:30 - Question time (3/4): Will forcing schools to convert into academies raise standards? (17 Mar 16) - youtu.be/oj7Uky-yVyQ //&! Are Nicky Morgan's "elite teachers" a bad idea? - youtu.be/Y0GNOGj6gV4 - London Academy success is exception. No other Academy outside London had not the turn-around!
education  policy  Academy  Nicky  Morgan  Ofsted  staff  shortage  staff  morale  austerity  David  Cameron  George  Osborne  Council  Public  Services  Social  Services  well  being  child  poverty  poverty  trap  mental  health  deprivation  poverty  food  poverty  Michael  Gove  Budget2016 
april 2016 by asterisk2a
Schools Minister Nick Gibb gets a grilling on new academy plan - Newsnight
[ multi-Academy Trust ] Schools Minister Nick Gibb explains the government's new academy plan for schools in England - and faces tough questions from presenter James O'Brien and policy editor Chris Cook. // Outside of London, there are no Academy Trust Chain's that are meeting gov targets. More power removed from Councils/Local Authority into Westminster/Education Secretary/Department for Education and has bad record itself to manage its budget and improve outcomes. // Academies won't do better in deprived areas ...
Academy  budget2016  Privatisation  Nicky  Morgan  Council  austerity  planning  Public  Services  Social  Services  Michael  Gove  Ofsted  Primary  School  staff  shortage  staff  morale  education  policy  Workers  Union  Trade  Union  deprivation 
march 2016 by asterisk2a
Academy trust lauded by Cameron in 'serious breaches' of guidelines
Investigation into Perry Beeches academy trust finds serious concerns about financial management, control and governance [...] An academy trust singled out for praise by David Cameron and both current and former Conservative education secretaries has been given a financial notice to improve, after an investigation found “serious breaches” of guidelines.

Government reports raised concerns about potential conflicts of interest involving Perry Beeches academy trust and companies linked to some of its senior administrators. They also found problems with the number of pupils declared as eligible for free school meals. [...] The previous year, Gove was told the Conservative party conference: “There are some amazing schools in Birmingham, there are some great independent schools, there are some great grammar schools, but I have to say the best schools in Birmingham are Perry Beeches I and Perry Beeches II.”

The current education secretary Nicky Morgan has also spoken favourably about the trust.
Academy  education  policy  budget2016  George  Osborne  Nicky  Morgan  Michael  Gove  staff  staff  morale  Privatisation  UK  austerity  underinvestment  PISA  Ofsted  shareholder  capitalism  crony  capitalism  general  election  2020 
march 2016 by asterisk2a
BBC Radio 5 live - In Short, Is the UK’s 'superficial' maths teaching style making us fall behind?
According to Andreas Schleicher of the Organisation of Economic Co-operation and Development, children in the UK are falling behind in maths, due to a ‘superficial’ teaching style based on memorising facts, rather than understanding mathematical concepts.

Mathematician and co-author of Maths for Mums and Dads, Rob Eastaway thinks that “good ways of teaching are problem solving and real world context.”

When teaching 9 and 10 year olds he uses maths and magic, playing number games with the children which makes them “excited…they want to know how, explore and investigate”.
PISA  education  policy  OECD  staff  shortage  staff  morale  super  size  classroom  austerity  Michael  Gove  Nicky  Morgan  Ofsted 
march 2016 by asterisk2a
Every English school to become an academy, ministers to announce | Education | The Guardian
Education bill, set to be published within days, will take every single school in England out of local government control, Legislation to turn every school in England into an academy independent of local authority control will be unveiled in the budget on Wednesday. Draft leglislation, to be published possibly as early as Thursday, will begin the process of implementing a pledge made by David Cameron in his conference speech last autumn. The prime minister said his “vision for our schooling system” was to place education into the hands of headteachers and teachers rather than “bureaucrats”. [...] accountability and oversight falls on to Whitehall alone. [...] “no evidence to suggest that academisation in and of itself leads to school improvement”. [...] Concerns have already been raised about whether there would be enough good sponsors to take on schools.
education  policy  Privatisation  UK  staff  shortage  Ofsted  Academy  Tories  Nicky  Morgan  planning  staff  morale  PISA  David  Cameron  post  code  lottery  social  mobility  Gini  coefficient  accountability  austerity  oversight  Michael  Gove  child  poverty 
march 2016 by asterisk2a
Not enough doctors for 7-day NHS, says Royal College head - BBC News
There are not enough doctors to run a seven-day NHS in England, according to a leading doctor.
In a speech on Tuesday, Royal College of Physicians president Prof Jane Dacre will warn ministers the issue must be addressed if their policy is to work.
She will highlight research that shows vacant posts are not being filled and gaps in rotas are being seen.
It comes as ministers are locked in a dispute with junior doctors over their plans for improving weekend care.
Jeremy  Hunt  NHS  staff  shortage  austerity  locum  staff  staff  morale  NHS  England  budget2010  budget2015  Manifesto  sick  population  health  crisis  demographic  bubble  premature  ageing  babyboomers  Tories  constituency  GP  A&E  cancer  heart  disease  obesity  diabetes  general  election  2015  election  campaign  promises  David  Cameron  OAP  George  Osborne  elderly  care  adult  social  care  Council  Public  Services  Services  nasty  party  policy  folly  policy  error  Junior  Doctors 
march 2016 by asterisk2a
Top doctors' positions lying empty at NHS Grampian and NHS Highlands - Press and Journal
Almost one in 10 senior doctors’ posts are lying vacant in north and north-east health boards. Shock new figures from the Scottish Government reveal that health boards across the region are struggling to fill key positions, including cancer specialists. Both NHS Grampian and NHS Highlands have dozens of posts lying empty – some for more than six months. More than 50% of oncologists’ positions – specialists who deal with tumours – are currently unfilled across the north of Scotland, according to the figures. [...] Health Secretary Shona Robison insisted NHS staffing was at its highest ever level. [...] The total number of consultant vacancies across health boards in the north of Scotland is 7%. [...] “The board has well documented challenges in recruiting to consultant posts in rural general hospitals and locum staff are recruited on an on-going basis to maintain service delivery.” [...] “We acknowledge that more work is needed and we are dedicated to doing that.”
NHS  Grampian  staff  shortage  staff  morale  locum  staff 
march 2016 by asterisk2a
Budget cuts pose 'serious danger' to education standards - Press and Journal
There is a “serious danger” that severe budget cuts will mean that schools will not be able to maintain their current standards of education, headteachers have warned. Schools across England are being forced to cut courses, equipment and books, increase class sizes and make redundancies amid a continuing squeeze on finances, according to the Association
education  policy  attainment  gap  post  code  lottery  social  mobility  austerity  staff  morale  staff  shortage  income  mobility  deprivation  UK  Tories  Nicky  Morgan  Michael  Gove  David  Cameron  George  Osborne  poverty  trap  child  poverty  food  poverty  child  care  tax  credit  working  tax  credit  child  tax  credit  apprenticeships 
march 2016 by asterisk2a
Secondary school places for all 'undeliverable', councils warn - BBC News
[ planning taken out of hands of councils ] [ first the teachers strike (2014), then the doctors strike (2015/2016) - bit.ly/1T3QTfc ] The legal duty of councils in England to ensure that every child has a school place could soon become undeliverable, local authorities have warned. With a population bulge about to hit secondary schools, councils want powers to open new maintained schools and to compel academies to expand. Thousands of children are due to hear on Tuesday which secondary school they will attend from September. However the government says the warning amounts to "scaremongering". The population bulge which has put primary schools under pressure will start hitting secondary schools this year, according to official figures. Last year councils had to provide 2,740,000 secondary school places, but this will rise to 3,287,000 by 2024, the figures predict.
UK  education  policy  austerity  Council  Public  Services  Social  Services  staff  shortage  staff  morale  Generationengerechtigkeit  fairness  classroom  size  mobility  income  mobility  Gini  coefficient  post  code  lottery  deprivation  Perspektivlosigkeit  child  poverty  poverty  trap  attainment  gap  Tories  nasty  party  dogma  ideology  Conservative  Toff  Privileged  Establishment  budget2010  budget2015  Westminster  Whitehall  No  Representation  Career  Politicians  George  Osborne  Nicky  Morgan  Michael  Gove  David  Cameron 
february 2016 by asterisk2a
Thousands of NHS nursing and doctor posts lie vacant - BBC News
[ rising demand ] Tens of thousands of NHS nursing and doctor posts are vacant. The figures, obtained by the BBC, show the extent of the NHS recruitment crisis. Health unions blame poor workforce planning, but officials say the NHS has more staff than ever before. Data from a BBC Freedom of Information request shows that on 1 December 2015, the NHS in England, Wales and Northern Ireland had more than 23,443 nursing vacancies. That's equivalent to 9% of the workforce. For comparison, the average vacancy rate across the UK economy from November to January 2016 was 2.7%, according to figures provided by the Office for National Statistics. [...] These figures show that between 2013 and 2015, there has been a 50% increase in nursing vacancies, from 12,513 to 18,714. For doctors, the number of vacancies went from 2,907 to 4,669 over the same period, an increase of roughly 60%
GP  A&E  staff  morale  locum  staff  staff  shortage  NHS  England  NHS  Scotland  austerity  budget2010  budget2015  NHS  Bursary  Junior  Doctors  Jeremy  Hunt  demographic  bubble  ageing  population  OAP  adult  social  care  premature  ageing  Disabled  vulnerable  stroke  heart  disease  heart  attack  cancer  mental  health  babyboomers  diet-related  disease  chronic  diseases  western  lifestyle  obesity 
february 2016 by asterisk2a
Junior doctors set to hold more strikes - BBC News
[ imposition of contract to make 7-day NHS possible and cheaper. ] Junior doctors are to take part in three more strikes and launch a judicial review as part of their fight against the government's decision to impose a new contract in England. [...] The news comes hours after the government's former patient safety adviser said ministers were wrong to impose the contract. Prof Don Berwick, who led a review for government on safety three years ago, said there should be a three-year moratorium on the imposition of the new contract and called on the government to "apologise". He said the NHS had a "demoralised" workforce and needed to find another way out of the "mess", the Health Service Journal reported. [...] "You cannot achieve excellence in combat with your future workforce, it makes no sense at all." &! bbc.in/1p0ybs8 //&! bit.ly/1LEoww7
NHS  NHS  England  Junior  Doctors  Jeremy  Hunt  austerity  BMA  Whitehall  Westminster  Tories  Conservative  Party  nasty  George  Osborne  David  Cameron  health  care  budget  health  care  spending  OAP  GP  premature  ageing  ageing  population  demographic  bubble  babyboomers  A&E  chronic  diseases  diet-related  disease  staff  morale  locum  staff  staff  shortage 
february 2016 by asterisk2a
GPs call for more Scottish government funding - BBC News
GPs have lost out on £1.6bn of investment over the last 10 years, according to the Royal College of General Practitioners Scotland. It claims there have been "cumulative cuts" to general practice's share of NHS Scotland spending over a decade. The RCGP Scotland is lobbying for general practice to receive 11% of the Scottish NHS budget. But ministers insisted GP funding had increased each year under the SNP administration. The RCGP said Scots had lost about 4.5 million consultations per year over 10 years and called for the Scottish government to stop the decline in funding. Opposition parties also hit out at the "staggering level of underinvestment" in community health. //&! Labour and the SNP trade claims over hospital waiting times - bbc.in/1VArMON
GP  OAP  ageing  population  premature  ageing  demographic  bubble  NHS  NHS  Scotland  austerity  NHS  England  A&E  sick  population  health  crisis  health  care  budget  health  care  spending  staff  morale  locum  staff  staff  shortage  prevention  intervention  post  code  lottery 
february 2016 by asterisk2a
Virtually all hospitals now in deficit - BBC News
[ demand of ageing chronically sick population outstrips all planning 5 years, again and again and again ] Adam Roberts, of the Health Foundation think tank, said: "These figures are beyond dire. A comprehensive national plan is urgently needed." The situation raises the prospect of the Department of Health failing to balance the overall books, which would be a huge embarrassment given the extra money the NHS is getting. In autumn's spending review the government announced the NHS would get an extra £8.4bn this Parliament. A big chunk of that, £3.8bn, is being put in next year. [...] [Commentary:] This time the impact is likely to be felt in terms of what doesn't happen. The government has promised the NHS extra money in the coming years to help it cope with demand and transform itself to become fit for the 21st century. But if that goes on paying off debts, the NHS will be on the back foot straight away. The risk then is that a vicious circle develops ... &! bbc.in/1lOPU4z
NHS  health  care  budget  health  care  spending  sick  population  health  crisis  cancer  obesity  overweight  metabolic  syndrome  diabetes  OAP  A&E  GP  premature  ageing  ageing  population  babyboomers  chronic  diseases  diet-related  disease  chronic  low-grade  inflammation  staff  morale  locum  staff  staff  shortage  austerity  Standard  American  Diet  Dietary  Fiber  cholesterol  Western  pattern  Sugar  Tax  Food  Politics  lifestyle  sedentary  lifestyle  tobacco  smoking  alcohol  abuse  substance  abuse  self-medication  coping  mechanism  abuse  alcoholism  bed  blocking  elderly  care  Council  Public  Services  Social  Services  adult  care 
february 2016 by asterisk2a
Dispatches - 999: Where's My Ambulance? - All 4
[ demand resources mismatch ] rising demand, growth over a quarter in some parts. [...] "find innovative ways to deal with demand." [ no mention of more money for the babyboomers and OAP and elderly and adult social care. ]
NHS  austerity  staff  morale  locum  staff  staff  shortage  CQC  public  safety  public  health  policy  public  health  health  crisis  health  care  budget  health  care  spending  OAP  sick  population  premature  ageing  ageing  population  diet-related  disease  chronic  diseases  babyboomers  heart  disease  diabetes  obesity  metabolic  syndrome  cancer  mental  health  mental  illness  adult  social  care  elderly  care  bed  blocking 
february 2016 by asterisk2a
Should Ofsted get a US boss? - BBC News
In particular, they are considering candidates who have been involved in the charter school movement, state-funded independent schools, with a similar ideological DNA to academies and free schools in England. The big impact of charter schools has been in the most deprived urban areas, credited with re-energising schools that had been in a state of chronic decline. It's a claim rejected by their opponents, particularly in US teachers' unions, who say that the successful glitz and PR around charter schools is not backed up by any significant long-term advantage. Some charter schools do well, some do badly... like any other type of school, they argue. The current mayor of New York, Bill de Blasio, has been accused by charter school groups of putting up "roadblocks" to their expansion. [...] [ PISA & a very mixed picture in USA ... and no co-operation, collaboration and trust. ]
education  policy  Ofsted  regulation  regulators  staff  morale  staff  shortage  austerity  UK  Gini  coefficient  social  mobility  income  mobility  inequality  child  poverty  tax  credit  Food  Bank  poverty  fuel  poverty  single  mother  poverty  poverty  trap  Services  Public  Services  Council  Tories  nasty  party  Nicky  Morgan  Michael  Gove  George  Osborne  David  Cameron  living  wage  minimum  wage  Precariat  precarious  work  working  poor  low  pay  low  income  income  inequality  health  inequality  Toff  Privileged  Establishment  Westminster  Whitehall  No  Representation  bailout  tax  evasion  tax  avoidance  PISA  Workers  Union  Trade  Union 
february 2016 by asterisk2a
Calls for 'homegrown talent' to take over as next Ofsted chief | Education | The Guardian
Concerns raised over reports that the education secretary wants to appoint an American with a record of resisting unions to replace Sir Michael Wilshaw [...] Morgan is reportedly looking overseas to replace Michael Wilshaw, who will stand down in December. According to the Sunday Times, she is keen to recruit an outsider who has defeated union resistance to education changes abroad in order to raise school standards in the UK. [...] we’ve seen year after year, ministers are failing to recruit and retain enough teachers, threatening our future economic success and the prospects of young people in the global education race.” [...] Tensions between state school leaders and Ofsted have risen under Wilshaw’s reign, in part because of the threat of struggling schools being turned into academies after receiving critical inspections.
Nicky  Morgan  education  policy  Workers  Union  Trade  Union  austerity  Gini  coefficient  social  mobility  income  mobility  inequality  deprivation  UK  staff  shortage  staff  morale  child  poverty  food  poverty  poverty  trap  income  inequality  David  Cameron  George  Osborne  Generationengerechtigkeit  fairness  child  care  tax  credit  poverty  apprenticeships  competitiveness  STEM  financial  literacy  literacy  PISA  Privatisation  Ofsted  CQC 
february 2016 by asterisk2a
Was a deal over doctors' contracts ever possible? - BBC News
[ resources already pledged do not meet demand. especially chronic and complex diseases taking too much of a share of resources. ] In short, the profession believes if staffing is to be increased at weekends it needs to be accompanied by an increase in investment. But ministers are trying to do this for the same money. The sums simply don't add up, doctors say.
Jeremy  Hunt  David  Cameron  NHS  underinvestment  Junior  Doctors  staff  morale  locum  staff  staff  shortage  budget2010  budget2015  mental  health  elderly  care  adult  social  care  Council  minimum  wage  bed  blocking  A&E  GP  sick  population  health  crisis  health  care  budget  health  care  spending  diet-related  disease  chronic  diseases  premature  ageing  premature  death  ageing  population  babyboomers  prevention  intervention  cancer  heart  disease  diabetes  obesity  BMA  Tories  Conservative  Party  trickle-down  economics  neoliberalism  neoliberal  dogma  ideology  nasty  PR  Positioning  misrepresentation  spin  doctor  Toff  Establishment  Privileged  Westminster  Whitehall  No  Representation  democracy  bank  bailout  tax  evasion  tax  avoidance  austerity  budget  deficit  George  Osborne  vulnerable  Disabled 
february 2016 by asterisk2a
NHS watchdog to 'monitor social media care complaints' - BBC News
Comments on social media will be used by England's health regulator to learn of possible NHS failings as part of an inspection overhaul, it is reported. [...] The CQC's budget is being cut and it expects to carry out fewer inspections. Mr Wyman told the newspaper the new strategy would not "rip up" the current approach to inspection, but "refine" its methods. [ Tories cut the budget of the regulator they have created - LOL ] [...] In the consultation document, the CQC says it expects its budget to be cut from £249m in the current financial year to £217 million in 2019-20.
CQC  NHS  austerity  accountability  transparency  oversight  neglect  malpractice  NHS  England  Social  Media  Big  Data  Meta  Data  staff  morale  locum  staff  staff  shortage  self-regulation  regulators  budget2015 
february 2016 by asterisk2a
Hospitals may refuse to impose Jeremy Hunt’s new contract on junior doctors | Society | The Guardian
[7-day service] Tory unrest grows over health secretary’s gamble as opt-out could lead to a flood of local deals with trusts [...] The Guardian has established that none of the 152 foundation trust hospitals in England will be obliged to force their junior doctors to accept the deal and can instead offer them better terms. The disclosure of an opt-out for top hospitals threatens to derail the health secretary’s controversial push to impose new terms and conditions on all 45,000 junior doctors that has sparked their bitter and long-running dispute. [...] Labour accused Hunt of misleading parliament on Thursday by claiming in his Commons statement that an array of “senior NHS leaders” backed imposition. Thirteen of the 20 supposed signatories of a letter of support have since disowned it and said they do not back Hunt. [...] A growing number of medical organisations are warning that Hunt’s move will worsen the NHS’s shortage of medical staff. [ misrepresenting weekend deaths ]
NHS  Jeremy  Hunt  Tories  nasty  party  Conservative  David  Cameron  George  Osborne  Manifesto  general  election  2015  election  campaign  promises  Junior  Doctors  budget2015  PR  spin  doctor  Positioning  misrepresentation  staff  morale  staff  shortage  locum  staff 
february 2016 by asterisk2a
Andrew Mitchell's daughter calls for sacking of Jeremy Hunt | Politics | The Guardian
The daughter of the former cabinet minister Andrew Mitchell, a junior NHS doctor, has called for Jeremy Hunt to be sacked, accusing the health secretary of misusing statistics and alienating “an entire generation of junior doctors”. Dr Hannah Mitchell, who is currently working on a research fellowship in Botswana as part of her post-foundation programme, warns that the morale of junior doctors is at “breaking point” after Hunt imposed a new contract.
Junior  Doctors  Jeremy  Hunt  NHS  staff  morale  locum  staff  staff  shortage 
february 2016 by asterisk2a
Family of baby who died from sepsis say they were let down by NHS | UK news | The Guardian
[ demand and resource mismatch contributes to not up to date training ] “The midwives gave evidence that they had not seen the Royal Cornwall hospitals trust’s clinical guidelines for the diagnosis and treatment of early-onset sepsis until the actual inquest, despite these being published in 2013. “When the family did as they were advised and sought help from an out-of-hours helpline their call for help was handled by an unqualified maternity support worker who, through no fault of her own, stood no chance of remotely diagnosing vital symptoms of sepsis. That helpline was Charlie’s final safety net, and it failed.
septicaemia  sepsis  staff  shortage  staff  morale  locum  staff  NHS  health  care  budget  health  care  spending 
february 2016 by asterisk2a
NHS 'will miss £22bn efficiency savings target', says thinktank | Society | The Guardian
[ nothing is addressed in prevention - mismatch between demand by chronically ill (high cost and returning again and again for treatment) and resources available ] Last October Simon Stevens, the chief executive of NHS England, committed the service to plugging £22bn of the expected £30bn gap in its finances by 2020 through productivity gains of 2% or 3% a year between now and 2020. Since then the Conservatives and Liberal Democrats have promised to provide the other £8bn by 2020 from government funds, though Labour has refused to do the same. “It’s quite possible that the NHS will miss the £22bn target by quite a long way and therefore require much more than £8bn in additional funding. That’s a realistic possibility”, said Richard Murray, the King’s Fund’s director of policy. //&! bit.ly/1j6Q1q1 &! bit.ly/1QuxC1e - Cuts of £4.6bn to local authority social care press hard on the NHS – with beds blocked by frail people [...] [technically raised budget 4 NHS, but demand is rising!]
NHS  productivity  austerity  prevention  intervention  diet-related  disease  chronic  diseases  obesity  epidemic  diabetes  cancer  heart  disease  western  diet  Standard  American  Dietary  Fiber  cholesterol  pattern  diet  western  lifestyle  sedentary  lifestyle  Simon  Stevens  Jeremy  Hunt  general  election  2015  general  election  2020  staff  morale  locum  staff  staff  shortage  budget2010  George  Osborne  budget2015  adult  social  care  elderly  care  OAP  premature  ageing  ageing  population  babyboomers  sick  population  health  crisis  health  care  health  care  budget  health  care  spending  public  health  policy  public  health  Big  Sugar  Sugar  Tax  bed  blocking  Council  CQC  Privatisation 
february 2016 by asterisk2a
South Somerset deploys ‘health coaches’ to take pressure off NHS - FT.com
Chronic conditions make a big share of cost // Underpinning the approach is a careful “segmenting” of patients to discover which are making maximum demands on the system. [...] In South Somerset, it was discovered that just 4 per cent of local people were between them consuming up to 50 per cent of the health and social care budget. High quality global journalism requires investment. Early results among a sample group of 100 patients are striking. Emergency admissions have fallen by 42 per cent, accident and emergency department visits by 4 per cent and outpatient appointments by 15 per cent, year on year, since the establishment of a “hub”, bringing together doctors, nurses and care workers to span the historically iron divide between GP surgery, community and hospital services. [...] “health coaches”. Cheaper than clinicians, and bringing a different skill set, they are seen as key to ensuring patients take responsibility for their own health [...] [mismatch of resources & demand]
chronic  diseases  chronic  low-grade  inflammation  diet-related  disease  sick  population  health  crisis  premature  ageing  ageing  population  demographic  bubble  OAP  GP  A&E  adult  social  care  elderly  care  disability  prevention  market  intervention  Bariatric  Surgery  IVF  Standard  American  Diet  dietary  cholesterol  Western  pattern  heart  disease  cancer  smoking  tobacco  alcohol  abuse  deprivation  Perspektivlosigkeit  poverty  trap  well  being  mental  health  vulnerable  Disabled  lifestyle  sedentary  lifestyle  NHS  Jeremy  Hunt  constituency  babyboomers  diabetes  staff  morale  locum  staff  staff  shortage  Junior  Doctors  overweight  lifestyle  medicine 
february 2016 by asterisk2a
Carter report paints grim picture of NHS - FT.com
[ save 22bn by parliament end and you will get 8bn a year additionally. your Jeremy Hunt ] A government-commissioned report has painted a damning picture of a health service where bullying and harassment of staff is rife and there is little attempt to harness the NHS’s huge collective buying power. Enormous variations in everything from sickness absence to the costs of hip prostheses were uncovered by the inquiry, led by Lord Carter of Coles. His findings underline the distance the NHS still has to travel as it attempts to deliver on a target of £22bn of annual savings by 2021. [...] Some of the review’s most striking findings concern the NHS workforce. He says rates of absenteeism, alleged harassment and bullying and turnover in the NHS “do not make good reading when compared to other sectors”. //&! on.ft.com/1SK2kbQ - Productivity in NHS hospitals falls for third year
efficiency  NHS  austerity  Simon  Stevens  Jeremy  Hunt  staff  morale  locum  staff  staff  shortage  productivity 
february 2016 by asterisk2a
Junior doctors' contract set to be imposed, says Hunt - BBC News
Ministers are to impose a contract on junior doctors in England after a final offer was rejected by the British Medical Association. Health Secretary Jeremy Hunt said he had been left with no choice after the union refused to compromise. He said the final deal rejected on Wednesday was an "important step" to improving care at weekends. Chief negotiator Sir David Dalton had advised ministers to do "whatever necessary" to end the deadlock. The advice was made in a letter following the BMA decision to reject a "take-it-or-leave-it" deal on Wednesday, which included a concession on Saturday pay. [ meaning they get Saturday as weekend day but are expected to work on Saturdays? ] [...] Doctors have also warned of "brain-drain" with medics heading abroad, to other parts of the UK or into other sectors, such as the drugs industry. This, it seems, is unchartered territory - imposing a whole new contract on doctors is thought to have never been done before.
Jeremy  Hunt  BMA  Junior  Doctors  NHS  staff  morale  locum  staff  staff  shortage  GP  A&E  nasty  party 
february 2016 by asterisk2a
News that Jeremy Hunt will impose junior doctor contracts saddens me - it marks the beginning of a mass exodus | Voices | The Independent
The thing that scares me most is the change to our work patterns. The numbers of doctors in training is failing. Between 2013 and 2015 there was a 25 per cent drop in doctors applying for GP training. Furthermore, one in three emergency medicine trainees are leaving the UK to work abroad. This is bad news, and it’s serious. [...] Working on the front line of medical care in the UK, we see the NHS straining under the massive stresses, and we need more feet on the ground. The effects of the new contract will only go to stretch an already overstretched service. What people need is good emergency care. What they don’t need is an ingrowing toe-nail removed on a Saturday afternoon. What patients need is a well-rested doctor – and what they don’t need is one who is physically, mentally and emotionally exhausted after working unsafe hours. [...] Simply put, I fear that this contract is the beginning of the end.
NHS  Jeremy  Hunt  Junior  Doctors  staff  morale  staff  shortage  locum  staff  austerity  GP  A&E  Privatisation 
february 2016 by asterisk2a
Junior doctors' row: Time for the nuclear option? - BBC News
Ticker bbc.in/1TS2fBY &! BMA rejects final offer - bbc.in/1Q88sno &! bbc.in/1SJRaUx //&! [ 7-day NHS, treating Saturday not as a weekend day thus no extra pay. ] News that junior doctors have rejected a final "take-it-or-leave-it" offer from the government in the contract dispute means the nuclear option - imposition - is now a real possibility. [...] [ should BMA continue w strike action? Or should Junior Doctors concede defeat? And grant nasty party their victorious 7-day NHS for a sick population of babyboomers ... and then move on, to Canada, New Zealand, Australia, etc? ] [...] Some go abroad - to travel and to work - while others are tempted by opportunities in alternative sectors, including the pharmaceutical industry and (apparently) cruise liners who employ ship doctors. And Scotland and Wales would no doubt welcome some of the best English trainees into their health systems given half the chance. [ imposition may be short-termism, but long-term stakes could not be higher! ]
Junior  Doctors  NHS  Jeremy  Hunt  austerity  David  Cameron  George  Osborne  nasty  party  Conservative  Tories  No  Representation  Toff  Privileged  Establishment  Workers  Union  BMA  Trade  Union  premature  ageing  ageing  population  babyboomers  constituency  general  election  2015  election  campaign  promises  Manifesto  Funding  Public  Services  Social  Services  Council  elderly  care  adult  care  sick  population  health  care  budget  health  care  spending  health  crisis  A&E  GP  staff  morale  locum  staff  staff  shortage  short-termism 
february 2016 by asterisk2a
Teacher shortages in England, spending watchdog confirms - BBC News
Teacher shortages in England are growing and the government has missed recruitment targets for four years, the official spending watchdog has said. It means 28% of secondary physics lessons are taught by teachers with no more than an A-level in the subject, the National Audit Office report says. Ministers have a "weak understanding" of local teacher shortages, it adds. The government said overall teacher numbers had risen and blamed unions for "talking down" the profession. While the overall number of teachers has kept pace with rising pupil numbers, teacher shortages are growing, particularly in poorer areas and at secondary level, according to the authors. [...] "Unless government radically tackles the pay, workload and excessive accountability that teachers currently suffer, this is a situation that will get increasingly worse," said Ms Blower. //&! bit.ly/1LfqZNB
austerity  UK  social  mobility  income  mobility  education  policy  Gini  coefficient  poverty  trap  childhood  development  Generationengerechtigkeit  fairness  nasty  party  David  Cameron  George  Osborne  Toff  Privileged  Establishment  downward  mobility  staff  morale  staff  shortage  deprivation  Conservative  Tories  dogma  ideology  underinvestment  productive  investment  public  investment  Services  mental  health  well  being  chronic  stress  Services  Council  bank  bailout  constituency  babyboomers  child  tax  credit  working  poor  Precariat  low  pay  low  income  minimum  wage  tax  credit 
february 2016 by asterisk2a
Record rise in NHS dissatisfaction levels - survey says - BBC News
"What's gone wrong is the public's perception of the NHS under growing pressure. Money is tight, waiting times are getting longer, people are concerned that when they need the NHS it might not be there for them." [...] But he said the "most important set of results" were on social care. He said the satisfaction levels were "deeply concerning" and said the system needed greater funding. [...] A spokesman for the Department of Health in England said: "There is pressure on the NHS as our population ages, and that's why the government is investing record amounts to transform care." [ << BUT NO PREVENTION THROUGH PUBLIC HEALTH PROGRAMS. INSTEAD THEY CUT THE PUBLIC HEALTH (ie stop smoking support, STD clinics) by +200m in 2015 budget ]
NHS  staff  morale  locum  staff  staff  shortage  Junior  Doctors  Jeremy  Hunt  waiting  times  sick  population  health  crisis  demographic  bubble  GP  A&E  ageing  population  diet-related  disease  chronic  diseases  premature  ageing  substance  abuse  self-medication  coping  mechanism  well  being  mental  health  public  health  policy  public  health  austerity  budget2015  budget2010  public  sentiment  public  perception  nasty  party  Tories  Conservative  Toff  Privileged  Establishment  Whitehall  Westminster  adult  social  care  social  care  elderly  care  bed  blocking  Council  minimum  wage  prevention  intervention  obesity  epidemic  diabetes  cancer  heart  disease  Services  Services 
february 2016 by asterisk2a
Junior doctors' strike: BMA totally irresponsible - Jeremy Hunt - BBC News
[ by redefining Saturday as non weekend day, Gov gets it's 7 day NHS without paying more than needed ] Ministers offered doctors an 11% rise in basic pay last year, but that was offset by curbs to other elements of the pay package, including payments for unsociable hours - they have maintained there is not extra money for junior doctor pay. The government says the changes are needed to create more seven-days services, but the BMA warns safeguards to keep a lid on excessive hours are being weakened and also has concerns about career progression and weekend pay. //&! Jeremy Hunt blames unions for junior doctor concerns - bbc.in/1SFZgxs //&! Last-minute talks are taking place between doctors and government negotiators to avert Wednesday's strike over a contract dispute. - bbc.in/1TaDC45 - [Closed nearly deal; BMA] put forward a proposal that would have seen doctors' basic pay rise by about half the 11% offered by ministers in return for Saturday not to be treated as a normal working day.
Jeremy  Hunt  George  Osborne  David  Cameron  spin  doctor  PR  Positioning  nasty  party  Tories  Conservative  constituency  babyboomers  health  care  budget  health  care  spending  sick  population  health  crisis  diet-related  disease  chronic  diseases  premature  ageing  ageing  population  demographic  bubble  A&E  GP  adult  social  care  elderly  care  Council  austerity  mental  health  IVF  general  election  2015  election  campaign  promises  Manifesto  Career  Politicians  dogma  ideology  CQC  Privatisation  Westminster  Toff  Privileged  Establishment  Junior  Doctors  staff  morale  locum  staff  staff  shortage 
february 2016 by asterisk2a
NHS: Surging patient numbers - what's happening in A&E? - BBC News
Elderly patients. Heads of emergency departments point out there has not been a sudden new spike in numbers of people coming through their doors. They argue that there has been a steadily increasing trend going back a couple of years. Familiar factors are quoted, including numbers of frail, elderly patients with multiple conditions needing an increasing range of care and treatment. One specialist in geriatric medicine told me more older patients were coming into A&E because of problems with care in their home. This could be because social care was lacking in some way, or because a spouse had become unable to cope. But the surge in hospital attendances was by no means dominated by the over-65s.
GP  A&E  OAP  sick  population  health  crisis  NHS  austerity  staff  shortage  staff  morale  locum  staff  premature  ageing  chronic  diseases  diet-related  disease  ageing  population  babyboomers  demographic  bubble  elderly  care  adult  social  care  Council  Public  Services  Services  mental  health  well  being  prevention  intervention  budget  deficit  health  policy  health  health  care  budget  health  care  spending 
february 2016 by asterisk2a
Rules relaxed to become a teacher due to staffing crisis (From Herald Scotland)
[ hiring foreigners ] TEACHER shortages have forced their watchdog to relax the rules on joining the profession. Classroom staff who have qualified outside the country will now be allowed to work in a school immediately under a new conditional registration. People who secure a job in this way will be put on probation while they complete any additional studies or training required for full registration, a legal requirement.
education  policy  austerity  NHS  staff  morale  locum  staff  staff  shortage  post  code  lottery  Gini  coefficient  Public  Services  Social  Services  Council  Generationengerechtigkeit  fairness  George  Osborne  David  Cameron  dogma  ideology  Tories  nasty  party  Conservative  budget2010  budget2015  general  election  2015  election  campaign  promises  Manifesto  mobility  income  mobility  food  poverty  poverty  trap  poverty  child  poverty 
february 2016 by asterisk2a
Long hours, endless admin and angry parents – why schools just can’t get the teachers | Education | The Guardian
British schools are reporting a classroom crisis, with thousands of disaffected teachers leaving the profession, and new graduates discouraged from training because of the daily stress and grind. And with the number of state school pupils set to rise by a million by 2022, the problem is only getting worse [...] If somebody had said, ‘You can have 60 grand a year to stay,’ I would still have said no // Education secretary Nicky Morgan. // [...] Some of the factors behind stories like these are traceable to the New Labour years, but many are rooted in Michael Gove’s hyperactive four-year reign as education secretary. They go from never-ending paperwork, to a constantly changing regime of exams and assessments. Meanwhile, the prospect of a visit from Ofsted and the possibility of a bad inspection are a constant source of stress – not least because a “requires improvement” or the dread “inadequate” rating will mean even more upheaval. [ top down non-professional insight/exp burokratie ]
education  policy  UK  austerity  post  code  lottery  Generationengerechtigkeit  fairness  Tories  Conservative  Party  nasty  No  Representation  Westminster  Toff  Establishment  Privileged  policy  folly  policy  error  dogma  ideology  short-termism  NHS  staff  morale  Gini  coefficient  social  mobility  income  mobility  inequality  Sozialpolitik  Integrationspolitik  tax  evasion  tax  avoidance  Party  Funding  constituency  general  election  2015  election  campaign  promises  Manifesto  general  election  2010  budget  deficit  George  Osborne  David  Cameron  poverty  poverty  trap  child  poverty  burokratie 
february 2016 by asterisk2a
Next week's junior doctor strike on - BBC News
[ after they came back on the table from the first strike and another strike as been called off during negotiation ] Next week's strike by junior doctors in England will go ahead as talks with the government have failed to reach a solution - but union leaders say medics will provide emergency cover. [...] BMA junior doctor leader Dr Johann Malawana said despite some "good progress" the union had been left no choice but to announce the stoppage would take place. He accused the government of taking an "entrenched" position by insisting the extra pay doctors get for working on a Saturday is cut. [ Tories redefine WEEKEND, as they did with poverty, and else ] Dr Malawana said: "What we are asking for is fair and affordable recognition of unsocial hours."
Tories  nasty  party  NHS  austerity  Jeremy  Hunt  BMA  Junior  Doctor  staff  morale  locum  staff  staff  shortage  David  Cameron  George  Osborne  general  election  2015  election  campaign  promises  Manifesto  babyboomers  constituency  budget  deficit  budget2015  Conservative  Toff  Privileged  Establishment  No  Representation  social  democracy  fairness  Generationengerechtigkeit  premature  ageing  ageing  population  OAP  A&E  GP  elderly  care  adult  social  care  Public  Services  Services  Council  health  policy  health  sick  population  health  crisis  health  care  budget  health  care  spending  PR  spin  Positioning  work  life  balance  well  being  happiness  chronic  stress  burnout 
february 2016 by asterisk2a
Will Self: the NHS is a power that can jolt even the most despairing back to life | Society | The Guardian
I’ve thought about the politics, sociology and culture of healthcare in this country a great deal, and long since reached the conclusion that there’s a sort of Malthusian gap ever widening between our desire for more and better treatments and the NHS’s capability to deliver them all, free and on demand. We’re suckers for medical science’s promise of yet more heroic − nay, Frankensteinian − interventions. Good materialists that we’ve become, we have faith that at some point in the not-too-distant future our marvellous doctors, nurses and support staff will be able to palliate − if not cure − just about everything. This is the ultimate redistribution − one of mortality itself – and it’s come to occupy the psychic space that other redistributive concepts, such as socialism, once held. [...] an inability to look after ourselves any more.
NHS  sick  population  health  crisis  cancer  A&E  substance  abuse  diabetes  metabolic  syndrome  heart  disease  diet-related  disease  western  lifestyle  Standard  American  Diet  pattern  western  Dietary  Fiber  health  care  budget  health  care  spending  OAP  ageing  population  demographic  bubble  premature  ageing  Food  Politics  self-regulation  heart  attack  public  health  policy  public  health  GP  binge  drinking  staff  shortage  staff  morale  locum  staff  austerity  Privatisation  CQC 
january 2016 by asterisk2a
On call in Shetland: a cliff-hanging GP at the NHS's northern limits | Society | The Guardian
ut Bowie is nervous about the future of her practice. She will retire soon and has no clear idea what will happen when she does, particularly to her out-of-hours service – a voluntary part of her work. There is a chronic shortage of new family doctors across the UK. Scotland, where a third of all GPs plan to retire in the next five years, is no exception. The Royal College of General Practitioners estimates between 563 and 915 new family doctors may be needed by 2020. Shetland alone has five GP vacancies.
GP  NHS  NHS  Scotland  staff  morale  locum  staff  staff  shortage  austerity  budget2010  budget2015 
january 2016 by asterisk2a
Colchester General Hospital rated 'inadequate' over poor care - BBC News
A hospital has been rated inadequate for a second year with some patients at "high risk" of harm and equipment often out of date, inspectors said. Colchester Hospital's leadership was labelled "poor" by the Care Quality Commission (CQC), which put the hospital in special measures in 2013. End-of-life patients did not always receive "safe or effective care", the watchdog also found. The hospital said the report did not reflect the improvements it had made. Operations were regularly cancelled and some cancer patients had to wait more than 100 days for treatment, the CQC found. [...] August 2015: The data inaccuracies were found to be due to "managerial incompetence" rather than any criminal offence
NHS  austerity  CQC  staff  morale  locum  staff  staff  shortage 
january 2016 by asterisk2a
A&E 'on the edge and waits too long', says leading doctor - BBC News
Hospital emergency departments in Wales are "on the edge" with staff shortages and waiting times too long, a leading A&E doctor has warned. Dr Robin Roop, head of the Royal College of Emergency Medicine in Wales (RCEM), said some patients were waiting more than 24 hours in A&E. [...] He warned no A&E department in Wales had enough consultants to meet minimum RCEM staffing levels. [...] "The health boards have learnt from previous years about winter pressures and what needs to be done - things like expanding bed capacity and changing elective operations - they've worked to a small degree," he said. [ << improving on the margins, don't turn the tide, a tide of chronically sick OAP ]
NHS  austerity  A&E  OAP  ageing  population  demographic  bubble  premature  ageing  chronic  diseases  babyboomers  public  health  policy  public  health  sick  population  health  crisis  health  care  budget  health  care  spending  GP  staff  morale  locum  staff  staff  shortage  Westminster  Jeremy  Hunt 
january 2016 by asterisk2a
10 truths about Britain's health service | Society | The Guardian
The NHS is facing a remarkable surge in numbers of people with mental illness – at the same time as multimillion-pound government cuts in services. In 2014 there were 57.1m prescriptions issued for antidepressants in England – an increase of more than 100% over 10 years. One in five young people experience anxiety or depression. But the government has been accused of cutting £80m from mental health services over the past five years.
NHS  health  inequality  double  standard  mental  health  mental  illness  austerity  budget2015  budget2010  Tories  nasty  party  Conservative  constituency  minority  staff  morale  locum  staff  staff  shortage  bed  shortage 
january 2016 by asterisk2a
NHS chief demands political consensus on funding elderly and social care | Society | The Guardian
Stevens believes David Cameron’s administration should look at all the options for finding the billions of pounds needed, including revisiting the “triple lock”, which guarantees Britain’s pensioners generous annual increases in their state pension until 2020. [ ie could tax big pensions! progressive tax on income vs flat income tax/NI and sugar tax, food chain tax, animal products tax, processed food tax, engineered food tax ] In an interview with the Guardian, Stevens suggested ministers should be prepared to risk upsetting Britain’s growing army of senior citizens by looking at whether the benefits they receive are fair to working-age and younger people. [...] Last week, the House of Commons work and pensions select committee launched an inquiry into income inequality between older and younger people. [...] [babyboomers get 118% out of what they've paid] //&! bit.ly/1OscF7D - how much is sick population willing to pay?
NHS  ageing  population  premature  ageing  babyboomers  demographic  bubble  chronic  diseases  diet-related  disease  cancer  diabetes  obesity  heart  disease  UK  health  care  budget  health  care  spending  health  care  health  crisis  sick  population  staff  morale  locum  staff  staff  shortage  Generationengerechtigkeit  fairness  progressive  tax  code  Sugar  Standard  American  Diet  food  industry  Nudge  theory  intervention  prevention  elderly  care  adult  social  care  Public  Services  Services  austerity  national  insurance  generation  rent  lost  generation  Millennials  GP  mental  health  mental  illness  health  inequality  post  code  lottery  Simon  Stevens 
january 2016 by asterisk2a
This is the NHS | The Guardian
series this is the nhs // intro bit.ly/1V08gdX - top 5 largest workforce of the world, employing 1.6m people. //&! A portrait of the National Health Service: 'It's almost like a religion' - bit.ly/1NeHbOq - At a critical moment in the NHS’s history, as demand for the care it provides soars and questions over its viability mount, how do its employees feel about their jobs, their employer, its future – and what “the opportunity to serve” actually means for them? [...] “We keep frail people alive for longer, and older patients present more complex cases, and use more resources. [ progressive NHS tax, not flat tax << fairness. also wealthier live healthier ... + Sugar, Tobacco, Animal Product Tax, Processed Food Tax ] [...] [ rising cost, rising diet-related chronic diseases like diabetes amongst population ] 15-16% of all adults, climbing 1% a year for the past five, six years. [ need intervention, prevention, nudging - multi pronged approach ] more than 135 diabetes amputations/week
NHS  ageing  population  premature  ageing  babyboomers  demographic  bubble  chronic  diseases  diet-related  disease  cancer  diabetes  obesity  heart  disease  UK  health  care  budget  health  care  spending  health  care  health  crisis  sick  population  staff  morale  locum  staff  staff  shortage  Generationengerechtigkeit  fairness  taxation  progressive  tax  code  tax  code  tax  evasion  tax  avoidance  tax  free  income  tax  credit  Sugar  Standard  American  Diet 
january 2016 by asterisk2a
The UK must invest in mental health help | Letters | Society | The Guardian
the cost of mental ill health in England has been estimated to be £105bn per year. Fortunately, a number of evidence-based psychological therapies exist and are effective. Investment in psychological therapies to date has been a success, but it is a success that could be multiplied. The improving access to psychological therapies programme is only funded to reach “at least 15%” of the people who need it, and retention and recovery rates could be improved. [...] &! Osborne said that the ILF was “such an important fund … that we will be able to include it in the budgets going forwards”. Reality is not living up to the rhetoric. [ 7-day NHS? ]
NHS  mental  health  mental  illness  budget2010  budget2015  austerity  demographic  bubble  ageing  population  sick  population  health  care  health  care  budget  health  care  spending  health  crisis  public  health  policy  public  health  Tories  Conservative  Party  nasty  general  election  2015  election  campaign  promises  constituency  babyboomers  Manifesto  Jeremy  Hunt  Positioning  PR  spin  doctor  fearmongering  Fear  Con  Artist  George  Osborne  David  Cameron  staff  morale  locum  staff  staff  shortage  Services  Social  Services  A&E  GP  Council  vulnerable  disability  Disabled  fairness 
january 2016 by asterisk2a
« earlier      
per page:    204080120160

related tags

A&amp;E  A&E  abuse  Academy  accountability  Act  active  addiction  adult  advances  ageing  alcohol  alcoholism  Allowance  Amber  American  aneurysm  animal  Apprenticeship  apprenticeships  Arthritis  artist  attack  attainment  austerity  avoidance  awareness  baby  babyboomers  bailout  balance  bank  Bariatric  bed  bedblocking  being  beyond  bias  big  binge  blocking  blood  BMA  boomers  born  borne  Brexit  bubble  budget  budget2010  budget2015  budget2016  bullying  burnout  burokratie  Bursary  Cameron  campaign  cancer  cap  capitalism  carbon  card  Cardiovascular  care  Career  CCG  CEP  child  childhood  cholesterol  chronic  class  classroom  coach  code  coefficient  competitiveness  complex  complexity  con  condition  consent  consequences  Conservative  constituency  consumer  Contract  coping  cost  Council  CQC  credit  crisis  crony  CVD  Cycle  Data  David  death  debate  debt  debtoverhang  deficit  delay  delayed  demand  democracy  demographic  deprivation  development  diabetes  diet  diet-related  dietary  disability  Disabled  discretionary  disease  diseases  disposable  doc  doctor  Doctors  dogma  double  downward  drama  drinking  drug  Duncan  e-consultation  economics  education  EEA  efficiency  elderly  election  engineering  England  environment  epidemic  error  Establishment  evasion  fairness  fast  fat  fatty  Fear  fearmongering  Fiber  financial  Fish  FOI  folly  food  free  Freedom  fuel  Funding  gap  general  generation  Generationengerechtigkeit  George  gini  Gove  governance  GP  Grampian  Grant  growth  guidelines  happiness  health  healthcare  heart  high  hiring  household  HR  human  Hunt  Iain  ideology  illness  image  immigration  income  index  industry  inequality  inflammation  Information  insulin  insurance  Integrationspolitik  intervention  investment  IVF  Jeremy  judgement  Junior  junk  Leadership  life  lifestyle  literacy  liver  living  loan  locum  loneliness  long-term  lost  lottery  low  low-grade  Maintenance  Makers  malpractice  management  Manifesto  manufactured  Manufacturing  market  May  meat  mechanism  Media  medical  medicine  mental  Meta  metabolic  Michael  middle  migration  Millennials  minimum  minority  misrepresentation  mobility  morale  Morgan  mother  nanny  nasty  national  needs  neglect  neoliberal  neoliberalism  NHS  NICE  Nicky  No  Nudge  Nurse  Nurses  OAP  obesity  OECD  of  Ofsted  Oil  opinion  Osborne  osteoarthritis  osteoporosis  output  oversight  overweight  party  pathogen  patient  pattern  pay  paycap  pension  perception  Perspektivlosigkeit  PFI  pharma  pharmaceutical  PISA  planning  poisoning  Polarisation  policy  Politicians  Politics  pollution  poor  population  populism  Positioning  post  poverty  PR  Precariat  precarious  prejudice  premature  pressure  preventative  prevention  preventive  Primary  private  Privatisation  privatization  Privileged  processed  productive  productivity  progressive  promises  propaganda  protein  public  quality  rationing  recovery  recruitment  referral  regulation  regulators  rent  Representation  resistance  resources  Robinson  Rudd  safety  Salt  scandal  school  Scotland  sedentary  selection  self-medication  self-regulation  sentiment  sepsis  septicaemia  service  services  servitude  shareholder  Shona  short-termism  shortage  sick  sickcare  Simon  single  single-payer  size  Smith  smoking  snap  SNP  social  sovereign  Sozialpolitik  spending  spin  squeezed  staff  standard  state  STEM  Stevens  stigma  STP  stress  stroke  structural  student  substance  Sugar  super  Surgery  sustainability  sustainable  syndrome  tax  taxation  teacher  technical  telemedicine  theory  Theresa  thrombosis  time  times  tobacco  Toff  tories  Trade  training  transparency  trap  treatment  trickle-down  triple-lock  UK  UKIP  underinvestment  unemployment  unintended  Union  vulnerable  wage  waiting  Wales  well  western  Westminster  Whitehall  winter  work  Workers  working  workplace 

Copy this bookmark:



description:


tags: