asterisk2a + scotland   479

Food Standards Scotland chief says NHS at 'tipping point' amid obesity crisis | HeraldScotland
However, the head of Scotland's food watchdog said he believed there was a growing consensus in public and political opinion that a "tipping point" was being reached in the battle against obesity, and that a failure to reverse the crisis would eventually "cripple the NHS". The number of people living in Scotland with Type 2 diabetes has increased by 29 per cent since 2010, to more than 289,000, according to figures published today.
NHS  Crisis  sickcare  demand  Scotland  obesity  overweight  diabetes  CVD  Cancer  GP  A&E  Disabled  premature  ageing  chronic  sick  population  public  health  prevention  S.A.D.  western  diet  lifestyle  Alcohol  tobacco  self-medication 
february 2018 by asterisk2a
Steph McGovern is right: class prejudice is embedded in our society | Faiza Shaheen | Opinion | The Guardian
The BBC presenter’s claim that her regional accent affected her pay highlights the stereotypes faced by working-class people
UK  class  Brexit  No  Representation  social  income  mobility  inequality  England  Scotland 
february 2018 by asterisk2a
Charities call for action over cancer waiting times - BBC News
Cancer charities have called for urgent action to reduce the length of time patients are having to wait for key diagnostic tests.

Nearly 16,000 people were waiting longer than the target six weeks for procedures such as CT scans, MRI scans and ultrasounds in December.

That compared to 3,554 people on 31 December 2015.

Charities said the figures paint a picture of a service struggling to keep up with growing demand.
NHS  Scotland  Cancer  sickcare  demand  chronic  sick  ageing  population  demographic  bubble  medical  advances  overdiagnoses 
february 2018 by asterisk2a
NHS Scotland embarks on global radiologist search - BBC News
A global campaign to attract radiologists to work in the Scottish NHS has been launched.

Nine health boards, including NHS Fife, Grampian and Greater Glasgow and Clyde, have 32 vacancies which they have struggled to fill.

Radiologists specialise in diagnosing and treating diseases such as cancer using medical imagery.

NHS Scotland will take its recruitment drive to India, the US, Canada, western Europe and Australia.
NHS  Cancer  Crisis  Grampian  Scotland  England  patient  safety 
february 2018 by asterisk2a
Over 3,700 deaths linked to alcohol - BBC News
Alcohol was a factor in more than 3,700 deaths in a single year in Scotland, according to new research.

Findings from NHS Health Scotland show that drink was involved in more than 1,000 deaths from cancer in 2015.

It was also linked to hundreds of deaths from conditions such as liver disease, as well as accidental injuries.

In addition, more than 41,000 people were admitted to hospital as a result of consuming alcohol, the study found.

Experts said the findings show that alcohol has a wider impact on health than many people think.
UK  Alcohol  alcoholism  binge  drinking  public  health  crisis  NHS  A&E  GP  chronic  sick  population  Scotland  culture  sickcare  demand  self-medication  abuse  mental  coping  mechanism  prevention  maladaptive  Cancer  liver  disease  CVD  obesity  overweight 
february 2018 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
Hundreds of key NHS posts in Scotland hospitals lying empty - The Scotsman
Last month an Audit Scotland report suggested NHS bosses are deliberately avoiding filling vacant positions for up to a year in a bid to make savings. The public spending watchdog said the move was one of a range of ways that health boards could try to reduce their spending.

Read more at:
NHS  Scotland  Grampian  Austerity 
december 2017 by asterisk2a
£1bn funding shortfall may force UK care homes to close, says watchdog | Society | The Guardian
Fees paid by cash-strapped councils fail to meet costs of caring for residents, according to Competition and Markets Authority [...] In its report into the £16bn care homes sector, which covers 410,000 residents and stretches across 11,300 homes, the CMA said “urgent action” was needed because the current regime was “not sustainable” without additional funding.

It suggested that people who paid for their own care were being asked to pay more than they should in order to subsidise council-funded residents.
Council  Austerity  social  adult  care  sickcare  ageing  population  chronic  sick  premature  bailout  bedblocking  bed  blocking  NHS  disabled  healthcare  rationing  CCG  GP  A&E  waiting  times  treatment  delay  UK  England  Scotland 
november 2017 by asterisk2a
More than 24,000 Scots hospitalised because of drinking
50p minimum price per one unit of alcohol, to come into effect March 2018, after years of legal fight against the alc lobby vested interest. (Sugar Tax, ) - - Minimum pricing has been broadly welcomed by health bodies and alcohol awareness groups, who say it will target the kind of drinking that leads to the greatest harm. //
People from the most deprived areas are nearly eight times more likely to need help, according to the NHS. There were 36,235 alcohol-related hospital admissions last year - the equivalent of more than 100 a day. They involved 24,060 individual patients - up from the 35,376 admissions involving 23,656 patients the previous year. Alcohol-related admissions had been falling for almost a decade but the latest figures show there were 685.2 hospital admissions per 100,000 people last year - an annual increase of almost 2%. //&!
NHS  Scotland  Alcohol  minimum  pricing  alcoholism  deprivation  addiction  coping  mechanism  maladaptive  Austerity  poverty  trap  Precariat  binge  drinking  Society  class  Gesellschaft  Sociology  working  poor  Council  childhood  care  Policy  public  health  prevention  sickcare  demand  chronic  sick  population  mental  psychology  psychiatry  depression  aus­sichts­los  hoffnungslos  hopelessness  hopeless  Aussichtslosigkeit  human  condition  humanity  homeless  homelessness  abuse  substance  Opioid  war  on  drugs  tobacco  food–industrial  complex  Sugar  processed  food  lobby  vested  interest  revolving  door  profit  maximisation  obesity  liver  overweight 
november 2017 by asterisk2a
GP practices receive less than 7% of NHS spending - Evening Express
Overall NHS operating costs rose by 4.1% in cash terms to almost £11.7 billion in 2016-17 – with £800 million, or 6.8% of the budget, going towards the running of Scotland’s 963 GP practices.

The Scottish government has pledged to increase funding for GP services to reach 11% of the NHS budget by 2021 amid concerns over the future of the service.

The Royal College of General Practitioners (Scotland) has predicted the country could face shortfall of more than 850 GPs by 2021.
NHS  Scotland  GP  staff  crisis  recruitment  hiring  locum  Nurses  A&E 
november 2017 by asterisk2a
Mother's fury at 'lack of support' for daughter - BBC News
Scotland has no secure in-patient psychiatric care for children - unlike England.
NHS  Scotland  mental  health 
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
Hospital funding shortfall 'harming north-east patients' | Press and Journal
Research by the party shows that the region’s health board receives £1,656 per head of population – £342 per person less than Greater Glasgow and Clyde. [...] The report highlights that NHS Grampian receives funding at a level of 1.5% under the recommended amount, and that while the government has committed to ending the disparity this year, it did not change between 2015/16 and 2016/17. [...] A Scottish Government spokeswoman said: “NHS Grampian has received an additional £16.2million in 2017-18, an increase of 1.8% which brings the board’s overall funding to £898.6million and within 1% of its target share of funding.

“Population level is only one of a range of factors – such as relative deprivation – taken into account when allocating funding to NHS boards.
NHS  Scotland  Grampian  Austerity  deprivation  public  health  GP  A&E  Glasgow  poverty 
november 2017 by asterisk2a
Record numbers dying while waiting for hospital appointments | Scotland | The Times & The Sunday Times
Regional differences are also exposed. In some parts of the country, including Greater Glasgow and Clyde, Grampian, and Ayrshire and Arran, the number of patients dying while waiting for a hospital consultation has more than doubled.
NHS  Scotland  Crisis  healthcare  demand  sickcare  chronic  sick  population  ageing  demographic  bubble  rationing  waiting  times  referral 
november 2017 by asterisk2a
NHS Scotland plots urgent measures to support practices at 'tipping point' | News Article | Pulse Today
Dr McDevitt had earlier told delegates that ‘you’re not going to vote for this contract because it becomes with a pay rise’.

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

GPs will have access to NHS-run services including prescribing and treatment room services to reduce their workload.
NHS  Scotland  GP  Crisis  sickcare  healthcare  demand  chronic  sick  population  demographic  bubble  ageing  CVD  diabetes  Cancer  obesity  overweight  A&E 
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
NHS Lothian sees spending on locum GPs rise nine-fold - The Scotsman
NHS Lothian has been forced to take over the running of nine practices with more than half of them restricting their patient lists.
NHS  GP  Crisis  Scotland  A&E 
october 2017 by asterisk2a
NHS suspends operations over Christmas and new year - BBC News
NHS Tayside has put on hold all planned, non-urgent operations for three weeks over the festive period.
The health board said emergency surgery, urgent procedures and all cancer surgeries would still be carried out.
But there will be a "step-down of all planned procedures" at Perth Royal Infirmary, Ninewells Hospital in Dundee and Stracathro Hospital, near Brechin.
The disruption will last from 18 December to 8 January 2018. & - Tayside to save 200m over 5 years ... &! closed 60 beds
NHS  winter  crisis  Scotland  Austerity  healthcare  demand  sickcare  ageing  chronic  sick  population  demographic  bubble  CVD  cancer  diabetes 
october 2017 by asterisk2a
NHS waits for cancer care, A&E and ops worsen across UK - BBC News
Twelve out of 135 English hospital trusts, four out of five Northern Irish health trusts and five out of seven Welsh trusts have failed to hit any target in the past 12 months. //&! &! << ageing population w complex care needs for chronic diseases &! Wales worst -
NHS  sickcare  demand  healthcare  health  care  Austerity  ageing  chronic  sick  population  winter  crisis  demographic  bubble  bedblocking  bed  blocking  Council  CEP  STP  rationing  waiting  times  referrals  GP  A&E  delayed  treatment  burnout  staff  shortage  locum  Cancer  CVD  diabetes  obesity  overweight  England  Wales  Scotland  patient  safety  CQC  adult  elderly  social 
october 2017 by asterisk2a
Thousands of Scottish cancer scans 'not viewed for a month' - The i newspaper online iNews
?~30 day backlog? 4k images // Although the number of full-time radiologists working in Scotland has increased by 7 per cent over the past five years, the number of cancer diagnostic scans taken rose at a much higher rate. The number of MRI scans and CT scans, which are both important for diagnosing cancer, increased by 67 per cent and 62 per cent respectively. “These figures are further proof of the shortages that are impacting on cancer tests across the country,” said Gregor McNie, public affairs manager in Scotland for Cancer Research UK. //&!,_says_college_1208167 - A new report from The Royal College of Radiologists is warning that a severe shortage of radiologists in the UK is risking timely diagnosis of cancer. &! &! &
NHS  Scotland  Grampian  Cancer  healthcare  demand  babyboomers  ageing  premature  waiting  time  referral  treatment  delay  chronic  sick  population  staff  shortage  locum  hiring  recruitment  Radiology 
october 2017 by asterisk2a
Catalonia: Spain issues deadline to separatists - BBC News
who blinks first. high noon pistol fight. &! - Catalonia: Spain takes step towards direct rule //&! alt view to 'counter revolution' movement left populist outward looking welcoming immigrants welcome nationalism: - neonationalism (global village no accountability) neoliberal kapitalism teilte die leute auf gegen sich auf. nicht vereint. siehe fb there is no global village connection to all (fb zuck dream PR talk), alles kleine identitaeten und grueppchen. isoliert. eigener blase. schaun nicht ausm fenster, wie mittlerweile in der realitaet. wer kennt schon alles seine nachbarn im etagen house wie sein bruder oder schwester? Scotland and Catalonia indy are majority led by left socialist populous. Brexit is led by far-right conservative neoliberalism on steroids populous.
Catalonia  Spain  Gesellschaft  Society  neoliberalism  Capitalism  Individualism  Consumerism  Consumer  Selbstdarstellung  Facebook  Twitter  mental  health  globalisation  bank  bailout  double  standard  indyref  indyref2  Scotland  Brexit  immigration  Identity  Culture  Politics  LGBT  far-right  right-wing  alt-right  DonaldTrump  Donald  Trump  left-wing  Jeremy  Corbyn  SPD  btw17  GE2017  workers  union  rights  trade  Community  segregation  GFC  Austerity  vulnerable  working  poor  Precariat  No  Representation  poverty  trap  Deprivation  income  inequality  Super  Rich  1%  Oligarchy  revolving  door  Corruption  social  mobility  redistribution  welfare  state  Privatisation  profit  maximisation  ZIRP  NIRP  QE  IMF  democracy 
october 2017 by asterisk2a
Scottish GPs to access NHS-run 'treatment rooms' for procedural tasks | News Article | Pulse Today
treatment rooms = sickcare rooms - are they opening up extra clinics for diabetes CVD obesity and other chronic conditions? putting it out of GP services, but they are still there. &! GPs in Scotland will have access to prescribing and treatment room services and a chronic disease monitoring team to reduce their workload under plans being drawn up as part of the new contract. /... but have to
NHS  Scotland  GP  healthcare  demand  sickcare  chronic  sick  population  diabetes  Cancer  CVD  obesity  overweight  inflammation  health  care  ageing  premature  disabled  demographic  bubble  babyboomers 
october 2017 by asterisk2a
'High risk' of NHS Tayside failing to balance budget - BBC News
NHS Tayside delivered £45.5m in efficiency savings in 2016/17, nearly double the savings of the previous year.
However, the auditor general said that was still £1.3m below target.
The main overspends last year were on workforce, prescribing costs, and clinical supplies.
NHS Tayside chief executive Lesley McLay said the board was "actively addressing" its issues. &! &! - NHS Tayside must save £214m over next five years
NHS  Scotland  Austerity  healthcare  demand  health  care  sickcare  chronic  sick  population  demographic  bubble  ageing  premature  Cancer  CVD  diabetes  obesity  overweight  rationing  waiting  times  referral  treatment  delay  patient  safety  bedblocking  bed  blocking  Council  adult  elderly  social  Disabled 
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
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. &! &! 22.2million for locum 2015/16 - &! 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. -
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
Scotland's health: What we learned - BBC News
Among adults aged 16 and over, 15% had some form of cardiovascular disease (CVD) and 5% had diabetes.
Older people were more likely to have some form of CVD or diabetes than young people (47% of those aged 75 and over compared with 5% of those aged 16-24). [...] Scots are only eating 3-a-day
NHS  Scotland  health  care  demand  CVD  diabetes  Cancer  chronic  sick  population  obesity  overweight  babyboomers  ageing  premature  demographic  bubble 
october 2017 by asterisk2a
Complaints to NHS Scotland rise 10% to highest level for five years | HeraldScotland
Complaints to NHS Scotland have risen 10% in a year and are equivalent to around 64 per day, new figures have shown.

Official statistics revealed 23,507 grievances were registered between April 1 2016 and the end of March 2017, up from 21,454 the previous year.

Complaints are now at their highest level in the past five years but represent just 0.06% of all NHS Scotland activity. &!
NHS  Scotland 
october 2017 by asterisk2a
Catalonia independence referendum: Spain's bad handling is a lesson for the world - The Washington Post
In Western Europe alone there are independence movements eager to bring about their own break with central governments. They, too, are watching closely.

In Spain’s Basque Country, the fate of Catalonia is of great interest. But there are countless others keeping tabs. From Denmark’s Faroe Islands to Belgium’s independence-minded Flanders, from France’s Corsica to Italy’s wealthy Padania, groups and regions across Europe are weighing what joins them and what separates them from the countries to which they belong. After all, the nation-state is a relatively recent invention. Every place has its own history.
Catalonia  Kurds  Kurdish  Independence  Scotland  history  Identity  Religion  Culture  No  Representation 
october 2017 by asterisk2a
Health boards to share resources in face of challenges | Inverness Courier | News
Stealth mega merger of northern Healthboards, as preveiously reported about "thoughts" to form 4-5 mega trusts/healthboards for scotland. // A regional delivery plan for the north of Scotland will see health authorities in Highland, Grampian, Tayside, Orkney, Shetland and the Western Isles form a partnership, members of the Highland board have been told. [...] "With even more challenging times ahead we are absolutely going to need to share our infrastructure across the six health boards in the north."
NHS  Grampian  Scotland  Austerity  merger  rationing  efficiency  health  care  demand  ageing  chronic  sick  population  staff  crisis  medical  advances  demographic  recruitment  hiring  bubble  babyboomers  CVD  Cancer  diabetes  obesity  overweight  mental 
october 2017 by asterisk2a
Leading doctor warns frontline NHS services in danger of "disappearing altogether" | HeraldScotland
“We are unable to attract high quality candidates from throughout the UK as a result of Scottish Government policy in relation to remuneration and working conditions,” he said.

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

He added: “It is only a matter of time before every health board in the land is so afflicted as services deteriorate and, in some areas, it is inevitable that the day will come when some services will disappear altogether. This is not scaremongering. This is what is happening.”
NHS  Scotland  England  recruitment  hiring  crisis  staff  shortage  training  education  policy  UK  locum  morale  health  care  demand  rationing  waiting  time  delayed  treatment  chronic  sick  population  ageing  demographic  bubble  medical  advances  STP  CEP  Austerity  paycap  public  services  CCG  NICE  mental  Council 
october 2017 by asterisk2a
Mental health: 10 charts on the scale of the problem - BBC News
Over 10 years NHS prescriped 100% more anti-depressants. Medicalised Society. Parked indefinetly on management medication no healing. Left behind. // But so too is the fact prescribing patterns have changed. Doctors are much more likely to keep people on drugs for longer with evidence suggesting it is a more effective way of treating patients.
But as common as antidepressants are, the fact remains the majority of people with mental illness report they are not getting help.
Only one in three of those polled said they were receiving treatment, according to NHS Digital.
NHS  Society  Gesellschaft  mental  health  big  pharma  GP  care  demand  Austerity  CEP  STP  rationing  waiting  times  treatment  delay  self-medication  coping  mechanism  chronic  stress  working  poor  Precariat  poverty  trap  Deprivation  Depression  public  economic  damage  prevention  Social  Media  Facebook  Instagram  well  being  welfare  DWP  JSA  ESA  Selbstdarstellung  Consumer  unhappy  Consumerism  consumerist  Capitalism  Exploitation  Scotland  England  Jeremy  Hunt  CCG  Simon  Stevens  accountability  Theresa  May  unemployment  prejudice  stigma  Disabled 
october 2017 by asterisk2a
Chronic ill health among working age population poses 'unsustainable drain' on NHS | HeraldScotland
Currently 39 per cent of the working age population in Scotland has at least one long-term condition, but that is forecast to surge as the population ages and Scotland grapples with the fallout of an obesity epidemic.

Prof MacDonald said a failure to prevent and manage long-term conditions properly would be catastrophic as pension age increases to 68 or more.
UK  Scotland  NHS  health  care  demand  chronic  sick  disease  population  babyboomers  baby  boomers  ageing  premature  CVD  Cancer  diabetes  obesity  overweight  pain  inflammation  demographic  bubble  England  Disabled  Council  adult  social  medical  advances  western  diet  lifestyle  S.A.D.  sedentary  prevention  public  intervention  GP  nanny  state  self-medication  Alcohol  junk  food  fast  mental  DWP  ESA  JSA  unemployment  stress 
september 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. &! - 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
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
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
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 ] &! &! bigger waiting times for non urgent care (budget stays same)
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
Doctors and patients unaware diabetes can be reversed, says report - BBC News
NHS Scotland T2Diabetes cost 10% of budget // evidence has been known for a decade by now! thoe ppl who treated t2d have been called quacks by "everything in moderation" - the evidence based medicine hubbub. // but the main reason for the low recording is probably that few patients are attempting or achieving remission. - GPs don't have time to worry about patient adherence and some do not want to change and rather take pills (intrinsic motivation, health motivated). / salt sugar fat // &! &! &! &! &! &!
NHS  Diabetes  prevention  diet  lifestyle  CVD  obesity  overweight  sedentary  S.A.D.  western  premature  ageing  chronic  sick  population  big  pharma  NICE  GP  A&E  bariatric  surgery  Scotland  England  health  care  demand  self-medication  coping  mechanism  addiction  stress  food  junk  fast  ready  meals 
september 2017 by asterisk2a
Snacks, fags and booze: Scotland's triple health challenge | Holyrood Magazine
Obesity is linked to 13 types of cancer, as well as type 2 diabetes, high blood pressure, heart disease and strokes, with obesity-related illnesses costing Scotland approximately £4.6bn. The annual cost of type 2 diabetes alone to NHS Scotland is £800m.

Obesity is now the second biggest risk factor for cancer after smoking and Cancer Research UK has warned that Scotland is in the grip of an obesity epidemic, with Scots consuming 110 tonnes of sugar a day, fuelled by promotions on unhealthy foods. [...] experts have concluded that only a change in diet can tackle Scotland’s weight problems. [...] “obesogenic environment” &! advocacy for nanny state - &!
NHS  Scotland  obesity  CVD  overweight  Cancer  health  care  demand  chronic  sick  population  medical  advances  rationing  Austerity  STP  demographic  bubble  self-medication  coping  mechanism  abuse  food  S.A.D.  western  diet  lifestyle  Alcohol  Tobacco  stroke  heart  attack  fast  junk  Shona  Robison  SNP  Nicola  Sturgeon  waiting  times  diabetes  Disabled  Productivity  economic  damage  mental  public  nanny  state 
september 2017 by asterisk2a
Fall in planned operations in Scottish hospitals - BBC News
7% drop in planned ops (non-urgent). The health board has blamed problems recruiting staff. [...] Fewer beds being available in hospitals for patients having scheduled operations has been cited as one of the reasons why the number of procedures was down. Official figures show the total number of hospital beds available in Scotland in March dropped by 382 from 22,240 to 21,858. [...] A spokeswoman for NHS Grampian said: "The reduction in the number of procedures taking place is a direct result of the challenges we have faced in staffing.
"This does not just cover theatres themselves but also vital pre- and post-operative care.
"We continue to actively recruit to a range of posts but - in common with many Scottish boards - are facing a shortage of suitably qualified candidates in some areas."
She added that while they were unable to meet the Scottish government's legal waiting time guarantee they had created a new system for prioritising patients. [CANCER, A&E ops] &! &!
NHS  Grampian  Scotland  waiting  times  rationing  Cancer  diabetes  CVD  obesity  ageing  chronic  sick  population  demographic  bubble  Austerity  STP  health  care  demand  SNP  Shona  Robinson  premature  staff  shortage  locum  Nurses  vacancies  recruitment 
september 2017 by asterisk2a
Warning over psychiatrists amid mental health ‘crisis’ - The Scotsman
The number of psychiatrists working in Scotland’s NHS has increased by just four in the past five years amid warnings of an “enormous gulf” developing in the treatment of physical and mental health. The Royal College of Psychiatrists said the number of consultant psychiatrists in Scotland has risen by less than 1 per cent since 2012, compared with a more than 20 per cent rise in consultants who treat physical illnesses. Details emerged as former Prime Minister Gordon Brown warned of a “full-blown mental health emergency” in Scotland.

Read more at:
NHS  Scotland  Transgender  LGBT  mental  health  locum  staff  shortage  Austerity  rationing  Grampian 
september 2017 by asterisk2a
Analysis: a year in health - supply and demand | Holyrood Magazine
stop increasing general taxation. increase tax on causes. Verursacherprinzip. // Calls for a similarly tough approach on obesity have not yet been rewarded with a strategy, despite one being due last year and Scotland’s obesity rates amongst the highest in the world, even higher than in the rest of the UK.

Could the protracted legal wrangling with the drinks industry have tempered the Scottish Government’s appetite for imposing tough restrictions on food manufacturers and supermarkets? It will be clearer when the obesity and diet strategy emerges in the winter. [...] One long-awaited strategy which did see the light of day was the new mental health strategy, launched by Maureen Watt in March, but the minister may well have been disappointed in the response.

The document “lacks the ambition and investment that Scotland deserves” said the Scottish Association for Mental Health’s chief executive, Billy Watson.

The question, as with the rest of NHS Scotland’s challenges, is how would it be paid for?
NHS  Scotland  England  taxation  funding  health  care  demand  CVD  diabetes  Cancer  obesity  chronic  sick  population  premature  ageing  demographic  bubble  public  food–industrial  complex  Salt  Sugar  Fat  addiction  self-medication  mental  coping  mechanism  food  western  diet  lifestyle  S.A.D.  Alcohol  fast  junk 
september 2017 by asterisk2a
'Medical opinions ignored' by NHS payment assessor, workers say - BBC News
CCGs rationing care, only for the neediest. See elsewhere. Cancer and emergencies first. Everything else can wait.
NHS  STP  CCG  adult  elderly  social  care  Council  Austerity  rationing  public  health  demand  ageing  chronic  sick  population  demographic  bubble  Scotland  England 
september 2017 by asterisk2a
Patients pay the price as it's revealed NHS Scotland is short of 476 top doctors amid recruitment crisis - Daily Record
The number of consultant and nursing vacancies waiting to be filled in Scotland has rocketed to record levels.
A recruitment crisis means that in June, there were 476 empty consultants posts – 8.5 per cent of the total.
And 229 of the vacancies had been empty for more than six months.
It was a bleak story for nurses and midwives, too, where there were 3231 unfilled posts – 5.2 per cent of the workforce. &!
NHS  Scotland  staff  shortage  locum  waiting  times  rationing  SNP  Austerity  health  care  demand 
september 2017 by asterisk2a
Surge in demand for diagnostic tests leads to delays | Holyrood Magazine
gov holyrood returns to session from summer break and first item on agenda? NHS // waiting longer for cancer tests - &! new expert group to get pushed out of range elective surgeries and outpatient appointments back into line as cancer and urgent care have been given priority - &
NHS  Scotland  Cancer  CVD  diabetes  health  care  demand  premature  ageing  demographic  bubble  chronic  sick  population  Grampian  STP  Austerity  waiting  times  rationing  obesity  overweight  Shona  Robison  Nicola  Sturgeon 
august 2017 by asterisk2a
Stroke care in Scotland ‘worse’ than official SNP claims | UK | News |
THE standard of stroke care in Scottish hospitals is worse than claimed by SNP ministers and NHS bosses, with survival rates revealed to be among the lowest in the developed world.
NHS  Grampian  Scotland  stroke  CVD  Cancer 
august 2017 by asterisk2a
Call for heads to roll in radiology row | Press and Journal
NHS Grampian is looking since August for 8 (eight) radiologists as well.
NHS  Grampian  staff  shortage  locum  Scotland 
august 2017 by asterisk2a
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