asterisk2a + rationing   350

Revealed: Millions to be affected by NHS plan to ration 34 everyday tests and treatments | Society | The Guardian
It would also see patients told to use physiotherapy or painkillers to dull the pain of an arthritic knee rather than undergo an exploratory operation called an arthroscopy.
NHS  Austerity  rationing 
16 days ago by asterisk2a
London GPs told to restrict specialist referrals under new NHS 'rationing' plan | Society | The Guardian
They include significantly reducing referrals to consultants, axing some outpatient appointments and replacing them with a phone conversation, and urging GPs to find “alternative ways” of dealing with patients who need hospital referrals.
NHS  Austerity  patient  safety  misdiagnosis  late  diagnosis  healthcare  rationing  GP 
september 2019 by asterisk2a
NHS 'reality check' for PM Boris Johnson - BBC News
The Royal College of Surgeons says nothing short of a long-term plan to increase the number of beds and staff and resources to run the wards will suffice.
[...]
Sally Gainsbury, of the Nuffield Trust, was the first analyst to highlight the funding mechanism. She argued that "to claim this as new money is a little like finally giving back the £10 you borrowed some time ago - and expecting to be applauded wildly".
NHS  Austerity  sickcare  demand  ageing  population  premature  Cancer  CVD  Diabetes  rationing  staff  bed  shortage  crisis  Boris  Johnson  Brexit  CON-servative  Conservative  Party 
august 2019 by asterisk2a
Capita seeks to reverse 'reputational damage' after death of claimant - BBC News
Every Pip case undertaken by Unite members in Stoke-on-Trent with the specific health care professional in Victoria's case has been overturned by the social security tribunals.
Capita  PIP  disabled  disability  NHS  Austerity  rationing  ESA  mental  health  chronic  condition  sickcare 
august 2019 by asterisk2a
Police under huge strain and need radical reform, says watchdog | UK news | The Guardian
Chief inspector of constabulary says criminal justice system is ‘dysfunctional and defective’
[...] Winsor called for greater rehabilitation of prisoners because many jails “were full of people who were ill rather than bad”.
Police  Justice  Austerity  injustice  nasty  Party  Theresa  May  Conservative  CON-servative  mental  health  homeless  homelessness  NHS  rationing 
july 2019 by asterisk2a
Bed shortages lead to patient 'harm' in South Tees - BBC News
The Care Quality Commission (CQC), which regulates and inspects health and social care services in England, visited the hospitals in January and February.

It said: "Harm had occurred to patients from three serious incidents because critical care beds were not available.

"Staff were not reporting staffing shortages and their impact, and infection control breaches were due to the service not being able to isolate patients with an infection."

The CQC said its inspectors "found a lack of assurance that nurse staffing levels were appropriate to safely care for patients".

It added: "Whilst leaders were aware of some of the risks, issues and challenges they were not always acted upon in an effective or timely manner."
NHS  Austerity  CQC  patient  safety  rationing  healthcare 
july 2019 by asterisk2a
Is the NHS's long-term plan workable? - BBC News
Bleak picture
Budgets for public health (including prevention) and training of nurses, doctors and other staff have not yet been set out and, if less generous than the NHS settlement, they could affect the ability of the service to deliver the long-term plan, in the view of the report authors.

And what of the short term? The watchdog paints a bleak picture.

The financial health of some trusts, it says, is getting worse.
NHS  social  care  Council  elderly  adult  long-term  plan  Theresa  May  Conservative  Austerity  chronic  sickcare  sick  population  ageing  demographics  Cancer  Obesity  CVD  diabetes  rationing  mental  health  staff  crisis  hiring  locum  CAMHS  prevention  public  Privatisation 
january 2019 by asterisk2a
(1160) The Christian volunteers doing police work in Reading: 'I'll ask God to intervene' - YouTube
As government cuts affect police numbers, Reading is feeling the pinch. With one officer claiming there are ‘very serious jobs, for instance stabbings, that we cannot get to’, Thames Valley police have turned to a group of Christian volunteers to help them police the town centre on Friday and Saturday nights. As well as keeping an eye out for trouble and known criminals, the Street Pastors care for people in no fit state to get home, and even run a taxi service for people too drunk for most drivers to accept

• Filmed in Reading town centre on 28 and 29 September 2018.

"we are doing a disservice the victims as we can not attent to all calls"
Police  Austerity  UK  rationing  justice  injustice 
december 2018 by asterisk2a
Tory police cuts behind wave of knife crime, says ex-Met chief | UK news | The Guardian
Lord Blair warns that the benefits of neighbourhood policing are being lost because of financial pressures
Police  crime  knife  Austerity  UK  rationing  Justice 
november 2018 by asterisk2a
Focus on violent crime not misogyny, says police chief - BBC News
She added: "Neither investigating gender-based hate crime or investigating allegations against those who have died are necessarily bad things - I just argue that they cannot be priorities for a service that is over-stretched." [...] Security minister Ben Wallace said police should prioritise resources based on the level of harm caused by a crime, and forces were free to make these decisions as they saw fit.
&! https://drugstoreculture.com/remember-what-hate-crimes-actually-are/ - Drugstoreculture is run by MatthewDAcosna centrist tory reporter insider.
UK  Police  rationing  Austerity  justice  injustice  Britain 
november 2018 by asterisk2a
‘A wall built to keep people out’: the cruel, bureaucratic maze of children’s services | Society | The Guardian
its common accpeted practice in neoliberalism, to make access to the welfare state as difficult as possible, studies have showm the more hurdles and loops, the less people apply, and people report, they don't apply even if eligeble, because of burocracy
UK  Austerity  rationing  Council 
november 2018 by asterisk2a
Girl, 6, died of sepsis after hospital 'missed opportunities' to treat her | UK news | The Guardian
The report added: “A primary contributory factor was the inadequate staffing resources to manage the patient cohort.”

/&! Record number of children's operations cancelled last year - https://www.theguardian.com/society/2018/oct/27/record-number-of-childrens-operations-cancelled-last-year --- We also have less beds available due to reduced resources – beds and staff – as a result of the financial pressures the NHS has faced over recent years.
NHS  rationing  Austerity  bedblocking  bed  shortage 
october 2018 by asterisk2a
Policing at 'tipping point' over budget cuts, warns police chief | UK news | The Guardian
West Midlands chief constable says agreement needed on what police should stop doing
UK  Austerity  Police  rationing  NHS  Council 
october 2018 by asterisk2a
Police custody deaths hit 10-year high, with experts citing austerity | UK news | The Guardian
Police custody deaths have hit their highest level in a decade with police, campaigners and experts warning that austerity and a crisis in mental health services have driven the figure up.

A total of 23 people died in or after detention in 2017-18, according to official figures released by the police watchdog, up from 14 people the previous year.

More than half had mental health problems, according to the Independent Office for Police Conduct (IOPC), who said the conditions included psychosis, depression and self-harm or suicidal tendencies. Eighteen people had drug and or alcohol issues.
A&E  Police  mental  health  NHS  Austerity  rationing  Council  excess  death  patient  safety 
july 2018 by asterisk2a
Private firms cash in on over-stretched NHS - BBC News
Under-pressure NHS services in England are spending over £1bn a year buying care from outside the NHS because they are unable to keep up with demand. The bill is being racked up by hospitals, ambulances and mental health trusts, data obtained by the BBC shows. NHS managers said money was being wasted as often it was done at the last minute, and led to the NHS over-paying. Sending patients to private clinics for care like hip and knee surgery is thought to be the most common purchase.
NHS  Privatisation  Austerity  rationing  sickcare  demand 
july 2018 by asterisk2a
Antidepressant prescriptions for children on the rise - BBC News
[GPs prescribing anti-depressants ...] Experts have linked the rise to waits for specialist mental health services. Antidepressants should prescribed to children only under close supervision.
NHS  mental  health  rationing  Austerity  GP  public  prevention  antidepressant  SSRI  NICE  negligence  malpractice  sickcare  demand 
july 2018 by asterisk2a
Bowel cancer screening could shed light on other conditions - BBC News
The 2,714 patients with a positive result had a 58% higher risk of death from other conditions.

Having a positive result was significantly associated with increased risk of dying from circulatory disease, respiratory disease, digestive diseases excluding bowel cancer, neuropsychological disease, blood and endocrine disease.
chronic  sick  population  sickcare  demand  NHS  Obesity  Cancer  CVD  public  health  demographic  bubble  rationing  diabetes  overweight  inflammation 
july 2018 by asterisk2a
New leadership, same old problems - BBC News
new money won't be seen till next year, new winter crisis is coming for sure, and the wait lists will get even longer. - Health think tanks argue that the 3.4% is really only enough to cope with rising demand, never mind improving care.

Hospital sources point out that the new money won't come to the NHS until next year.

Nothing extra so far has been allocated for this winter and the intense pressure seen in the first months of this year is likely to be repeated.

There is every chance that waiting lists for routine surgery will get longer and accident and emergency performance won't get better.

Even with the £6bn cash boost next year, there are warnings that there won't be any rapid improvement. His instincts will be to tell the service to get on with job with the money it has. But that conviction will be tested in the depths of winter if hospitals are struggling to cope. [...] Also plays with part-privatisation of Elderly Care - asking people to take out a private insurance ... or lose their home ...
Matt  Hancock  Jeremy  Hunt  Simon  Stevens  NHS  Austerity  sick  care  demand  chronic  population  ageing  premature  demographic  bubble  CVD  diabetes  Cancer  Council  Social  adult  elderly  rationing  mental  health  Privatisation 
july 2018 by asterisk2a
NHS wields the axe on 17 'unnecessary procedures' | Society | The Guardian
Procedures including injections for back pain, surgery to help snorers and knee arthroscopies for arthritis form part of an initial list of 17 operations that will be discontinued completely or highly restricted by NHS England as many of these problems get better without treatment.

The health service hopes the measures will save £200m a year by reducing risky or unnecessary procedures. It will tell patients they have a responsibility to the NHS not to request useless treatment.

Varicose vein surgery and tonsil removal also feature on the list of routine operations to be axed as part of NHS England’s drive to cease outdated and ineffective treatments. &! https://www.bbc.co.uk/news/health-44665560 - The treatment will be offered only if it is judged to be of "compelling" benefit and there are no alternatives.
NHS  Austerity  rationing 
june 2018 by asterisk2a
Hundreds of breast cancer patients 'denied reconstruction' - BBC News
But data obtained by the charity found that 47 out of 208 clinical commissioning groups (CCGs) in England had policies in place which restricted these services - either by putting a time limit on them, limiting the number of surgeries allowed or denying access to balancing surgery.

Another nine CCGs indicated they could introduce similar policies.
NHS  Austerity  rationing  cancer  CCG 
june 2018 by asterisk2a
Long waits, cuts and rationing: happy 70th birthday NHS | Zara Aziz | Society | The Guardian
NHS is turned into A&E only aka life-threatening // Many treatments are now classified as criteria-based or needing individual funding requests (that is, not routinely funded unless a detailed application is submitted by a GP or hospital specialist with evidence such as trials/research of its benefits and especially over any other patient with the same problem). So, for instance, a patient with pain and loss of hand function from a ganglion cyst would need an individual funding request. Clinical commissioning groups have a long list of conditions that need such approval – such as varicose veins, tonsillectomies and hernia surgery. Most of my applications are rejected as almost no one (despite the level of their suffering) is deemed exceptional.
NHS  Austerity  rationing  Privatisation  sickcare  demand 
june 2018 by asterisk2a
We learn nothing about nutrition, claim medical students - BBC News
Speaking to BBC Radio 4's The Food Programme, Dr Rangan Chatterjee, GP and presenter of BBC One's Doctor in the House, told me: "The health landscape of the UK has dramatically changed over the last 30 or 40 years and I think the bulk of what I see as a GP now - almost 80% - is in some way driven by our collective lifestyles."
NHS  Crisis  sickcare  demand  chronic  sick  population  ageing  premature  bubble  Austerity  rationing  obesity  overweight  CVD  Cancer  diet  lifestyle  S.A.D.  western  self-medication  abuse  coping  mechanism  food–industrial  complex  Sugar  WHO  meat  public  health 
march 2018 by asterisk2a
GPs offered cash to refer fewer people to hospital | Society | The Guardian
NHS Coastal West Sussex CCG has offered to give groups of practices working together in its area 50% of savings made from GPs referring fewer patients for dermatology care, ear, nose and throat treatment in the community, and minor surgery and wound closure. [...] Peter Swinyard, chair of the , said: “From a patient perspective it means GPs are paid to not look after them. It’s a serious dereliction of duty, influenced by CCGs trying to balance their books.” [...] would let hospitals treat the most needy cases. [...] The Department of Health and Social Care made clear that no patient should be denied care. “Patients must never have their access to necessary care restricted - we would expect local clinical commissioning groups and NHS England to intervene immediately if this were the case,” a spokesperson said. //&! making GPs ever more unpopular - https://www.theguardian.com/society/2018/feb/28/satisfaction-with-gps-at-lowest-level-for-30-years-survey-finds https://www.theguardian.com/society/2018/feb/27/fifth-of-prescribed-antibiotics-are-unnecessary-study-finds
NHS  Crisis  rationing  chronic  sick  population  Diabetes  CVD  Cancer  sickcare  demand  A&E  ageing  premature  demographic  bubble  Austerity  GP  waiting  times  patient  safety  treatment  delay  CCG  NICE  guidelines 
february 2018 by asterisk2a
NHS 'dangerously' short of 100,000 staff - BBC News
The NHS in England has nearly 100,000 jobs unfilled, a situation described as "dangerously" understaffed.
NHS  Crisis  patient  safety  Austerity  staff  shortage  Doctor  Nurses  Doctors  sickcare  demand  chronic  sick  population  ageing  demographic  bubble  CVD  Cancer  obesity  overweight  diabetes  premature  rationing  waiting  times  treatment  delay 
february 2018 by asterisk2a
NHS trusts now imposing cruel new pain tests for hip op | Daily Mail Online
[significant impairment as w transgender healthcare] Op 'rationing'
The Daily Mail says strict rationing rules being used by three quarters of NHS hospitals means patients in need of a replacement knee or hip must have to use a walking stick or wheelchair before they will be considered for surgery.

The paper says patients can be rejected for surgery unless they are judged to be in distress for most of the day, unable to sleep, or continually taking painkillers.

It adds that patients who are told they can't have an operation are advised to install hand rails at home, perform stretches or buy special shoes.
NHS  sickcare  demand  chronic  sick  population  ageing  demographic  bubble  babyboomers  rationing  Austerity  Crisis  CCG  healthcare 
january 2018 by asterisk2a
Underfunded justice system 'crumbling', top criminal barrister says | Law | The Guardian
[pure rational rationing (workload) decisions out of necessity - by individuals, forced upon them by Austerity decisions] Failures to disclose evidence in rape prosecutions are a sign of the “dystopian disaster” engulfing the criminal justice system that has been caused by chronic government underfunding, the head of the criminal bar has warned. Angela Rafferty QC, who represents criminal barristers in England and Wales, criticised ministers for trying to promote the justice system as “a national asset” at the time of Brexit when in reality “the fabric of the court estate [is] crumbling”. [...] The Law Society, which represents solicitors across England and Wales, has launched legal action against the Ministry of Justice for cutting fees for defence lawyers, who have to examine increasingly large volumes of material recovered from mobile phones and laptops.
rationing  Austerity  Legal  Aid  Justice  Police  UK  Tories  nasty  party  Conservative  Gesellschaft  fabric  Society  injustice  BAME  No  Representation  Brexit  Westminster  bubble  Whitehall  MoJ  Sociology  Politics  Court  Prison  inequality  gini  Coefficient  social  mobility  equality  democracy  double  standard  staff  crisis  recruitment  burnout 
january 2018 by asterisk2a
Personal Independence payments: All 1.6 million claims to be reviewed - BBC News
Ministers made changes to PIP in 2017 which limited the amount of support people with mental health conditions could receive.

As a result, people who were unable to travel independently on the grounds of psychological distress - as opposed to other conditions - were not entitled to the enhanced mobility rate of the benefit. &! https://www.theguardian.com/society/2018/jan/29/government-to-review-16m-disability-benefit-claims-after-u-turn
ESA  PIP  DWP  mental  health  Austerity  rationing  WCA  UK  welfare  state  NHS  Crisis 
january 2018 by asterisk2a
Patients' concerns over chronic pain treatment removal - BBC News
"The difficulty is that if you look at really well controlled randomised trials of this form of treatment there isn't an overwhelming evidence that it's effective in the population."
NHS  CCG  rationing  NICE  placebo  effect  crisis  Austerity  chronic  sick  population  sickcare  demand  premature  ageing  GP  referral 
january 2018 by asterisk2a
Churchill Hospital chemotherapy treatment 'unsustainable' - BBC News
Labour's Emma Hardy says she's been contacted by "frightened" constituents in Hull who've been told their pain infusion treatment will be stopped, arguing this shows the "cruel reality" of cuts to the NHS. The prime minister tells her "we are putting extra money into the NHS" and it's wrong to suggest otherwise. "Clinical commissioning groups are taking individual decisions about how they apportion their funding," she adds. &! https://www.theguardian.com/society/2018/jan/10/nhs-cancer-hospital-may-have-to-delay-or-reduce-treatment
NHS  winter  crisis  CCG  rationing  Austerity  Cancer  sickcare  demand 
january 2018 by asterisk2a
NHS shake-up is not a Trojan horse for privatisation, says top doctor | Society | The Guardian
accountable care organisations (ACOs).
Another body to control for quality, beyond CQC!? Tories already made CCGs accountable. //&! http://www.bbc.co.uk/news/health-42873285 - NHS plans: Privatisation or progress? //&! https://www.newstatesman.com/politics/health/2018/02/jeremy-hunt-still-clinging-his-job-because-he-has-big-plans-april - There is much merit in merging services like this, but the way Hunt intends to set up ACOs will open them to competitive tender, with opaque lines of responsibility once contracts are awarded. This is exactly what the huge private health care companies have been waiting for – the chance to take over whole chunks of the NHS and social care sectors and run them on commercial lines.
ACO  NHS  CCG  Politics  CQC  STP  Austerity  Privatisation  rationing  staff  crisis  sickcare  healthcare  demand  PFI  Council  ageing  demographic  bubble  population  premature  CEP  elderly  care  adult  social  Cancer  obesity  CVD  overweight  chronic  sick  waiting  times  bedblocking  bed  blocking  treatment  delay 
january 2018 by asterisk2a
‘I regularly see rickets’: diseases of Victorian-era poverty return to UK | Society | The Guardian
Doctors on NHS frontline say there must be a debate about public health responsibilities [....] For condition after condition, the poorest fifth of young people are admitted in greater numbers than the richest fifth. In cases of tonsillitis, viral infections, abdominal pain, respiratory infections, convulsions, gastroenteritis, poisoning, chest pain – even head injuries – the poorest young people were admitted for emergency treatment at rates 40% or more higher than the richest. &! https://www.theguardian.com/inequality/2017/dec/23/health-gap-between-uk-rich-and-poor
UK  Austerity  public  health  inequality  poverty  trap  neoliberal  welfare  state  NHS  food  bank  foodbank  neoliberalism  DWP  JSA  taxcredit  working  poor  chronic  sick  population  prevention  A&E  GP  rationing 
december 2017 by asterisk2a
Impoverished healthcare at squalid Liverpool prison, report says - BBC News
Their decision to speak out, they say, was borne of a sense that senior management at the trust were not listening to concerns and hiding failings from regulators.
NHS  Prison  self-regulation  regulation  regulators  CQC  Austerity  rationing  Privatisation  UK  Whistleblower  excess  deaths 
december 2017 by asterisk2a
NHS Grampian puts cap on non-urgent surgery over winter - Evening Express
NHS Grampian has confirmed it is only booking category one and two patients, who require surgery within a month or within three months respectively, in January and February.

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

The Department of Health baseline at that time was 34,592 full-time GPs, but two years on the September 2017 figures show overall numbers stand at 33,302. &! https://www.thesun.co.uk/news/4969314/nhs-workforce-crisis-sees-1600-gps-quit-since-since-health-bosses-pledged-to-tackle-shortages/
NHS  GP  staff  shortage  recruitment  hiring  locum  A&E  Austerity  healthcare  demand  sickcare  chronic  sick  population  demographic  bubble  ageing  Jeremy  Hunt  Simon  Stevens  Junior  Doctor  contract  burnout  stress  part-time  Nurses  paycap  CEP  STP  rationing  referral  waiting  time  treatment  delay  nasty  party  Tories  Conservative  Privatisation 
november 2017 by asterisk2a
Finance trumps patients at every level – UK healthcare needs an inquiry | Aseem Malhotra | Healthcare Professionals Network | The Guardian
tl;dr Diet & Lifestyle changes of the nation in the short-, medium- and long-term term can help (substantially) save the NHS. // A full public inquiry on the scale of Chilcot into the Iraq war may ultimately be required to overhaul a system where at every level financial interest continues to trump what’s best for patients – not only to improve the quality of care, but to restore trust in medical research. Until then, NHS England, the BMA and the Department of Health must make it a national priority to emphasise to patients that less medicine and healthier lifestyles are the most important solutions to sustaining the NHS. // statistics use in medical research and patient selection and reporting issue. absolute risk v % of all patients. // Such statistical and health illiteracy, far from being the exception, is actually the norm. The majority of healthcare professionals seem unable to understand medical literature. One study revealed 70% of those on a training programme failed a simple test on their understanding of evidence-based medicine.
NHS  crisis  big  pharma  BMA  pharmaceutical  lobby  vested  interest  profit  maximisation  rationing  treatment  delay  waiting  times  GP  A&E  prevention  public  health  sickcare  healthcare  demand  chronic  sick  population  demographic  bubble  obesity  diabetes  economic  damage  OECD  S.A.D.  diet  western  lifestyle  sedentary  inactive  revolving  door  conflict  research  Statins  Statin  CVD  Cancer  overweight  disabled  medical  statistics  risk  patient  safety  literacy 
november 2017 by asterisk2a
A Budget For Better Mental Health?
as long as jeremy hunt, in law, does not force CCGs to spend allocated £ ONLY on mental health. additional mental health funds will be continued to be misappropriated by CCGs to plug other holes. and wait lists.
NHS  mental  health  CCG  Jeremy  Hunt  Austerity  Politics  Privatisation  accountability  STP  CEP  rationing  waiting  times  treatment  delay 
november 2017 by asterisk2a
These little-known opaque bodies could run health services. Are they legal? | Denis Campbell | Society | The Guardian
divorcing NHS failure from politics westminster and health minister. as jeremy hunt says ccgs are accountable: eg mental health spending.
NHS  England  ACO  Privatisation  accountability  Politics  Austerity  CCG  STP  CEP  Jeremy  Hunt  Simon  Stevens  rationing  waiting  times  CQC  treatment  delay  excess  death  patient  safety  outsourcing  PFI 
november 2017 by asterisk2a
My5 - Episode - Benefits and Bypasses: Billion Pound Patients S1 E1
25bn a year. diet lifestyle - smoking tobacco alcohl food - obesity cvd diabetes amputations complications medication - liver disease
NHS  Austerity  sickcare  demand  chronic  sick  population  obesity  CVD  Cancer  tobacco  alcohol  alcoholism  diet  lifestyle  public  health  prevention  self-medication  coping  maladaptive  mechanism  poverty  education  CEP  STP  CCG  rationing  elective  care  surgery  premature  ageing  demographic  bubble  food  S.A.D.  western  mental 
november 2017 by asterisk2a
NHS faces even worse winter crisis than last year, watchdog warns | Society | The Guardian
In an update on how the NHS in England performed between July and September, NHSI said hospitals did not succeed in freeing up the target of 2,000-3,000 beds by September, which would have helped them cope with the extra winter demand.

NHS leaders and the health secretary, Jeremy Hunt, told hospitals in the spring that they needed to reduce the number of beds occupied due to “delayed transfers of care” – patients who are fit to leave but cannot safely be discharged – to 3.5% of their total number by September. But 5% of beds are still occupied with such cases, NHSI said.
NHS  winter  crisis  bedblocking  bed  blocking  ageing  chronic  sick  population  elective  surgery  Cancer  CVD  diabetes  Council  STP  CEP  CCG  Austerity  rationing  treatment  delay  waiting  times  GP  A&E  adult  social  care  premature  demographic  bubble  sickcare  healthcare  demand 
november 2017 by asterisk2a
‘First, do no harm’: are disability assessments associated with adverse trends in mental health? A longitudinal ecological study | Journal of Epidemiology & Community Health
Conclusions The programme of reassessing people on disability benefits using the Work Capability Assessment was independently associated with an increase in suicides, self-reported mental health problems and antidepressant prescribing. This policy may have had serious adverse consequences for mental health in England, which could outweigh any benefits that arise from moving people off disability benefits. &! https://twitter.com/chakrabortty/status/929349312743604224
WCA  DWP  ESA  Universal  Credit  mental  health  Disabled  Austerity  rationing 
november 2017 by asterisk2a
Number of NHS patients waiting over six months for surgery up 40% | Society | The Guardian
Royal College of Surgeons says 151,710 patients in England were waiting more than six months for non-urgent operations
NHS  elective  surgery  rationing  waiting  times  referral  treatment  delay  CCG  GP  winter  crisis  Austerity  sickcare  demand  healthcare  Cancer  CVD  STP  CEP  patient  safety 
november 2017 by asterisk2a
NHS battle for money: Where will it end? - BBC News
[ Simon Stevens could walk away, creating a new crate for May's government, as BOE Mark Carney did not extend his BOE gov role beyond Brexit ] If there is a significant financial settlement for the NHS in England, Mr Stevens can claim vindication for his strategy.
But if there isn't, he is faced with a difficult choice - either soldier on with a service under great strain and his five-year plan objectives under threat, or walk away.
He will be well aware of the risk he has taken with his speech.
But perhaps he is ready to go if he has to, arguing that at least he tried to get the NHS the money it needed. &! https://www.youtube.com/watch?v=wXlTwgfL6tU - Head of NHS England demands more money (Channel 4 News) &! One short picture of the winter crisis last time around 16/17 - https://www.youtube.com/watch?v=TNu3O3Pqebk &! 13/14 - https://www.youtube.com/watch?v=qGulU83N6Gc
NHS  Austerity  Simon  Stevens  Crisis  winter  Theresa  May  Philip  Hammond  Jeremy  Hunt  CEP  STP  CCG  rationing  waiting  times  treatment  delay  GP  A&E  bedblocking  bed  blocking  Council  adult  social  care  elderly  sickcare  demand  healthcare  chronic  sick  population  Cancer  CVD  diabetes  overweight  obesity 
november 2017 by asterisk2a
'Bed-blocking' in Scottish hospitals falls by 9.6% - BBC News
About 400 people were left in hospital because the social care support they needed in order to live in their own home was not available, while more than 200 had to wait for a place in a nursing home.
Of those who could not leave hospital in September 2017, 1,140 had to wait for for more than three days.
A third of delayed patients had to wait in hospital for more than six weeks - a 2% increase from last year, despite the fall in the figures overall.
NHS  Scotland  bedblocking  bed  blocking  Council  Austerity  adult  social  care  ageing  chronic  sick  population  sickcare  demand  healthcare  public  health  demographic  bubble  premature  Crisis  rationing  elective  surgery  GP  A&E  referral  treatment  delay  waiting  times 
november 2017 by asterisk2a
NHS could 'pop' without emergency cash boost, health bosses told | Society | The Guardian
The Treasury wants the NHS to show that it is “straining every sinew” before it receives any budget boost. He added: “I hope it [extra money] comes in this budget but at some point it needs to come. If it’s not this budget, it needs to be a budget in the future, hopefully before things pop.” The exact scope of what care the NHS can be expected to provide would need to be “reset” and some forms of care “deprioritised” unless its budget goes up beyond the small increases ministers have already planned, Mackey said
&! https://www.theguardian.com/society/2017/nov/08/nhs-needs-24bn-more-by-2022-or-waiting-lists-will-grow-and-care-be-hit needs minimum 4bn injection. &! http://www.bbc.co.uk/news/health-41908302 - The health service should get the cash boost it was promised during the EU referendum, the head of the NHS in England is expected to say later. Simon Stevens will use controversial claims used by Vote Leave to put the case for more money in a speech later. &! https://inews.co.uk/essentials/news/health/nhs-providers-chris-hopson-financial-pressure/ &! https://www.theguardian.com/society/2017/nov/08/nhs-chief-warns-waiting-lists-could-hit-5m-without-extra-cash - NHS waiting list could soar to 5m without urgent cash, chief warns Simon Stevens risks his job by urging government to spend £20-30bn more annually to bring service in line with France, Germany and Sweden
NHS  Crisis  Austerity  healthcare  demand  sickcare  winter  waiting  times  treatment  delay  rationing  budget  Simon  Stevens  Jeremy  Hunt 
november 2017 by asterisk2a
NHS staff 'working on edge of safety' - BBC News
NHS staff in England are working on the "edge of safety" as rising demand is outstripping the increasing numbers being employed, health bosses say.
There are now 6% more staff than there were three years ago, but demand for services has risen by three times as much in some areas.
NHS Providers, which represents health chiefs, said staff shortages was now the number one concern in the NHS.
NHS  patient  safety  CQC  staff  shortage  Nurses  Doctors  GP  Crisis  recruitment  hiring  locum  Austerity  CEP  STP  rationing  waiting  times  Cancer  CVD  diabetes  premature  sickcare  healthcare  chronic  sick  population  demographic  bubble  ageing  public  health  Council  bedblocking  bed  blocking  demand  winter  A&E 
november 2017 by asterisk2a
NHS offers smartphone GP appointments - BBC News
[privatisation cherry picking, another example, the easiest things ]
"We notice there is an extensive list of patient conditions such as frailty, pregnancy and mental health conditions that are the essence of general practice and which GPs deal with every day, but which are not eligible for this service. &! http://www.bbc.co.uk/news/health-41111553 - NHS launches £100m drive to recruit foreign GPs &! http://www.bbc.co.uk/news/health-39522137 - GP practices close in record numbers &! http://www.bbc.co.uk/news/health-41888952 - Online GP consultation: Opportunity or threat? - two-tier system, creaming off the healthiest patients. cherry picking. see privatisation of elective care and non-challenging adult elderly care. [...] The RCGP argues that existing community practices will be left with lower revenue and having to look after the sickest with the most complex conditions, hence the claim that there was a danger of "twin-track" general practice evolving. ALSO How easy will it be to avoid prescribing antibiotics - just to be on the safe side?"
GP  NHS  Crisis  sickcare  demand  healthcare  chronic  sick  complex  diseases  population  ageing  demographic  bubble  recruitment  hiring  training  staff  shortage  locum  Nurses  Doctor  rationing  waiting  times  treatment  delay  Privatisation  profit  maximisation  Austerity  STP  CEP  elective  surgery  time 
november 2017 by asterisk2a
Jeremy Hunt faces legal action over attempts to 'Americanise' the NHS | The Independent
more two-tier options for users w ACO offering from the get go two-tier adult and social care services/options. AND like most private provides taking on NHS business, avoiding also tax! Hnt himself said in committee hearing that our ageing population is private money fest opportunity.
NHS  Privatisation  Austerity  ACO  CEP  STP  CCG  CQC  rationing  waiting  times  profit  maximisation  neoliberalism  public  health  good  neoliberal  bedblocking  bed  blocking  adult  social  care  Council  disabled  ageing  population  chronic  sick  sickcare  healthcare  demand  demographic  bubble 
november 2017 by asterisk2a
Psychiatrist vacancies 'double in four years' in England - BBC News
Attracting students
Prof Burn said the rise in vacancies was down to the difficulty in recruiting psychiatrists.
At the same time, more posts were being created for consultant psychiatrists as mental illness moved up the health agenda, but there were no specialists to fill them, she said.
She said medical schools need to broaden their pool of applicants in order to get more psychiatrists into the workplace.
"We are keen that medical schools should take in people studying psychology A-level - because they will be more likely to end up as psychiatrists."
It takes 13 years to train as a consultant psychiatrist.
NHS  Crisis  mental  health  staff  shortage  waiting  times  rationing  referral  locum  recruitment  training  hiring 
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
'Radical changes' needed to £1bn stroke care - BBC News
[ 50% of disability in over 50 from Stroke ] Caring for people who have suffered from stroke is costing Wales £1bn annually, according to a leading charity.
The Stroke Association has also warned the figure could almost triple to £2.8bn by 2035 if immediate action is not taken.
The charity said the "vast majority" of the financial burden is placed on families and carers.
Strokes cost the UK as a whole £25.6bn per year.
NHS  Council  adult  social  care  Stroke  CVD  Cancer  diabetes  disabled  ageing  chronic  sick  population  prevention  sickcare  healthcare  demographic  bubble  public  health  Crisis  STP  CEP  rehabilitation  rationing  treatment  delay  A&E  GP  economic  damage  premature  Austerity 
october 2017 by asterisk2a
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