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ckn

NHS clinical staff cuts

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7060 clinical staff have been made redundant since the Coalition took charge.  That's even without the "administrative" staff that have been cut being taken into account.  Even then, it's only the tip of the iceberg as the peak cuts will come in the latter part of 2014 and early 2015 to meet the Treasury driven cuts leading to 2016.

 

One doctor I know has gone from sharing a secretary with two other doctors to sharing a secretary with ten others meaning he now has to do far more of his own admin cutting into clinical time.  He now has even more administrative responsibilities than ever before with the new commissioning responsibilities and no-one to turn to who has the first clue of what it all means meaning he's having to waste lots of time getting and interpreting contradictory information.

 

On a more local note:

- Norfolk and Suffolk NHS Trust will cut the mental health budget by £40m by 2016, reducing it to £180m from £220m, despite the amount of people needing acute clinical help going up year on year.
- 50 mental health beds cut in Suffolk, along with cuts elsewhere mean that there have been occasions where the nearest mental health bed available for a Suffolk patient has been in Glasgow!  We are now at the point where you can only get a NHS mental health bed if you're a genuine threat to others, it's irrelevant if you're a threat to yourself.  The Scottish NHS funding system means that fewer cuts have been made to mental health services, meaning that Scottish NHS budgets are having to stretch to cover critically ill English patients that cannot get a funded bed in England.
- 12% of jobs in the Trust are planned to be cut by 2016.

 

Don't be conned by thinking these are just yet another Tory cut, the Health and Social Care minister, Norman Lamb, is a Lib Dem.

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And yet David Cameron said: "[the] NHS is safe in his hands as" and there will be "No top down reorganisation of the NHS".

 

So what is the truth of the matter? For anyone with a reasonably functioning memory it's all too familiar. 

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Spent the weekend with a mate of mine, a lifelong Labourite with considerable personal and long term experience of the NHS and we were both agreed on the horrendous structural inefficiencies within the NHS.   One secretary to two doctors?  Good grief!

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And yet David Cameron said: "[the] NHS is safe in his hands as" and there will be "No top down reorganisation of the NHS".

 

So what is the truth of the matter? For anyone with a reasonably functioning memory it's all too familiar. 

 

 For anyone with a reasonably functioning memory it's all too familiar. 

 

Yes, an inefficient organisation that refuses to change, that thinks the taxpayer has a bottomless purse. an organization that brooks no criticism, buries it failures anonymously and personifies the "not invented here" syndrome. 

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if you were really sorry you wouldn't have posted it. Still a stopped clock etc etc.....

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My eye consultant said in September he needed to see me in 2 months, I was sent an appointment for 25th Nov, which was put back to 6th Jan, and now to 10th Feb.  Reason on letter "no clinical coverage."   I rang them yesterday to ask what this phrase meant and go no sensible answer. I asked for an assurance that it wouldn't be put back again and didn't get one.  The annual appointment used to be at Dewsbury, and I'm not allowed to drive afterwards, fortunately there's a bus from Morley to Dewsbury General, but for some reason the person on the other end of the phone was also unable to explain, it's been moved to Pontefract - at least two buses.  Whatever is wrong with the NHS, IMO can be down to one reason and one reason only, this government.  It wasn't like this up to this year and now it is.  The same things happened the last time the Tories were in, my son received a head injury in a motor accident, he had to wait 3 hours in A&E until a radiographer came from another hospital in a taxi.  Fortunately it wasn't serious, but as the recent Schumaker case has revealed it could have been.  Whatever they say the Tories cannot be trusted with the NHS, they don't understand it, all Tories understand is the bottom line, and unfortunately the NHS doesn't have one.

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For anyone with a reasonably functioning memory it's all too familiar.

Yes, an inefficient organisation that refuses to change, that thinks the taxpayer has a bottomless purse. an organization that brooks no criticism, buries it failures anonymously and personifies the "not invented here" syndrome.

Perhaps that was tha case in the past, but The stafford debarce and subsequent reform is starting to change this.

CKNs point re mental health care is standard through the country. The Tories are changing the NHS from a health service to just an emergency treatment system. Removing most of the funding to the 'soft' preventiitive/welfare schemes because the success of this investment is hard to measure. A perfect example of false economy.

Oh and by opening up the NHS to the market a significant proportion of the NHS budget is now spend on Lawyers to ensure that any bidding process meets the criteria, because you can bet your bottom dollar that a private contractor would seek redress if the small print was not followed.thus the savings by doing this are not realised

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The annual appointment used to be at Dewsbury, and I'm not allowed to drive afterwards, fortunately there's a bus from Morley to Dewsbury General, but for some reason the person on the other end of the phone was also unable to explain, it's been moved to Pontefract - at least two buses.  Whatever is wrong with the NHS, IMO can be down to one reason and one reason only, this government.  It wasn't like this up to this year and now it is. 

 

 

I suspect this may be part of a politically-influenced  campaign to utilise Pontefract more and Dewsbury less; the NHS has been accused of not staffing Pontefract fully over the past few years.

 

http://www.yvettecooper.com/mp_welcomes_return_of_services_to_pontefract_after_3_year_campaign

 

http://www.bbc.co.uk/news/uk-england-leeds-24480585

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Tell me about, sick to the back teeth of being in pain because they wont do invasive treatment for my Kidney Stones for fear of claims

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Tell me about, sick to the back teeth of being in pain because they wont do invasive treatment for my Kidney Stones for fear of claims

There was an article in a paper last week about the doctor who did the first hand transplant in the UK in an English hospital who can now only treat Scottish patients because no English NHS commissioning unit will fund it.

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The Coalition Government has consistently stated, and the Tories before the election took place, that the NHS budget, like the schools budget, is ringfenced and no cuts were to be made to it for the duration of this parliament. 

 

I very much doubt that cuts in clinical staff have been the result of cuts to the NHS central budget.  A more likely scenario is that various NHS trusts being unable to fund their PPF payments.  Here in St Helens our only A&E unit is situated at Whiston Hospital which was substantially rebuilt under Labour and its PPF 'initiative'.  Approximately one third of the new build cannot be used because the trust cannot afford to run it thanks to PPF repayment costs. 

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There are stil 8 x Band 7+ in charge in my local Theatre, even though none of them can do anaesthetic support. Not that I'm bitter anymore, ####'s!

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As someone who has no inside knowledge of the NHS , I see the budget up by 2.6% for 13/14 . Are we saying that's not enough , is there too much waste or is there some other drag on the budget ? I suppose answering my own question as a big beast the NHS is , there is probably a thousand reasons why.

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As someone who has no inside knowledge of the NHS , I see the budget up by 2.6% for 13/14 . Are we saying that's not enough , is there too much waste or is there some other drag on the budget ? I suppose answering my own question as a big beast the NHS is , there is probably a thousand reasons why.

More old people, longer life expectancy, greater range of treatment, more drugs, more expensive drugs, etc.

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My eye consultant said in September he needed to see me in 2 months, I was sent an appointment for 25th Nov, which was put back to 6th Jan, and now to 10th Feb.  Reason on letter "no clinical coverage."   I rang them yesterday to ask what this phrase meant and go no sensible answer. I asked for an assurance that it wouldn't be put back again and didn't get one.  The annual appointment used to be at Dewsbury, and I'm not allowed to drive afterwards, fortunately there's a bus from Morley to Dewsbury General, but for some reason the person on the other end of the phone was also unable to explain, it's been moved to Pontefract - at least two buses.  Whatever is wrong with the NHS, IMO can be down to one reason and one reason only, this government.  It wasn't like this up to this year and now it is.  The same things happened the last time the Tories were in, my son received a head injury in a motor accident, he had to wait 3 hours in A&E until a radiographer came from another hospital in a taxi.  Fortunately it wasn't serious, but as the recent Schumaker case has revealed it could have been.  Whatever they say the Tories cannot be trusted with the NHS, they don't understand it, all Tories understand is the bottom line, and unfortunately the NHS doesn't have one.

They don't want you to know.

You're a pleb.

They want to make things as inconvenient as possible.

You know how to sidestep your quandary.

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  Whatever they say the Tories cannot be trusted with the NHS, they don't understand it, all Tories understand is the bottom line, and unfortunately the NHS doesn't have one.

You may have noticed that it is a coalition government in power.  The Tories can't do anything without the approval of the Lib Dems as the Tories do not have a majority in government.  So whatever decisions have been made regarding the NHS have been made by the Tories and Lib Dems by agreement.

 

The NHS is treated by some as a kind of religion.  But just like the welfare system it has to be challenged and changed according to the needs and realities of today.  We are no longer in 1940s Britain.  We cannot afford and do not require the same kind of health service as 1940s Britain.  It is right that changes are made.  There is way too much beaurocracy in the NHS and there is needless waste, poor practice and lack of accountability.  The NHS is a tax payer funded organisation and as with all taxpayer funded organisations it needs to be held accountable for the gargantuan amount of money that it swallows.

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You may have noticed that it is a coalition government in power.  

:shout:  :shout:  :shout:  :shout:  :shout:  :shout:  :shout:  :shout:

 

The Tories for the most part are doing what they like, the LIbs are too scared of the consequences of standing up to them.

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As someone who has no inside knowledge of the NHS , I see the budget up by 2.6% for 13/14 . Are we saying that's not enough , is there too much waste or is there some other drag on the budget ? I suppose answering my own question as a big beast the NHS is , there is probably a thousand reasons why.

 

Tax breaks or greater funding for the NHS? We can't have both.

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The Coalition Government has consistently stated, and the Tories before the election took place, that the NHS budget, like the schools budget, is ringfenced and no cuts were to be made to it for the duration of this parliament. 

 

I very much doubt that cuts in clinical staff have been the result of cuts to the NHS central budget.  A more likely scenario is that various NHS trusts being unable to fund their PPF payments.  Here in St Helens our only A&E unit is situated at Whiston Hospital which was substantially rebuilt under Labour and its PPF 'initiative'.  Approximately one third of the new build cannot be used because the trust cannot afford to run it thanks to PPF repayment costs. 

 

If the Trust cannot afford to run a third of the building, then it needs to have a bloody good look at itself. The repayment schedule will be known by all, upfront prior to signing the agreement and is contractually binding to all parties. 

 

PS

 

If you think the Lib Dems are not bending over and taking it for the fifteen minutes, go back to their 2010 manifesto section regarding tuition fees.

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As someone who has no inside knowledge of the NHS , I see the budget up by 2.6% for 13/14 . Are we saying that's not enough , is there too much waste or is there some other drag on the budget ? I suppose answering my own question as a big beast the NHS is , there is probably a thousand reasons why.

I'm sure I've heard quoted an NHS inflation rate but can't find a link now, but from what I recall inflation does run higher in the NHS than in the general economy so I'd imagine there's a hit there despite budgets appearing to grow/be maintained. 

 

For me the bottom line is the NHS is such a beast that it must be almost unmanageable as a whole, I've had more contact with various NHS departments in 2013 than I'd like and as an outsider looking in at times cost savings look obvious, yet I dare say the moment you try and change things any cost savings are eradicated as the cost change/consultation/re-organisation kick in.

 

Pretty certain the answer isn't as simple as many above seem to imply by blaming on one party or the other, the problems in the NHS are deep rooted and it'll swallow as much cash as you throw at it I'm sure.

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I'm sure I've heard quoted an NHS inflation rate but can't find a link now, but from what I recall inflation does run higher in the NHS than in the general economy so I'd imagine there's a hit there despite budgets appearing to grow/be maintained. 

 

For me the bottom line is the NHS is such a beast that it must be almost unmanageable as a whole, I've had more contact with various NHS departments in 2013 than I'd like and as an outsider looking in at times cost savings look obvious, yet I dare say the moment you try and change things any cost savings are eradicated as the cost change/consultation/re-organisation kick in.

 

Pretty certain the answer isn't as simple as many above seem to imply by blaming on one party or the other, the problems in the NHS are deep rooted and it'll swallow as much cash as you throw at it I'm sure.

 

Which is how the costs of PFI hospitals are driven up. Changes to schemes pre-financial close have to go through some many departments/sign-offs it is ridiculous. I can;t recall the specific figure, but I seem to recall the uplift (build cost only, excluding fees and funding) of a PFI hospitlal about 30% higher than non-PFI.

 

The greater issue is; how do we build hospitals without PFI? The country can't afford to do it via the Treasury, certainly not the extent required.

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