Category Archives: Accident & Emergency

Pay for GP and A&E visits, says Sajid Javid. We already do!

Sajid Javid: he wants us to pay twice for NHS GP and A&E services.

How strange that a former Health Secretary doesn’t understand how the National Health Service is funded and wants to charge us twice for the same service!

Here’s the story:

Patients should be charged for GP appointments and visits to A&E, Sajid Javid has said, as he called the present model of the NHS “unsustainable”.

The former health secretary said “extending the contributory principle” should be part of radical reforms to tackle growing waiting times.

In an article for The Times, he called for a “grown-up, hard-headed conversation” about revamping the health service, adding that “too often the appreciation for the NHS has become a religious fervour and a barrier to reform”.

Downing Street told the newspaper the prime minister is not “currently” considering the proposals.

That last line is slightly reassuring, at least. Once the principle of paying for NHS services we’ve already funded gets embedded, there will be no reversing the march of commercialisation.

Let’s be clear, though: there is absolutely no reason for anybody to pay for NHS appointments because Javid’s argument is nonsense.

Making people pay won’t stop people from being sick – it will stop the poorest from being treated. And that would defeat the fundamental principle of the NHS: universal healthcare.

If we’re going to oppose Javid’s lunacy, though, we ought at least to propose something else. Here’s Richard Murphy:

Which would you prefer?

Source: Sajid Javid says patients should be charged for GP and A&E visits to ease waits | ITV News

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Covid-19 is STILL threatening the health service, says senior doctor

STILL at breaking point: the UK’s National Health Service.

The argument about Covid-19 is still raging. Who are you going to believe – the politicians or the medical experts?

Here’s a medical expert – Dr Tim Cooksley, president of the Society for Acute Medicine.

He’s saying that the surge of Covid infections caused by the BA.2 variant of Omicron has caused a wave of illness among hospital staff, creating knock-on effects of overcrowding and low morale.

He said:

“The NHS and social care continue to be under immense strain and the system is becoming increasingly compromised.

“The reality is that we are seeing overcrowding in acute care settings with patient flow throughout the system impaired and patients stuck for long periods in emergency departments and acute medical units (AMUs) which results in worse patient outcomes.

“Due to this, paramedics are then stuck unable to transfer their patients into hospitals and get back on the road, resulting in 999 patients being left at home for longer periods without clinical assessment and treatment which potentially has a significant impact on their outcomes.

“These were problems that existed before Covid, however they are now exacerbated by high staff absence levels, fatigue and low staff morale, worsened by often not being able to deliver the standard of care they wish.”

More than 71,000 staff in acute trusts in England were off work last week because of sickness – two in five as a result of Covid, while more than a quarter of ambulance handovers were delayed by more than 30 minutes, Dr Cooksley said.

He described the Government’s goal of tackling the backlog in elective, non-urgent care as a “distant prospect”.

Covid-19 infections in most of the UK remain near or at record levels.

And Boris Johnson has spent years saying tens of thousands of nurses and doctors are entering the health service.

Where are they?

Or was this just like his more recent promise to “take control” of energy prices? That it’ll happen sometime, or maybe never?

Source: NHS patient care increasingly compromised, senior medic warns – upday News UK

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Failure of NHS privatisation is proved by harm to patients kept waiting in ambulances

Waiting: ambulances outside a hospital. Strange how privatisation was supposed to improve healthcare but, since it was brought in, the NHS has only deteriorated.

A report for ambulance service chiefs shows that around 160,000 hospital patients in England are being harmed every year because of delays getting them out of ambulances.

As many as 12,000 – or one in 10, could be suffering severe harm like a cardiac arrest, loss of a limb or brain damage.

The ambulance drivers aren’t at fault.

The problem lies with the UK’s Conservative government that has de-funded the National Health Service to a critical degree, while also inviting profit-making private firms to provide some services – taking even more money from healthcare provision.

In a way, we should be grateful for the collapse of healthcare provision since 2010, under the Conservatives.

The delays that have kept patients waiting in ambulances – and thereby risking serious injury – have only become seriously harmful since the Tories brought private providers into the English health service.

They demonstrate more clearly than words that the introduction of those private providers into NHS England has been a disaster for patient care.

And they show that the best possible strategy for the future of healthcare in England is to ban private profit-grubbers from the NHS – forever. Otherwise this nightmare will only get worse.

Source: Ambulance delays outside hospitals are harming 160,000 patients, leaked report warns | The Independent

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Which homicidal Tory idiot doesn’t understand why you CAN’T book a place in Accident & Emergency?

Tory stupidity: you can’t book a place in A&E because you don’t know when you’ll be involved in an accident, or when an emergency will arise. The best thing to do is ignore this new rule completely and demand your right to treatment.

Yes, you read the headline right: the Tories want to make hospital A&E departments ‘booking only’ by December.

According to The Times (it’s behind a paywall but you can get the sense of it from the preview:

Plans for patients to “call first” and book into A&E via NHS 111 will be implemented before December, NHS bosses were told yesterday.

A joint board meeting of NHS England and NHS Improvement was told that new emergency care standards designed to replace the four-hour waiting time target would also be in place before winter.

The plans were described as a “profound change” by Lord Prior of Brampton, chairman of NHS England. Hospitals will be asked to adapt “rapidly” to the measures, which have yet to be finalised, and make improvements as they learn how they work in practice during autumn, board papers said.

So it seems this “Lord Prior of Brampton” is the airhead who thinks you can book A&E time for events you have no reason to expect.

The thinking behind the change is clear: if the only way into A&E is by booking a place, then there won’t be any waiting times and the Tory government will be spared the embarrassment of being shown to have worsened NHS care.

That could be particularly important – for public relations, but not for public health – at a time when hospitals are otherwise likely to be overloaded with Covid-19 patients, people with regular flu, and other emergency demands.

And I suppose people who die at home because they cannot get a slot won’t be counted.

But isn’t the NHS supposed to consult the public on major changes like this? Aren’t they illegal if that doesn’t happen?

My advice: ignore this new rule.

The National Health Service exists to provide health care, free at the point of use, for every UK citizen, when they need it – not when it’s convenient for Tory politicians.

Source: Patients will have to book a spot at A&E by autumn | News | The Times

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