Tag Archives: emergency

Shocking delays at English A&E departments are endangering lives

Making them wait and wait: This was a corridor in an English hospital’s Accident & Emergency department in early 2017 – and now the situation is worse.

You know how Tory prime ministers from David Cameron onwards have loved to tell us their increasingly-privatised English health system is so much better than those in Wales, Scotland, and Ireland?

(But most particularly Wales?)

Well, it turns out NHS England hasn’t been that good after all – and is worsening at an alarming rate.

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Here’s The Guardian:

A record 420,000 patients had to wait more than 12 hours in A&E last year, analysis has shown.

The latest NHS England figures revealed a 20% increase on 2022 in people facing lengthy delays after a decision to admit them to hospital from the emergency department.

In 2023, 419,560 people – or one in 15 A&E patients – faced “trolley waits” of 12 hours or more, according to the Liberal Democrats, who compiled the analysis. It marks by far the highest number since records began in 2011, and amounts to an average of 1,150 patients a day.

The party also pointed to a postcode lottery, with almost half of patients of some trusts, such as the North Middlesex university hospital trust, waiting more than half a day.

Significant waits in A&E have been linked to excess deaths and increased harm to patients, as their condition could deteriorate before they are admitted or given a bed on a ward.

The Department of Health and Social Care has claimed it is already cutting A&E waits and ambulance response times – but if its figures are as disappointing as its claimed increase in hospital beds, then the improvement will be nowhere near enough.

A spokesperson told the Graun that the DHSE was “on track” to deliver an extra 5,000 permanently-staffed hospital beds this winter. But since the Tories took over NHS England in 2010, they have taken out of active service 17,767 beds.

That’s the problem, right there. If there aren’t enough permanent staff to bring the full, nearly 18,000, beds back on line, that’s because the Tories have been discouraging people from training with exorbitant fees, or discouraging them from staying with contemptuous pay offers.

And what about this, from the same newspaper, a couple of months ago?

NHS bosses are using misleading figures to hide dangerously poor performance by A&E units in England against the four-hour treatment target, emergency department doctors claim.

Some A&Es treat and admit, transfer or discharge as few as one in three patients within four hours, although the NHS constitution says they should deal with 95% of arrivals within that timeframe.

How well or poorly A&Es are doing in meeting the 95% target is not in the public domain because the data that NHS England publishes is for NHS trusts overall, not individual hospitals.

That means official figures are an aggregate of performance at sometimes two A&Es run by the same trust or include data for any walk-in centres, minor injuries units or urgent treatment centres that a trust also operates. Forty-eight trusts have two A&Es and many also run at least one of the latter.

So the DHSE has been lying to us about the performance of individual A&E units in England.

And then successive prime ministers have spouted DHSE figures at us during PMQs every Wednesday.

Is it too much to ask for a breakdown of performance at every individual A&E unit in England – to ascertain the genuine facts about them? In an election year, I fear it may be.

Source: Record 420,000 patients in England had ‘more than 12 hour wait’ in A&E last year | NHS | The Guardian


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Latest row over Sunak’s wife shows his new declaration of interests is worthless

Akshata Murty and her husband, UK prime minister Rishi Sunak: he has taken extraordinary steps to hide any commercial interests either of them have from the electorate. We must therefore conclude that he may be dishonestly using his position to funnel public money into his bank accounts and hers.

The row over whether Rishi Sunak’s wife benefited from the work that went into an ’emergency alert’ test affecting mobile phones on Sunday (April 23) shows one thing: the public do not believe the prime minister’s latest declaration of interests.

Sunak published a new register of MPs’ financial interests last week, in response to anger over his failure to declare that a company part-owned by Akshata Murty will benefit from a new policy to attract people into child-minding.

It doesn’t include significant details, either of his own personal financial investments or his wife’s.

Some of us have drawn the obvious conclusion: that Sunak thinks he and his wife are above such declarations – even though he takes public money, the same as the lowliest Universal Credit claimant.

And UC claimants have to declare their partners’ financial interests:

He didn’t even bother to turn up to an Urgent Question demanding a statement on his entry in the register, on the day the stink over alleged interest in the “emergency alert” broke out across the social media:

Instead, one of his lieutenants piped up to say it’s unreasonable to demand of the prime minister what his government demands of every benefit claimant. This confirms that Sunak thinks he’s better than the rest of us and doesn’t need to give an account of himself.

Apparently Sunak’s entry on the register includes his local rotary club, brass band and community pub but not any business interests owned by him or his wife.

The Byline Times article states:

A spokesperson for Sunak insisted that only such declarations judged to be “relevant” had been added to the list.

This means that while, according to Sunak, the fact the he is a patron of his local brass band is judged to be a “relevant” interest relating to his role as Prime Minister, the fact that his wife is now set to potentially massively financially benefit from a Government policy, is not.

Also not included in the new register are any of the Prime Minister’s own personal financial interests, save from the fact that they are now contained within what Downing Street refer to as a “blind management trust”.

This arrangement is ostensibly designed to prevent the Prime Minister from personally being involved in any future investment decisions that may be affected by his own policies.

However, by placing his existing investments within this “blind” arrangement, the public are prevented from ever knowing which Government policies are directly enriching the Prime Minister and his family.

It is hard to think of a reasonable justification for this continued refusal to be fully open about his own financial interests and those of his wife.

It is clear that Rishi Sunak is doing everything he can to prevent the rest of us from knowing how many commercial pies he and his wife have stuck their grubby fingers into.

It is dishonesty at the top level of government. No wonder he is currently being investigated over whether he has approved a policy that funnels money to a company part-owned by his wife. Other government contracts with companies owned by her should also be investigated.

The dishonesty implied by any investigation is exactly the opposite of what Sunak himself promised when he became prime minister.

By his own standards, he does not deserve to remain in office. There’s a local election next week in England and Northern Ireland; I hope voters there use it to drive that point home.


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The rumours about the emergency alert system were wrong, says the Cabinet Office

If you read this story after 3.23pm on April 24, you’ll know that the Cabinet Office has denied any connection between the new emergency alert system that was tested the day before, and Infosys, a company in which Rishi Sunak’s wife has shares.

That’s the government line and we have to accept it.

This Writer has to admit doubts. It seemed the contract for providing the service was originally awarded to Fujitsu, which partners with Infosys on some projects, despite it being involved in the fiasco over the Horizon system in UK post offices – but the Cabinet Office provided this link to a debate about it in the House of Lords.

In it, Cabinet Office Minister Baroness Neville-Rolfe said, “Fujitsu has had a small role in the development of the UK’s emergency alert system, initially providing a subject matter expert to support early development by DCMS.”

So the counter-claim is that the Department of Culture, Media and Sport developed the emergency alert system, and Fujitsu only provided an advisor.

Lord Arbuthnot of Edrom – also a Conservative – pointed out that awarding any contract to Fujitsu after the Horizon system “caused the sub-postmasters of this country to be shamefully accused of things that they had not done” seemed unreasonable, and the company should have been taken off the government’s procurement list altogether.

He said: “Some went to prison, some took their own lives and all those accused were humiliated in the eyes of their own communities. Fujitsu, which knew perfectly well what it was doing, has said not a single word of apology. This is already costing the Government hundreds of millions, potentially more.”

Baroness Neville-Rolfe responded that “all government contracts are awarded in line with procurement regulations and transparency guidelines, and that goes for the contract on the alerts”.

Considering what happened with Horizon, it doesn’t seem very convincing, does it?

Add to that the fact that Fujitsu has had a working relationship with Infosys since 2003, and in 2009 Infosys teamed up with Australian firm Telstra to create an emergency alert system in Australia, and it seems odd that Fujitsu would not employ any expertise in this field that its partner had.

Then again, the UK’s Tory government is not exactly known for making rational decisions.

That’s the best This Writer can say about it.


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Were you alarmed by the ’emergency alert’ test? Either way, this might trouble you

Alert: apparently the contract for the smartphone test that happened yesterday (April 23, 2023) was given to Fujitsu, the firm that bungled the Horizon Post Office software – and which immediately sub-contracted it to Infosys, the firm run by UK prime minister Rishi Sunak’s father-in-law, in which his wife holds millions of pounds worth of shares. Conflict of interest?

It seems the test of the ’emergency alert’ signal on everybody’s smartphone may be another example of Tory nepotism and corruption.

Here’s how:

The contract certainly went to Fujitsu – I have found articles here and here supporting that claim.

I have yet to find proof that it was sub-contracted to Infosys, although it is certainly true that the company owned by UK prime minister Rishi Sunak’s father-in-law, in which his wife holds millions of pounds worth of shares, has worked on other such systems in the past. If anybody can confirm or deny the claim, This Site would like to hear about it.

The Cabinet Office has been contacted for comment.

If it is the case, then I cannot recall Sunak ever declaring this interest when the contract was handed out. At a time when he is under investigation for failing to declare his interest in another government contract handed out to one of his wife’s companies… might this be damaging for him?

ADDITIONAL: A Government spokesperson said“This is completely untrue – there are no connections with Infosys in the running of the Emergency Alerts system.”

More information to follow in an article later.


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Smartphone public warning system could endanger domestic abuse victims

This is a public service announcement:

It seems the fact that the emergency alerts system will cause mobiles with a 4G or 5G signal to emit a loud siren-like sound, receive a message on their home screen and vibrate for up to 10 seconds may also alert abusers to the presence of secret mobile phones held by their victims.

The government’s advice to abuse victims is simple: turn off your concealed phones or switch them to airplane mode until after the test has taken place.

It is also possible to turn off emergency alerts altogether. In your mobile phones ‘Settings’, go to ‘Emergency alerts’ and switch off “severe alerts” and “extreme alerts”.

I’ve just checked my own smartphone and it is quite easy to do.

Meanwhile, if you want to know exactly what your phone will do at 3pm on Sunday, here’s the rundown:


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3.6 MILLION calls to NHS non-emergency line have been abandoned

While you’re forming opinions about the junior doctors’ strike, there’s another crisis in the National Health Service that I’m sure the Tories would like you not to notice.

It is this:

How do you feel about it?


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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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Former PM says current PM and candidates must set emergency budget – or lose moral high ground

Gordon Brown: his heart is in the right place. Sadly, he is appealing to people who don’t have any heart at all.

Inflation is set to hit 13 per cent in October, with energy bills expected to rise to £3,600 a year – and neither Boris Johnson nor the candidates to replace him are doing a single thing about it.

That’s the reason former prime minister Gordon Brown has intervened to demand an emergency budget to tackle the rocketing cost of living – or condemn millions of blameless people to a freezing winter of “dire poverty”.

He has a point – according to The Observer, more than four million households are likely to spend a quarter of their net incomes on energy.

Mr Brown said:

“The more the Conservative leadership election heats up, the more the remaining candidates have resorted to claiming the moral high ground. Raising debt is ‘immoral’, Rishi Sunak is saying. ‘High taxes are immoral,’ retorts Liz Truss. But there is nothing moral about indifferent leaders condemning millions of vulnerable and blameless children and pensioners to a winter of dire poverty.

“Boris Johnson, Sunak and Truss must this week agree an emergency budget. If they do not, parliament should be recalled to force them to do so.”

The problem is that neither Johnson, Rishi Sunak nor Liz Truss could care less.

Johnson is on his way out of mainstream politics, having made a horse’s ass of his premiership.

Sunak and Truss are campaigning to be prime minister – but only among members of the Conservative Party who, historically, don’t have any time for the troubles of the people who make their money for them.

And the Conservative majority in the House of Commons is high enough that none of them need to worry about what happens to the electorate before an election that could happen as late as the end of 2024.

In fact, considering their recent record, it would probably benefit the Tories if a few million more poor people bite the bullet before that poll happens.

If you think they wouldn’t let that happen, where were you during the Covid-19 crisis?

So, given the situation as laid out by Mr Brown, what do you think will happen?

Will Johnson, Sunak and Truss get around the table and put together a package of measures that will save millions from poverty or worse – at some slight cost to the nation (and to certain businesses that are making money hand over fist)?

Or will they carry on their own sweet way, all oblivious to the suffering that they have – let’s face it – caused?

My money’s on the latter.

Source: Gordon Brown: ‘Set emergency budget or risk a winter of dire poverty’

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No emergency budget to help with cost-of-living crisis

Michael Gove: it seems there won’t be any levelling-UP of opportunity while he’s in charge of it.

The Secretary of State for ‘Levelling Up’ has made a mockery of his title by saying there will be no emergency budget to provide help for families facing financial hardship in the cost-of-living crisis his government has caused.

Michael Gove said Boris Johnson’s claim that Chancellor Rishi Sunak and he “would be saying more about this in the days to come” had been widely misinterpreted:

“The prime minister is right. We will be saying more and doing more in order to help people with the cost of living challenge we face at the moment, but that doesn’t amount to an emergency budget. It is part of the work of government.

“Last night the prime minister convened a group of ministers – we have all done work on some of the things we could do to help. Those policy initiatives will be announced by individual departments in due course as they are worked up.”

And the Secretary of State for Wales, Simon Hart, said

the cost of living crisis was “now the most important challenge” in Britain which he and Cabinet colleagues would be discussing how to solve this week.

“You will hear more probably on Thursday after the Cabinet has met,” he told TalkTV.

This Writer will believe in new measures only when I hear them.

The ideas on the table so far are pathetically weak – cutting the frequency of MOT tests on cars to once every two years, for crying out loud! How is making our roads unsafe going to save money after the collisions start happening?

Put it together with the words of Johnson, Gove and Hart and we see a government that is happy to put us all in an impossible situation, and then delighted to leave us all to find our own way out of it.

Source: PM’s cost of living hint has been ‘over interpreted’, says Gove – and no emergency budget

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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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