Tag Archives: GP

Jeremy Hunt’s plan to cut numbers of long-term sick people: lie about it

Attacking the sick (possibly): Jeremy Hunt.

Is this the latest Tory attack on people with long-term illnesses?

According to the Mirror, Chancellor Jeremy Hunt is planning to pressurise GPs into refusing to sign people off work with long-term illnesses, even if they are too physically ill to perform any work at all.

This would mean he is planning to starve them to death.

They would still have to try to claim Universal Credit, but would be unable to show that they deserved it because they could not provide medical evidence of inability to work. Therefore they would receive nothing.

Attempting to work would simply worsen their condition and may also drive them to an early death.

Of course, anybody who finds it odd that a former Health Secretary would want to send UK citizens to their deaths simply hasn’t been paying attention for the last 13 years.

You can read the Mirror piece by clicking on the link here:

I’m interested in the responses from experts…

It has sparked alarm, with Dr Deepti Gurdasani, epidemiologist and senior lecturer at Queen Mary University, posting on Twitter: “Yeah, this’ll really help because long COVID and chronic illness responds so well to being forced to push through and work long hours regardless of how ill one feels…”

Let’s hope that the UK’s GPs still have a shred of decency about them and remember that they have a duty to do nothing to harm people who present as patients.


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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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Is Rishi Sunak refusing to face the flaws his government has caused in the NHS?

Rishi Sunak has refused to say whether he has a National Health Service GP – and now people are asking the obvious: if he doesn’t, then how can he identify with the problems facing the crisis-riven service?

Ironically, Sunak’s father was an NHS GP, but the caginess of his answer seems to indicate that he has chosen a different path.

This would make sense in a Tory-run UK where the NHS is being run down with an intention to sell it off piecemeal to private health profiteers; that would explain Sunak’s insistence that he will not pay nurses or ambulance paramedics equal wages (in real terms) to those they received in 2010 – it creates a lower wage bill for incoming private firms.

It has just been reported that a quarter of adults go to Accident & Emergency (A&E) departments at hospitals because they can’t get an appointment with their GP, due to understaffing and backlogs caused by Tory cuts.

Is Sunak too good to wait in A&E for service, like the rest of us?

The question was debated on ITV’s Good Morning Britain, when NHS doctor Emeka Okorocha clashed with broadcaster Emily Carver.

Dr Okorocha said it is practical for a prime minister, with a country to run, to visit A&E and experience it – including the hours-long delays. “If the people at the top had to go through these struggles, maybe there would be the incentive to make some change.”

He agreed that the PM’s personal healthcare was his own business – but if he had any humanity about him, any ability to identify with the rest of the UK’s population, then experiencing what they have to endure should trigger the desire for change.

Ms Carver said it seemed Sunak constantly had to explain his life choices due to his personal wealth, and this was not fair – but also that it would have been better for him if he had explained the situation, rather than try to hide it.

She said the argument that one should have used the NHS GP service in order discuss the NHS winter crisis was a “fatuous” – silly and pointless – argument. “I think there are people in this country who don’t want anyone to have anything better than they do,” she said.

But what’s wrong with that, as regards healthcare? Shouldn’t we all get the best?

Here’s the discussion:

What do you think?

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Sunak backpedals on plan to make people pay for missed NHS appointments. Why?

Rishi Sunak: The decision came as he met patients and staff at Croydon University Hospital in his first visit as prime minister.

Did Rishi Sunak ever really mean to charge us £10 for missed NHS appointments?

Or was he just saying he would because he knew it would appeal to Conservative Party members?

It was a rotten idea:

I said at the time that what is actually needed is research to find out why these people are missing their appointments and help with the causes of their problems. I also said Sunak would never do that because it would cost money rather than raising it.

Doctors’ union the British Medical Association (BMA) said it would “make matters worse” and threaten the NHS’s principle of free care at the point of need.

The BMA welcomed the decision to scrap the plan and said it “cannot be brought back to the table later down the line”.

This may be news to Sunak who, apparently, had decided it was merely “not the right time” for the idea after “listening to GPs”.

Sunak had also pledged to eliminate one-year waiting times by September 2024, and get the number of people waiting for non-urgent treatment in England falling by next year. He also pledged to reform dentists’ NHS contract, and ring fence the annual £3bn NHS dentistry budget.

Let’s hope he doesn’t use this as a precedent to backtrack on those – useful – ideas as well (although I think the dentistry budget needs a boost. Ours are paid a pittance, I’m told).

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Someone tell Therese Coffey: two-week target to see GPs is in place ALREADY

Coffey and liquor: this is the Tory minister who reckons she’s going to get the NHS back on track.

This is more smoke and mirrors from the Liz Truss Tory government.

Health Secretary Therese Coffey has announced a plan to improve access to GPs, with a target for everyone making an appointment to be seen within two weeks.

But that is the target at the moment:

Note that the David Cameron Coalition government reduced the target to this from Labour’s earlier target of just two days, back in 2010.

It seems likely the move was intended to pre-empt an expected worsening of services when Andrew Lansley brought private, profit-making healty companies into the NHS in his bid to turn it into a cash cow for extremely wealthy shareholders.

No wonder GP leaders are saying the announcement will have “minimal impact”.

So let’s have one more tweet to sum up the situation:

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Sunak offers to fine NHS patients who miss appointments – but how will it help?

Rishi Sunak: Avaricious and ambitious.

Conservative – and therefore UK – leadership candidate Rishi Sunak has made an offer to help clear the NHS backlog. On the face of it, the plan has flaws:

Whataboutery aside, is there any merit in the idea? Probably not.

It seems that, like many Tory cruelties, it proposes an overly-simplistic solution to a complicated problem, that is more likely to make matters worse than help anybody at all:

According to Dr Patterson, above – and reading between the lines, what is actually needed is research to find out why these people are missing their appointments and help with the causes of their problems.

And Sunak is never likely to offer that.

It would cost money, rather than raising it.

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UK’s biggest chain of GP practices lets unqualified staff replace doctors

This is what happens when you ask profit-driven Tories to run your country:

The UK’s biggest chain of GP practices lets less qualified staff see patients without adequate supervision, an undercover BBC Panorama investigation has found.

Operose Health is putting patients at risk by prioritising profit, says a senior GP.

The company, with almost 600,000 NHS patients, is owned by US healthcare giant Centene Corporation.

In the interest of fairness: Operose says it is not short-staffed and operates in patients’ best interests. But…

BBC Panorama sent undercover reporter Jacqui Wakefield to work as a receptionist at one of the UK company’s 51 London surgeries… A GP working at the practice said they were short of eight doctors. The practice manager said they hired less qualified medical staff called physician associates (PAs), because they were “cheaper” than GPs.

Panorama gathered evidence that PAs were not being properly supervised at the Operose practice. The PAs told the undercover reporter they saw all sorts of patients, sometimes without any clinical supervision. They said the practice treated them as equivalent to GPs.

One GP, who wished to remain anonymous, said she had witnessed the way PAs had been used where she worked. “They were fantastic colleagues and trained to do certain roles, but not trained to basically do as much work as a GP. They were doing the same job as us, with less experience, less qualifications and earning less money,” she said.

“Doing the same job… earning less money.”

It’s all about money.

Even with the best will in the world, unqualified – or underqualified – staff will not help patients as well as properly-qualified doctors. That is clear.

But it is the logical result of many years of privatisation in the National Health Service.

Labour – to its shame, under Tony Blair – started the process, allowing large businesses to buy up practices in England instead of each practice being run by “partners” providing services to the NHS.

And this is the end of it, it seems – the end of patient care, and the beginning of patient profit.

If you live in England, and you have to put up with this dismantling of a once-great system, I pity you.

Your health has been bargained away to private profit-led corporations for the sake of money. Was it worth it? If you’re health and think so, will you think the same when your health fails.

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Tories lift unfair threat to doctors over face-to-face appointments

Don’t sweat it, Sajid: really, this image should show egg on his face but we can’t have everything we want, can we?

The GP strike is off – for the moment.

You’ll remember This Site reporting last week that GPs in England were threatening to strike after Sajid Javid wanted to compel them to hold face-to-face appointments with anybody who wants one – and threatened to publicly humiliate surgeries that didn’t meet targets he would impose.

Well… it seems Javid has discovered that a week in politics really is a long time.

After the threats and counter-threats, appointment figures for September have been published – showing that GPs have already conducted a significantly higher number of face-to-face appointments.

Remember, they started doing this before Javid made his ridiculous threat.

According to The Guardian,

Figures from NHS Digital show that 28.5m appointments were estimated to have taken place in September – about 8% higher than for the same month in 2019, and up around 3m on the figure for August.

Of the appointments made in September, 43.2% took place on the same day they were booked and 61% were in person. This 17.3m total for face-to-face contacts is the highest figure recorded since February 2020 and is up by about 3.5m on the figure for August, when 58% of appointments were face-to-face, the data suggests.

It’s still fewer than the 80 per cent of appointments that were face-to-face before the arrival of the Covid crisis…

But it was enough to cause a shamefaced Department of Health and Social Care to withdraw its threat to publish monthly “league table” data showing what proportion of surgery appointments occur in person or virtually,

according to sources.

Oh, and

An NHS source claimed “naming and shaming” GPs carrying out low levels of face-to-face appointments had never been included in the plans, only that “appropriate levels of face-to-face appointments for patients based on local need must be delivered”. The NHS source added that “while more localised access data will be published, the plan does not include ‘naming and shaming’”.

Whatever. It doesn’t matter now that it isn’t going to happen anyway, does it?

Source: GPs win ‘significant concessions’ from NHS England over in-person access | GPs | The Guardian

No ‘unsustainable’ pressure on the NHS? Then why are GPs threatening to strike?

Sajid Javid: behind the smug smile there appears to be no intelligence at all.

The following tweets appeared next to each other on my timeline:

It’s just more evidence that Sajid Javid was lying when he said pressure on the NHS due to Covid-19 was “not unsustainable” – as if we needed it, after Stephen Powis contradicted him during his own press conference on Wednesday:

GPs are under severe pressure due to the ongoing Covid-19 crisis – worsened by the government’s refusal to take action to reduce infections, in the face of increases past 50,000 a day and the worst death rate since March.

But Health Secretary Sajid Javid wants to compel them to hold face-to-face appointments with anybody who wants one – and is threatening to publicly humiliate surgeries that don’t meet targets he imposes.

As a result,

GPs in England are threatening industrial action in protest at the government’s attempt to force them to see any patient who wants a face-to-face appointment.

The British Medical Association’s GPs committee voted unanimously to reject the plan by the health secretary, Sajid Javid.

The doctors’ union has decided to hold a ballot on possible industrial action, which could result in family doctors at the 6,600 practices in England reducing the work they undertake.

So Javid’s interference is likely to make it less possible to see a GP personally. What a stupid way to run a health service.

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Javid announces scheme to blame GPs for lack of face-to-face appointments

Smug: Javid’s new scheme won’t do enough to help GPs cope with demand for face-to-face appointments – but he’ll be able to use it to blame them when they don’t.

The Tory Health Secretary has announced funding to “help” GPs arrange more face-to-face appointments with patients, in response to complaints from the public.

But there are huge problems with the scheme – of course there are; it’s a Tory plan to divert blame for short-changing the NHS onto people working in the service and away from themselves.

So before you watch the video clip, read Jonathan Ashworth’s comment – and then the  response below:

So it’s not enough money to make a real difference in each GP practice, and the cash is taken from existing budgets, meaning some other part of the NHS will lose out. Robbing Peter to pay Paul, as the saying goes.

And there’s no acknowledgement of the reasons GPs are under pressure in the first place – all connected to Tory deprivation:

So the Tory governments of 2010 onward cut funding, closed GP practices, and put people off training as doctors.

The Tories knew there was a lack of manpower in GP surgeries since at least 2016.

There are nearly 2,000 fewer GPs than six years ago and the Tory plan will do nothing to change this.

He is setting up your local GP surgery to take the blame for future failures.

And of course he is denying it (because he has already been challenged):

Strangely, despite the BBC’s tweet, none of Javid’s comments in the article address the issue. Perhaps it was mentioned in a previous draft and edited out by a Tory in the Corporation’s hierarchy?

Still, we can all see what’s going on:

Here’s a snapshot of the current situation that Javid’s scheme is unlikely to help:

And this is telling: if Javid’s scheme is so good, why has he cried off speaking at the annual conference of the Royal College of GPs?

Some of us may have satirical fun with it…

… but in context this is shocking hypocrisy from the Tories. Here’s David Shepherd to explain:

It’s a very good question. But it’s just another one that the Tories won’t answer.

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