Tag Archives: royal college

Coronavirus: Medical groups unite to condemn bulk ‘Do Not Revive’ plan for sick and disabled people


This should be seen as absolute proof that it has been a policy to deny coronavirus care to people with long-term illnesses and disabilities.

This Writer has noted some scepticism in the responses to yesterday’s article about the GP practice in Wales that wrote to people with ongoing medical conditions, telling them that equipment used to treat coronavirus is being rationed and they were not likely to be treated if they contracted the disease. Instead, the letter asked them to sign a form directing medical staff not to attempt to resuscitate them if they succumbed to the virus.

My own attitude to this is clear: as we have all paid into the National Health Service, throughout our lives, we all deserve the best possible care available from it. I asked: do politicians and royalty get preferential treatment? If so, why?

Also, just because a person has an underlying condition, that doesn’t mean they won’t be able to shrug off the virus, given the same help that is provided to everybody else.

Now the British Medical Association, the Care Provider Alliance, the Care Quality Commission and the Royal College of General Practitioners have released a joint statement, saying more or less the same.

Here’s the statement:

It reads [boldings mine]:

The importance of having a personalised care plan in place, especially for older people, people who are frail or have other serious conditions has never been more important than it is now during the Covid-19 Pandemic.

Where a person has capacit, as defined by the Mental Capacity Act, this advance care plan should always be discussed with them directly. Where a person lacks the capacity to engage with this process then it is reasonable to produce such a plan following best interest guidelines with the involvement of family members or other appropriate individuals.

Such advance care plans may result in the consideration and completion of a Do Not Attempt Resuscitation (DNAR) or ReSPECT form. It remains essential that these decisions are made on an individual basis. The General Practitioner continues to have a central role in the consideration, completion and signing of DNAR forms for people in community settings.

It is unacceptable for advance care plans, with or without DNAR form completion to be applied to groups of people of any description. These decisions must continue to be made on an individual basis according to need.

It’s saying that any policy requiring medical staff to write off any individual – of any age and condition – as untreatable without discussing their situation with them is wrong.

If the government has handed that down to healthcare providers as a requirement, then it is wrong.

If anybody has already died as a result of such a policy, then those responsible must be identified and must pay the appropriate penalty.

This is real. It is important. It could be deadly. Don’t let the Tories get away with it.

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NHS Wales should be praised for employing agency nurses to keep care standards high

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The facts about health service pay: If NHS Wales is having to employ agency staff, perhaps it is because the Conservative Government does not provide enough funding for NHS employees. Maybe this is why so many have been lured abroad by higher pay and better standards of living.

A Freedom of Information request by the Welsh Conservatives has revealed that NHS Wales had to spend £190 million on agency doctors and nurses in the last four years. Shame on NHS Wales, right?

Well, no. This merely demonstrates the cack-handed way the Conservatives have been running the health service since taking office as part of the Coalition Government in 2010.

Does anybody remember reports last year that the Conservative-led Coalition Government had dumped 4,000 senior nurses since 2010, considering them to be “disposable” and “a quick way to save money”?

Dr Peter Carter, chief executive of the Royal College of Nursing, said at the time: “We are facing a Europe-wide shortage of nursing staff and the last thing the NHS should be doing at this time is treating its highly experienced staff as disposable.

“We need to be doing everything we can to retain the skills we have in the NHS rather than using them as a quick and easy way to make savings.”

These words clearly fell on deaf ears in the Department of Health, which continued to cut nursing staff. Cuts in health spending in England are mirrored, via the Barnett formula, in funding provided to the devolved health services elsewhere in the UK, meaning that the Welsh Government has had to reduce money provided for other services in order to address the cut in spending – and service standard – caused by Tory changes.

That has taken several years to accomplish – as this blog has made clear in previous articles. The Westminster government’s grant to Wales has been cut by a massive 10 per cent since 2010.

And what has happened to our highly-qualified NHS staff members in the meantime? It seems they have been attracted abroad by foreign health services that treat their workforce with more respect.

Vox Political commenter karenmarieuk, responding to a recent article, told us: “My daughter now lives in South Africa and is treated by British staff at both her GP surgery and her local hospital.”

She asked: “Why do our health care professionals have to emigrate to earn the respect they deserve? Our nursing staff are canvassed regularly by Australia, being offered incentives such as housing and vastly improved lifestyles as well as pay that puts the UK to shame! This is just one country from many.

“When, I wonder, will the UK stop this mass exodus and try keeping staff here?”

When indeed? Never, under a Conservative government.

The Welsh Tories have shot themselves in the foot (again) with their ridiculous claims following this FoI request. The total amount spent on agency staff by NHS Wales comes to 1/120 of funding every year, to be compared with the 10 per cent cut from Conservative and Conservative-led Westminster governments.

Conservative politics has caused the problem, not a Labour-run health service.

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‘Compassionate’ Conservatism’s three ‘R’s – reading, writing and… rickets?

Painful deformities of the skeleton such as bowed legs: The return of rickets is another sign that the Conservative-led government is regressing Britain to conditions during the primitive Victorian era - or even earlier.

Painful deformities of the skeleton such as bowed legs: The return of rickets is another sign that the Conservative-led government is regressing Britain to conditions during the primitive Victorian era – or even earlier.

David Cameron’s quest to bring the Victorian era back to life in the 21st century reached a new milestone this week when the UK’s chief medical officer formally announced the return of a disease long thought banished from these shores: Rickets.

The announcement brings to fruition a prediction made by Vox Political almost a year ago, when we said: “As a consequence of the rise in poverty, overseen and orchestrated by Mr Cameron and his lieutenant Iain Duncan Smith in the Department for Work and Pensions, the classic poverty-related diseases of rickets and tuberculosis are on the increase.”

According to the NHS Choices website, rickets “is a condition that affects bone development in children. It causes the bones to become soft and malformed, which can lead to bone deformities.

“The most common cause of rickets is a lack of vitamin D and calcium. Vitamin D comes from foods such as oily fish and eggs, and from sunlight on our skin. Vitamin D is essential for a child to form strong and healthy bones.

“Rickets causes the bones to become painful, soft and weak. This leads to deformities of the skeleton, such as bowed legs, curvature of the spine and thickening of the ankles, wrists and knees.”

The disease was thought to have been eradicated in the UK but, in a damning indictment of modern political priorities, chief medical officer Dame Sally Davies has admitted that 40 per cent of our children – that’s two-fifths of all the children in the countrynow have some kind of vitamin D deficiency. Current figures for full-blown rickets are not available.

“The disease was common in Victorian England, but largely disappeared from the Western world in the latter half of the 20th century thanks to vitamin D being added to everyday foods such as margarine and cereal,” stated a report in The Independent. “There has been an observed rise in cases in recent years.”

Can there be any doubt that this rise in cases has been brought about, not just by children sitting at home playing video games rather than going out in the sunlight, as some would have us believe, but because increasing numbers of children are having to make do with increasingly poor food, as Cameron’s policies hammer down on wages and benefits and force working class people and the unemployed to buy cheaper groceries with lower nutritinal value?

The Tory wage-crushing policy has been ignorant in the extreme, according to Dame Sally’s report, as it has created an extra burden on the NHS. Preventative measures “could save the economy billions”.

Dame Sally’s report is entitled ‘Our Children Deserve Better’ – echoing Ed Miliband’s Labour conference mantra, “Britain can do better than this” – and sets out recommendations to tackle urgent problems, such as a universal handout of vitamin supplements to all children under five for vitamin deficiencies, and measures to handle rising child obesity and a lack of effective mental health services.

The neglect created in our health system by more than three decades of neoliberal political rule has had a devastating effect on the nation’s children. According to Dame Sally, while our mortality rate for 0-14 year olds was among the best in Europe during the 1980s, it is now among the worst, with five more children dying every day than in the best-performing country, Sweden.

The highest death rates are in deprived areas – in the northwest, northern cities and some of London’s poorer boroughs, with 21.1 deaths per 100,000 people under 17.

Dame Sally said: “I think this is something, as a country, we should feel profoundly ashamed about – I do.”

Do you think Health Secretary Jeremy Hunt feels ashamed, as he cuts NHS budgets and hives off huge care contracts to profit-making private companies?

No?

Nor should you.

The Vox Political article from December last year also claimed tuberculosis would return, and our report this week on the government’s plan to tackle the phantom problem of “health tourism” seems to demonstrate that it is hell-bent on ensuring that this comes true as well.

Our report earlier this week quoted the chair of the Royal College of GPs, Claire Gerada, who has warned that the cost of administrating the new system could outweigh the savings, while also increasing public health problems such as TB by deterring temporary migrants from seeking treatment when they first fall ill.

In the Bible, Jesus is quoted as saying, “Suffer little children to come unto me, and forbid them not” – meaning he did not want his disciples to stop youngsters from hearing his teachings.

That saying may now be re-worked to fit the philosophy of David Cameron and Jeremy Hunt to read: “Suffer, little children – for you have a Conservative government.”

How can we believe the government’s ‘health tourism’ statistics?

"It's my policy and I'll cry if I want to" - or is Jeremy *unt simply responding to criticism of his bid to climb on the anti-immigration bandwagon?

“It’s my policy and I’ll cry if I want to” – or is Jeremy *unt simply responding to criticism of his bid to climb on the anti-immigration bandwagon?

A speech by Iain Duncan Smith is immediately reminiscent of a wasp negotiating its way through a bulldog’s digestive system; there’s a lot of droning and implied pain, but through it all you know exactly what the outcome will be.

From this starting point, one may liken a speech by Jeremy Hunt to a hippo having an unhappy bowel movement as a result of an unwise dietary choice; much clumsy blundering in the wilderness and a fair amount of distress – which may be transferred to any poor creature unlucky enough to get in the way.

It seems that migrants and visitors from abroad who use the NHS are now facing the full onslaught of the Health Secretary’s metaphorical indigestion, with nary a bucket of Rennie in sight – except in this case the cure would be a set of reliable statistics covering the use of NHS services by our foreign-born friends.

Armed with new reports by independent firms Prederi and Creative Research, the Health Secretary (and well-known misprint) believes ‘health tourism’ is costing the NHS £2 billion every year – and has announced that he plans to claw back around £500 million of that money.

A BBC report states that ministers believe some of the spending is unavoidable but “it would be realistic to save a quarter. Savings would come from deterring so-called health tourism, recovering money owed by other countries and a levy on non-European temporary residents”.

But the cost of health tourism, as set out in the report, is tiny – at a maximum of £80 million it would be four per cent of the estimated total loss – and this is based on evidence which even one of the reports’ authors, Prederi, have admitted is incomplete. On its own, it could not possibly generate the saving demanded by the new policy, nor could it justify the claim that £2 billion is currently being lost.

That is not the point, though. This is about getting the NHS on the anti-immigration bandwagon.

The study has been released to coincide with the Immigration Bill, which (surprise, surprise) includes plans for a £200-per-person-per-year charge for temporary migrants to use the NHS during any stay lasting between six months and five years.

The Conservative-led Coalition government says this could recoup around £200 million per year, but this is clearly nonsense.

Put yourself in the position of a person from abroad, considering an extended stay in the UK. If an extra cost of up to £1,000 for a five-year stay was added to the trip, out of the blue, would you go ahead with it? Or would you consider other destinations?

Alternatively, if the trip could not be avoided, would this not make you more likely to use the NHS, in order to simply get your money’s worth? The trouble with this is that such a person would not know the cost of a consultation. According to Dr Chaand Nagpaul, chairman of the British Medical Association’s GPs committee, the cost of a single hospital outpatient appointment would equal the £200-per-year levy.

And then there is the administration cost. New Statesman revealed that the chair of the Royal College of GPs, Claire Gerada, has warned that the cost of administrating the new system could outweigh the savings, while also increasing public health problems such as TB by deterring temporary migrants from seeking treatment when they first fall ill. This gives rise to the possibility that we are facing another Tory policy that could have deadly consequences for the population.

This is not a plan to deal with health tourism at all. This is an attempt by an increasingly-desperate Conservative Party to claw back some of the voters who have (themselves) migrated to UKIP because of fears that have been planted in their minds by political spin-doctors, rather than any real threat – the phantom problem of immigrants getting benefits they haven’t earned.

Health tourism is not costing the UK £2 billion a year, and the measures outlined by the government will not stop it, or save any lost money. If anything, it will cost the country millions of pounds.

But then, when has Jeremy Hunt bothered with the facts, when he can have his way simply by playing on people’s fears and manipulating their beliefs?

This is why reference was made, at the top of this article, to Iain Duncan Smith – another Tory minister who won’t let thousands of possible deaths interfere with his beliefs.

Three words for the Coalition: Mathematics, mathematics, mathematics!

Mr Osborne probably couldn't help him. It's possible the Coalition's maths problems have been caused by the fact that a towel-folder is in charge of the economy.

Mr Osborne probably couldn’t help him. It’s possible the Coalition’s maths problems have been caused by the fact that a towel-folder is in charge of the economy.

Back in 2010, when he still thought he could win an election fairly, David Cameron mocked Tony Blair’s famous “Education, education, education” speech by saying he could sum up his priorities in three letters: “N-H-S.”

He was, as we have discovered with Mr Cameron, completely wrong. He did need three words after all.

Mr Cameron’s priorities should have been: “Mathematics, mathematics, mathematics.”

Here’s why:

Sticking with the medical theme, it turns out that the government’s figures on the number of new midwives entering the NHS are inaccurate.

Before the general election, according to the BBC website, Mr Cameron promised to increase the number of midwives by 3,000. Despite creating 5,000 training places, however, this has not been translated into jobs and figures from the Royal College of Midwives show the number of midwives in employment has increased by just 145.

Challenged by this on his weekly radio show, Nick Clegg said the government had not deceived anyone but was putting more money into ensuring there are more midwives who are properly qualified to work in the NHS.

Anyone can see that this is not what Mr Cameron promised. Was the government deceiving us? Or was it incompetent and simply got its sums wrong?

Let’s look at another example: The government’s so-called ‘troubled families tsar’, Louise Casey, has admitted its claim that there are 120,000 such families in the UK is inaccurate. “The number came from Labour research on disadvantaged families with multiple and complex needs, rather than families that caused problems,” according to an interview in The Guardian.

In fact, her initiative has been working with 23,000 families and has succeeded with 1,675 – whose children are now attending school regularly and not committing crime, while the adults have found work, triggering a £4,000 bonus for local councils dealing with each of these families.

More disturbing was the claim that, “if we take that 120,000 figure, give it to local authorities, give them the criteria behind troubled families, and they can populate it, which they have done, with real names, real addresses, real people – then I am getting on with the job”.

Hang on! Is she saying that she’ll shoehorn families into her definition of ‘troubled’, whether they qualify or not, just to make up the numbers?

Finally, the BBC revealed today that the Benefit Cap, limiting the amount of state benefit available for British households to £500 per week, will affect far fewer households than originally estimated.

The government said 56,000 households would have their benefits reduced – by an average of £93 per week. This would save £275 million per year. In fact, it now expects only 40,000 to be affected. That’s a drop of nearly 29 per cent – not 25 per cent, as the BBC article, itself, inaccurately states. Perhaps reporter Ross Hawkins got his figures from the government.

This means the saving goes down to around £196,500,000.

The Department for Work and Pensions says the change is because more people are seeking help to get into work, but this won’t wash. If they’re seeking help, they haven’t actually found work.

Could this be another situation like we had recently, when Grant Shapps claimed the number of people claiming ESA had dropped by 878,000 since new assessment criteria came in, only for it to be revealed that this was perfectly normal with such claims, and the people who had dropped off had either got better or found work they could do despite their disability (in other words, they had complied with the terms of the benefit and found a way not to have to claim it), or they had died?

Number-crunchers will be watching these figures carefully.

If we are to draw any conclusion from this, it is that this Coalition government is extremely cavalier about the figures it uses to support its policies.

To summarise: The Coalition cannot be trusted to do its sums properly.

Mathematics, mathematics, mathematics, Mr Cameron. We all guessed you wouldn’t understand its importance when you appointed class dunce Michael Gove as Education Secretary.

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