Nhs In England At Tipping Point

[rollover]

NHS leaders in England say they cannot maintain standards for patients on the funding they are getting

It comes after latest figures showed record levels of delayed hospital discharges and patient waiting times. The government has said it is giving NHS England the £10bn it asked for. It highlights that 80% of England's acute hospitals are in financial deficit, compared with 5% three years ago - while missed A&E waiting time targets have risen from 10% to 90%.

Hospitals given green light to miss waiting time targets

[spyguy]

Observations from visiting a mate in a regional hospital.

1) A good 40% of people in the assessment area were not nationals.

2) ,50% of beds were occupied by oaps with minor or nothing wrong with them.

3) Mate was ready to keave 2 daysbefore he could coordinate people yo let him go. It was hard work getting the dr to turn up and sign him off, thengetting the ward nurses to tick him off.

[interestrateripoff]

It seems like all the problems are coming to home to roost simultaneously, big wages, increased numbers due to immigration and of course the magic of PFI and new hospital builds. Privatisation isn't going to solve the problem and neither is more money which ultimately the government doesn't have.

[jiltedjen]

make it pay as you go for anyone over 60. They didnt pay enough in, and robbed future generations, Time to pony up.

[sikejsudjek]

When Osborne decided to cut social care 'because it was popular with Tory voters' the plonker forgot that it would have a knock on effect to the NHS. A lot of the overspend and bed blocking is because its not safe to discharge people early if there is no social care available at their home. When they do discharge early, many end up back in hospital soon afterwards with even worse problems which are even more expensive to put right.

So not only has this austerity policy not saved money, its most likely cost lives and cost the tax payer even more. Not really a problem for your average Tory voter because the idea of the sick, disabled or poor dying seems to give them a self righteous hard on.

Of course PFI which New Labour and the Tories thought was wonderful cost the NHS dear. Overall PFI gave us £57 billion of assets for a cost to the tax payer of £300 billion. The fact there was no outrage tells you that both of these political outfits are stuffed full of neoliberal shills who couldn't give a toss about the poor old tax payer. They represent the 1% and their 'need' to rip the rest of us off. They most certainly have NOT given the tax payer value for money.

Its worth pointing out that corporations are paying a LOT less in tax (and blatant tax dodging). Its not unreasonable to expect them to contribute towards the NHS given that they benefit from a healthy workforce.

Edited September 11, 2016 by sikejsudjek

[billybong]

Yet tomorrow it'll most likely flip back to claiming to be the best health service in the world.

It's all astounding considering the amount of money poured into it over the years.

Edited September 11, 2016 by billybong

[Errol]

STOP ALL IMMIGRATION.

Population should be either dropping slowly, or going up very, very slowly. NOT increasing by 300,000+ a year. Add to that the fact that the immigrant/ethnic communities outbreed the native communities by 3 or more to 1.

Also, cut all child benefits. We don't need more children and people should not be encouraged to have them.

They probably need to start paying some of the more recent immigrants to go back to wherever they came from. That would be a good way of dealing with the issues.

Edited September 11, 2016 by Errol

[spunko2010]

Is there a non bbc source for this? They won't blame rampant immigration which is of course the crux of it. I can't be bothered to face such a ludicrous disconnect as this on a Sunday morning.

[spyguy]

Cut the wages.

Wages form 70-80% of modern healthcare costs.

[One-percent]

Cut the wages.

And the back office staff. For every frontline person there seems to be at least four, either fiddling round with files or wandering round carrying something.

[Dorkins]

make it pay as you go for anyone over 60. They didnt pay enough in, and robbed future generations, Time to pony up.

Introduce national insurance on the income of retirees. Completely unfair that a priced-out youngster on £25k pays more tax than a comfortable homeowner retiree on a £25k pension.

[Si1]

And the back office staff. For every frontline person there seems to be at least four, either fiddling round with files or wandering round carrying something.

Or eating biscuits. I've seen lots of that, whilst ignoring ringing phones.

[Si1]

Wages form 70-80% of modern healthcare costs.

Forchrisake have you seen the price of detached houses!

[porca misèria]

Introduce national insurance on the income of retirees. Completely unfair that a priced-out youngster on £25k pays more tax than a comfortable homeowner retiree on a £25k pension.

Two wrongs don't make a right. Get rid of the stupid, artificial distinction between the two income taxes.

You'd also have a double-taxation problem, as NI (unlike honest income tax) has already been paid on money in pension pots.

[stormymonday_2011]

Introduce national insurance on the income of retirees. Completely unfair that a priced-out youngster on £25k pays more tax than a comfortable homeowner retiree on a £25k pension.

Does that include non earned income from investments and will that be applied to the rest of the population ?

[Will!]

As a first step, require NHS bodies to publish financial data such as expenditure exceeding £500, Government Procurement Card transactions, procurement information etc in a similar manner to the Local government transparency code for local authorities.

Require NHS bodies to publish the broken-down total costs of employment, non-individually identifiable job titles and administrative groups of all staff.

Require NHS bodies to publish detailed staff sickness data by ward and department.

Journalists have a saying that sunlight is the best disinfectant.

Edited September 11, 2016 by Will!

[wherebee]

When anyone raises this issue with you, your stock answer as a HPC should be?

I think: "It's all part of the unsustainable nature of the UK. worker costs high due to a broken housing market forcing high wages on the NHS, mass immigration creating mass demand from people that don't pay much tax."

[canbuywontbuy]

Importing people at numbers of 640,000 gross per year, 330,000 net, 500,000 actual population growth in a year - good for meaningless GDP figures, bad when you have a static health service that is not growing in size with the population. Ditto council services. Schools, GPs, roads, hospitals - no money to grow, unable to plan (because we can't know what the population growth will be next year) - but hey, uncontrolled immigration is good for the country because idiot Remoaners say it is.

[PopGun]

When Osborne decided to cut social care 'because it was popular with Tory voters' the plonker forgot that it would have a knock on effect to the NHS. A lot of the overspend and bed blocking is because its not safe to discharge people early if there is no social care available at their home. When they do discharge early, many end up back in hospital soon afterwards with even worse problems which are even more expensive to put right.

So not only has this austerity policy not saved money, its most likely cost lives and cost the tax payer even more. Not really a problem for your average Tory voter because the idea of the sick, disabled or poor dying seems to give them a self righteous hard on.

Of course PFI which New Labour and the Tories thought was wonderful cost the NHS dear. Overall PFI gave us £57 billion of assets for a cost to the tax payer of £300 billion. The fact there was no outrage tells you that both of these political outfits are stuffed full of neoliberal shills who couldn't give a toss about the poor old tax payer. They represent the 1% and their 'need' to rip the rest of us off. They most certainly have NOT given the tax payer value for money.

Its worth pointing out that corporations are paying a LOT less in tax (and blatant tax dodging). Its not unreasonable to expect them to contribute towards the NHS given that they benefit from a healthy workforce.

Good post

[PopGun]

Importing people at numbers of 640,000 gross per year, 330,000 net, 500,000 actual population growth in a year - good for meaningless GDP figures, bad when you have a static health service that is not growing in size with the population. Ditto council services. Schools, GPs, roads, hospitals - no money to grow, unable to plan (because we can't know what the population growth will be next year) - but hey, uncontrolled immigration is good for the country because idiot Remoaners say it is.

Hang on.

300k net. Aren't most people leaving ex pat pensioners, and most people arriving younger?!

Ie those arriving in theory should require less healthcare than those leaving?

Completely unsubstantiated Insinuation of course.

[Dorkins]

Observations from visiting a mate in a regional hospital.

1) A good 40% of people in the assessment area were not nationals.

What nationality were the doctors and nurses?

[spyguy]

What nationality were the doctors and nurses?

Weirdly all Drs were British.

There was a couple of Indians on the ward later.

Nurses was a surpise to mate.

He was expecting Filipinos.

Instead the biggest foreign contingent were Portuguese, with 1 Italian (bloke) and 1 German (bloke).

[kjw]

New Labour played a big part in reshaping the NHS into a market system ready for privatisation and it is clear who is now running the show. From the various Acts of Parliament since 1990 to the de-funding and hospital closure plans it is McKinsey, the 'Big Four' accountancy firms, United Health of America and an assortment of MBAs who know f-all about healthcare and everything about profit lines who have been calling the shots. And they have got it all in place. Accountable Care or 'place based care' will be coming to the NHS near you any day, along with charges of various sorts and exclusions from the NHS offer. It's the end of the NHS as a comprehensive, universal and accessible service. Say hello to Kaiser Permanente, your new health provider from the USofA.

[crash2006]

Simple access A&E with your national insurance card make them have photos, that will cut a lot of time and money.

[Maynardgravy]

Sack all the leeching contractors. Job done.

sikejsudjek is right about the 'bed blocking' due to social services cuts. There's nowhere to go. In LNWH trust there is an entire hospital dedicated to care of the elderly (willesden). Many appear to be permanent members, there until they die.