But this isn't about economics, it's about Brexit
(I mean that partly facetiously and partly correctly in context)
The fact that you can do both at the same time accurately...shows how much trouble we are in
But this isn't about economics, it's about Brexit
(I mean that partly facetiously and partly correctly in context)
How many failures is Jeremy Hunt allowed to oversee before he is sacked?
He gives some lame apology this morning; where did this culture of "well I've said sorry so everything is ok now" come from? He should be sacked. He is failing at his job and it is too important to continually phuck up.
https://www.theguardian.com/politic...b05efedfbd6ca2#block-5a4cc02ce4b05efedfbd6ca2
The British Medical Association has been tweeting about the situation in the NHS.
The BMA (@TheBMA)
Situation in our A&Es is symptomatic of pressures across whole system. Hospitals are at capacity, GP surgeries full, and a shortage of social and community care means many who no longer need to be in hospital can’t be discharged - there's nowhere for them to go! #NHSCrisis
January 3, 2018
The BMA (@TheBMA)
Short-term fixes will only get us so far. Each winter the pressure on the NHS worsens, and politicians are not taking the long-term view needed to ensure the NHS can keep up with rising demand #NHSCrisis
January 3, 2018
The BMA (@TheBMA)
We have to look at NHS funding, which is well below what other comparable European countries spend, to ensure the NHS can deal with the pressures it faces year in, year out, but which are compounded during winter. Read the full statement from @docanthea https://t.co/FPkWqLSFuE
January 3, 2018
Is he doing a bad job? Or is he doing an impossible job not too badly?
The biggest flaw with the NHS is that it has become some sacrosanct myth that you can't criticise. It was designed for the 1940s, not the 2010s. The whole thing needs binning and starting again - it's too reactive and is just a place you go to die, not to be treated.
The new principles it should be built on are:
- Social health insurance instead of general taxation funding (to detach it from politics and get big business contributing to the costs much more)
- Compulsory comprehensive annual health checks for everyone
- Drug treatment reduction targets (replacement by therapies, diet, exercise and health supplements)
- No PPPs
Until the government do 2 things, then you can stop with the nonsense that it needs binning. 1. Fund it to the comparable level that other countries fund their health services to. 2. Stop giving tax breaks to people who don't need them whilst cutting social programs for people who do (in the case of social care, this puts direct pressure on the NHS).
Hunt oversaw the first doctors strike in 40 years and has failed to get enough staff into training and enough investment into the areas that need it. He didn't just take the job yesterday, he's been there since 2012!
You are such an apologist for this government, typical of what is left of the people who vote Lib Dem.
There's no point funding it till it is reformed. All the money now just goes to big pharmas. Pro-activity and wellbeing need to be incentivised instead. Prevention instead of cures.
My proposals would increase funding, but by shifting the burden off taxpayers and onto employers (more like how pensions work).
I'm not an apologist for Hunt, I'm just saying its an impossible job because of some bizarre emotional attachment people have to something that is actually killing them, which means no-one will be allowed to solve the issues.
The money is the problem, the rest of what you are saying is largely right-wing talking points. (not fit for purpose, only works 50 years ago etc. -- this is the mantra of those on the far right (economically) who want to see a privatised health service).
Of course prevention is better than cure, get people active etc. etc. but you do that alongside properly funding the NHS and social care. Previous Labour governments had us at European Averages for funding and the NHS was doing well (not perfect, nothing is), The Tories have taken us below those levels, whilst crushing services provided by local authorities by cutting funding.
Hunt, as much as anyone in the Tory party, wants to see the privatisation of the NHS and co-authored a book to that effect. https://whatwouldvirchowdo.wordpres...ok-and-yes-he-does-want-to-privatise-the-nhs/
Hunt's ideology is what drives his phuck ups re. The NHS. Of course, like most of them, he hates state-funding unless it comes to his expenses -- all swept under the carpet as he re-paid some of the money after being caught fiddling them.
1000's of operations cancelled because the Tory Government don't want to fund the NHS properly. They could do, but they don't want to. Some of the more sane Tories know the score.
https://www.theguardian.com/politic...b0379a4747748e#block-5a4c93d0e4b0379a4747748e
Wollaston said the NHS was underfunded.
Certainly what we have is a system that is running at absolutely full stretch across both health and social care. And, despite all the planning that we’ve heard about, I’m afraid there are serious issues with capacity, far too many bed closures that have happened, and probably not enough money that has gone in over a number of years now to keep up with the sheer scale of the increase in demand and complexity.
And when it was put to her that people who have had operations cancelled would describe what is happening as a crisis, she replied: “Of course you would.”
My critique is both anti-capitalist (too much money haemorrhaging into the private sector) and anti-statist (the incentives are to expand and preserve the unit, not serve the community). Neither works. I'd like us to go more like the German system on this.
I know a few people working in the NHS, in hospitals/trusts but not as Doctors/Nurses etc.
The biggest issue there is not necessarily the budget, its the use of money and the many (many!) layers of management.
It is the cliched public sector thing. Managers managing managers all the way to the bottom. Managers getting cushy bonuses and payrises while there is no money for actual workers. Managers not actually doing anything, just making sure brick rolls downhill and doesnt stop at them.
And thats without trusts ripping each other off. A friend working down near Brighton got a message from his boss, who had been sent a spreadsheet/dashboard/MI thing from another trust. They were offering it to them for £20k. My mate took one look and found it was terribly designed recorded macro flimflam and informed the boss he could do better himself. Which he did by the end of that morning. The boss was naturally happy - but the point was £20k for a fudging spreadsheet! From one trust to another!
The whole thing needs gutting, organising and streamlining, before it needs more money.
More money in at the top right now will make little change on the front lines.
Put it this way, for every £100 put in now, probably £20 gets to where it counts.
Actually properly reform and run the NHS and its more like £60-70.
Im not saying we shouldnt put more money in. Im saying we should fix it first, so that the extra money goes a lot further.
Well we'll have to agree to disagree. Id strip it down to its bones right now and rebuild it appropriately before just pouring money in to be wasted in the hope 20% counts for something.
Pouring more money in, good money after bad, just pushes the real work back. Its a foolish option IMO. It needs major surgery before investment can really pay off.