Showing posts with label NHS. Show all posts
Showing posts with label NHS. Show all posts

Sunday, 7 November 2010

Diana Watch

Look, it's very simple, if you don't password protect your Wifi I will use it, hence here we all are. Hello from Kent! Come on in the water's muddy.

I think that I may be becoming a little paranoid. Every time I see a story in the press about changes to the NHS all I can see is a concerted conspiracy to dismantle it by a government that values profit over all over things. It's a subtle(ish) accumulation of things, some within the white paper and some coming from outside.
GP's, who have already been technically privatised and are run for profit, will take over commissioning from the PCT's. They already ignore standard NHS terms and conditions for their staff and, in a letter to the BMJ, it has been pointed out that Foundation Trusts will be also be able to ignore Agenda for Change but that is not really my point here.
The Government have announced this week that NICE will be stripped of it's powers to say which treatments should be available on the NHS and GP's will decided for themselves which drugs they prescribe without any guidance.
A new treatment comes on to the market and NICE review it. Does it work? Is it cost affective? Show me the evidence! If it works then you can prescribe it within the whole NHS and if it doesn't then you can't. Sounds like a good idea to me.
This simple idea has got rid of the “system” that existed before where some Health Authorities prescribed some drugs and others didn't. The press hated it, quite rightly (here for instance is the Daily Mail on that very subject. The first paragraph reads “Patients with cancer, heart disease and mental illness are being denied drugs and lifesaving treatment thanks to a postcode lottery of care in the NHS”), and it was nicknamed “a postcode lottery” i.e., where you lived effected what drugs you could have. It was agreed that this was a bad idea and we needed a centralised system and some joined up thinking and that is what we got.
NICE has been controversial in some areas of the press because they have restricted access to some really expensive, not very effective (or least not any better than existing treatment) drugs, mostly for cancer treatments. In fact, it is the same press that was critical of the postcode lottery that existed before (here for instance is the Daily Mail on that very subject. The first paragraph reads “The scandal of patients being denied drugs just because the NHS rationing body decides they are too expensive will end, ministers have declared.”).
I have a question for these people, what would you do? We don't have unlimited amount of money so we can't do everything, so give us some ideas, all you do is complain and criticise but never offer any alternatives.
Oh, as an aside, a lot of those charities/patient advocacy groups that get quoted in the papers are set up/funded by Big Pharma companies to act as lobbying organisations for certain drugs and treatments.
There are some important practical points in transferring prescribing decisions to GP's such as how do you expect them to keep up with all the new drugs that come to market? There are hundreds of studies a year and they are not always as open and straight forward as they should be. When do they think GP's have time to read all these studies? Aren't they supposed to be seeing patients? If they only read the abstracts of the articles/studies because of time pressures then they will be lead astray as many article abstracts have been shown to misleading.
Anyway, back to my rambling point. So a private company can already set up a GP consortium and now they will be able to prescribe which every drug they like, ignoring such boring, unimportant things as evidence.
This is were my worst case scenario thinking bought me. There is very little standing in the way of a GlaxoSmithKline opening a chain of NHS GP surgeries and prescribing only GlaxoSmithKline drugs. “Have you been to a Glaxo surgery before?”
OK, at the moment there are still a few hopes to be jumped though and barriers to be crossed, fords to be ummmm, forded and boxes to be ticked, but they are mostly PCT based. So we are safe at the moment because the PCT's are quite useful and no one would want to get of them, oh hang on a minute.....

That is all for this week as I'm not really supposed to be doing this.
There will definitely be no blog next Sunday (I know I said that last week but things change) as we will be in Nottingham I think for some art event or other, not sure if I'm honest but I will take pictures and if they are ok I will show you. Have a great week.

Sunday, 29 August 2010

Diana Watch


“So when is Margaret's funeral, I will definitely come?”
“It's on the 14th,”
“Oh that's my birthday,”
“I'm sorry about that,”
“Oh no, it's nice to have something to do on your birthday.”

Oh thank the lord, all will be well, Gary Barlow and Robbie Williams are friends again and the original Take That (the campest sounding band name ever, except for Gay Bikers on Acid, maybe) are back together again!

 It seems that Labour really did have a bit of an idea of what they were doing with the economy after all.
 Revised figures from the Office for National Statistics released on Friday show that the UK economy grew by 1.2% in the second quarter of this year. Now I believe the second quarter is April, May and June. So Gordon Brown in charge April and some of May and then the coalition took over but only tinkered.
 What is encouraging is the fact that most of the growth came from the construction sector, which grew 8.5%. Building is usually one the first sectors to suffer in a recession but one of the first to recover.
 As you can see from the graph this is the 3 quarter of growth in a row and this growth includes an 11% drop in air travel mostly down to ash cloud based delays.

Photobucket
(I may have stolen this from the BBC website)

 So when the Tories and the LibDems took over all was coming along nicely, let’s hope that they don’t mess it up to much with this recent wave of privatisations.
The Government is pretending that the cuts in spending are for “Austerity” reasons but I don’t think anyone is really buying that any more. This has become ideological.
 Many of their ideas won't save any money but they have handed control over to private companies.
 For instance, the scrapping of NHS Primary Care Trusts and the handing of commissioning services directly to GP's.
 Well that's not privatisation, GP's are the NHS you might say.  Well that is sort of true. GP's surgeries are commissioned by the PCT's to work for the NHS but they are privately run companies who make profits for the shareholders in that company, usually the Partners in the practise.
 There is also an interesting new development is the Partnership Collective, basically a company that is run by GP's that manages lots of Surgeries. Usually they start in one small geographical area but they soon start bidding for services nation wide.  They do the managing, centrally, and local Doctors and Nurse do the work. Much like a big company because they are a big company.
 I work, on Friday afternoon, for one such company called The Practise. I think that their choice of company name does sound like a Dr Who baddies organisation (the computer system is called System One, even more sinister if you ask me) but an OK employer. Again, private company making money for the owners of that private company.
 Very shortly after the Governments announcement of the PCT scrapage scheme, The Practise organised a meeting with other local GP surgeries and offered to do their commissioning for them, for a little bit of cash obviously.
 So which ever way you look at it the money for buying services from the NHS will go to private companies, which is privatisation isn't it?

 The Government's attitude was also laid out in an interview on Radio 4's PM program when they were discussing the scrapping of the Audit Commission.
 The Government spokesman brought up many anecdotes about waste with the Quango such as hiring conference space, in which they held a conference by the way, and the excessive use of pot plants (I have no idea what the excessive use of pot plants is but the BBC sent a reporter to this spokespersons office and it was filled with pot plants). He also bought up a contract that the Audit Commission had with a bagel shop. When they had a meeting that clashed with lunch they got some bagels in, OMG the waste! I'm pretty sure that that is a nice thing to do and quite usual but I digress. These were all examples of waste within an organisation that was described by Eric Pickles, Communities Secretary, as bloated. Really, a man with as many chins as him really should choose his hyperbole a little more carefully, again digression, sorry.
 When it was pointed out by Eddie Mare that “isn't that the sort thing that the companies the Government will use to carry out the duties of the Audit Commission will do and do do”, the reply was well “yes that is true but I don't care what they do with the money that we give them, they are a private company” Ok, I might be paraphrasing but that was the jist.
 So nothing will actually change except to introduce profit as a motive.

 So on to the awards,

 The Award for Being A Massively Twatty Company of the Week,

 So you will have heard about the 33 Chilean miners who are trapped underground.  It seems that they are going stuck there for quite a while as, in order to rescue them, a whole new mine shaft has to be drilled. They may be not be rescued until Christmas. Trapped in the dark at 36 degrees C, everything they need has to be slide down a tiny tube.
 Because the mine is not working, the company that runs it is facing some financial difficulties, the Government will be paying for the rescue and THE WORKERS MAY NOT BE GETTING PAID!

The Award for Super Twat of the Week (and pretty much every week to be honest),

Ladies and Gentleman, I give you Axl Rose. This will come as no surprise to anyone who has even a passing knowledge of his history with Guns N Roses but Friday night at the Reading Festival he gave one of more Divaish performances.
 He and his band of hired hands came on stage on hour late, at 22:30, despite being told that they had a curfew of 23:30. Because of their late arrival, no apology to the thousands of paying fans, they were allowed to play until Midnight. They left the stage after playing “Night Train” and then the power to the stage was cut as the 23:30 curfew was part of the licensing agreement but Twaxl wanted to play on.
 He returned to the stage, no power remember, and the drums began the intro to “Paradise City” which Mariah Wannabe Axl tried to sing through a megaphone. After about 5 minutes of this pantomime he left the stage.
 So elements of the crowd were less then friendly to him and booed after ever song and began chants of “what a twat” (see it's not just me)
 He then threatened not to play at the Leeds end of the festival tonight (Sunday) saying “ Unfortunately due to tonight we will not be at Leeds...” no mention that it was his own fault that Friday night's show was a bit rubbish.

I think that will do for today, a bit negative, sorry. I hope you all have a great week.

Monday, 17 August 2009

Diana Watch

I'm sorry it's late. We went to London yesterday on a special deal, £10 per person to anywhere on the network. The train on the way up was completely full, standing room only, and way did all these people want to go to London on a sunny Sunday? Because it was cheap.
There you go rail companies and Government. If you want people to get out of their cars and travel on public transport, make it cheaper and not more expensive as you have decided to do this week. The normal price for the cheapest ticket is usually about £70 to London. £140 for Significant Other and myself to go there so we don't do it very often and if we do we drive because it is much, much cheaper. £10 full train, £70 not very many people on it.
We did have a lovely day though. We visited a couple of wool shops and the Fashion and Textile museum. The sun shone and we wondered through Islington (which is sort of a parody of it's self), nice lunch, nice dinner and then home.
So sorry to neglect you dear reader but had other (slightly more fun) things to do.
One of things that I have discovered since starting new job and working every Saturday is that working every Saturday is rubbish. I don't like it but, hey, I've got to earn some money so I'm back to looking for more things to do again. I am applying for on job on the Press Complaints Commission for a bit of fun. They need a lay person and I am a lay person and I am interesting about what goes on in the press so I am the perfect candidate. I'll let you know how the application goes.

Ok, enough about my weekend, what happened in the news? Well nothing really. It is “silly season”, a lazy journalistic term meaning Parliament isn't sitting so we have to go out and find news for ourselves but we are really lazy (hence our use of “silly season”) and can't be bothered to go outside so we will just trawl the interweb for stories. This means that we end up with papers for of tittle-tattle and lots of opinion pieces about the tittle-tattle and stories about kittens up trees. And people wonder why newspapers are having problems making money.
Anyway you can tell that not much is happening because you get stories about who is in charge this week. It's Gordon Brown by the way, despite what the press would have you believe, others are just the most senior minister in London for that week.
First it was Harriet Harman, who discovered that Britain really is full of rather nasty misogynists who hide behind pseudonyms on newspaper comment sites and some columnists who don't. Why do woman work for the Daily Mail? It hates woman. It really does. Go and look at its website (that is not a thing that I would usually encourage but this are special circumstances) and you will find down the right hand side of the page a long series of pictures. Most of them will be of woman and attached will be some comment about the woman's body, i.e. Looks great in this bikini, why is she out without make-up etc. Then have a look at the FeMail (see what they did there?) section and wonder at the endless diet advice and scare stories about health and sex. I ask again, why do woman work for them? Do these women hate other woman?
And then, joy of joys for the papers, Peter Mandelson nearly strode into the picture. He had to finish his holiday first though.
This may be an odd view to take but I love Peter Mandelson. He is such good value for money. Don't get me wrong, I find a lot of his politics a little dubious but he is very funny and, let's be honest here, he is much cleverer than most people you might meet. Yes he does have the problem of reminding most people of Professor Snape as played by Alan Rickman (although Rickman may look better with a moustache)
Photobucket but that is a small price to pay for the joy that he brings to my life when he is interviewed on the Today programme.
It does seem that he has managed to keep his head down for most of the week, which came as a surprise. He did a couple of interviews for radio and for the papers, my favourite being the one for the Observer in which he described himself as a “pussy cat”, even his aide was heard to stifle a laugh.

The problem with “silly season” is that stories that would not normally make the news, Russian cargo ship goes missing springs to mind (according to insurers it's not that rare. Something like one every month), and too much time is spent discussing them. This then lends the story an air of significance that it doesn't deserve.
Let us take an example. A man that you have never heard of called Jim Fitzpatrick (it turns out that he is Minister for Food, Farming and the Environment) went to a wedding. It was a Muslim wedding. He had been to many such events because, and for reasons that escape me, as an MP he gets invited to lots of weddings. My MP is Oliver Letwin (Conservative), so strangely enough he didn't get an invite to mine last year.
Anyway, back to the story. When he arrived at the wedding he and his wife found out that it was to be a segregated affair, Men in one room, Ladies in another. This had only happened to Mr Fitzpatrick once before and, whilst he sat through it, he was uncomfortable with it.
This time he and Mrs Fitzpatrick had a quick and quiet discussion (because he treats her as an equal) and they decided that they both felt uncomfortable with the situation and quietly left. I assume that they left their present.
Now, I don't see a problem here. Weddings are bad enough to attend when the only person that you know is your wife but to then find that she has to sit in another room! That is too much to ask.
As I said, they quietly left. No fuss, no bother. If only the same could be said for the press coverage.
Some people chose to have a segregated wedding, which they are entitled to do (although it is wrong in my opinion and how do the logistics work? Does one room get a live video feed?), and a man and his wife didn't like that so they left, which they are also entitled to do, but is that the way it was treated? Of course it wasn't. According to most radio and newspaper reports he “stormed out”, which he didn't. And then he was accused of trying to score political points for someone else's wedding. If they had slaughtered a goat and he had found that offensive, would he have been wrong to leave? No, of course not.
This is not a story about multiculturalism or integration or a clash of civilizations, it is a story about trying to fill time on Radio phone-ins and on 24hr news.
Of course there are people on both sides who will try and use this for their own ends but these people are stupid enough to be ignored. Some people got married and someone didn't like the service, a role normally reserved for an embittered aunt who has never married, “I don't like these sugared almonds”, “these serviettes don't match the tablecloths”, “I've never found love”.

Story of the week does have to be the “We love the NHS” thing on Twitter.
For those of you who don't know, some Americans, let’s call them Republicans because I'm trying to be nice, have been massively distorting what President Obama wants to do with American health care. They have been saying that he is trying to “socialise” health care and then saying that this is a bad idea because it will lead to an awful system like Canada, higher life expectancy than the US, or the NHS here in Britain. If there is one thing we don't like, it is a formal colony (but only if you recognise US independence) being rude about our stuff. It is perfectly fine for our right-wing press to dedicate page after hate filled page to telling it's readers how bad the NHS is, how nurses don't care, how doctors are lazy and incompetent, how GP's are only in it for the money, how there are too many managers. It's fine for them to do it but when someone else does it, oh and there is a massive movement on Twitter that has caught the attention of all 3 major party leaders and all of the press and celebrities, then, and only then, will they defend it. For about 3 days.
The idea came from Graham Linehan (@Glinner), co-writer of Father Ted and writer of the IT crowd, who had had enough of the NHS getting bashed so decided to try and redress the balance a little. He used the hash tag “welovetheNHS” and many others joined in, expressing support for this countries finest creation and sharing stories about excellent service that they had received. Within hours it was the most talked about thing on Twitter. Links were being put up to surveys or newspaper articles that rebuked the bashing and downright lies that the NHS had suffered from in the preceding days. The NHS put out a statement addressing the specific allegations made against it. Gordon Brown, Nick Clegg and the other one, David something I think, all got involved. It was nice to see some patriotic fervour for once.
We all understand that there are still problems with the NHS but it is so much better than it was and still improving. And it is free at the point of delivery. Everyone contributes the same percentage of their earnings towards it and everyone, regardless of what you have paid in, gets treated the same.
The ironic thing is that whilst we were all finding love for the NHS after the poorly informed attacks on it, President Obama's plans were for a system that was nothing at all like the NHS.
Way to cloud the debate there Republicans. Ooh, just for the record, who is paying for those TV adverts? You know, the ones where you lied to and misrepresent the English people who appeared in them. Would it be Health Care Insurance Companies? Just asking.
Oh and while we are at it, the USA spends 17% of it's GDP on health care, we spend half that and we live longer than them.
Oh again, and people that don't turn up for appointments at their hospital or GP's cost the NHS £574 million per year, so if you can't go, phone and tell them so someone else can have your appointment.

I've wittered on a little, sorry about that, but now there will be some awards,

The Award for Making My Point For Me Saving Me The Bother,

Economics is really rather vague as you know and peoples opinions on what needs to be done is usually based on an ideological position dressed up as “science”.
When to the Bank of England released growth figures for the UK this week, not so good by the way, there was a discussion on the World at One on Radio 4. They had 2 “experts”, both economists and they argued completely different points of views. They agreed on nothing. It made me laugh.

The Award for I'm Not Sure If They Got The Irony,

The Mail had a story about a lady and her son getting stung by some wasps. The headline was “Wasps sting mother and two-year-old son 55 times as swarms invade Britain.” As you can imagine they where not British wasps, oh no. They were foreign wasps. The worst sort. So when I commented on this story I simply put “damn foreign wasps, coming over here, stinging our woman”. Irony, see. Well I of the second most popular commentator.

Quick sports news.
Jessica Innes has won gold from the UK in the Heptathlon at the World Championships which is incredible as she was unable to compete at the Olympics last year because of a stress fracture in her foot/ankle.
Andy Murray has won the Montreal Masters and, in doing so, has become world number 2.
Usain Bolt has set yet another World record at the World Championships in Berlin. He won the 100m in a time of 9.58 seconds and thinks that he can run even quicker.

I think that that will do for this week. Have a fun week, I'll try and fill my time.