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

Tuesday, 4 March 2008

Health and the NHS

The hot topics in the health agenda this week are the NHS, unsurprisingly, but also the day to day health of Britons.

The Tories have vowed to outspend Labour on the NHS, but I thought that NHS standards were still falling even though New Labour have put more money into the NHS than ever before? In fact Gordon Brown has increased spending on the NHS overall by £40billion since 2002.

Surely the clever thing to pledge is to make existing money go further to economise and improve efficiency in the service.

According to the Telegraph some Tory right wingers agree with this view:

It risks angering Tory right-wingers who think Labour has wasted taxpayers' money on public services and want David Cameron to fight the next election promising tax cuts. Source: http://www.telegraph.co.uk/news/main.jhtml?xml=/news/2008/02/28/ntory428.xml
These tax cuts however, are looking less likely because shadow Health Secretary, Andrew Lansley, has said the Tories plan to increase NHS spending by £28billion a year.

One question of course, is where this money will magically come from, but according to Mr Lansley the funds will come from "tough" cuts in other government services, though the report doesn't make it clear which services or what "tough" means.

Along with this announcement comes news that the NHS faces a £1.8billion surplus, a mere 2.8% of turnover, according to details released by the Department of Health.

The issue raised here, aside from why the Tories would want to put more money into a service already underspending, is why patients are being refused vital treatments on financial grounds if there is 'money to burn'.

Though no one seems to have an answer, the Times reports the NHS has turned a £547million deficit in 2005/6 into a £515million surplus in only a year, and because increases in efficiency have been to effective the surplus has reached these recently announced unprecedented high levels. Source: http://www.timesonline.co.uk/tol/news/politics/article3479152.ece

Therefore the Tories proposals, which are likely to put David Cameron and his Shadow Chancellor George Osbourne under a lot of pressure from back-benchers, will most likely be re-thought since more money in a service in surplus makes no economic sense without a complex re-structuring of the distribution of funds.

The second issue in the press is the fact people are not going to the gym as much as they used to, partly because the celebrity mums on TV make women feel bad about themselves (http://www.telegraph.co.uk/news/main.jhtml?xml=/news/2008/03/02/nyummy102.xml).

The golden age of the treadmill has passed, and the British public has turned to eating healthily as a replacement for working off those problem pounds.

The Times reports:

Five years ago, when gyms and health clubs were at the peak of their popularity, 8.7 million of us in Britain were members. But statistics from the accountancy firm Deloitte reveal that 54,000 fewer people took out gym membership during 2007 than they had 18 months previously.
The real question at the end of all this is: are people becoming less interested in their health and more in whether things are healthy or not? (regardless whether they are eating them or doing them)

Sunday, 17 February 2008

What's up doc(s)?

Apparently doctors, nurses and dentists would rather chose private health care than that of their own organisation: the National Health Service.

There are two sides to this of course, since if a doctor is ill he won't be able to treat anyone, it makes sense to get better as quickly as possible, and if you want speed you have to pay, which means private health care.

On the other hand if doctors don't appear to have any faith in the care given by them and their colleagues then what should Jo Public think?

It might be unfair to say that medical staff don't have faith in the NHS, but that's the signal they are sending out with this latest set of findings, which say 5% of doctors and 2% of nurses use Bupa, Britain's biggest private health insurer.

The results come as Bupa announces staff discounts for NHS workers of up to £636 a year. Senior doctors and interest groups were quick to criticise the move since it suggests doctors and nurses have no faith in the service they are providing.

Ben Ummat, a first year medical student at University College London, said:

"The private sector is still ahead of the public one, and even if the two were neck and neck I'd probably still pay rather than wait. It comes down to personal choice, but there's no doubt the medical community is on shaky ground."
Despite this apparent faith in private practice, the BBC reports this week that private clinics are not seeing as many patients as they should.

Many private institutions still carry out NHS care, but figures from the Department of Health suggest only four of the 25 centres opened are meeting standards.

The centres were set up to treat minor diagnostic tests and do minor surgeries in a bid to cut waiting times.

When it comes down to it the workers in the NHS have enough medical expertise to make up their own minds what's best for them, and 5% of the whole doctor population of the UK is hardly an overwhelming majority, which might suggest it's an overreaction to say workers are 'losing faith' in the health service.

For the public, the most important thing is that they get the treatment they want, and have access to it at all times, since it's their taxes which pay for it, but if they do chose to go private to save some time then who are we to blame them?


Sources:
http://news.scotsman.com/uk/NHS-staff-flock-to-bargain.3786139.jp
http://news.bbc.co.uk/1/hi/health/7240957.stm

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