How the vulnerable get get ‘managed’ off hospital waiting lists

…..Cutting services completely always generates unfavourable headlines, whereas merely making them a little harder to get at is less dramatic

And it doesn’t even have to involve a monetary transaction: there are plenty of more subtle ways to stop those inconvenient patients turning up demanding care. But the trouble is, the people we discourage are not the frivolous, the ‘worried well’, the over-entitled: more often than not, they’re the people who need our care most of all…..

read more from this hospital doctor here: https://www.bma.org.uk/connecting-doctors/b/work/posts/how-the-poor-get-managed-off-waiting-list

NHS spending per person will be cut next year, ministers confirm

The funding constraints come despite the unfolding ‘humanitarian crisis’ in the health service

The Government will cut the National Health Service’s budget per person in real terms next year, ministers have admitted in official figures for the first time.

Numbers released by ministers show NHS England will face a sharp reduction of 0.6 per cent in real terms of per head in the financial year 2018-19.

The numbers corroborate claims by NHS chief Simon Stevens earlier this month that “in 2018-19, real-terms NHS spending per person in England is going to go down”.

The figures also fly in the face of the Government’s public insistence that it is investing more in the health service, with Jeremy Hunt and Theresa May repeating the mantra of an extra £10bn for the NHS.

That claim was debunked by the cross-party Health Committee in the summer, whose chair, Tory MP Sarah Wollaston, said the number was both “incorrect” and “risks giving a false impression that the NHS is awash with cash”.

The Liberal Democrats said the figures show Tory claims of investment were “disingenuous” while Labour said the Government should use the March budget to close the black hole opening up in the health service’s finances.

read more: http://www.independent.co.uk/news/uk/politics/nhs-cuts-spending-policies-theresa-may-jeremy-hunt-tories-labour-lib-dems-a7549686.html?cmpid=facebook-post

Capita putting patient safety at risk, claims BMA

Created: Tuesday, 08 November 2016 19:27 The British Medical Association (BMA) has accused Capita of “putting patient care and safety at risk” by their chaotic handling of patients’ medical records. Capita is a familiar name to claimants because of their contract to carry out personal independence payment assessments in parts of the country. However, another […]

via Capita putting patient safety at risk, claims BMA | BenefitsandWork.co.uk — Britain Isn’t Eating

An NHS hospital is being forced to CROWDFUND to buy beds, thanks to Jeremy Hunt

A London hospital has been forced to crowdfund for vital equipment, including beds, because it cannot afford to invest the money itself.

Begging for beds

The Royal National Orthopaedic Hospital (RNOH) in Stanmore, north-west London, set up the appeal in a bid to raise £400,000 for its spinal injuries unit. The money will go towards six extra beds for the ward, plus new rehabilitation equipment. The RNOH has so far raised £126,000.

The campaign, called the ‘Make it Possible’, is thought to be the first time any NHS hospital has crowdfunded for investment. The project works by allowing patients and families to suggest where money could be spent. Then an appointed committee selects one of the suggestions, and the crowdfunding begins. The spinal injuries unit was the first to be chosen.

Chief Executive of the RNOH, Rob Hurd said that because all the hospital’s money goes into frontline services, very little is left for investment:

We have to be frank, capital is constrained in our NHS and investment in facilities is really difficult at this time. That means the infrastructure that we have got doesn’t get replaced as quickly as we would like. So we need the help of donations and charitable sources to make those additional investments. So we really value those donations because without them we cannot even get started.

Financial uncertainty

The RNOH is one of the country’s flagship orthopedic hospitals, where one in five orthopedic surgeons are trained. But it has fallen into financial difficulties. A proposed renovation of the hospital’s century-old buildings, signed off under Labour in 2010, was delayed by more than five years. The RNOH was initially looking for a private company to fund the work (paywall). But in August the Department of Health (DoH) signed off the first phase of funding. This was only possible because part of the RNOH site was sold off to private developers, and loans were taken out.

The £49.9m awarded to the RNOH will go towards a new inpatient block. The hope is that the DoH will then sign off another £31m for a training centre and biomedical facilities. But, as the crowdfunding project has shown, this only covers the bare essentials. And even on a day-to-day basis the hospital is struggling. It warned in October 2015 that it faced losing £15.2m in income in 2016/17, due to changes in the way the DoH allocates funding.

Read more here: http://www.thecanary.co/2016/10/25/nhs-hospital-forced-crowdfund-buy-beds-thanks-jeremy-hunt/

“I am a midwife and I wish I was dead”: Shocking open letter reveals stress on NHS staff : Daily Record. — DWPExamination.

The midwife author is responsible for 40 women, 80 lives A midwife has penned a shocking open letter revealing the stress of the job, admitting: “I wish I was dead.” The anonymous note, sent to the Liverpool Echo , claims the role is “a black hole destroying my world.” The author talks of the stress […]

via “I am a midwife and I wish I was dead”: Shocking open letter reveals stress on NHS staff : Daily Record. — DWPExamination.

How The DWP Is Drafting In Doctors To Promote Iain Duncan Smith’s Warped Ideology

Are you working hard enough?  Are you sure?  What if you get sick, or have an accident?  Are you prepared to go to work anyway, even if you don’t think it would be good for your health?  What if your doctor and boss agree you could do something other than your usual job instead of malingering at home?  Like making cups of tea all day, or cleaning the bogs, or any form of work your empoyer can dream up to force you not to take time off.  Because that is now the chilling reality as the DWP attempts to inject Iain Duncan Smith’s warped ideology into the NHS

the void

fit-note-guidanceAre you working hard enough?  Are you sure?  What if you get sick, or have an accident?  Are you prepared to go to work anyway, even if you don’t think it would be good for your health?  What if your doctor and boss agree you could do something other than your usual job instead of malingering at home?  Like making cups of tea all day, or cleaning the bogs, or any form of work your empoyer can dream up to force you not to take time off.  Because that is now the chilling reality as the DWP attempts to inject Iain Duncan Smith’s warped ideology into the NHS.

Last week the DWP issued patronising new guidance to GPs on when they should issue a Fit Note.  Doctors are warned of the dangers of ‘worklessness’ and told they must consider “the vital role that work can play in your patient’s health”.

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NHS facing worst ever winter as Tory hospital cuts could see 35,000 doctors and nurses lose their jobs

Britain’s top union has warned that unless there is an urgent “injection of cash” our hospitals face their worst winter ever

Debt is at an all time high, soaring numbers of the sick are waiting on trolleys in A&E and key targets for treating cancer patients are being woefully missed.

Yet as the NHS deals with the worst “cash crisis in a generation” we can disclose things are only going to get worse.

A Sunday Mirror probe can reveal up to 35,000 doctors and nurses could be AXED to balance the books – which are already £2bn in the red this year.

As trusts plunge into debt private firms are getting increasingly rich – with many now offering huge cash sums of £500 for NHS workers simply to sign up to websites.

And Britain’s top union has warned that unless there is an urgent “injection of cash” our hospitals face their worst winter ever.

read more here: