Skip to main content

Deepening crisis in the NHS

NHS England has today called on the public, NHS staff and politicians to have an open and honest debate about the future shape of the NHS. This is set against a backdrop of flat funding which, if services continue to be delivered in the same way as now, will result in a funding gap which could grow to £30bn between 2013/14 to 2020/21. We certainly cannot have an honest debate unless  the government is willing to be transparent. A public consultation, a 'call to  action', is a little late in the day. The horse has bolted and the NHS in England faces funding and staff shortages and an ill-conceived reorganisation. 

The NHS is reeling from an unwanted reorganisation and, far from being ring fenced as claimed by the government, cuts of £20 billion in so-called 'efficiency savings'. The government has delivered a mortal blow to the NHS and introduced privatisation which will  starve in-house services of much needed funding. 

Responding to NHS England’s 'call to action', Chair of BMA Council, Dr Mark Porter, said:

"It will come as no surprise to anyone to hear that the financial crisis in the NHS is deepening, particularly to NHS staff seeing the impact of these pressures first-hand. The BMA’s own analysis shows that the service will have to make do with three quarters of its existing budget.

"The Government has spent two years forcing through an unwanted reorganisation instead of giving the service space to address the funding crisis. New organisations are struggling to establish themselves while in deficit from the start.1

“So far most of the savings found have come from staff pay or cuts in tariffs for services, which is neither sustainable nor likely to deliver the savings needed to protect patient care.

"Doctors care deeply about patient care and more want to be empowered in order to make the necessary changes but are being held back by increased red tape and lack of support from the top. In the face of rising patient demand, an ageing population and the cost of keeping pace with new technologies and treatments, it is no surprise they feel demoralised and frustrated. A trend that will only worsen if they continue to be made the scapegoat for the problems facing the NHS and when the pressures on them are increasing. Doctors have and always will work on behalf of their patients and yet the Government has so far brushed them aside, instead proclaiming themselves as the only patient champions. I hope that doctors will be given a real voice in helping to meet the challenges we face.”

Comments

Popular posts from this blog

Ian Duncan-Smith says he wants to make those on benefits 'better people'!

By any account, the government's austerity strategy is utilitarian. It justifies its approach by the presumed potential ends. It's objective is to cut the deficit, but it has also adopted another objective which is specifically targeted. It seeks to drive people off benefits and 'back to work'.  The two together are toxic to the poorest in society. Those least able to cope are the most affected by the cuts in benefits and the loss of services. It is the coupling of these two strategic aims that make their policies ethically questionable. For, by combining the two, slashing the value of benefits to make budget savings while also changing the benefits system, the highest burden falls on a specific group, those dependent on benefits. For the greater good of the majority, a minority group, those on benefits, are being sacrificed; sacrificed on the altar of austerity. And they are being sacrificed in part so that others may be spared. Utilitarian ethics considers the ba...

Ethical considerations of a National DNA database.

Plans for a national DNA database   will be revealed by the Prime Minister this week. This is the same proposal the Tories and Liberal Democrats opposed when presented by the Blair government because they argued it posed  a threat to civil liberties. This time it is expected to offer an 'opt-out' clause for those who do not wish their data to be stored; exactly how this would operate isn't yet clear. But does it matter and does it really pose a threat to civil liberties? When it comes to biology and ethics we tend to have a distorted view of DNA and genetics. This is for two reasons. The first is that it is thought that our genome somehow represents the individual as a code that then gets translated. This is biologically speaking wrong. DNA is a template and part of the machinery for making proteins. It isn't a code in anything like the sense of being a 'blueprint' or 'book of life'.  Although these metaphors are used often they are just that, metapho...

Work Capability Assessments cause suffering for the mentally ill

People suffering from mental health problems are often the most vulnerable when seeking help. Mental health can have a major impact on work, housing, relationships and finances. The Work Capability Assessments (WCA) thus present a particular challenge to those suffering mental illness.  The mentally ill also are often the least able to present their case. Staff involved in assessments lack sufficient expertise or training to understand mental health issues and how they affect capability. Because of  concerns that Work Capability Assessments will have a particularly detrimental effect on the mentally ill,  an  e-petition  on the government web site calls on the Department of Work and Pensions to exclude people with complex mental health problems such as paranoid schizophrenia and personality disorders. Problems with the WCA  have been highlighted in general by the fact that up to 78% of 'fit to work' decisions are  being overturned on appeal. I...