Links to important new information on other websites
- Brexit blamed as record number of EU nurses give up on Britain Guardian gives latest figures as NHS England and NHS Improvement keep their heads in the sand denying scale of recruitment & retention crisis.
- GP practices face funding threat as online service ‘targets’ young people Update blog from Dr David Wrigley for Our NHS/Open Democracy on the latest wheeze to substitute apps for care.
- Homes of elderly should be used to fund social care, NHS head says Simon Stevens dredges up the key proposals of the discredited Griffiths Report of 1988, which from 1993 transferred long term care from NHS (free at point of use) to local govt social services (means tested charges). This was the launch point for massive privatisation, fragmentation, underfunding and chaos in domiciliary care (destruction of Home Help services) and expansion of poor quality privately provided nursing home/residential care. We need to break from this, not revisit the same nonsense.
- A separate NHS tax would only further its fragmentation Guardian piece by Green MP Caroline Lucas nails the hoary old zombie idea as it creeps out again, stirred back into BBC and right wing headlines by Blairites and others with no real concept of the NHS and its value.
- Care for 13,000 Britons at risk as provider seeks rescue plan Guardian report on the latest social care provider struggling to survive after a decade of cuts.
- Time to put care into the system Online facts and figures on the melt-down of England's social care system from Which magazine.
- Short report on private contracting Handy summaries from NHS for Sale website (NHS Support Federation)
- A Dedicated Tax to fund the NHS -- A zombie idea John Appleby demolishes the flimsy arguments that are again being wheeled out for some form of hypothecated tax to fill in the gaps in NHS funding created by the 8-year real terms freeze since 2010.
- No one to look after them Roy Lilley tears into the scandalous treatment of the Windrush generation -- and the dire lack of any serious workforce planning in today's NHS.
- Tough Task -- the latest updated warning on inadequate resources from NHS Providers A hard-hitting report from the body representing NHS trusts explaining why the gap between the best-performing and most challenged hospital trusts is growing wider, and the gap between official promises of NHS performance and actual services is constantly growing.
- Realism needed over delivery task for providers NHS Providers, representing trusts, responds to the warning from NHS Improvement that their plans have been unrealistic.
- NHS spends as little as £2.61 per day on patient food Daily Mirror report reveals 13 hospitals spent less than £5 a day; average spend was just £11 per day on food for patients on hospital wards.
- NHS and council staff in a new care model 'vanguard' in Greater Manchester have voted for strike action. (£) HSJ article based on UNISON press statement.
"Unison, which represents 230 council and NHS staff involved in the Stockport Together vanguard, said the decision follows seven months of negotiations.
"The industrial action will take place on 27 April. The union said 96 per cent of respondents to the ballot voted to strike.
"HSJ revealed staff’s concerns in January, which presented further difficulties for a project that has already been scaled back from initial plans to form a single accountable care organisation.
"The project partners – including Stockport Foundation Trust, Stockport Council and Stockport Clinical Commissioning Group – have instead focused on establishing integrated community teams working under an “alliance contract” between providers."
Union members are concerned about a planned expansion of unqualified support workers, as well as a reduction to the availability of services during peak times.
- Health Care Assistants doing nurses' duties Three quarters of HCAs are taking on tasks that should be carried out by qualified nurses, according to a UNISON report in the Guardian. A symptom of desperate efforts at cost saving while bridging huge gaps in staffing.
- NHS Improvement chief: Trust plans are unrealistic and unachievable Article in the (£) HSJ by Lawrence Dunhill, begins:
"NHS Improvement has told providers their activity, workforce and financlal plans for the
new financial year do not look realistic or achievable."
In an email to the sector on April 18, NHSl chief executive Ian Dalton said plans submitted by some trusts are "not sufficiently robust" and further work is needed to address several issues before final submissions are made by 30 April.
It is the first blast of realism from the top of the NHS since trusts, CCGs and local councils were told just before Christmas 2015 to organise themselves into local "footprints" and draw up Sustainability & Transformation Plans -- few of which are robust, evidence-based or achievable.
- Hunt halts Horton General closure plans A splendid victory for the Banbury campaigners after such a long haul, showing that no matter how hopeless it may seem it is sometimes possible to get the Independent Reconfiguration Panel to put a spanner in the works. Also a broad, popular, vocal campaign in a Tory area can create a political pressure, which should not be ignored.
- NHS Improvement pays McKinsey £500,000 to advise on 'purpose and model' A truly shocking story from HSJ, revealing that the NHS regulator NHS Improvement has not got the vaguest idea what it's supposed to be doing, and has to part for a second time with a shedload of cash to management consultants in an effort to find out. More than £1m so far flushed down the PWC to useless consultants to advise equally useless and clueless overpaid NHS executives, while they crack the whip on hard-pressed trusts to slash services to balance the books. Disgusted? You bet!
- Trust chief calls for review of STP after extraordinary winter Another (£) paywalled HSJ news story highlighting the unravelling of another STP, with a new hospital chief exec in Nottingham pointing to bed shortages and black alerts.
- KONP tribute to the late, great Prof Stephen Hawking A timely tribute highlighting Hawking's consistent support for the NHS and his role in supporting the JR4NHS challenge to the imposition of ACOs without proper scrutiny by MPs or public consultation.
- Private firms are not expecting to run ACO contracts (£) paywalled HSJ exclusive that should give some people pause for thought: Jeremy Hunt for one, and many who see ACOs as the threshold of doom. Problems cited by the private sector include the public's political resistance to privatisation, and the level of financial risk to the private sector. Rather than take on ACOs, they are keen to cherry-pick, offering future organisations "elective capacity, access to capital, analytics and diagnostic services".
- Not a winter crisis but a political crisis Tony O'Sullivan's excellent summary of the gathering storm for Labour Briefing
- 15 Trusts at 100% occupied, 34 with 99% of beds full on last day of winter crisis reporting NHS England's latest statistics confirm that 8 years of frozen funding since Cameron took over in 2010 have made it winter most of the year round in our NHS. Urgent need to scrap further bed cuts and boost funding & staffing levels
- Oral evidence on dangers for the NHS of Accountable Care Systems and Organisations Evidence given to the committee by 3 leaders of JR4NHS and KONP co-chair Tony O'Sullivan
- 'It was like an Arctic expedition’ - paramedics battle through snow for nine hours to reach stranded patient Every day story of NHS dedication -- a 3-mile trek by East Anglia ambulance staff to save a patient
- Judge's ruling recognises privatisation of one service threatens the whole local NHS Interesting written ruling on plans by Lancashire County Council to hand over children's services to Virgin, highlighted by Calderdale and Kirleees 999callfortheNHS.
- NHS Dis-integration: Unaccountable Care Excellent short read and up-sum on ACOs/ICOs and the shifty arguments of NHS England, from KONP's Tony O'Sullivan
- Ambulances' three hour wait outside Worcestershire A&E BBC report points out: "According to national guidelines, Worcestershire Acute Hospitals NHS Trust is expected to deal with 95% of patients who attend A and E within four hours, but the BBC understands on Friday it dealt with 47% in four hours and 49% on Saturday."
- Yes, the NHS is fractured. But competition won’t heal it Polly Toynbee bangs home some hard points in this Guardian analysis.
- NHS brings in three month minimum waiting times despite warnings patients will suffer Further proof that underfunding has drastically undermined NHS capacity to meet targets for timely care.
- Single payer health care cuts costs View from an Oregon doctor, pointing out that waste and corruption arise from the US system
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