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The end of the NHS. (Read 193254 times)

fatdoc

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#25 Re: The end of the NHS.
April 25, 2013, 05:12:44 pm
I'm not a big conspiracy subscriber, nor a believer in the illuminati...

( apart from the fact that all the pyramids on the Earth are alien docking stations ;) )

But.... This  Is really rather *odd*

Oh....


And we are going to have piss poor healthcare...


GCW

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#26 Re: The end of the NHS.
April 25, 2013, 05:18:56 pm
It partly harks back to this thread, unilateral decisions, doctors made out my the government to be money grabbing whining people etc etc.

Well, this is just the start.

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#27 Re: The end of the NHS.
April 25, 2013, 05:20:39 pm
http://www.bbc.co.uk/news/health-21772143
More than a third of GPs on the boards of new NHS commissioning groups in England will have a potential conflict of interest, an investigation suggests.

The British Medical Journal analysed 83% of the 211 boards, which will play a key role in from April, and says potential conflicts will be "rife".

A code of conduct says board members must remove themselves from decisions if they could benefit from the outcome.

The NHS Commissioning Board (NHSCB) says it will issue final guidance soon.

The BMJ says 426, or 36%, of the 1,179 GPs it looked at - who are in executive positions on boards - have a financial interest in a for-profit health provider beyond their own practice.

Their interests range from senior directorships in firms set up to provide services such as out-of-hours GP care, to shareholdings in large private health firms, such as Harmoni and Circle Health.

psychomansam

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#28 Re: The end of the NHS.
April 25, 2013, 05:25:48 pm
http://greenparty.org.uk/news/2013/03/05/suffolk-conservative-party-bankrolled-by-private-care-homes-firm/
DAVID  Ruffley MP’s Conservative constituency association received a £10,000 donation from the wife of the chairman of the company (Care UK) to which it later handed control of the county’s 16 care homes, Suffolk Green Party can reveal.
__

http://www.mirror.co.uk/news/uk-news/nhs-reform-leaves-tory-backers-105302
THE private health bosses set to profit from the Tory NHS shake-up are today unveiled as party donors.

A Mirror investigation found the tycoons bankrolled David Cameron with over £750,000.

Hedge fund boss John Nash is one of the major Conservative donors with close ties to the healthcare industry.

He and wife Caroline gave £203,500 to the party over the past five years. The cash included £21,000 which was given directly to Health Secretary Andrew Lansley to bankroll his office before the Conservatives took power. At the time the Lib Dems slammed the payments as a “staggering conflict of interest”.

The City tycoon was chairman of Care UK, which makes most of its money from the NHS, when most of the donations were made. Mr Nash continued to work as a consultant to the firm, which provides walk-in centres, GP surgeries and other specialist services, after selling his majority stake to a private equity firm last year.

The “hedgie” is also a founder of City firm Sovereign Capital, which runs a string of private healthcare firms. Fellow founder Ryan Robson is another major Tory donor who has given the party £252,429.45.

His donations included £50,000 to be a member of the party’s “Leader’s Group”, a secretive cash-for-access club. The would-be MP, who tried but failed to get selected as the election candidate in Bracknell, is managing partner at Sovereign Capital.


p.s. With regards to the news thing. I'm finding it rather bewildering too. Never before have I so regularly been forced to resort to the Mirror! Our media is truly shocking. What a piss-poor political climate we live in. Yet people tell me off if I get frustrated or angry!?



GCW

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#29 Re: The end of the NHS.
April 25, 2013, 05:31:41 pm
Which is one of the various reasons GPs stated commissioning by GPs was a stupid idea and should NOT happen.  It's not possible to be the CCG and the provider without a conflict of interest.....  unless the services aren't sourced from within the NHS.......

The fact it was forced through makes you wonder why we are being set up to fail.



slackline

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#32 Re: The end of the NHS.
April 25, 2013, 07:45:10 pm
That graph misses out Cuba which, whilst its not an OECD country, would be an outlier on the left of the plot, they spend very little, but have long life-expectancy ($251/capita mean life expectancy of 77.23 years).....and they have a nationalised health service.


All stuff I've waffled about before in Economics, Growth and Finite Resources (and no doubt elsewhere  :-[ ).

slackline

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#33 Re: The end of the NHS.
April 26, 2013, 06:12:37 am
Maybe, but I expect the motivation there is not the quality of healthcare.  Those who stay should live as long as 'mericans without having a huge amount spent on their healthcare.  :greed:

Over testing & over prescription are rife under insurance based health systems and have no demonstrable benefit to longevity (which is only one way of measuring the health of a nation).

P.S. - Good link ;)
« Last Edit: April 26, 2013, 06:21:00 am by slackline »

fatkid2000

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#34 Re: The end of the NHS.
April 26, 2013, 07:54:35 am
When the president of the RCGP starts getting involved on political matters it shows how pissed of GPs are with the government.

She's suppose to stick to academic matters / professional standards and not get involved in contractual issues.

http://www.pulsetoday.co.uk/commissioning/commissioning-topics/urgent-care/rcgp-chair-challenges-hunt-for-using-gps-as-scapegoat-over-ae-failings/20002743.article#.UXokSUoxgbA

GCW

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#35 Re: The end of the NHS.
April 26, 2013, 08:22:19 am
We had an excellent Out of Hours service in this area. When the powers that be decided to move to 111, loads of the the triage nurses etc were made redundant for the big launch.  NHS111 goes live, can't cope with the demand and ends up referring loads of people on to A+E or what remains of OOHs.  Because patients can not be triaged more than once, all those referred on have to be seen - A+E couldn't cope.  Out Of Hours was then contracted to re-employ those made redundant and mop up the work for a while.

Speaking to the LMC this brings up an interesting discussion.  The NHS111 project has a 1 year contract and is already planned to be got rid of- in fact it was known the contract wouldn't be renewed after a year before NHS111 went live.

So NHS111 went to the cheapest bidder.  Then the cheapest bidder has had to be paid a hell of a lot more money to get their inadequate service up to speed, meaning they are no longer the cheapest bidder.  How does that sit with the whole idea of competition law and tendering of services?

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#36 Re: The end of the NHS.
May 05, 2013, 08:49:18 am
Yet another inaccurate GP bashing article from Camilla Cavendish in the Times last Sunday- niceto see a few balanced replies today. Am I cynical or have Government lies become the new truth?  Watch out Guy Montag, the Hound has been released.
« Last Edit: May 05, 2013, 09:01:05 am by GCW »

mrjonathanr

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#37 Re: The end of the NHS.
May 05, 2013, 11:36:54 am
Am I cynical or have Government lies become the new truth? 

If you want people to believe a lie, make it a really big one and repeat it, as some German once said. The govt has been doing this ad nauseam to undermine the welfare state for some time now. Strivers vs skivers, anyone?

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#38 Re: The end of the NHS.
May 05, 2013, 12:12:04 pm
I wouldn't be surprised if 111 had been designed to be a disaster in order to blame GPs to then force us to take out of hours back at a practice level. Which would be doomed to fail.

mrjonathanr

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#39 Re: The end of the NHS.
May 05, 2013, 03:58:38 pm
Some elements might be cock-up, some policy, but the overall goal of ensuring the expertise of private health care is increasingly needed to the extent that it becomes the norm is the end-game, I have no doubt.

The objective is the destruction of the welfare state, period.

fatdoc

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#40 Re: The end of the NHS.
May 08, 2013, 04:38:56 pm
I wouldn't be surprised if 111 had been designed to be a disaster in order to blame GPs to then force us to take out of hours back at a practice level. Which would be doomed to fail.

 :agree:

And with Mrj....


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#41 Re: The end of the NHS.
May 08, 2013, 05:02:36 pm
We discussed this at the LMC today.  That single point will be a line in the sand.

fatkid2000

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#42 Re: The end of the NHS.
May 08, 2013, 08:48:03 pm
Four of my partners will retire early if that happens. That's half of our GPs - bye bye best primary care in the world.

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#43 Re: The end of the NHS.
May 08, 2013, 11:51:19 pm
A huge number of experienced GPs will retire due to all of this nonsense. And what will we be left with?  A load of salaried doctors, part time female partners and people about to retire who don't give a shit.

A recipe for..........

fatdoc

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#44 Re: The end of the NHS.
May 09, 2013, 12:04:01 am
 :'(

slackline

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#45 Re: The end of the NHS.
May 09, 2013, 07:09:31 am
A huge number of experienced GPs will retire due to all of this nonsense. And what will we be left with?  A load of salaried doctors, part time female partners and people about to retire who don't give a shit.

A recipe for..........

Why are part-time female partners a problem?

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#46 The end of the NHS.
May 09, 2013, 08:00:56 am
Being part time mostly means you have less of a hand in the management aspects of the Practice (not proportionate to LTFT ratios). You are much less likely to get involved with external meetings etc. meaning you are somewhere between salaried and partnership levels of involvement. Currently more females than males are being recruited, and it is often seen as a good way to balance a career and family. The majority of part timers are women.

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#47 Re: The end of the NHS.
May 09, 2013, 08:10:53 am
Do you think it's a coincidence that all the recent changes affect Partners than Salaried doctors?  Or is that to make it more attractive to be an employee and not your own boss?  If everyone is salaried we have no teeth, no power. That's the crux of all this. Make us all employees. Then what? We get subcontracted to Kaiser Permanente?

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#48 Re: The end of the NHS.
May 09, 2013, 09:31:10 am

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#49 Re: The end of the NHS.
May 09, 2013, 09:39:01 am
Mr Hunt is forever blaming GPs for the lack of ooh &'A&E attendance.

Do you provide an out of hours service?

Many years ago, my father (a GP) did visits out of hours.  Some of those in the practice that didn't like doing home visits didn't and paid the deputising service.  Eventually so many used the deputising service that he got abuse from other doctors for wanting to provide a service personally to his patients (his view was this was why he went into general practice after all).  Then the DS got canned and replaced with a system where you couldn't opt out - you were not able to do your own visits, it was all centralised into a different OOH service.  This was largely because the deputising service was too expensive - it cost loads and sharing the cost around more would be cheaper.

The new OOH service meant you didn't see your own doctor.  It also meant that instead of your doctor getting up in the middle of the night, you had a load of doctors in a building somewhere, sky TV to amuse them in the quiet bits of the middle of the night shifts, drivers to drive them around when the patient couldn't get to the centre, etc. etc. - quite a lot more expensive than my Dad getting up in the middle of the night.  He had to be up more too - but he got even more money to help his pension for his efforts (working 15 hour days in your 50s, good effort).  And he got sky TV which was a real eye opener to someone who never bought into it.  He had no idea what he was missing.  Fucking loves CSI.

Now, as a user, I can see how hard it is to use though.  You don't know your doctor, you're not sure how to use it in the first place, so if my one year old (for example) were to come down with a fever I would think the only option would be A&E.

20 years ago I would have rung my doctor - a number I know - and got an answering machine giving my Dad's number.  A cheaper, better, friendlier service.

From where I'm sitting, this part of it all got fucked because GP's didn't want to get up in the middle of the night.

Educate me?  I could be totally off here.  I don't think I am though.

 

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