Also all change costs short term generally. Maybe a massive reorganisation is the best thing but in the short term it’ll be bloody expensive.
I think we need to sort social care first. Do that and a lot of pressure disappears. We’ve generally got a very cheap and effective healthcare system despite people constantly telling us it can’t go on.
But like education and policing it also picks up the tab for lack of social policy elsewhere like walkable neighbourhoods.
Removing bursaries to coincide with that was an act of gross negligence.Of course recruitment has been hampered by a certain event that happened in 2016 which I don't want to get in to!
The prime minister, health secretary and Treasury ministers are to meet health experts to help tackle crucial challenges facing the NHS in England.
Representatives from the public and private sectors are attending Saturday's forum at Downing Street, alongside chief executives and clinical leaders of NHS organisations, local areas and councils from across the country, plus medical and social care experts.
Amanda Pritchard, chief executive of NHS England, and Sir Chris Whitty, chief medical officer for England, are also taking part in the meeting.
I read it’s now 1 in 7 beds are blocked by patients who can’t be discharged because the social care isn’t there for care in the community, so if it was 10% it’s rising.Agree about social care. Whoever made the call not to direct the additional funding to social care immediately was crazy (I blame government and NHS/PHE for this). If it’s true that 10% of beds are blocked by people who don’t need to be in hospital surely that’s a far quicker win than chucking money into a clogged up system.
We also need to think about the social determinants of health, which make our health spending per head even worse.I mean ultimately going back to first principles you either provide less healthcare (what would you cut? Arguable we need to add mental health which is bloody expensive to treat properly) or you need to start charging where we don’t already so rather than tax where people can afford it you end up with a lottery as to whether people can afford it or not and those that can’t coming back as emergency care.
There’s no magic solution where we provide the same level of care for less money. We don’t actually spend that much on healthcare compared to other countries and it’s not a market in the proper sense so I fail to see how any other funding system solves the issue. Willing to be convinced though.
What you're highlighting here is a problem with privatised social care.Agree about social care. Whoever made the call not to direct the additional funding to social care immediately was crazy (I blame government and NHS/PHE for this). If it’s true that 10% of beds are blocked by people who don’t need to be in hospital surely that’s a far quicker win than chucking money into a clogged up system.
Well it was Boris saying it but he'd have been guided by heh or Sunak.Agree about social care. Whoever made the call not to direct the additional funding to social care immediately was crazy (I blame government and NHS/PHE for this). If it’s true that 10% of beds are blocked by people who don’t need to be in hospital surely that’s a far quicker win than chucking money into a clogged up system.
We tax things like smoking and alcohol quite heavily. For a similar reason I'd like to see many drugs legalised and heavily regulated and taxed.I mean ultimately going back to first principles you either provide less healthcare (what would you cut? Arguable we need to add mental health which is bloody expensive to treat properly) or you need to start charging where we don’t already so rather than tax where people can afford it you end up with a lottery as to whether people can afford it or not and those that can’t coming back as emergency care.
There’s no magic solution where we provide the same level of care for less money. We don’t actually spend that much on healthcare compared to other countries and it’s not a market in the proper sense so I fail to see how any other funding system solves the issue. Willing to be convinced though.
This is the thing that people fail to take on board when they highlight the success of private medical care.What you're highlighting here is a problem with privatised social care.
There's an ever increasing number of people with complex and intensive care needs. That's a lower profit area so the companies who provide the social care steer clear and stay in the 'stack it high, sell it cheap' part of the care system where they can generate large amounts of revenue with relatively little work or cost.
This is the problem we had with my Dad, and he wasn't the only one waiting to be discharged from the hospital with the same issue. For over a month he was sat in hospital when he didn't need to be.
The care system as it currently is also has a huge administrative overhead. My Dad's care has always come under NHS, we've never needed to involve the council or anyone else, but in 12 months he's had at least 6 assessments. They aren't quick, they involved multiple NHS staff coming to the care home and a 2 hour plus assessment. I have to attend these so every time one takes place it's a day off work. The only reason I've been given for the need to do such regular assessments when he has a condition that will only deteriorate is due to privately run care homes charging the NHS for levels of care they aren’t providing and aren’t required.
Agree about social care. Whoever made the call not to direct the additional funding to social care immediately was crazy (I blame government and NHS/PHE for this). If it’s true that 10% of beds are blocked by people who don’t need to be in hospital surely that’s a far quicker win than chucking money into a clogged up system.
Neither NHSE nor PHE (abolished and replaced by UKHSA a couple of years ago) have any role in distributing money for social care. Social care is paid for by unitary local authorities and either delivered themselves or more likely via a third party private company. I think you're right that the government makes misleading statements about the extent to which additional funding is immediately available. I suspect it'll go to to the DHSC first and will be subject to some form of request process for each Local Authority, it will take weeks to reach the frontline.
The whole thing needs a rethink, for whatever reason no government wishes to properly join health and social care, the latest attempt is integrated care boards but it doesn't remove the statutory responsibilities.Yeah, I wasn’t clear, I’m aware they are separate funding pots, which is crazy, they both need to be joined up but that’s a different discussion. What I meant is that if I was the nhs, knowing I had 10%-15% beds blocked by people who were medically fit to be released, I would’ve been saying to the government to direct immediate additional funding* to social care, that will free up beds which in turn reduces waiting times for ambulances (and potentially critical patients)…and means nhs staff are caring for patients who need medical care
Noted about PHE, forgot that was disbanded/replaced
*originally due to come from the NIC increase which was supposed to be for social care but initially directed to NHS post covid.
Has anyone mentioned Trump MkII in Brazil? Another far-right conspiracy with no evidence looking to overturn democracy. Disgraceful.
When you said her I was convinced she’d have blamed Meghan Markle or Greta Thunberg.Julie Hartley Brewer blamed remainers
Fascist pricks.The pro-Bolsonaro protesters seem like a charming bunch
It’s not quite as easy as spend £1 in salary and receive £18 in increased revenue but it is true Boris wanted to lose between 10 and 30% of staffI wonder who the main beneficiaries of this 'incompetence' are?
HMRC failing to collect £42bn in taxes - MPs say windfall could fix 'black hole' in UK's finances
The government has been accused of losing "staggering amounts" of money for public services "through incompetence" after a report found £42bn is owed to HMRC in unpaid taxes.news.sky.com
I wonder who the main beneficiaries of this 'incompetence' are?
HMRC failing to collect £42bn in taxes - MPs say windfall could fix 'black hole' in UK's finances
The government has been accused of losing "staggering amounts" of money for public services "through incompetence" after a report found £42bn is owed to HMRC in unpaid taxes.news.sky.com
Someone said on the radio yesterday, no idea who it was, that they don't care about public services because they don't use public servicesKin ell.
It's shocking that someone can get to such a position of responsibility with such crazy views. In fact not just crazy but ridiculously offensive. These people are supposed to be running the country.Andrew Bridgen MP on social media comparing the vaccine rollout to the Holocaust. Wonder if Sunak will be asked about that - would be an….interesting policy position for the Tories to adopt. (I won’t link the post in case someone agrees)
Update: He’s had the whip removed
Remember the 'Facebook Tax' for tech giants that after a cosy chat with the exec's the government said Facebook would be exempt from?I wonder who the main beneficiaries of this 'incompetence' are?
HMRC failing to collect £42bn in taxes - MPs say windfall could fix 'black hole' in UK's finances
The government has been accused of losing "staggering amounts" of money for public services "through incompetence" after a report found £42bn is owed to HMRC in unpaid taxes.news.sky.com
Was already suspended for a “cavalier attitude towards lobbying”. Maybe he wants to go out with a bang.Andrew Bridgen MP on social media comparing the vaccine rollout to the Holocaust. Wonder if Sunak will be asked about that - would be an….interesting policy position for the Tories to adopt. (I won’t link the post in case someone agrees)
Update: He’s had the whip removed
Hard to think that he didn't know what he was doing.Was already suspended for a “cavalier attitude towards lobbying”. Maybe he wants to go out with a bang.
Hard to think that he didn't know what he was doing.
Must be angling for a gig as some sort of alt-right, dog-whistle, bullshit merchant.
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