Skip to main content

Margaret's Shoulder is not the issue

The linked story also about a shortage of Intensive Care Beds is far more important than the so called "war of Margaret's Shoulder". It, however, still does not really look at the key problems in the NHS.

Many PCTs and NHS Trusts are in financial problems (forecast deficits) at the moment. There are two main reasons for this.
  • Consultants Contracts - there is an additional cost from the new consultants contracts of about 12% the funding for which has not been provided. and
  • Payment by Results - this has not come in yet, but will result in further financial pressures which will have knock on effects.


The issue relating to the shortage of ITUs has been around for years. In part it results from the nature of the arrangements for ITUs which means that the annual cost of maintaining an ITU bed is over 250K per annum. This means that hospitals run on the edge of the numbers required. Addressing this is a matter for getting into the details of the specification to bring in higher care, but not ITU levels.

The big issues, however, relate to the financial problems from the consultants contract and payment by results. In Birmingham this is causing the local PCTs in their Local Delivery Plans to build in assumption for cuts in the numbers of beds in local hospitals. My estimate is that this could see a 20% cut over the next 5 years.

There is an argument that improvements in the mechanisms of case will result in more day care. However, using this to allow bed number cuts tied into the financial forecasts is dangerous.

These two areas need a proper, urgent and detailed review into the financial situation for the NHS. The Gershon report covers the NHS as well as other aspects of public services. However, it does not have a proper answer to this.

In essence Labour's Government is planning for a cut in frontline services in the NHS as they will be constrained by a shortage of facilities. There are already anecdotal problems through beds not being changed between patients because of the rush.

Sadly this debate will almost certainly not hit Prime Time TV as it is too complex for that medium. It is, however, the aspect of NHS planning that warrants proper consideration that it is not getting at the moment.

Comments

Popular posts from this blog

Statement re false allegations from Esther Baker

Statement by John Hemming
I am pleased that the Police have now made it clear that there has been a concerted effort to promote false criminal allegations against me and that the allegations had no substance whatsoever.
I would like to thank Emily Cox, my children, Ayaz Iqbal (my Solicitor), my local lib dem team and many others who supported me through this dreadful experience. There are many worse things that happen to people, but this was a really bad experience.
It is bad enough to have false allegations made about yourself to the police, but to have a concerted campaign involving your political opponents and many others in public creates an environment in which it is reasonable to be concerned about ill founded vigilante attacks on your family and yourself. Luckily there was a more substantial lobby to the contrary as well, which included many people who were themselves real survivors of abuse, which has helped.
I am normally someone who helps other people fight injustice. …

Statement re Police investigation into Harassment and Perverting the Course of Justice.

It was recently reported that the police were not investigating the allegations of Perverting the Course of Justice that I had made. This came as a surprise to me as I had been told for some time that my allegations were to be considered once the VRR had been rejected. I have now had a very constructive meeting with Staffordshire police on Friday 29th June 2018 and the misunderstandings have been resolved. At that meeting the evidence relating to the perversion of the course of justice and the harassment campaign against my family were discussed. The police have decided to investigate both the perversion of the course of justice and also the harassment campaign. I would like to thank them for changing their decision and I accept their apology for the way in which they did that. I am also in possession of written confirmation a police force would be investigating allegations that a vulnerable witness has been harassed for trying to expose the campaign against me. I hope that the aut…

R v SUSSEX JUSTICES ex p McCARTHY [1924] 1 KB 256

I have only just found this one which I think is accurately reported below (but if it is not please give me an accurate report).

KING’S BENCH DIVISION

R v SUSSEX JUSTICES ex p McCARTHY [1924] 1 KB 256

November 9 1923

Editor’s comments in bold.

Here, the magistrates’ clerk retired with the bench when they were considering a charge of dangerous driving. The clerk belonged to a firm of solicitors acting in civil proceedings for the other party to the accident. It was entirely irrelevant that there had been no evidence of actual influence brought to bear on the magistrates, and the conviction was duly quashed.

LORD HEWART CJ:
It is clear that the deputy clerk was a member of the firm of solicitors engaged in the conduct of proceedings for damages against the applicant in respect of the same collision as that which gave rise to the charge that the justices were considering. It is said, and, no doubt, truly, that when that gentleman retired in the usual way with the justices, taking with him the…