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

Millionaires and politics

The Labour Party spent most of the last election criticising me for being a successful businessman (aka millionaire). That is business in the private sector employing over 250 people. It is worth looking at the situation for the Labour Candidate now:

For the year 2016-7 Annual Income from Parliament74,962Specifically for her book51,250Other media income etc5,322.82Total declared income131,534.82

Traditionally anyone with an annual income of over £100,000 has been considered to be a millionaire. I did not use my position in parliament to increase my income.


I have been asked for sources for this. This BBC piece looks at how one should define rich. It was written in 2011 so the figures will be slightly out of date. There are perhaps 2 relevant pieces:
"In 1880 a rich person would have had £100,000 in assets or an income of £10,000 a year, he says. About a hundred people a year died leaving £100,000 and by 1910 this was 250 - "a microscopic fraction of the number of death…

Homelessness vs Selling Books

Candidates in elections tend to find themselves very busy with lots of things to do.  It is, therefore, necessary to prioritise things to ensure that the important things are dealt with.

To me the issue of homelessness and rough sleeping is an important issue.  Therefore, when Birmingham's Faith Leaders group contacted me to ask me what I would propose and whether I would work with them to make things better I was pleased to respond with my views and indicate that I would work with them after the election.

The Faith Leaders Group (Bishops and other religious leaders in Birmingham) have now sent out their report.

Sadly, according to their report,  I was the only candidate for Yardley to respond.  The group in their report said:

"Particularly disappointing was the lack of response from some of those candidates seeking re-election as MP for their respective constituencies."
It is worth looking at the priorities of my opponent.
Interestingly today she has decided to be at th…

Gender Issues comparison of candidates

John Hemming believes that an MP should represent everyone in their constituency.  This should be regardless of their race, religion, gender, abledness, sexual orientation or anything else.  It should be everyone.

When he was an MP he worked on issues relating to men, those relating to women and those relating to non-binary people. Everyone.

For example here is John Hemming on a demonstration outside the courts with the campaign group Women Against Rape (it related to the case of a mother who had her child removed from her because the mother was raped).




Jess Phillips, who campaigns on women's issues, notwithstanding the questions asked about her appointments in her parliamentary office, had the following response when asked for a debate on issues specifically relating to men: