Private health firms pocket £18 million a day – that’s £6 billion in the last year – from the NHS budget.

In internet comment threads and on Facebook and other social networks we see a lot of screeching from lefties who want to convince you that if the conservatives are re – elected they will privatize the NHS and if UKIP were to be elected (which is not likely to happen this time or even next time, they would abolish the NHS and make us rely on the local hedge witch for our health care.

Neither is true of course, Nigel Farage DID NOT say UKIP would introduce a two tier system like America’s, he said that without reforms to cut out bureaucratic waste and make services more efficient we might have to look at such a system. So let Little Nicky remind you here that it is the NHS Management, the Public Service Unions and The Labour Party that is resistant to reforms, it is the current management regime and the public service unions that have derailed every attempt to modernise the administration systems and it is the managers and senior medical staff who have been bribed‘incentivized’ by Big Pharma executives to prescribe costly and ineffective medicines where cheaper and more beneficial drugs are available.

And of course it is a bit late to be scaremongering about the evil Conservatives or loony UKIPpers privatising the NHS when it was privatized years ago by New Labour under ?Blair and Brown.

Private Firms Milking The NHS
Private health firms pocketed £18 million a day – that’s £6 billion in the last year – from the NHS budget

Private health companies are pocketing a record £18 million each day from the NHS budget as more and more health contracts are passed over to the private sector.

New figures from the Department of Health show that last year £6.6 billion was taken from the NHS coffers to pay private health providers – a 50 per cent rise from before the coalition took power.

Critics of the coalition Government’s health reforms say this trend of allowing private companies to cream off NHS cash is set to increase.

Campaigners are also concerned that independent providers could be putting patients at risk as they strive to safeguard profits, which is cash sucked out of the NHS system.

Read full article

The Truth – Labour Privatized The NHS between 1997 and 2010, Now Their Toxic Policies Are Bankrupting It
In the run up to the 2015 UK General Election, and without doubt beyond, one of the great political controversies will focus on the future of the national Health Service (NHS). While most voters consider The Conservatives to be the party of private profit and thus consider Labour a better choice to look after the NHS, Labour has in fact done more, and more damagingly, to privateize health services

Need the NHS suffer because of public spending cuts

One of the big news items today was a claim that the government’s spending cuts would hit NHS front line services.
From BBC News
Government spending cuts will stretch the NHS and social care services in England to the limit, according to a report by the Commons Health Select Committee. The committe of MPs say the plans assume efficiency savings on a scale never before seen in the NHS, or in other countries. Steven Dorrell, chair of the committee, said the NHS had to save 4% per annum for four years – a “huge target”.

Read John de Roe in the Daily Stirrer on how we can make savings on the bnloated NHS budget without sacrificing essential clinical care.
Government Spending Cuts Hit NHS

Flu Deaths Soar To Fifty This Winter – 1/60th of annual average

NHS Nurses Bogged Down With Bureaucracy – Official

The labour government made a huge error in placing targets and statistics ahead of patient care in the NHS. Nurses complained they were spending more time bean counting than they were on patient care. Now Labour are screaming about the coalition’s proposed cuts in NHS budgets. But if the coalition get their plans right (big IF) the cuts will reduce numbers of managers and administrators, not nurses and front line staff.
Nurses Bogged Down By Bureaucracy

I Am Not A Number I Am A Human Being

The Guardian’s Jenni Russell, a Labour supporter in the past turns on the party and explains how their failure to win the popularity they expected after their claimed increases in public spending can be explained by the obsession with figures, targets, statistics and management babble. On top of that they made the great mistake of treating the public as stupid, thinking we would happily accept their statistics showing improvement in the NHS when people’s experience is of patients being neglected while clinical staff are prioritizing bureaucratic tasks, why so many children are emerging from the education illiterate and inummerate and even university graduates on entering employment need remedial training in basic literacy and numeracy while examination result statistics show year on year improvement..

Read Jenni Russell’s article New Labour’s Mistake Is In Thinking We Are All Automatoms

LITTLE NICKY MACHIAVELLI now spends most of his time at Greenteeth Multi Media. Keep up with his page there at The Daily Stirrer

.com/dailystirrer.shtml”>THE DAILY STIRRER
and don’t forget all the other Greenteeth Multi Media pages…
Greenteeth Multi Media
Greenteeth Comedy Pages
A Tale Told By An Idiot
Ian at Authorsden

Nurses Bogged Down With Bean Counting

The Royal College of Nursing has complained that NHS nurses are spending so much time on bureaucracy it is detracting from patient care.
The administrative tasks being laid on nurses include form filling, filing, copying, ordering supplies and keeping accounts. None of these tasks require the professional abilities of a highly trained healthcare professional according to Peter Carter, general secretary of the RCN.
Some nurses leaders think the administrative burden is harming recruitment to the profession.

Once again Little Nicky Machiavelli has been saying since the start of this blog is proved true: our national Health Service is controlled by bean counters and patient care is a lower priority than paperwork.

Beyond The Pleasure Principle The credit crunch, rising food prices, oil prices through the roof; is this the end for hedonism?

Orwell Turns In His Grave Emily Bell asks can a media degree ever make a decent journalist or is experience more important?

Time To Bring Back Campbell Daily Mail politics blogs throws Gordon Brown a lifeline

BBC rewrites political history Lib Dem blogger appreciates the blogger who started the rumour that Harriet Harman had joined the Tories.

Boxing Brides sounds like an episode from Shameless but it really happened in America (where else?)

First Thatcher the Milk Snatcher, now Brown the Body Snatcher.

The Government’s plan to solve the shortage of organs available for transplants by presuming assent and licensing the “harvesting” of organs from the newly dead is a real humdinger of a Public Relations disaster. Donation of organs is one thing, harvesting (the very word the medics choose for the business is repulsive) is another.
I have always been ambivalent about organ transplant. It sounds fine to talk of the dead being able to grant the gift of life to somebody suffering terminal or debilitating illness, but the ethical conflicts between the boy-scientist school of medicine who regard everything in terms of how big an intellectual wank it will give them, and the more caring, less selfish kind of medical professionals who understand that the feelings of the deceased’s relatives must be considered. In the light of the government’s proposal, my attitude has now hardened to “what’s attached to me stays attached when I am dead, end of story.”
Attitudes to death do not vary much from culture to culture; whether we believe we will go to meet our maker or got to make friends with the worms, throughout 5000 years of civilisation it has been understood that the bodies of the deceased should be disposed of respectfully. Now as the “science is God” fraternity led by silly Polly Toynbee are already ranting irrationally that we cannot possibly be aware of what happens to our body after death, we are not allowed to have a say, let me point out that the rituals surrounding the disposal of bodies are not developed for the benefit of the dead, but for the comfort of those who survive them.
In casually dissing the feelings of the bereaved, silly Polly who claims to be a humanist, reveals herself as an inhumanist, as despicable as those medics who cannot see any difference in the status of a human patient and a lab rat.

The other ethical issue arises from our knowledge that the Government proposing this plan is money obsessed and there is a lot of money to be made from selling healthy organs. Once a reliable source has been secured, does anybody really think it will be long before Broon the Body Snatcher will be creating a market in harvested organs. Its is easy to see a link here between this proposal and the plans, already well advanced, to marketise the National Blood Service.

What nobody is mentioning is that organ transplant is something of a lottery, well a lot of a lottery. Put together deaths while waiting for a suitable organ and the survival rate following a transplant and, as we are a society obsessed with the bottom line, transplant is not very cost effective. (see statistics availabe at Science Daily On top of that there is the question of how many harvested organs are suitable for transplant and whether they are compatible with patients on the waiting list. It is not a simple question of give a liver, save a life. But these ethical questions are never simple, which is why self interested politicians, boy scientists (who tend to be simple minded in the extreme) and bossy, post menopausal, middle class mad old biddys like Polly Toynbee would prefer just to sweep them aside and focus the debate on the highly emotive but misleading issue of “saving lives.”

I have a cunning plan to thwart the dark forces of inhumanism; never having feared death myself (there’s a lot to be said for stoicism) I now intend to live a life of such uinmitigated debauchery my organs will on my demise be totally fubar, useless, not worth the trouble of removing.

The boy scientists and the Polly Toynbees of this world may delude themselves that if unconstrained by ethical considerations or the need to consider people they like to describe as being “ruled by superstition and belief in magic”, one day medical science will be able to abolish death. Is it not then the boy scientists and their supporters who are ruled by belief in magic? We will never abolish death. As the philosopher David Hume said, “It is better to die at sixty five than endure a further ten years on increasing invalidity.”

We should all heed the sentiment. Organ donation must be voluntary. To even consider making it otherwise shows how far along the road to tyranny this government has travelled. But you can bet your life savings this “harvesting will only be done to NHS patients, they’re not gouing to be ripping to shreds corpses belonging to rich families.

COMMENTS on Little Nicky Machiavelli are now moderated for all except friends. If you want to tell me I am an idiot or talking through my arse and can do so wittily, fine. If you wish to challenge my opinions, fine. If you just wish to add something funny or interesting that’s fine too, but if you are a boy scientist and simply want to repeat the boy scientist mantra that because I am not a “scientist” I may not write on topics concerning science, sorry but this blog is not a platform for boring fuckers.

Blood Sweat and Profits – marketisation of the blood service

A couple of weeks before Christmas Little Nicky Machiavelli brought to your attention the scandal that is going on in the National Blood Service under the guise of reorganisation. Market driven policies are being introduced, regional blood banks are to be closed in favour of a centralised service. Cost cutting is given as the justification, the consequences of delaying emergency surgery on an accident victim because blood products have to be transported a couple of hundred miles on our gridlocked motorways are not even considered.

If you think this is wrong and want to help you can get involved on Monday Jan 7th. Here’s how.

How can you help: We are calling a co-ordinated phone blockade about the proposed NBS cuts to coincide with the return of parliament on 7th January.

Please telephone, fax or email the UK Health Minister outlining your concerns about the cuts to the National Blood Service. Help tie down his phone and fax machine on January the 7th and help us make an impact.

Alan Johnson MP

0207 219 1305
0207 219 6637
01482 219211

01482 219211
0207 219 5856


This blog will bring more news of the campaign and info about how you can support it. Follow our tag link to blood shown below for web sites dedicated to this cause.

Is The Blood Bank Run By Northern Rock?

Little Nicky tries to avoid stress, my oversized adrenal glands can cause a lot of trouble, especially when something makes me so angry I start going green. This mail I received from a contact at facebook made me so angry I went very bright green. So will you too when you read it.

This meddling with the Blood Transfusion Service can only mean one thing, the morons are thinking of privatising the blood transfusion service. So successful was the business of buying and selling blood in America, it contributed to the spread of the HIV and HEP C viruses.

This of course made millions of people customers for life of the pharmaceuticals manufacturers. Isn’t free enterprise wonderful?

I hope many of my readers will want to support this campaign and the people behind it who cannot be named because of the fascistic attitude of NHS management to workers who tell the truth about what is being done to OUR health service by the self serving “managers” who run the service providing sections. Contact the campiagn here or use any on the links in the article below to find out how you can support the campaigns nationally or locally.

Your life could depend on this. Over to my anonymous informant.

Dear campaign supporter

The Save Our Blood Service facebook group has gathered a massive number of members and is growing all the time. We have a paper petition with 7000 signatures from around the West Mids which we will be presenting to the council (and getting the media to cover) very soon. We are also contacting patient groups around the country.

* We are now asking for your valuable help with a quick and easy action that you can all do, to build mounting pressure on the Board of Directors not to reduce local processing and testing labs.

The NBS Board is appointed by the Health Minister and is ultimately responsible to the government. We need volunteers to email councillors in the affected cities telling them you are opposed to the NBS cuts and expressing your anger. This is not glamorous, but it will build pressure on local councils to adopt stances against the closure, which is strategically vital for the campaign at the moment.

* Why is this necessary? Flooding of lazy councillors inboxes with queries about the NBS cuts will make them pay attention and make them more likely to look into the restructuring plans.

The response of Sheffield and Birmingham councils has shown that the board of directors has not bothered to properly inform the local authorities about the mad scheme and what it will mean for the health service. We hope to make the directors sweat by grassing them up and raising the interest in the strategy from their political masters. They don’t think they have to answer to the staff or the public, but they do have to answer to the government!

* The campaign has developed detailed lists of all the local councillors in all of the affected areas to make life easier. You can find the list here:

(see tabs at the top of the page for different cities/areas) and use them to select who you write to.

* Also to save you time we have a few model/example emails that you can use – see end of message.

We need to do this mass lobby on a massive and co-ordinated scale to
make it properly effective, so we are asking for every supporter of the campaign to make that extra effort. Please take a minute to contact councillors using these templates, and let us know who you have hit, along with any response you get from them, at the campaign email address:, so that we can keep tabs on how much volume we are bombarding these guys with.

Thanks for your support!

Save Our Blood Service blog with many local links

Links to NHS campaign groups

My critics, people such as the boy-scientist Ben Goldacre and his imaginary friends (why make ’em up Benny – boy, are you afraid to face Little Nicky?) will sneer that by not naming my contacts I prove than I am making this stuff up. Nobody will be taken in of course, we all know what happens to NHS whistle-blowers which is why I cannot give a clue to the contact in this instance or the name of my personal whistleblower Dr. Honeybuns who asked me to stir things up for Goldacre for the way he ridicules people who suggest it is far from proven that there is no link between Autism and the MMR virus. Unfortunately he shoots himself in the foot when he fails to mention his main claim to fame is a medical journalism award he won for an article exonerating MMR from any link with autism, was actually funded by one of the main manufacturers of the MMR vaccine.

Little Nicky Machiavelli will keep you updated on this story and others which reveal the rottenness at the heart of the medical profession and the way our leading Doctors profit from their cosy relationships with drug companies.

(Re your earlier threats to sue me Ben, I have not heard from your lawyers yet. Perhaps someone told you I would slaughter you in court)

Do not make the mistake of thinking these criticism apply to all doctors. Most of the profession are honest, hard working and put the interests of their patients first.

Please point all your blog friends to the National Blood Transfusion Service campaign and other crookery in the NHS.
Bloggers can make a difference.

Benefit Scrounging Scum and the craziness of the system

You might think a blogger who chooses the pen name Benefit Scrounging Scum would be a cloven hoofed, pointy tailed troglodyte who supports tax free status for the rich.

But you would be wrong. I look in occasionally and find well reasoned articles highlighting the craziness of the system that disabled people have to deal with.

Like “why can breast enhancement be had on the NHS while those with genuine need are denied a motorised wheelchair

I like people who are prepared to be provocative, even if their opinions are not always in line with mine. On the subject of giving free boob jobs to women whose depression and low selof esteem is due to their flat chest, the blogger and I are entirely in accord. Its bloody stupid.


NHS Financial surplus.

So the NHS has made a profit.

And they have achieved this by sitting on budgets that were underspent while turning away people with health problems who needed urgent treatment simply because some budgets were spent up.

Little Nicky is getting quite bored with saying “told you so” this week but if you check tags like health, NHS, hospitals, and similar you’ll find we have been warning all year that this scam was being operated.

Machiavelli is thinking of approaching Shaz the Prole, sallyontour and a few other to talk about forming a new political part, The Really Awkward Bastards.

Every Day In Every Way Tyranny Creeps A Little Closer

Some stories this week ought to remind us that freedom and democracy (or freeman moxy if you are American) is being eroded by creeping fascism.
First story concerns the fatigued firefighters of Bury. They were in trouble over sleeping while on shift. Now everyone knows fire brigade staff are allowed a kip on the watch so that they will be fresh and alert when called to action. It was not the actual sleeping that caused the problem but the blatant breaches of regulations involved. Special regulation chairs had been provided, tired firefighters for the use of. Bury’s finest however were using their own sleeping bags and kipping on the floor because having tried the special rexclining chairs the crews decided they were not fit for purpose. “You can’t bloody sleep in those,” one officer said.
It turned out the crews could not sleep properly in the chairs because they had not been trained in the proper use of the special sleeping furniture. The chairs should not even have been sat on by untrained personnel.
So now you know that if you are troubled with insomnia its probably because you have not been trained properly in sleeping.
Next is the woman whose hip replacement operation was cancelled because she was six pounds overweight. This is part of the NHS initiative to encourage anorexia by witholding treatments from those who are obese. Only a bureaucrat working for a fascist regime could possible make a thick line on a spreadshhet and say “OK, above the line they don’t get treatment because they are anorexic and their problems are sdelf inflicted, below the line they don’t get treatment because they are fat bastards and their problems are self inflicted. And if they are exactly on the line they are so tratment will be witheld until they tell us what we want to hear..
The person whose op was cancelled did get some help and support from her sympathetic GP who gave her laxatives hoping the resultant diarreah would get the numbers right for the spreadsheet.
Next we go to our old favourite the education system. There is an idea being pushed in the Education Department that asking children to put up their hands in class to answer questions should be banned as “it causes the quieter, less demanding children to be overlooked and fall behind.” Well the two Primary teachers I know both tell me that the noisier, more demanding children don’t answer questions to get praise, they are more interested in being disruptive to make their mates laugh. Then there are the noisy little victims of pushy parenting who wave their hands frantically and yell, “me sir, me sir, me me me,” hoping to earn a housepoint to report to the pushy parents because they have been told “if you don’t get straight As Mummy and Daddy will not love you anymore because you have not lived up to our expectations. Can the “educationalists” not see that the quiet, thoughful kids who don’t answer questions are actually taking stuff in and thinking about it?
And then there are the clever little shits who sit picking their fingernails as the teacher seeks a correct answer. They are thinking, ” I know this but I can’t be arsed answering. I’m nobody’s poodle. One who fitted this description is sitting not a million miles from the keyboard this artyicle is being typed on.
Do you see the thrust of all this?
So many of the little things that happen almost unnoticed are driving us towards becoming a society of obedient conformists conditioned to blindly follow rules and procedures and to never, never ever question authority.

Blair: Going DownIn A Blaze Of Lies

Today Tony Blair will defend his record on the NHS. The great improvements he uses to justify his record will actually be the usual farrago of lies and misrepresentations.
Consider for example the “thousands of new nurses” recruited.
I spoke to my friend who runs a key nursing department for a mid – sized NHS Trust. She told me “A few years ago we had to fight to get a new nursing position allocated. Now there are many positions allocated but the recruitment process is so long winded and bureaucratic most applicants have lost interest by the time we can make them an offer. When we get turned down we have to go through the whole loop again. I have just filled a position after two years trying to recruit.”
Blair will proclaim as another great advance the empowerment of patients through choice.
Patients are not empowered by choice of course because we are not equipped with the medical knowledge to make the choices. We rely on the advice of NHS professionals. Given a real choice I think most of us would prefer that advice to come from doctors and nurses rather than accounting professionals.
Improvements in efficiency wil be backed up with the usual barrage of statistics but has efficiency really improved or is it just more smoke and mirrors. Do you improve service provision by hamstringing the service providers? Check out this screwball accountancy.
An NHS unit that overspends its budget in a financial year will have its budget for the following year cut by the amount it has overspent. Nobody looks for causes of the overspend, a surge in demand maybe, or repairs to property and replacement of equipment. Only the bottom line is looked at.
The introduction of an internal market in the NHS by the Thatcher government was a disaster but that has been exacerbated by the introduction of privatisation by stealth and Labours ingrained control freakery.
When the lunatics were running the asylum things were bad but they are ten times worse now the bean counters are in charge.

Crisis in NHS Maternity Care

While we are watching the “correction” in the financial markets (which Little Nicky Machiavelli predicted last summer) turn into a full blown crash we recommend you chack out this story from The Independent, a continuation of the NHS crisis stories that have dominated the past couple of weeks and another vindication for Little Nicky who highlighted the story of the looming crisis last November.
UPDATE January 2011:
Another government – same problem
NHS maternity care on the verge of collapse

Record numbers of women are being harmed or dying as a result of childbirth in what doctors are labelling a “crisis” in maternity care

If you want to read the news that hasn’t happened yet follow Little Nicky Machiavelli. He knows how things work. Check Out The BACKSTORYhere at Machiavelli

NHS – Drawing a veil over the madness?

An item on the Heaven and Earth Show this morning made me splutter over my porridge.
A Islamic group is demanding that the NHS create a new uniform for Muslim nurses who choose to wear the niquab, the full veil that conceals the entire face leaving only a narrow slit for vision.
The group behind this idea have devised such a uniform, basically it is the green scrubs increasingly favoured by the nursing profession, topped off by a green hood. The person who advanced towards the camera wearing it looked like an escapee from a particularly scary episode of Dr. Who or Touchwood.
Now as I have mentioned many times, a few years ago I had a long spell in hospital and can promise you the last thing anyone wants to see when they away in a somewhat bewildered state is an anonymous, green-hooded figure. “Have I died and gone to green hell? the patient might think, “has there been an outbreak of plague while I was sleeping?
As one would expect, the NHS directorate has not treated this demand with the contempt it deserves. Why would they, here is an opportunity to set up focus groups and steering committee, commission strategic analysis reports and feasibility studies and expend millions of pounds and hours in taking seriously a risible idea.
To give credit where it is due, the NHS does very well in catering for the special requirements of both staff and patients whose faith requires flexibility in the rules. I recall that in Burnley, a town with a large Asian community, the hospital had an Asian menu as well as a standard menu. Many of us requested the Asian menu because it was actually very good whereas the food on the standard menu was often inedible.
On the ward staff simply arranged between themselves that a Muslim woman would never have to accept help with dressing, bathing or other personal acts from a male nurse (though the asian males did not seem to have a problem being bathed by British female nurses.)
In matters of dress too the senior staff on the ward managed individual requirements very well. On the unit where I spent most of my time we had two muslin nurses, one wore the green overall and a hijab, the other favoured shortish skirts and a pony tail. I recall cannot think there would be more than a handful of nurses in the country who, having chosen a carer as a nurse would then try to insist on wearing the niquab.
Once religious zealots get hold of an idea however, they find it difficult to let go so we can expect this issue to escalate and Muslim nurses to come under increasing pressure from fanatical (male) bigots.
The great pity of all this is the Islamic community has missed a chance to align itself with British mainstream society. Among the complaints of the group behind the current row is the issue of mixed wards. This is not acceptable under Islamic beliefs. Quite right too, it is the most crackpot of all money saving schemes dreamed up by the NHS bean counters. The whole concept of mixed wards is an affront to dignity. Is it not bad enough that when at our most vulnerable and sensitive we are thrust among strangers without stripping us of all privacy as well? I am sure these travesties are an offence under international human rights law.
Sadly though, instead of demonstrating how much secular Muslims have in common with secular Christians and secular humanists the Islamic community risks being dragged towards further segregation by its lunatic fringe.

Read the story of my time in hospital
It takes a special talent to turn such a personal catastrophe into a hilarious and engaging account of life as a long term hospital patient. Inspirational reading :- Jaqui Wilson, Radio Presenter and reviewer.

The NHS and The Tyranny of The Bottom Line

We should never give in to tyranny.
Mention tyranny of course and people immediately think of Hitler’s stormtroopers herding people into Gas Chambers or Saddam’s thugs dousing families in petrol and grinningly rattling a matchbox. The most dangerous tyrannies are more subtle and insidious though. Take the tyranny of The Bottom Line for example.
You, like me, probably spent most of your life thinking the Hippocratic Oath sworn by newly qualified medical professionals bound them to “preserve life and alleviate suffering” full stop.
Not any more it don’t.
Sometime in the last few decades, probably quite recently in fact, it has been rewritten to read “I will endeavour to preserve life and alleviate suffering while always prioritising the need to stay within budget.” Or so it would seem.
You may remember Little Nicky Machiavelli slamming the government a few weeks ago over Health Minister Patricia Hewitt’s promise that she would get the deeply indebted NHS back in the black or resign. We suspected some creative accounting would be involved of course.
Well its almost March and, surprise, surprise, the NHS is back in the black. So what dark arts did the minister call upon? The tyranny of the bottom line of course. By that fiscal sleight of hand called accountancy the ministry have diverted our attention from what was going on so now they can point to The Bottom Line and say “look, no deficit.”
But what has really happened is not so easy to quantify. The necessary savings have been made by withholding the funds allocated for patient care, thus denying sick people the best treatments.
Every winter there is an upsurge of new cases presenting themselves to doctors’ surgeries and hospitals. People get sicker quicker in winter. Wisely the government has always put money aside for this peak in demand. Not this year though, saving New Labour’s Bacon and Hewitt’s sorry arse are much more important than preserving life and alleviating suffering in a world ruled by the tyranny of the bottom line.

Read about my experiences at the hands of the NHS bureaucracy. A Stroke OF Luck was published in the USA a few years ago and sold a few thousand before the publishers shut up shop (not my fault, honest.)
There is some strong language in the book but very little, it does not warrant the Adult Content warning Authorsden puts on it.

Cluedo: It Was Gordon Brown In The Surgery With A Spreadsheet.

Not so long ago Machiavelli commented on the planned closures of A & E units and specialist children’s facilities as part of the Governments drove to “make the NHS more efficient and give patients more choice.” We thought nothing the Department of Health And Bean Counting could do would leave us more gobsmacked than a blatant attack on sick children.
Now we learn that in the interests of efficiency (i.e. saving a few quid) people recovering from major operations will not routinely have follow up appointments with the consultants who treated them but will be referred to their G.P.s
Its true that many follow up appointments are routine and do not require the involvement of a consultant. This is why (and I speak from experience) most follow up appointments at hospitals are conducted by registrars and junior doctors.
While not having attained the highest level these doctors will be specialists in their field and will have daily briefings with their supervisors during which concerns can be raised.
Can we really believe that a G.P. no matter how competent and committed can deal with orthopaedic, cardio-vascular, neurological and oncological cases all in the same day. And if that were realistic, are G.Ps not under enough pressure already from the workload imposed by ever more demanding patients and an implacable bureaucracy?
The Government counters all logical arguments by citing cost, efficiency and “the widening of patients choice” as its justifications. What is really going on however is the withdrawal of an important layer of patient care and an important learning process from the next generation of doctors.
And this LABOUR government has the gall to tell us they are doing us a favour by making it possible for us to choose in which dirty, cash strapped hospital we get third rate care from inadequately trained staff. We will probably never be able to prove how many deaths will result from this shoddy exercise in short – termism and bean counting but if any are identified we all know who will be to blame don’t we?
The most scary thing of all about it is thirty per cent of the electorate would still vote for them.

How The Labour Rebels Lost Their Tongues

The Guardian Comment Is Free Blog yesterday featured a story asking what happened to dissent on Trident.

A blog on The Guardian’s Comment Is Free page yesterday raised the question of what has happened to the anticipated dissent in Labour ranks over the decision to renew Trident. Why are the voices of those erstwhile CND champions such as Hain, Becket, Harman, Straw, Benn so silent?

You may recall from earlier in the week my tetchiness when a commenter asked why I found it so necessary to be negative against New Labour.

Well here is the answer, this bogus party of frauds and hypocrites have betrayed every principle Labour ever stood for, assiduously sucking up to big money and big power. They have introduced stealth taxes on the poor while organising tax breaks for the rich, they have begun the breakup and privatisation of the health service, covering this betrayal by the deception of bogus statistics.
They have “reorganised” the education system constantly until the only thing holding schools together is the fact that if all the teachers left en-masse most would have difficulty finding jobs. I personally know three teachers who have taken early retirement on health grounds due to stress related problems.
Instead of being the party of peace and international co-operation they are now the party of was and oppression, slavishly following America’s isolationist foreign policies.
They have turned the police into revenue collecting bureaucrats, in the process abandoning the streets to lawlessness.
And now they plan to allow greedy property developers to tear up our green spaces and build what the hell they like where the hell they like.

But we will cover that one tomorrow.

New Labour are now well to the right of the BNP, a party that now has more political integrity than Blair’s bogus shower. Because, repugnant as the BNP’s policies are to most of us, at least they are honest enough to tell us what they really stand for.

And for anyone who wants to tell me we should be grateful we live in a free society where we can take the right to free speech for granted, before you hit the keyboard
checkout this post at New Media Cultures blog

Children Will Suffer As A Result Of This Labour Fraud

Ayoop readers, oop ‘ere in ‘t north there used to be a saying “what Manchester ( / Liverpool / Leeds / Bradford etc.) does today London will do tomorrow.
Though I am as convinced as any good Lancastrian of the superiority of all things north of Birmingham I sincerely hope this is no longer true.
The area health authority responsible for Greater Manchester has in its infinite wisdom decided to consolidate the vast conurbation’s five specialised Children’s Hospitals into one. The current locations are dotted around the cities major centres (remember that as well as Manchester itself, Greater Manchester contains Bolton, Wigan, Stockport, Oldham and Salford, all big towns in their own right,) so that the families of sick children can easily visit.

The plan is a fraud, the cash crisis being blamed for these closure threats is manufactured by stupid accounting methods. And as you might have guessed there is a huge Private Finance Initiative project to replace the hospitals with one centralised unit lurking in the wings.

In future when the scheme is implemented everybody will have to travel to the same central location. The five current hospitals are delivering the first class care all sick children need and making possible that other necessity, family support. Adults may be able to rationalise a scarcity of visits with the fact that specialist services cannot be provided in all local hospitals but children need to be reassured they have not been abandoned to their illness. Modern children may come across as arrogant little gobshites but in reality but underneath they are probably more insecure and emotionally fragile than my generation were fifty years ago. And so children in hospital need a lot of support from parents, grandparents, aunts and uncles, siblings, friends and the whole extended network.
Unfortunately and inconveniently for the government bean counters behind this cost cutting scam, being ill is not confined to children from affluent, double – income families. Kids from single parent homes or of disabled, unemployed or just plain poorly paid parents are as likely, probably more likely to get sick.
Parents in such situations can ill afford frequent difficult and expensive trips across the city and so their children will suffer. No matter what we think of the parents, workshy skivers, drunken no-marks, trollops who don’t know how to keep their knickers on, it is not the children’s fault; they did not choose their parents.
As usual with this shoddy and dishonest government, deception, bureaucracy and bean counting take precedence over humane considerations.
Now the headline said children will suffer as a result. It will be difficult to link any deaths to this policy so we will have to save that for the threatened A & E closures (commented on here several weeks ago – as usual Little Nicky Machiavelli was ahead of the game) but children will suffer physical stress and parents will suffer emotional trauma as a result of the insane accounting methods this LABOUR government has imposed on the NHS in order, we believe, to prepare the health service for full privatisation based on the American model.

Read the NEWS STORY here

Little Nicky will expose the bogus accounting methods in the next few days. You know folks, when it comes to cooking the books our Government make the guys behind Enron and Worldcom look like effing amateurs

This Is How Not To Run A Hospital

The NHS Trust that runs the renowned teaching hospital Jimmy’s (St. James’, Leeds) and Leeds General is facing up to 1000 job cuts due to its budget deficit.
In an unusually outspoken statement from an NHS Senior Manager, Hugo Mascie – Taylor has blamed the deficit on the new “pay by results” system imposed on all hospitals by the Government. Under this scheme hospitals are paid according to a set tariff for each procedure.
Unfortunately instead of ramming his point home Mascie – Taylor quickly lapsed into mealy mouthed mode saying “The system has exposed the hospitals’ inefficiencies, costs are fifteen percent higher here than the national average.”
Now while the Leeds is a typical general hospital as far as I can gather, Jimmy’s in addition to its teaching function which surely adds value to every operation and treatment carried out because the next generation of doctors are learning their trade there. In that we have the best rebuttal of the government’s bean counting approach to hospital management
Jimmy’s is also a centre of expertise for cancer and cardiac problems. The teaching function must add to costs.. Who could ever predict how many heart attacks and cancers there will be in any year in a city the size of Leeds? Budgets in the NHS must always be flexible, bean counters are genetically ill – equipped for flexibility.
It seems that in looking at this trust’s financial problems we do not need to know the answer to the CEO’s question about how costs come to be higher, what we need to know is how such a short sighted dickhead ever got such a responsible job.
Its an effing teaching hospital Hugo, think about it.
But of course Hugo is just making the right noises in order to protect his pension. He has to be sure he is on message as the New Labour Brunhilde, Patricia Hewitt, has burst onto the stage (to the accompaniment of Ride of the Valkyries) and announced she will personally take responsibility for returning the NHS to financial stability by March.
As the NHS, for reasons stated, is by nature subject to financial instabilities this will be another New Labour exercise in bolting the stable door after the horse has shat.
Has Ms. Hewitt no idea at all of the implications of her pledge (in the event of, say, a flu epidemic, or have she and Blairissimo hatched a secret plan to ration healthcare as the government intends to ration travel miles?
“Appendix out? Oooooh sorry mate, you haven’t enough tokens; hers a couple of indigestion tablets.”
Hewitt has so far only called for more cost cutting and a bit of juggling with contingency funds. You may be sure however when this smoke an mirrors act fails it will be doctors, nurses and other front line staff who bear the brunt. There will be no bean counters getting their marching orders. In fact they will probably hire more bean counters to implement even tighter financial controls.

Tory Toynbee

The Boy David thinks that his party should be stealing its social agenda from Guardian columnist and dangerous leftie Polly Toynbee rather than from the political philosophies of world’s greatest pissed politician Winston Churchill.
And why not? After all Toynbee is the writer who has consistently praised Fuhrer Blair’s great successes in reforming the NHS and Social Security and trumpeted the triumphs of New Labour’s education reforms which have statistics showing pupils getting a million A level passes each while at the sharp end of reality employers complain that school leavers are illiterate. Favourite Toynbee territory for eulogising Blair is crime. Crime figures are falling she proclaims even as Little Nicky is reporting that there is no point phoning the police when your neighbour is having the shit kicked out of him as they can’t be arsed turning up.
Earlier this week Polly wrote a column panning the curmudgeonly attitude of doctors and nurses in not getting behind the Governments wonderful reforms.
On the day after DC appointed Pol the head of the Tory think – tank The Guardian’s letters page this morning featured a complaint from a working nurse (well she was still working when the paper was put together last night – today, who knows?) that the government’s success in reducing waiting lists has been achieved by the simple expedient of arranging “interim appointments” for patients waiting for treatment. Which means the patients are waiting longer to actually get the treatment they need but they are getting their blood pressure taken more often while they are waiting. and of course nobody can complain that they have been waiting 12 months to see a doctor.
If this is Cameron’s version of caring conservatism I wonder what odds Ladbrokes are offering on UKIP being the second biggest party (behind the Monster Raving Loonies) after the next election.