NHS Mixed Sex wards fined over £600K in April

May 22nd, 2011

Following previous posts about mixed wards in NHS hospitals, it has been announced that 2, 660 mixed sex wards in England have resulted in fines.

Hospitals should have abolised mixed sex wards as part of the previous Labour government’s policy.  However, many hospitals have found this very hard to achieve.  This may be due to budgetary constraints or physical layout of hospitals and wards.  Extra funds have been given to hospital trusts to help build more single rooms to help alleviate this issue.

The number of mixed sex wards has been falling and since the 11,000 cases in December this has fallen rapidly to 5500 in March and now to 2,660 in April.  Although this is going in the right direction, there is still a long way to go.  It is worth noting, however, that over 1 million patients are treated each month and this number is relatively small in relation to the total number of patients undergoing treatment.

Mixed sex wards are defined as hospital accommodation where patients share sleeping, bathroom and toilet facilities with those of the opposite sex.  It is possible for hospitals to have wards separated into ‘bays’ to segregate male and female patients, as long as the bathroom and toilet facilities are separate, too.  Intensive care units and Accident & Emergency wards are not held to this rule.

Fining hospitals for having patients in mixed wards commenced in April.  Hospitals are now fined £250 per day for each patient that is kept in a mixed sex ward.  This has resulted in at least £665,000 of fines in April, although this amount could actually be higher.

The fines will be reinvested back into ‘patient care’ says Andrew Lansley.

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NHS Reform Plans still on track

May 9th, 2011

Government plans to change the NHS are still on track after a commons challenge to the shake up was defeated.

Labour called for the NHS proposals to be abandoned but were defeated when MP’s rejected it and voted to continue with the changes, although with a reduced majority.  There has been much controversy over the proposed NHS changes as reported by Freedom Healthnet  over the past few months and this shows no signs of abating.

The NHS reforms have come under fire from various bodies including the Royal College of GP’s who said that the changes risked ‘unravelling and dismantling the NHS’.  The government, however, believe that the reforms will give GP’s more control over budgets and allow the private sector to help address patient care.

The parliamentary debate, which saw a smaller majority for the government, was held after the government agreed to stop the progress of the Health & Social Care Bill.  The bill was paused in order for the government to listen to the various organisations and bodies and then see how plans could be improved.

Shadow Health Secretary John Healey asked the government to shelve the ‘high risk, damaging and unjustified’ reforms to the NHS that would drive hospitals ‘to the brink’.

A decision on how to proceed is anticipated in mid June.

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Hospital Waiting Times Longest for 3 Years

April 19th, 2011

NHS Hospital waiting times are their longest for 3 years says independent think tank, The King’s Fund.  It reports that 15% of patients waited over 18 weeks for treatment.  This is the longest waiting time since April 2008.

The Kings Fund indicated that this increase in waiting times was due to the financial pressures on the NHS.  The NHS Trusts have been using private facilities in private hospitals and treatment centres to help manage their waiting lists.  However, many Trusts have been putting restrictions on this.  Freedom Healthnet recently reported on the NHS being against private healthcare and limiting treatment due, often, to financial considerations.  This could be one of the reasons for the waiting times increasing.

The government, however, dispute these figures as they say that they include figures for patients who have selected to delay their own treatment.  They estimate that the percentage of people waiting longer than 18 weeks is 10.2%.

Waiting times start from the time that a GP writes a referral to another body / provider until treatment commences.  The 18 week time limit is that placed in the NHS constitution.

Professor John Appleby

The King’s Fund’s Professor John Appleby noted that performance targets and money were the two items that kept waiting times under 18 weeks.  The government no longer monitors performance targets – indeed managers used to be sacked for failing to maintain targets – and there is less money in the NHS.  These are the two key factors.

The issue of hospital waiting times is one of the major reasons for people turning to private health insurance, as reported in our Freedom Healthnet News section.   Other connected stories include the concern over frontline services reported recently, such as the loss of 890 London Ambulance Service jobs and also the proposed cuts which will mean 40,000 nursing job losses over the next 3 years.

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Exercise Helps Dementia Patients’ Wellbeing

April 15th, 2011

In a BBC interview with Anne McCann the manager of the Redholme Memory Clinic, a care home in Liverpool that deals with Dementia patients, explains how exercise and use of the gym aids dementia patients in terms of wellbeing.  Transcript of the interview:

For these guys here, what are the main benefits this exercise equipment brings to them?

Well, obviously, they are not sitting in chairs doing nothing, sleeping.  We give them activities at all different levels.  These gentlemen actually come to the gym regularly.  We found that when they go back to their units, their appetite is improved, they are more compliant with medication, they are sleeping better and they interact with each other far better.  There is like a male cameraderie going on.

And what sort of effect has it had on their physical strength?

Some of the gentlemen have been very mobile when they came in to the home.  Obviously we want to keep that going.  We try to encourage that by doing the gym and also with Tai Chi which goes on once a week on a Tuesday.  We have had very few fractured neck of femur which is a problem with elderly people and especially people with dementia.  In the home in general, the activities, the gym in particular goes down really well.

And do you think there is an aspect of mental wellbeing involved?

They can’t actually express how well they feel but we know from the smiles on their faces.  If they didnt want to come to the gym or they didn’t feel well doing the gym, they wouldn’t come.

In the couple of years you had it, has it made a big difference do you think?

I think so, for the wellbeing of all the gentlemen and the ladies aswell and especially the daycare service users because they may not go out at all other than coming to our service so they can get all the activities that we can possibly give – Tai Chi, drama therapy and the gym.

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40,000 NHS Job Cuts says Royal College of Nursing

April 13th, 2011

On the day of the Royal College of Nursing’s annual conference and in light of the recent NHS reforms and cuts, BBC’s Radio 4 interviewed the RCN’s chief executive Dr Peter Carter about claims that 40,000 NHS posts will be cut in the next 3 years.

Radio 4 Logo

Radio 4's Today programme interviewed RCN CEO

Radio 4 Logo

We did a survey of a number of Trusts.  Back in November, we reached a figure of 27,000 which no-one was able to refute.  We have been refreshing that data to coincide with our congress and it is now up to 40,000 posts.  We did an in-depth analysis on 21 Trusts.  And of those 21 Trusts, 10,000 posts are going to be lost.  Of those 10,000 posts, 54% are clinical staff, 46% of those are nurses.

BBCNow, we are talking here not about people being sacked, although no doubt there will be some redundancies, but this is people not being replaced, posts being closed, that kind of thing in the main?

Absolutely, what you are not going to see are large queues of nurses and other clinical staff with redundancy notices, but the churn in the NHS – most Trusts have a turnover of 8%.  Nurses, particularly, most of them, 90% are women, leave to have children.  As people are leaving, they are not being replaced.  The impact on patient care, however, is just the same.  This really is a very worrying turn of events.

BBC: We are told by the government, of course, that it has protected spending on the NHS as compared with other departments.  And that.. over the next 3 or 4 years, there is not going to be the effect of the debt reduction plan in the NHS, it will be seen in other public services.  You appear to be contradicting that totally.

That is one of the biggest urban myths currently on the block.  The sad reality is whilst the NHS has done better than some other government departments, the fact is that it has to save £20 billion over the next 4 years.  That is 4%.  Now some Trusts are having to save 8%.  That has never been done in the history of the public services let alone in the NHS.  The sad reality is, is that posts and services are being lost.  And what we say is that we know that money has to be saved, we know the NHS could be more efficient.  What you need to do is to get intelligent service redesign.  That is the way to save the money, not by cutting frontline nursing staff.

Read the transcript of Health Minister Simon Burns’ interview with BBC breakfast in which he disputes the above RCN figures.

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Health Minister Contradicts RCN Nurse Job Loss Figures

April 13th, 2011

On the day of reports that Nurses pass a motion of no confidence in Health Secretary Andrew Lansley, BBC’s breakfast team speak to  Health Minister Simon Burns about nursing cuts:

BBC: The Royal College of Nursing are saying that 20.000 nursing jobs, 40,000 clinical jobs could go as a result of your reforms. Are they right?

BBC Interview Health Minister Burns

BBC Breakfast Interviews Health Minister Burns (img cr: BBC)

“No I don’t think they are because their survey flies in the face of the evidence based upon the workforce statistics.  We have seen for the 15 months up to the end of December last year that actually the number of nurses in the NHS has increased by 2677 and even in the last quarter of last year, the number of nurses increased by just over 1200.  We have also seen about 3000 extra doctors within the NHS.  But what is important and what the government and the department of health have made quite plain to the NHS is that priority has got to be given to protecting and supporting frontline services.  We are honouring our pledge for real term increases in funding.  There is this £20 billion efficiency savings where every single penny has got to be reinvested in frontline services so that patients are at the heart of care.”

Health Minister Simon Burns

Health Minister Simon Burns (img cr: BBC)

BBC: People understand the notion that cuts are having to be made.  But right at the beginning of that answer, you said, “I don’t think they are right”.  In a way, that goes to the heart of that debate, isn’t it.  THey have done their figures, you say you have donte your figures.  They have consulted with NHS Trusts and they have come back with this figure.  You think you have got a different figure.  But that is the problem, isn’t it?  Isn’t that why, now, you ultimately have caution about your own plans because you just don’t know and if they are correct and if these numbers are true and that is how it breaks down in reality, there is no way those frontline services you keep talking about can remain intact.

“No, because there is a significant difference between the two figures.  The Royal College of Nursing’s figures are based upon a survey.  The figures that I have given you are based upon fact because they are the actual workforce statistics within the National Health Service.  And that is a very big difference. ”

Find out more about NHS reforms and cuts.

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NHS Ambulances – 890 London Ambulance Jobs to go

April 12th, 2011

As part of the NHS cuts, the London Ambulance Service is cutting 890 jobs over the next 5 years the BBC reports: the aim is to save £53 million over the coming five years.

The London Ambulance Service has circa 5,000 employees and the above figure will include 560 ‘frontline’ jobs.  Chief Executive Peter Bradley indicated that the LAS in ‘not immune’ to the financial pressure on the NHS and that circa 300 posts would also be lost from management and support services.  The public sector union, UNISON has warned that the cuts will “put at risk the many Londoners who rely on the LAS every day” and there is a worry at the loss of highly trained staff.

The LAS visits over a million incidents each year and has over 1.5 million emergency calls, an increase of 4.5% on the previous year.  This means that whilst demand is growing, supply is being reduced.  Will ambulance waiting times increase?  What will the effects of this be?  What will this mean for you when you need an emergency ambulance?  How can you ensure you have prompt transportation to hospital when your family needs it?

News such as this prompts Londoners to look at alternatives to the excellent work done by the NHS and ambulance services.  Some private health insurance policies, such as Freedom Healthnet’s Elite comprehensive policy include private ambulance cover.

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Government Finally Puts NHS Reforms on hold for Public Consultation

April 5th, 2011

In an interview for the BBC Breakfast, Nick Clegg stated that the NHS Reform legislation would be paused in order to get consultation with the general public. Transcript of Nick Clegg interview:

Some people are worried about exactly how it will work when GP’s are given responsibility for spending money or allocating money in the NHS on behalf of their patients.  Some people worry about the role of the private sector in the NHS.  Clearly, we need to listen to those concerns; distinguish those concerns which are misplaced or simply not accurate; and identify those that are genuine and legitimate and then address them.  And that is why we are taking a pause for a couple of months, stopping the legislative clock and coming forward with substantive real changes to the legislation when we have completed that exercise.  I think that is a good example of a government saying, “we want to bring people along with us”.  The NHS is not the government’s property, it is something that is for the whole country and if people are to feel comfortable about changes which should and will – i hope – strengthen rather than weaken everything we love and cherish about the NHS.

Health professionals have been telling you for some time they are concerned about these changes, the pace of the changes, that so much money is being given to GP’s and why you need to listen now when they have already been telling you this for some time.  What difference will it make when you are hearing the same voices, saying the same things?

Well, I think to be fair we have – it perhaps hasn’t attracted that much attention – we have a number of very significant amendments and improvements and changes to the legislation in response to those concerns already.  So, for instance, in response to people who worry about our kind of rush to the bottom through too much competition in the NHS:  we have said very clearly there isn’t going to be a bargain basement rush to the bottom because there isn’t going to be competition based upon price.

If you listen again to those voices, you are prepared to make further changes.  For example, the health select committee today saying that other than having consortium GP’s managing budgets what you do – perhaps – is put patients, health experts on those bodies, in order that its a more accountable body.  Is that something that you would look at?

Absolutely.  We will look at this fundamental issue – which is if you ask GP’s to take on more responsibility in the NHS which, by the way I think is a relatively uncontroversial basic idea because of course it is GP’s who know us, the patients, the best.  So, it is a rather good idea to have them in the driving seat rather than unaccountable officials who are moving money around from one side of a desk to another.  I don’t think that many people have problems with the idea that GP’s should be more responsible but with that responsibility must come more accountability.  I totally agree and that is precisely why we will be looking at those kinds of concerns and seeing what we can do to change and amend the legislation to reflect them.

Find out more about items affecting the NHS and healthcare.

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NHS Reforms: GPs will not manage Budgets alone

April 5th, 2011

Ben Geoghegan, Political Correspondent at the BBC reports on the NHS reforms and the latestcalls for a budget rethink:

The government believes that GP’s know better than anyone else what patients need.  That is why they are being given more say in how NHS money is spent.  Under its health service reforms, groups of GP’s will get control of 80% of the health budget.  They will be responsible for buying and planning healthcare in their area.  But today, MP’s on the health select committee, are calling for changes to the plans.  Instead of GP groups – or consortia – MP’s say there should be commissioning authorities.  The authorities should all have a management board.  Most of the members should be GP’s but they should include other professionals such as nurses, public health experts, and members of local councils.

The committee says their plan will mean healthcare better coordinated.

“We have got to redesign the health service so that patients don’t feel they are passed or handed around the system,” says Stephen Dorrell MP and Chair of the Commons Health Committee, “but they actually have an integrated package of care – a co-ordinated package of care that is delivered to them.”

Yesterday the Health Secretary, Andrew Lansley, defended his plans saying they were a once in a generation opportunity to improve the NHS.  Labour have described the reforms as extremely dangerous.

“No change is not an option” said Mr Lansley in the Commons yesterday afternoon.  “With an ageing and increasing population, new technologies and rising costs we have to adapt and improve.”

The government have accepted that people have genuine concerns about  the future of the health service.  Ministers have promised to listen to their critics but they say they won’t scrap the proposals.

More about the NHS reforms and UK healthcare.

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Why take out Private Health Insurance?

April 5th, 2011

Private medical insurance is one way for people to avoid the waiting lists of the NHS.  PMI helps them to be treated in a place and time that is most convenient to them.

Waiting lists is currently one of the main reasons for people to take out a private health insurance policy and concern about superbugs is another.  With the recession and tight household budgets, some people have begun to question the relevance of having private health cover.

Despite the NHS clamping down on waiting times, as previously reported, the NHS has classed a number of procedures as non-urgent. These treatments tend to have longer waiting lists as a result, and although they are not life threatening, the procedures such as cataract operations can make a big difference to the condition of a person’s life. This might mean that people would prefer to still have private health insurance to be treated in an even shorter time. These sorts of conditions can also keep people off work for lengthy periods, so employers could still be attracted to medical cover for their staff to help get them back to work as quick as possible, rather than having them wait for NHS care. The proposed reforms of the NHS are another concern.   Private health insurance is a good guarantee that a patient will be treated in the shortest possible time span and, despite the recession people are taking up this valuable cover.

Find out more about #NHS reforms.

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