Written for the Huffington Post by Bev Clack and I January 2012
This week we learned that not only are vast swathes of the
general public feeling nervous about the Conservative’s Healthcare Reform Bill,
but so are healthcare professionals.
Several healthcare unions have started to sharpen their
scalpels.
The Royal College of Nursing and the Royal College of
Midwives previously said they were willing to work with ministers. This week
they expressed their concerns so strongly that they are now saying they want
the bill to be dropped entirely
http://is.gd/FbvpVZ
Back in November the BMA Council passed a motion expressing
its "opposition to the whole Health and Social Care Bill" and called
for a public campaign of opposition.
http://is.gd/wX4wo7
This week the BMA went further in its opposition, announcing
that two-thirds of doctors were in favour of striking over pay and pensions.
This hasn’t happened in 40 years. Dr. Hamish Meldum pointed to the unfairness
of the government’s position, noting that
"Doctors are at the forefront of attempts to save the NHS £20
billion, while trying to protect patient care…
and are about to enter a fourth successive year of a pay
freeze"
http://is.gd/mhicp4
Doctors and paramedics are being asked to work longer for
less pay and for changes to their pension scheme. Taken in tandem with the Health Reform Bill,
these changes appear to be ‘the last straw’ for the BMA.
Given this wave of fresh criticism, how did Health Secretary
Andrew Lansley choose to respond? The unions, he said, were simply playing
politics, wanting to ‘have a go’ at the government about pay and pensions.
Really, Mr. Lansley?
Two example we were told about personally this week show hospital
staff feeling the strain of the cuts imposed by the government.
·
Nurses in an outpatient clinic where the clinic
over-ran and another clinic was about to begin had worked from 8.30am until
almost 6.00pm. They were so busy they had to stand in the corridor to eat their
lunch. One nurse confessed that she was
feeling ‘a bit agitated’. Who could blame her? Is there a correlation between
such working practices and claims that nurses are not so caring anymore?
·
An elderly woman requiring help with feeding and
other personal care needed her husband to visit her in hospital more often, as
nursing staff seemed unable to cope with such duties. Living in a rural area,
he could not afford to visit her each day because of high petrol prices and expensive
hospital parking charges. Considerable anxiety arose from the struggle to
balance these conflicting demands.
No doubt we all could tell similar worrying stories.
But how are we to understand them? Do such tales reflect bad
management, or do they come out of £20billion of cuts that the NHS is having to
find?
Every day brings new stories that challenge the claim of a free
Health Service safe in Tory hands.
Dame Joan Ruddock MP recently shared her concerns in the
House of Commons. She had received information from inside King’s College
Hospital that priority was being given to private cancer patients in both
diagnosis and treatment. She asked Andrew Lansley if he could confirm or deny
this. He spoke about the legalities before saying, “If the right hon. Lady has
information of a particular instance, she might as well give it to me”.
Fair point, you might think, but as Ruddock said in response,
Lansley clearly didn’t understand that the person with this information is
terrified of putting it into the public domain for fear of the repercussions.
After all, whistle blowers are not always treated kindly by their
organisations.
A further example of the government’s apparent obliviousness
to this growing crisis in the Health Service arose at Prime Ministers Question
Time this week.
David Cameron was asked about waiting times. He claimed
there were no increases; if anything the numbers had decreased.
Yet according to a report on Thursday,
waiting times
have increased by 43% since the coalition came to power.
Department of Health data confirmed that three PCTs failed to treat 75% of
patients within 18 weeks:
http://is.gd/7mW37H
These figures are unlikely to improve when we also learn
that 49% of hospital beds will be handed to the private sector:
http://is.gd/2srTmB.
Less NHS beds can only mean longer waiting
times.
If all this were not bad enough, late on Friday came a
report from Yvette Cooper that a hospital based in her constituency had called
for the army to help keep the hospital A & E Department open
http://is.gd/1lsSRa Jon Trickett MP, Shadow Minister,
in whose constituency the hospital also
falls,
said to the BBC.
“A brand new hospital.. with all the latest
facilities..
.
you have to wonder if there is a secret agenda to close hospitals“
Calling in the army is something that only happens in times
of crisis.
Examples like this, coupled with public and professional
anxieties about the government’s plans for the Health Service suggest there is
only one thing that Messrs Cameron & Lansley should do.
Drop The Bill!