Tag Archives: health bill
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Revised Section 75 regs mire CCGs in a legal minefield

12 Mar

Further trouble not less after Government tables revised regulations on competition for providers. Who would be a Commissioner?

CCG Watch - your chance to save NHS services

Minefield (n) /ˈmīnˌfēld/: an area laid with explosive devices, intended to prevent incursion or protect a valuable target

I’ve spent a pleasant couple of hours reading through the government’s hurriedly-drafted amendments to its ‘Section 75’ (S75) regulations. These new rules, which the government tried to slip through Parliament without debate or vote, were designed to force the new Clinical Commissioning Groups (CCGs) to invite private providers to bid on any NHS contract, were blocked by Labour with the assistance of a brave LibDem MP (I know, there aren’t many these days).

The government ‘paused’ its legislation with a promise to rewrite it to calm the fears of LibDem objectors, with health minister Norman Lamb claiming that the government took the objections extremely seriously and was committed to honouring its 2012 promises that CCGs would not be forced to include private providers unless they felt it best for the population they…

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Royal College of Surgeons of England ends quiet alliance with sister Colleges

8 Mar


At the EGM of the RCSEng tonight the illustrious Royal College Surgeons rejected joining with RCGP, BMA, RCN and other health bodies in rejecting the Health and Social Care Bill.

A clear break in the unity of the medical profession has happened.

The RCSEng folks should be ashamed of themselves for paying lipservice to the democratic process. The pre-meeting vote for withdrawal of the bill was in favour of this stance (84% of the 175 delegates).

In my opinion, history will show that this is the day (night) when the Royal of College of Surgeons loses whatever respect it held with its colleagues in the health service.

It is postulated that the RCSEng would not ally with the others because it wishes to remain apolitical so as not threaten its charitable status.

Whatever happened to the duty of surgeons to uphold the welfare of the citizens who are served by its members?

Has No 10 blackmailed, sorry persuaded, RCSEng executive that they risk something precious if they reject the health bill AND ally with the rebels?

A meeting stuffed with ex-PRCS’s and a Lord or 2 and a sitting member of the Government surely had nothing to do with an independent vote.

Primary care, where the bulk of the Health and Social Care Bill is focussed, has been betrayed by our (general) surgical colleagues.

Perhaps some of these surgeons should stop calling themselves doctors and accept they are primarily technicians who have no part to play in the politics of healthcare.

Grassroots surgeons and doctors who are dedicated to the welfare of their patients and work hard despite the constraints of an enlarging bureaucracy must stop being in thrall to the “elites” who populate the medical establishment. The top dogs, esp in RCSEng, but also in some of the other colleges, have shown their true colours – better to keep the government happy than nurture the respect of members of their institutions.

A very sad period in our profession is drawing to close with tonight’s decision.

In the past the RCSEng has been the worst offender in looking after doctors in training, esp GPs in training rotating through their specialties. That was over 10 years ago.

Presently, surgeons are no longer being included in undergraduate teaching clinical rotations because the teaching has been shoddy if present at all.

RCSEng is responsible for helping train the doctors of tomorrow. Well, I for one would like to see this role diluted further because frankly the surgeons cannot be trusted now to communicate the proper values we need for team working between disciplines.

Actions do have consequences. I would like to see the other medical royal colleges aggressively attack the RCSEng for failing to vote to join hands to protect the NHS.

Here are the motions and the votes:
(a)Considers that the Health and Social Care Bill, if passed, will damage the NHS and widen healthcare inequalities, with detrimental effects on education, training and patient care in England. ( Total votes cast 175)

For -101
Against -70
Abstain – 4

(b)Cannot support the Health and Social Care Bill without seeing the NHS reform Risk Register (Total votes cast 176)

For – 93
Against – 70
Abstain – 13

(C) Calls upon the RCS (England) to publically call for withdrawal of the Health and Social Care Bill (Total votes cast 176)

For – 76
Against – 99
Abstain -1

(D) Calls upon the RCS (England) to seek alliance with the BMA, RCN, RCM and other willing Royal Colleges and NHS stakeholders organisations to collectively call for the withdrawal of the Health and Social Care Bill. (Total votes cast 176)

For – 71
Against – 101
Abstain – 4

(e)Calls upon the RCS (England) to hold a joint press conference with the BMA and other willing Royal Colleges and NHS stakeholder organisations, to make a joint public statement calling for the Bill to be withdrawn. (Total votes cast 176)

For – 70
Against – 104
Abstain -2

Doctors’ letter to David Cameron, how to sign it

4 Feb

Calling all physicians and surgeons in UK, join the protest and get your name down here please

My main problems with the NHS Bill

30 Jan

More opprobium poured on the Health and Social Care Bill

Ian Greener's Academic Blog

Without wanting to create scare stories, I think it sensible to try and explain the reasons why I think it will lead to problems later on. I’m not alone in foreseeing problems – several other commentators have written about this as well. What I can do is explain my perspective on this, and to try and justify my fears.

I’ve organised the following under three headings: problems about the market; problems about provider failure; and problems about responsibility for the system. I can then end by explaining briefly a different way of thinking about the problem of NHS reform than is in the Bill.

Problems about the proposed market

We seem completely in thrall to the idea that there must be some kind of market for healthcare reform to work. However, I’m not convinced about this at all. I’m very much of the view that the problems of putting in…

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Social Care Faces Looming Cash Crisis, Say MPs On Health Committee

24 Jan

Keeping up the pressure on our politicians!

Dr Alf's Blog

This is an interesting but rather sad article. Check it out!

Social Care Faces Looming Cash Crisis, Say MPs On Health Committee.

As I get ready to travel overseas, reading articles like this will no doubt make me want to stay away longer.

I can remember when I first started working in the early seventies, I was working away from home in Darlington in the North East of the UK. I was unfortunately admitted to Darlington Memorial Hospital for a week with food poisoning.

My memories of the NHS Darlington Memorial Hospital are still vivid forty years later. What I especially remember is the cleanliness, the excellent nurses in their immaculate starched uniforms and the discipline and routine of hospital life. No doubt with years of statistics under Labour and cost cutting under the Coalition Government, I would probably be appalled if I went back.

It’s quite…

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Health and Social Care Bill Must Be Rejected

22 Jan

Red Lines for House of Lords

All UK citizens should fear the future of the NHS and their own healthcare unless the Health and Social Care Bill is thrown out, even at this late hour.

The link offers a legal framework for the challenge.  Everyone is encouraged to make their  loca Peer aware of the concerns.

All UK doctors are urged to contact their College to make their concerns known too.

The following is from http://callonyourcollege.blogspot.com/

SATURDAY, JANUARY 21, 2012

Button_-_join_our_fight

Urgent – Lobby Your College

This website has been set up to allow doctors to lobby their Medical Royal Colleges about the Health and Social Care Bill currently in the House of Lords.
In only a few weeks time this Health Bill could become law. Your input is urgently needed.

The Bill 
   – poses an enormous risk to the future of a viable equitable NHS. 
   – allows the elected Secretary of State to abdicate his or her ultimate responsibility for the NHS. 
   – allows local hospitals to use up to 49% of their beds for private patients meaning NHS patients will wait longer for their care.
   – will tranform a cost effective public service into a healthcare market.
   – has no democratic mandate. We were promised ‘no top down re-organisation of the NHS’ prior to the election yet we now see this enormously damaging NHS upheaval before us which is already proving a huge distraction to all NHS workers.

Continuing with the implementation of the Bill carries far more risk than stopping it now and withdrawing it.

The Bill is now opposed by the British Medical Association, the NHS Consultants Association, theRoyal College of Nursing,  Royal College of MidwivesUnison and Unite.

The Bill has now received a damning report from the Health Select Committee

We now ask for the help of all doctors who are members of a Royal College to lobby your own College about the Health Bill, advise them that you are opposed to the Health Bill and ask them to speak out on your behalf.

We ask you to cut and paste the template email below and then click on the link for your own College which should allow you to send the email easily. Of course feel free to design your own email.

It would be helpful to know how many of you have contacted your College so please add your name to the ‘comment’ section below (or initials if you prefer to remain anonymous).
—————————-

Dear College President,

I am writing to you as a member of our College. I have major concerns over the Health Bill currently in the House of Lords and ask that you speak out and oppose this damaging policy. 

The Bill lacks a democratic mandate and carries enormous threats to the structure and function of the NHS.  It threatens quality, training and standards, all of which fall within the remit of our College. The risks of continuing with this legislation are now felt to be greater than the risks of stopping it.

Our medical leaders need to lobby against the legislation. Please join the BMA, RCN and RCM in publicly opposing the Bill and calling for its withdrawal.

Yours sincerely,

———————————

List of Royal Colleges and their email addresses you can click after you have copied and pasted

Royal College of Physicians         infocentre@rcplondon.ac.uk
Royal College of Surgeons           president@rcseng.ac.uk
Royal College of GPs                  president@rcgp.org.uk
Royal College of Radiologists       president@rcr.ac.uk
Royal College of O&G                 president@rcog.org.uk
Royal College of Psychiatrists     reception@rcpsych.ac.uk
Royal College of Paediatrics        president@rcpch.ac.uk
Royal College of Pathologists      president@rcpath.org
Royal College of Anaesthetists    president@rcoa.ac.uk 
Faculty of Public Health              president@fph.org.uk
College of Emergency Medicine  mc.prescem@gmail.com  – Mr Mike Clancy

Chair of Academy of Medical Royal Colleges – Professor Sir Neil Douglas
                                                neil.douglas@aomrc.org.uk 

 

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Where medical ethics and human behaviour meet

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Cada lugar, cada rincón, cada momento compartido arreglando el mundo entre imprescindibles

The Commonplace Book

Jim McManus blogs on public health, ethics, books, theology and more