"This is a milder variant", the PM claims, a few minutes after CMO Chris Whitty said the hospitalisation data shows clearly that this is not a mild disease.
If there’s a less smart choice of person for The People’s Partridge to have tried to patronise than
@jessphillips
, I’m failing to think who she/he might be.
“What an absolute load of rubbish... Did anyone else’s friends get contracts?”
Watch
@JessPhillips
and
@MattHancock
disagree over the handling of PPE contracts during the pandemic.
#Peston
John Glen, deputy to
@Jeremy_Hunt
, wants to know “why doctors and nurses say they spend up to half their time not with patients, but on admin”.
The Lansley reforms cut NHS management by 40% in 2012. That work still needed doing, so now it’s clinicians doing it.
Happy to help.
This is a hell of an anecdote from Pat Cullen: "ministers coming into the room saying to me that they're shocked that nursing staff may be the main breadwinner in the family. Because they believe that it's a second salary that we don't depend on."
It’s objectively hilarious that the Boris Johnson Fanzine can’t find one single serving NHS consultant willing to go on the record criticising the junior doctors’ strikes.
Junior doctors are what we might call Schrödinger's Trainees, to borrow Mike Reynolds' line: too unimportant to pay fairly, but too important to strike.
Good thread. What should have been an uncontroversial win-win to improve medics’ working lives has been grotesquely mis-handled. The parties involved in implementing this will be forced back to the drawing board.
It’s becoming obvious that everyone has been sold a pup with physician’s associate roles. Docs thought they were getting a helper, someone to remove some of the burden of admin and chasing for junior docs and who could also do some routine tasks (but under supervision and 1/n
Well, that was £37 billion well spent.
Not even a ‘notify me when back in stock’ option.
Lack of the most basic contingency planning. Profound incompetence.
There are not going to be 40 new hospitals by 2030.
This is an obvious untruth.
To keep trying with it begs the question of whether the Secretary Of State is a fool, a knave, or both.
🏨40 new hospitals
👨⚕️👩⚕️6000 more GPs
💷 Record NHS funding
I’m so excited to unveil our other plans for this county - make sure you tune in for the
#ConservativeManifesto
Powerful.
The Government did realise that in taking on the consultants, they were taking on some of the most articulate, dedicated and educated people in the country.
Didn’t they?
I’m an oncologist and I love my job. But I’m striking because I know first-hand that the NHS is failing our patients with cancer and I’m striking because I know first-hand that the NHS is failing its workforce.
#ConsultantsStrike
“Sunak is promising an emergency package to force down NHS waiting lists through tougher targets led by a “backlogs task force”.”
This proposed solution is based on utterly un-serious analysis of the problem.
The anarchic dismantling of lockdown smacks of contempt for the health and care staff who went through the Covid19 front-line these past few months - some of whom, of course, didn’t survive.
So where were these system leaders during the many maternity scandals of recent years?
Or when young people needed access to adequate mental health services?
To attract and retain more teachers, there will be special tax-free bonuses up to £30,000, Mr Sunak says.
That will calm the NHS pay strikes down nicely.
The ‘A&E crisis causing 500 deaths a week’ number cannot be definitively proved in real time - other than by
@NHSEngland
. As
@ChrisHopsonNHS
knows.
So here you go, Chris. You always asked for honesty and transparency when you were
@NHSProviders
CE: publish this data. Every week.
The Nightingales weren't hospitals. They were a PR/last resort insurance hybrid: surge capacity, built in conference centres and sports stadia, for people who weren't critically ill. And they didn't have staff.
I know that most of you know, but it's worth emphasising that all this Tiers Of A Clown bullshit does not matter one bit if they do not fix Test And Trace.
Your periodic reminder that the UK’s successful vaccines procurement was mainly thanks to
@katebingham2
, and its delivery mainly thanks to
@NHSEngland
Or during the collapse of ambulance/ A&E services at the end of last year?
Oh, and how about the latest sitrep data showing that 13,000 beds are taken up by patients who no longer need to be in hospital every day last week, and more than 19 out of 20 adult beds being occupied?
The Lansley reforms cut NHS management by 40% in 2012.
Of course clinicians spent more time doing that work afterwards.
@Jeremy_Hunt
, along with all Conservative MPs, voted for the Lansley reforms at every stage.
Hunt says it is ‘outrageous’ that doctors and nurses spend third of their time doing admin
He’s has asked all Cab ministers to come back to him with how much time front line public sector workers are spending on paperwork
He says Treasury will invest in AI & tech to ease burden
"We choose the future". Except when it comes to the NHS, which is slipping back into the long waiting times of the past that cost tens of billions to fix.
But yes, of course if harm or deaths happen during this week's industrial action, it'll be the very first time there has ever been a risk to patients using NHS services in recorded history.
Of course it will.
McKinsey banks £560,000 consulting on “vision, purpose and narrative” for new test and trace body > Baroness Harding and McKinseys: the gift that keeps on giving
If you take out 45% of management resource, then that work doesn’t simply stop being needed.
It just starts getting done by clinicians.
And that is what’s happened.
That attempt to recruit your way out of a retention crisis has not worked so far, and may well continue not to work.
Your most experienced staff are your most valuable staff.
“It will represent… the largest expansion in training and workforce in NHS history”
PM Rishi Sunak says his NHS workforce plan, to be announced later this week, will ensure the NHS has the right number of doctors and nurses
#BBCLauraK
MASSIVE FUCKING LIE ALERT: "the backlog is a result of the pandemic", Alan asserts. No it isn't. Work of
@kingsfund
@NuffieldTrust
@HealthFdn
has tracked its growth over many years.
“We need to restart the programme of public sector reform from before the pandemic”, Chancellor
@Jeremy_Hunt
tells the Kuenssberg Show. He intimates that cutting bureaucracy can free up lots of clinicians’ time.
Ahem.
Your regular reminder that the NHS backlog was not down to Covid.
It was 4.4 million in January 2020 before the pandemic (), and now stands at just over 7.2 million: it’s been rising by about 100,000 a month
From what I’ve seen of yesterday’s EGM, this is wholly justified. If I were the RCP’s leadership, I’d be fairly concerned today.
It also took a bit of moral courage to do this, which is always good to see. Nice one, Rachel.
I was deeply honoured to be invited to be a keynote speaker at this year's
@RCPhysicians
annual conference.
But after last night's
#RCPEGM
I can no longer, in all conscience, give my speech. I feel duty bound to share in public my reasons why.
Utter, utter bollocks from the PM there about people staying in hospital beds because they were scared of paying for residential care.
IN reality, the residential care beds that would accept high-acuity patients were not there.
The real issue facing
@Jeremy_Hunt
is how little the austerity decade has left to cut. Local government funding cuts effectively destroyed social care, which is a huge part of the problem facing the NHS getting frail older people (the bulk of its regular users) out of hospitals.
My
@DailyMailUK
column today. We tax payers pay half a million £ to train a doctor and when they are qualified, almost half of them from some medical schools head to Australia or NZ. Time to impose pay back!
I wonder when the bulk of NHS leaders and politicians will realise that the mental feudalism that sort-of worked on NHS staff in the past no longer flies.
Doctors still in their formal university training - ‘doctors in training’.
Then ‘doctors’.
Then for those who go on to it, ‘consultants’.
‘Junior’ is utterly anachronistic.
“Bring in the military to review NHS management!”
“Ah. Are they notoriously good at outcome measurement, resource allocation, procurement, and suchlike?”
“…”
At some point, the penny will drop more widely that system leaders and the Government need the co-operation and good-will of the current junior doctors.
We’re not there yet, but some people are remarkably slow learners.
I'd been meaning to give the benefit of the doubt to Ms Kuenssberg's epically poor-quality piece from earlier today , but this is an evident pattern of behaviour. Her work should embarrass both herself and the BBC.
PM lying again re vaccination.
It was not “our freedom from the rules of the EU”. UKI procured and started delivering the vaccines while still in the EU.
We left the EU 31.12.2020.
…
This is an extremely helpful timeline of
@devisridhar
being basically correct about everything to do with managing Covid19 right. Share it widely: store it for those who will 100% claim that 'it was all very difficult and no-one was psychic'.
1/n
THREAD:
#SARSCov2
insights from
@devisridhar
.
Initial objective was to collate a timeline for myself, then I thought it may be useful to others too.
I intended to capture one item for each month, but some months were so packed the thread grew 🙃
Brief summary at end.
Genuinely surprising to see the
@FT
fall for the Government's 'blame Public Health England' strategy, terming PHE 'discredited'. That'll be the same PHE that was line-managed by
@DHSCgovuk
, just as the new UK Health Security Agency will be.
It is a sign of daunting ignorance of a) reality and b) public policy for any senior politician to propose that the NHS backlog has resulted from insufficient tough targets and the absence of a backlogs task force, and that these things will fix it.
@MattHancock
Extra £20bn for the NHS is of course not coming on stream in 2019. Not on stream until 2023-24, just in case you feel like not lying/misleading.
I know it's a shock, but the Boris Johnson Fanzine is talking bullshit about the NHS again "no other country in the world has replicated the British system"
Apart from Italy, Spain, Portugal and arguably the Scandinavian countries
NHSE blames junior doctors’ strike for impending elective target failure < NHSE might as well blame me for it. About as accurate and valid a diagnosis.
@lewis_goodall
@mattfrei
The Nightingale 'hospitals' were astute political fictions to reassure the general public. They had no staff to deal with patients (any hospitals who sent Nightingales patients had to send staff with them). They were theatre.
(Metaphorical) white smoke emerging from Skipton House. The new NHS Pope (CEO of
@NHSEngland
) has been chosen, I’m told.
Announcement planned for the middle of next week.
Imagine if someone who knew a lot about this stuff had consistently pointed out that the ‘40 new hospitals’ claim was complete bollocks since pretty much the start.
If Public Health England were indeed not succeeding in its work, the responsibility ultimately sits with the Secretary Of State into whom it reports and to whom it is accountable. One Matt Hancock, oddly enough.
No, I’ve just double-checked.
The Prime Minister of the United Kingdom and the leader of the Conservative And Unionist Party said this out loud, in the real world.
Rishi Sunak tells an IKEA worker, whose family is struggling to get treatment on the NHS, that he has a "really, really good plan" to solve the problem, which involves "being a bit clever about how we do things."
Under the Conservatives, eye-watering sums of taxpayers’ money are paid out to managers and consultants.
That means less investment in the frontline staff who our NHS relies on.
Meanwhile many NHS workers barely earn enough to get by.
Mr Starmer makes a big, smart call. SAGE report recommendations ignored by the Government gave him the ammunition. If there's to be a 2-3 week lockdown, Test And Trace must be re-plumbed to move its resources under leadership of DPHs in the first 3 days after that decision's made
The reason ‘Mr Bates vs The Post Office’ resonates so strongly is that so many of us have experienced arrogant, unaccountable and inhumane behaviour from Government, public sector or pseudo-public sector bodies, who rely on legal threats when their wrongdoing becomes apparent.
“The health secretary is formulating the reorganisation to give well-run hospitals more freedom, as well as forcing failing trusts to improve.”
Genius.
You could call them ‘Foundation Trusts’, and the improvement body the ‘Trust Development Authority’.
This is an untruth.
The Government missed both its 24-month and 18-month RTT waiting time targets before the strikes were a serious factor.
Nor is Covid19 a major factor: the backlog was 4.4 million in January 2020 before Covid hit, and rises by an average of 100,000 a month.
First, I gave a quick update on my five priorities.
Whilst we’re on track to achieve most of them, waiting lists are not yet falling because of the strikes in our NHS.
I hope those still striking will accept the independent pay offer and get back to doing what they love.
BREAKING: A very serious situation at hospitals across Lincolnshire tonight as
@ULHT_News
declares a 'critical incident' over "extreme and unprecedented" staff shortages. It says it is "unable to maintain safe staffing levels" leading to "compromised care" across its sites: