Posts Tagged ‘Election’

Health ministers named in new coalition government

Healthcare Republic - 14th May 2010 2:20 pm

Two of the new health ministers that will work under health secretary Andrew Lansley have been named.

Conservative MP Simon Burns and Liberal Democrat Paul Burstow will become ministers of state for health in the new Conservative-Liberal Democrat coalition government.

Mr Lansley has yet to announce the ministers’ portfolios and whether Liberal Democrat health spokesman Norman Lamb will be offered a role in the department.

Paul Burstow, MP for Sutton and Cheam in Greater London, served as the Liberal Democrat’s shadow health secretary from 2003 until 2005.

Simon Burns has worked as the under-secretary of state for health and shadow health minister and served on the health select committee. He is the MP for West Chelmsford, Essex.

The portfolios are yet to be announced.

Read more at Healthcare Republic.

Anyone want a ‘Vote Labour or Else’ T-shirt?

By Kathy Teale - 2:05 pm

What a very long time a week is in politics - not only has our Dave finally managed to wrestle the keys to Number 10 from Gordon, but he’s cobbled together an alliance with his erstwhile rival whom only last week he was describing as a “joke”.

This reminds me of the good advice I once heard a senior colleague give to a fellow-consultant who was fond of dishing out negative feedback to trainees: “Don’t shit on the trainees because they’ll be your colleagues before you know it….”

Actually, I suspect that Dave and Nick are good mates away from the cameras - apart from the fact that they look as similar as two peas in a pod, they’re the same age, both went to ‘top’ public schools, and share an identical taste in suits and shiny black shoes. Luckily for the rest of us ordinary folk, if they ever fall out over abolishing inheritance tax they can easily patch things up with a spot of reminiscing about jolly midnight feasts in the prep school dorm and swatting up for double latin.

The papers, most of which were nauseating in their fawning support for the Tories, have been busy lecturing us on how we messed up the election by producing a hung parliament. Apparently it’s all our fault because we couldn’t get our collective act together to deliver a Tory landslide - honestly, what a hopeless bunch we are! We couldn’t even do what the Daily Mail told us!

Of course, our electoral system delivered this result - a combination of people voting tactically, and a situation where, somehow, gaining 24% of the vote gets you 10% of the seats, while 29% of the votes earns 40% of the seats. Friends in Germany are mystified by our system and the media hysteria generated by suggestions of any form of proportional representation. Angela Merkel’s Christian Democrats have governed for years with a coalition, and I wouldn’t call the German economy a basket case.

I think it’s time for a rethink, if only the Deputy Prime Minister (is that really a proper job??) can persuade his new boss. We certainly live in interesting times.

So, some questions for Andrew Lansley: does anyone know anything about him? More to the point, does Andrew Lansley know anything about the NHS? Has he in fact ever used it? What is he going to do and will we notice a difference? It’s interesting that we’ve not had a functioning Department of Health for over a month and yet somehow we’ve all managed to struggle on regardless.

In the meantime, my main headache is what to do with my ‘Vote Labour or Else’ T-Shirt, which was obviously a poor investment, at least in the short term. Perhaps if I hang it to it long enough, though, it may become a valuable object of historical interest…

We’re now being governed by Cleggons

By Sarah Burnett-Moore - 13th May 2010 2:02 pm

We are now being governed by Cleggons. It just goes to show that the rest of the electorate was just as confused as I. When I went to cast my vote, I was intrigued by the fact that the parliamentary voting paper was yellow, and the local one blue, was that some sort of subliminal message? 

Then I woke up on Friday morning, and bingo! Sod all has changed. After the 1997 Blair landslide, I was driving home at around 4am, and it was the most beautiful dawn I had seen over London for years. Last Friday, London was still cold and grey. Until Tuesday the most entertaining political coverage was provided by the Adam Boulton meltdown at Alastair Campbell. 

If you haven’t seen it, find it on You-Tube, and for you ‘Thick of It’ fans, there is one split second where Ali looks EXACTLY like Malcolm Tucker.

 Then on Tuesday, after much to-ing and fro-ing, something remarkable happened. Cameron and Clegg sorted out the pre-nuptial, and hopped into bed together (BTW Rory Bremner’s stuffed isn’t he, how is he going to distinguish between the two? Maybe he will impersonate them simultaneously). They then kicked Gordon out from under the duvet.  Was it just me who felt irrationally emotional at his leaving speech? Sarah looked relieved that she was no longer having to watch her husband crumble before her eyes. Gordy and family head off so say tutty bye to the Queen, then back to HQ to thank Peter Mandelson, who reportedly held the firing gun to his head. Mandelson in turn, wished Dave and Nick good luck.

As Cameron was heading to Buck House, a bizarre ray of sunshine split the grey London skies. The next thing we saw was Queenie looking utterly delighted. Maybe she remembers him in the bunny outfit at the school play. As Cameron’s car left for Downing Street, a rainbow came out over the Palace. Extraordinary stuff. I was impressed by Cameron, both for going around the car to open the door for Samantha, (did you spot her shoes? How did she manage to wear them when pregnant?), and also by his assertion that Britain is a better place than it was 13 years ago. He’s wrong of course, but how lovely of him to say that.

Yesterday the political Ant and Dec arrived on the steps of Number 10 and did a double act. I am cautiously optimistic about this era of post-modern politics, except if everyone is going to be so nice to each other, what the heck am I going to write about? 

Well, there is one burning remaining political question. Now we’ve got Campo and Clegg, who is going to be Foggy?

Election disaster for Labour’s health team

Healthcare Republic - 8th May 2010 7:01 pm

All of Labour’s health ministers except the health secretary, Andy Burnham, have lost their seats following Thursday’s general election.

Health minister Mike O’Brien lost his seat following a 7.7% swing to the Conservatives. Tory candidate Dan Byles beat Mr O’Brien by just 54 votes in the closely fought marginal of North Warwickshire.

Health ministers Ann Keen and Gillian Merron, and minister for care services Phil Hope, also lost their seats in Brentford and Isleworth, south-west London, Corby and East Northants, and Lincoln, respectively.

Doctors and nurses standing in the 2010 election for the first time also did not fair well.

Dr Sarah Wollaston kept a safe Conservative seat in Totnes, Devon, but the Lib Dems’ Dr Charles West and Labour’s Dr Ian Campbell both lost out to Tory candidates. GP Dr Phillip Lee also won for the Conservatives in Bracknell, Berkshire.

Richard Taylor, who took Wyre Forest in 2001, pledging to fight the downgrading of Kidderminster Hospital, has been defeated by the Conservatives.

Although Conservative Daniel Poulter, an obstetric and gynaecology consultant, has taken over in Suffolk Central and Ipswich North.

In Hexham, Northumberland, independent candidate and GP Dr Stephen Ford came fourth with the Conservative candidate succesfully defending a relatively safe seat.

Former nurse Nadine Dorries kept her safe Conservative seat in Mid-Bedfordshire but nurses Rosie Sharpley (Lib Dem, Woking) Karen Jennings, (Lab, Hornsey and Wood Green, North London) and David Harding-Price (Lib Dem, Sleaford and North Hykeham, Lincolnshire) were all also unsuccessful.

Read more at Healthcare Republic.

Yellow surge disappears down the toilet

By Jerry Nelson - 12:53 pm

Cleggmania? BWAHAHAHAHAHAHAHAHAHAHA.

So, let me get this straight, the Lump Dims ‘surge’ has resulted in FEWER seats! Lololololololol.

Dweeb Urologist and dyed-in-the-wool Limp Dumb supporter Johnson was practically in tears this morning. He’s spent the last month out campaigning in the key marginal Middle Bit of England East with all his beardie-sandal friends. Their candidate Dr Tim Wimp was fully expecting to oust the incumbent Labour MP Janice Bellend, who was defending a slim majority of 25 votes whilst on remand for expenses fraud, corruption and kitten murdering.

Needless to say Ms Bellend was returned with a stonking majority. Over here in Middle bit of England West, the Conservative Sir Nigel Pilkington-Duckhouse retained his seat, and his Lib Dem opponent lost his deposit, though there was chaos at one of the polling stations when Dan the Fat Gasman got stuck in the doorway and thousands were denied the chance to vote.

So what happened? All the pathetic fawning of the overgrown prefect Clegg’s performance on Weakest Link or whatever it was, simply made the Labour vote turn out for once. Looks like your typical workless council-estate benefit junkie realised that unless he did something drastic, like drag his arse off his stained Draylon sofa and waddle all the way to the polling station to actually VOTE for the first time in his life, the Tories might get in, and the teat of endless state generosity on which he sucks might get turned off, and he wouldn’t be able to afford so many deep-fried Mars Bars before breakfast, and might have to switch to a cheaper brand of illegally-imported cigarettes, and the wonderful NuLab world of reward without effort, and entitlement without responsibility might not last for ever.

So now we’re in no-man’s land with Gordon Brownshirt clinging on to No 10 by his bitten fingernails, and no-one knows what the hell’s going to happen

What a MASSIVE load of arse!

See you all under the new regime…

By Sarah Burnett-Moore - 6th May 2010 10:37 am

I’ve never seen myself as a political blogger in the conventional sense, but on the day of the longest overdue election in a lifetime, I am tempted to write something about it. This may in part be because I have not been allowed to say anything political on the radio since the election was announced. 

I don’t know about you, but we’ve been sent bog all literature by anyone. And the only people to pitch up on the doorstep were a pair of Jehovah’s witnesses last week, unless the Lib Dems have started to hand out The Watchtower. We live in a highly marginal seat, only 163 votes divided the two top candidates five years ago, so it seems a little odd to neglect me.

Maybe I could pick my candidate from the logo’s, a toddler-scrawled tree, a leafy world, a decontructed bird - is it a pigeon? - or a red rose, no the last reminds me of the rugger buggers at Med School. What about what the candidates look like? Clearly no-one is going to chose Gordon Brown or Nick Griffin in a beauty contest, and that green, sorry Green, woman has the most forgettable face in the world. 

In all honesty I have trouble telling David Clegg and Nick Cameron apart, and they sound identical.

There’s only one thing for it, I’ll have to read the health bits of the manifestos. Whoa, that was a mistake, now I’m really confused. Shall I précis my understanding of them? Lib Dems, scrap central targets, sack bureaucrats, and let local committees run hospitals. Blah, blah, blah…all hot air and no mention of how. The BNP (whose website is frankly libellous) are going to sack 100,000 NHS beaurocrats, and replace them with doctors and nurses. Methinks Griffin has not thought this through. Where are we going to get them from without further immigration? I’d tell you more, but I couldn’t bear to keep the webpage open any longer. 

The Green Party policy roughly goes - let’s make everything free, cut independent sector providers, and seemingly, remove patient choice. But I might have read that last bit wrong. The Tories are going to cut bureaucracy (yawn), make all drugs freely available, more blah, blah. There is a high point on the Tory health manifesto page, a video of their proposals. Well it would be a high point, if it wasn’t Andrew Lansley talking. 

And Labour, what are they going to do? Three guesses, preventative medicine, and forgive me if I’ve read this wrong too, but more targets.

Bring back The Monster Raving Loony Party, at least they gave us an honest laugh.

See you all under the new regime… 

Royal colleges speak out in favour of service reconfiguration

By Mike Broad - 29th April 2010 1:42 pm

A group of leading medical organisations have sent a letter to The Guardian in support of service change. They fear the debate is being misrepresented in the media. Here is the letter in full:

This is the most closely contested general election for more than a decade and health is one of the top priorities for voters and politicians. While we welcome the focus on the NHS, we are concerned that the political debate and its attendant media coverage tend to overlook the cogent arguments for service change that will bring long-term benefits for patients.

There has been a wealth of clinical evidence for many years that specialist clinical services, such as stroke, trauma and heart surgery, should be concentrated in fewer centres. This would allow the latest equipment to be sited with a critical mass of expert clinicians who regularly manage these challenging clinical problems, and are backed by the most up-to-date research.

The greater volumes of patients mean doctors are better at spotting problems and treating them quickly. Survival and recovery rates would improve markedly with many lives saved. As techniques and technology have developed over recent years, speciality rather than proximity has become the key for patient safety. So increased patient safety and improved care must be the major drivers of any reconfiguration.

Patients may indeed have to travel further for some specialist care, but if it is significantly better care then we believe that centralisation is justified. However, at the same time there is also strong evidence to support a large amount of more routine care, currently taking place in hospitals, being carried out closer to where patients live in the community with GPsplaying a crucial role in the delivery of services.

Delivering this requires strong leadership and brave decision-making from doctors, managers and politicians. Simply condemning change as bad and defending the status quo as ideal is not serving the interests of patients.

If the NHS is to cope with the financial pressures it is going to face under any government without resorting to indiscriminate and damaging service and staffing cuts, large-scale planned service redesign and reconfiguration based on clinical evidence will have to be at the heart of the strategy. This may mean, for example, A&Es, children’s departments and surgical units at their local hospital either closing or providing a different type of service.

Such a process can significantly improve patient care. But if it is to be managed well and properly provide the highest quality care in the best clinical environment, it must directly involve doctors, other healthcare staff and the public. This involvement should include a voice in the planning and strategy development for such services, thereby ensuring appropriate service reconfiguration driven by clinical evidence and not simply the need for financial savings.

Professor Neil Douglas, Academy of Medical Royal Colleges, Professor Ian Gilmore, Royal College of Physicians, Professor Steve Field, Royal College General Practitioners, Professor Hugo-Mascie-Taylor, NHS Confederation, Professor Sabaratnam Arulkumaran, Royal College of Obstetricians and Gynaecologists, Professor Terrence Stephenson, Royal College of Paediatrics & Child Health, Professor Dinesh Bugrha Royal College of Psychiatrists, Dr Peter Nightingale, Royal College of Anaesthetists, Dr Neil Dewhurst, Royal College of Physicians of Edinburgh, Professor Andy Adam, Royal College of Radiologists, Mr John Lee, Royal College of Ophthalmologists, Professor Alan Maryon Davis, Faculty of Public Health Medicine, Dr Richard Tiner, Faculty of Pharmaceutical Medicine, and Professor David Coggon, Faculty of Occupational Health.

It’s time to make up your minds and cast that vote

By Mike Broad - 10:24 am

With 6 May fast approaching, I should probably be setting out the differences between the three parties on health and which one Hospital Dr thinks would be best for the NHS.

But, in truth, it’s impossible to say. For a start, this election isn’t going to be decided on health policies and they’ve barely been mentioned on the national stage. Our economic woes and the need to clean up politics have sidelined everything else, and the TV debates have thrown the focus on to personalities rather than policies.

And then there’s the problem that no one really knows what any of them are planning on health rationalisation. As the Institute of Fiscal Studies revealed, only a fraction of the required cuts in public spending have been outlined by any of the parties.

Despite lots of reassurances about protecting NHS funding and supporting frontline jobs, whatever they are, I’m sure there will be some nasty surprises following the election. We may be “bigots”, but the politicians are just peddling half-truths.   

So, what have we learned? Well, ideologically there’s nothing between them. They all hate managers and bureaucracy, and the NHS will be far more efficient under each of their parties. They’re all keen to give more power to frontline staff. The private sector will become more involved in the delivery of NHS services. Waiting times around cancer will be shortened. 

So, what don’t we know? Well, lot’s of stuff. There’s not been much about reconfiguring services, such as centralising specialist services, moving services into the community and taking a more preventative approach.

Darzi (remember him) was all about quality, and yet there’s been practically no discussion of the ongoing role of targets and regulation in supporting this. And what about the challenge to medical training posed by WTD? Yet more tumbleweed quietly blows past the hustings.

What did we learn from Swine Flu? Are our ‘dirty hospitals’ now clean? It seems that both the politicians and their voting public are quick to forget the big stories that have dominated the past few years.

More personally worrying has been the lack of scrutiny about demand. I’m not alone in questioning the longer-term sustainability of the NHS and what its role should be. Health economists have been banging on about it for years, but it appears to be electoral cyanide for all parties.

So, who will I (and Hospital Dr) be voting for? The Lib Dems as usual (or the Illiberal Democretins, as Jerry Nelson has re-christened them), but it’s got nothing to do with health policy.

Politicians clash over use of private providers

By Francesca Robinson - 28th April 2010 8:46 am

Health spokesmen from the three main political parties clashed over the use of private providers to deliver NHS care in the first national election debate on health. 

Health Secretary Andy Burnham reiterated his support for the NHS to be given priority as the preferred provider of care saying this was a “common sense” policy at a time when it was important to give stability to staff.

He was responding to a question by BMA chairman Hamish Meldrum who asked why the three main political parties were continuing to push for NHS care to be delivered by competing commercial organisations when three quarters of the public said they did not want it.

 

“The evidence is that this leads to fragmentation, loss of accountability and an increase in costs,” said Meldrum.

 

Burnham said they had brought in new providers in last decade to give people choice at a time when they were expanding capacity. 

 

But now he was signalling change to prevent alienating staff from the process of change which could threaten the progress the NHS needed to make.  

 

The NHS had to be ruthless in challenging underperformance but should be given the first chance to rise to the challenge, he declared.

 

Conservative shadow health secretary Andrew Lansley argued: “Patients have a right to expect that the NHS can secure best possible care wherever it can be found and that will be in NHS services and institutions but also with any other providers who can deliver it and we have seen many good examples of that.”

 

Liberal Democrat health spokesman Norman Lamb said he had been really impressed by the work of an NHS treatment centre in Nottingham where NHS surgeons were delivering a 20% increase in productivity.

“Sometimes using a competitive challenge in the way services are provided can be a good thing. Sometimes it would be necessary in the very tough financial climate that we face. When improving the quality of care there must be no special favours,” he said.

There were further angry skirmishes over local closures of A&E and maternity units. Burnham - annoyed that Lansley had been campaigning in his Greater Manchester constituency where there are controversial plans to reorganise children’s and maternity care - accused his rival of saying what people wanted to hear by promising to stop forced closures.

Lansley responded that he was not against change but proposals needed reviewing to ensure they were not against the interests of patients. 

 

Lamb said sometimes difficult decisions had to be taken and the key was to ensure local accountability. This was something that could be delivered by a Lib Dem proposal to establish locally elected health boards.

All three politicians promised to protect frontline jobs except those of managers and bureaucrats. 

The hustings were organised by the BMA, the Royal College of Nursing, the King’s Fund and the NHS Confederation.

Let’s stop taking the NHS for granted

By Katherine Teale - 25th April 2010 9:29 pm

The media this week has been full of such shocking stories that even the most hard-hearted amongst us have surely been finding it hard to keep going.

The tales of the hardship endured by ‘British families stranded abroad’ just keep on coming. These people, or ‘victims of the volcano’, as the papers like to call them, have been forced to endure the torment of a whole extra week in such hell-holes as Madrid, Florida and - yes, I know, I can hardly bring myself to type the words - Hong Kong.

Airline bosses are now complaining about the cost of meeting the hotel bills for their stranded customers. One in particular has complained that a passenger paying only 9 euros for a plane ticket to Barcelona shouldn’t expect to be reimbursed 800 euros for a week’s hotel and food bill. I must say, having been to Barcelona recently, that the only hotels available for under 100 euros a day would involve quite considerable suffering - although possibly not as much as a flight with the airline concerned.

Interviews with ‘victims’ show a definite separation into two camps. The first camp includes those who have heroically managed to drive overland to a channel port (as usual the French have put the cherry on the gateau by having a nationwide train strike) and found it an enjoyable adventure, including one redoubtable 81-year-old Yorkshire woman travelling with her family who couldn’t remember having such a good holiday. In the other camp, those who stayed put and are busy blaming the government for not sending the army or navy to rescue them. These people are evidently unaware that the army and navy are kind of busy somewhere else and that the minister for volcanoes is busy canvassing in Basingstoke.

Or perhaps it’s a cunning plan just to keep certain people out of the country until after 6 May…

How quickly we take things for granted. Only 30 years ago it was a rare and exciting adventure to go abroad on an aeroplane - now it’s just boring. Thirty years ago healthcare was still a valued privilege - now it’s our right. Today’s trainees are horrified at the concept of working for 24 hours every fifth night, yet only 15 years ago that would have seemed the most amazing luxury to many of us.

Perhaps it’s good to have the occasional reminder of what amazing things we now have access to. Flying at 30,000 feet half way round the world to a country of which we probably know nothing and don’t speak the language will occasionally - just occasionally - not go exactly according to our detailed itinerary. Especially since the travelling bit is often regarded as almost incidental.

It’s good to be reminded how big the world is. It’s analogous to couples making detailed birth plans, forgetting that babies, like volcanoes, aren’t predictable and happen at the most inconvenient times. Perhaps we also need to be reminded how precious the NHS is - I hope that we don’t have to get to the brink of losing it before we realise just how precious.