GP by MS >It’s Time for an Honest Debate About the Provision of Healthcare …

DO MAKE USE of LINKS,
>SEARCH<
&
>Side Bars<
&
The Top Bar >PAGES<

~~~~~~~~~~#########~~~~~~~~~~

.

Guest Post by Marcus Stead >

It’s Time for an Honest Debate About the Provision of Healthcare …

.
~~~~~~~~~~#########~~~~~~~~~~

Posted by:
Greg Lance – Watkins
Greg_L-W

eMail:
Greg_L-W@BTconnect.com

The BLOG:
https://InfoWebSiteUK.wordpress.com

The Main Web Site:
www.InfoWebSite.UK

~~~~~~~~~~#########~~~~~~~~~~

 .

Hi,

It’s Time for an Honest Debate About the Provision of Healthcare

By MARCUS STEAD

We need to face up to reality about the National Health Service. For too long, it has been politically taboo to question whether the current model is either the best way of providing healthcare, or its sustainability in the long term.

William Beveridge
William Beveridge, the true founder of the NHS.

The Labour Party likes to portray Aneurin Bevan as the founder of the NHS. This is not the case. In fact, it was a key recommendation of the Beveridge Report of 1942, in which William Beveridge, a Liberal economist, outlined social reforms that were to be brought in at the end of World War II.

Both the Conservative and Labour parties agreed in principle to implement the report’s recommendations, regardless of which party won the first general election after the war (it came in 1945, and was won by Labour).

Beveridge’s vision was of a National Health Service run through local health centres and regional hospital administrations. In other words, they were to be non-political and free from government interference. But in the years immediately after 1945, Labour’s Minister of Health, Aneurin Bevan, had other ideas.

Aneurin Bevan
Aneurin Bevan, whose role in the creation of the NHS continues to be absurdly overstated.

Bevan, a temperamental, undiplomatic, extreme left winger, loathed by many inside the Labour Party, fought hard in Cabinet to abandon Beveridge’s vision in favour of a centralised structure of 14 regional boards appointed by the Minister of Health and local management committees.

From that moment onwards, the NHS became a political football, and it has remained so ever since. Bevan, knowing full well the implications of the seed he was sowing, didn’t allow facts and evidence to get in the way of his ideological dogma. Sir Harold Webbe, the Conservative leader on London County Council, was unhappy about local government’s role in the NHS being removed, and said of Bevan, “He is so full of his own importance that he is prepared to pit his knowledge against the accumulated experience of this council, which is to be butchered to make a Welshman’s holiday.”

Yet even Beveridge’s vision for an NHS contained three major assumptions that sounded quite reasonable at the time, but subsequently turned out to be utterly incorrect:

  1. As people became healthier, demand on the NHS would decrease.
  2. The demographics of society would remain roughly the same.
  3. The NHS could be paid for from ‘the stamp’, now known as National Insurance.

The reality has been utterly different. Huge medical advances in the last 60 years have resulted in significantly increased life expectancy, albeit with the assistance of ongoing care and drugs, which come at a price.

With the exception of the Callaghan government of 1976-79, all administrations have overseen vast increases in real-terms spending on the NHS, as demographics shifted, demand increased, and medical advances continued. By the late 1980s, National Insurance could just about cover pensions and contributory benefits, with the occasional bit of help from general taxation, but it was certainly no longer in a position to fund the NHS.

There is some evidence that Margaret Thatcher understood the magnitude of the problem as long ago as the early 1980s, but she was advised not to handle the ‘hot potato’.

The time has come to end the mawkish obsession with the NHS model, which was epitomised at the 2012 Olympic opening ceremony by the sight of nurses jumping up and down on beds. Britain’s cancer and stroke survival rates are significantly down on where they should be for an apparently rich country, and there is a lack of choice on the part of the patient.

It is easy to see why the Labour Party is so ideologically attached to the NHS. It frequently misleads people into believing it is a Labour creation, and is one of very few things in this country that can in any way, shape or form be described as a Labour success story.

The quasi-religious reverence with which the Labour Party treats the NHS, and the way in which it tries to make bogeymen of anyone who questions it in any way, is holding back a full, honest and frank debate about how we provide sustainable healthcare for the next 50 years.

When they hear any form of criticism of the NHS, their default position is always to make crude comparisons with the system in the USA, one they rarely know very much about, and are quick to point to horror stories within, while conveniently ignoring the numerous deaths in the NHS due to poor hygiene, lengthy waiting times and medical negligence. Doctors and nurses themselves are treated as saints to be revered, rather than tax-funded employees who deserve praise and respect when they do well, but should not be above criticism when they fall short of certain standards.

It is as though no other countries or healthcare systems exist elsewhere in the world. Why can’t we try to learn lessons from Singapore, which from a very low starting point in the 1960s, has managed to create and sustain one of the very best health systems anywhere on earth? Or what about continental Europe, where many countries operate with a mix of public and private healthcare, with compulsory insurance schemes using various models?

This debate should have begun at least 20 years ago, but there are signs that we are approaching the point where the current NHS system is unsustainable. Sooner or later, we will have to face up to this impending reality. Is it not better to do so while the hospitals and GP surgeries are just about working?

To see the original of this article CLICK HERE
The Labour party has never since the NHS’s inception missed an opportunity to lay claim to having founded the NHS and attributing it to Aneurin Bevan. As with so much else that seems to emmanate from socialists it is a misleading and dishonest claim.
Clearly William Beveridge drew up his report the background of which can be read CLICK HERE
Churchill’s wartime government endorsed the 300 page 1942 report and in 1943 Churchill gave an undertaking that whatever government was elected after the w ar they would impliment the report, having gained the undertaking of both Labour & The Liberals.
Unfortunately the task fell to Labour and the deeply unpopular Aneurin Bevan was tasked with the job of implementation – whther of his own volition or under the influence of his openly Communist wife, Jenny Lee, he immediately campaigned to change the structure of the NHS as clearly laid out by Beveridge – it was thus that Bevan converted the brave concept of the NHS placing it under direct control of the Government and the management of 14 separate Health Boards.
Thus began the unravelling of the economist Sir William Beveridge’s report and the conversion of the NHS to being a political football – the seeds of the NHS’s problems of today were sewn by this meddling and ineptitude of Aneurin Bevan and although evelcted from a humble background in a Welsh Valleys Constituency he rarely returned and eventually died of stomach cancer on his farm in the home counties!
More of this background can be found if you CLICK HERE
Unpalatable as Socialists may find the truth it is worthy of note that the implementation of the Beveridge Report was a cross party decision and the ineptitude of that implementation and the problems of today were as a result of the ineptitude of Aneurin Bevan his personal ambitions endorsed by his socialist colleagues!
.
Regards,
     Greg_L-W
Greg Lance-Watkins
.
 Please Be Sure To
& Link to my My Blogs
To Spread The Facts World Wide To Give Others HOPE
I Have Been Fighting Cancer since 1997 & I’M STILL HERE!
I Have Cancer, Cancer Does NOT Have Me
I just want to say sorry for copping out at times and leaving my wife Lee and friends to cope!
Any help and support YOU can give her will be hugely welcome.
I do make a lousy patient!

.

If YOU want to follow my fight against Cancer from when it started and I first presented with symptoms in 1998 see The TAB at the Header of this Blog. called >DIARY of Cancer ….ARCHIVEMEDICAL LINKSCANCER LINKSHOT LINKS< in the Sidebar.
.
YOU are welcome to call me, minded that I am NOT medically trained, if you believe I can help you in ANY way. .

Regards,
Greg_L-W.

~~~~~~~~~~#########~~~~~~~~~~
.
Posted by: Greg Lance-Watkins
tel: 44 (0)1594 – 528 337
Calls from ‘Number Withheld’ phones Are Blocked

All unanswered messages are recorded.
Leave your name & a UK land line number & I will return your call.

‘e’Mail Address: Greg_L-W@BTconnect.com

Skype: GregL-W

TWITTER: @Greg_LW

DO MAKE USE of LINKS,
>SEARCH<
&
>Side Bars<
&
The Top Bar >PAGES<
I try to make every effort to NOT infringe copyrights in any commercial way & make all corrections of fact brought to my attention by an identifiable individual
.

Please Be Sure To
.Follow Greg_LW on Twitter.

Re-TWEET my Twitterings
https://twitter.com/Greg_LW

& Publicise

My MainWebSite & Blogs

To Spread The Facts World Wide


eMail:
Greg_L-W@BTconnect.com

The BLOG:
https://InfoWebSiteUK.wordpress.com

The Main Web Site:
www.InfoWebSite.UK

~~~~~~~~~~#########~~~~~~~~~~

Enhanced by Zemanta
Advertisements

07-May-2011 – 02:30hrs. MAU NEWPORT! Well I’ve Seen The Doctor!

07-May-2011 – 02:30hrs. MAU NEWPORT! Well I’ve Seen The Doctor!
Hi,
well having come in at about 20:00hrs. Finally all tests done cultures etc. and the results are back and FINALLY, although I knew I was doomed to stay, I have JUST seen the Doctor.

02:30hrs. and I have actually seen someone qualified in my field!

They have however finally cleared the waiting room:

A young lass who gave her name as Minna, probable Persian or Arab (actually Iraqi/Pakistanni parents), pleasant and as with all other treatment I have had she was thorough.
I gather my platelets are down to 34 – The Consultant Haematologist has been suitably woken/annoyed ;-).
The action plan is put me onto an anti biotics for the possible infection, seemingly from the mouth/teeth as clearly the imune system is somewhat stuffed and having trouble coping with the normal infections that flourish in the mouth!!!
As for transfusing, since the normal range of platlets is around 150,000 to 300,000 expressed as 150 to 300 and mine are now down to 34 the plan is to leave well alone for the rest of the night (what little exists) keeping a watching brief and then do a full set of bloods in the morning.
Once the new bloods are through then the decisions will be made!!!
Meanwhile back at the ranch and they are trying to find me a bed – that will no doubt keep half a dozen managers occupied! I gather I MAY get a bed but failing that they will put me on a trolley.
This is in the NHS where in Wales the blithering idiots in the so aptly named National ass for Wales have squandered £1Billion of health service money.

I note even the discredited half wits in the Welsh Lib. Dims. stated in their election leaflet:

Labour and Plaid are wasting a staggering £1Billion in our NHS.
They’ve wasted money shuffling bureaucrats around instead of focusing on the real problems.
This money should have been spent on healthcare – wasting it is a disgrace.

Not least of the stupidities has been rebadging The Gwent area NHS from the meaningless Glan Hafran Trust to the even more foolish Aneurin Bevan Trust – rebadging EVERYTHING – so just imagine the cost of that.

They have even produced an entirely new uniform for all the nurses right across Wales – they are ugly beyond belief!

Imagine a nurses uniform top that is firstly too short for the width of all too many of the nurses!
Secondly what idiot would design a nurses uniform that could ONLY be removed over the head!

This of course is prone to destroying any effort they may make to have a hair style, but far more concerning, do the idiots who designed them expect nursing staff to cut their way out and throw them away if they become contaminated with let us say blood, faeces or vomit!

Did anyone do any joined up thinking?
I am also aware that many of the nurses have found the new fabric used causes rashes.
The NHS quite clearly, like so much else in the over blown and over pasi public sector Kleptocracy of QUANGOs needs root and branch pruning reducing the useless levels of management and political nere do wells and apparatchicks by at least 50% to start with.
How can we expect a decent health service when it is dragged to its knees, not by medical requirements but management incompetence and political interferrence.
Oh well I gather I am considered quite unwell – it is astonishing that after 4 hours sleep last night I was awake at about 09:30hrs. And it is 03:00hrs. And still no bed.
The medical side jumps through all the hoops and delivers to the best of the equipment and manpower available.
Yes there ARE more managers feeding off of The NHS than there are beds – it is those excessive managers who believe that the best way to improve the service is to pay ever higher salaries, perks and pensions to managers and fund it by out sourcing basic secretarial services to Indian companies via Irish sub contractors – you couldn’t make it up could you!
OK no bed is likely to be available but they can give me a trolley in the open trolley bay!
I wonder how many wards the managers have closed this weekend to fund their salaries and pension contributions.
We have decided that since bloods will probably be somewhere around 05:00hrs. to 06:00hrs. I’ll stay in this consulting room and if very tired I can doze!
I just want to say sorry for copping out at times and leaving Lee and friends to cope!
Any help and support YOU can give her will be hugely welcome.
I do make a lousy patient!

.
If YOU want to follow my fight against Cancer from when it started and I first presented with symptoms see The TAB just below the Header of this Blog. called >DIARY of Cancer< just click and it will give you a long list of the main events in chronological order.
.
Thoughts and comments will be in chronological order in the main blog and can be tracked in the >ARCHIVE< in the Right Sidebar. You may find the TABS >MEDICAL LINKS< and also >CANCER LINKS< of help.
.
YOU are welcome to call me if you believe I can help in ANY way.
.

Posted by: Greg Lance-Watkins
tel: 01291 – 62 65 62

20-Apr-2011 – THE DAY HAS COME – CHEMO. DAY ONE!!!

20-Apr-2011 – THE DAY HAS COME – CHEMO. DAY ONE!!!

Hi,

well the day has come!

I can’t say I am not concerned but it would be a huge exageration to claim I’m scared of it – I am anything but as chemo may prove to be my very best friend and save my life – despite all the grave warnings of sickness, hair loss, being ill, feeling terrible and the like – all give you a temperature be it a bit high or a bit low failure leaves you COLD!

So this is the first step to recovery, even if due to the sheer incompetence of the National Ass for Wales management of what was once a National Health Service – and was meant to be just that under the Beverrage Plan until the idiot Aneurin Bevan was given the job of implementing the policy which having failed to understand it – in part from inate stupidity but much as a result of his Champagne Socialist prefferences and idiology not to mention the input of his Marxist wife Jenny Lee.

The result has been that The NHS has become an over managed, mismanaged political football surrounded by Political idiologies and acting through its multi layered Kleptocrtatic QUANGOcracy as little more than a sponge to mop up unemployable quasi socialist middle class management of clearly low grade.

How come I find 3 stories of A&E in a pile of cardboard boxes as a permanent potacabin encampment at The Royal Gwent if it were not for missmanagement?

The huddle of cardboard boxes bolted onto the Velindre Hospital as a CDU (where I have my chemo.) with ramped bits of board to join up the levels on uneven ground. I gather this cardboard city was a temporary measure whilst further facilities were built but 3.1/2 years on there is no sign of the building and the ceilings in the cardboard boxes is buckling and breaking up.

One only ever notices ceilings in Hospital Beds and Honey Moon Suites!

This is a product of The Devolved Irresponsibility of The risibly over styled dump for useless space wasting of The Welsh Assembly Government.

A useless QUANGO in itself – merely a means of rubber stamping EU Directives and bribing yet another army of unemployable lick spittles who have, so I am reliably informed in print by The equally idiotic Lib.Dims. have wasted £1Billion of health SERVICE money in the last 12 months!

Sadly I am not surprised – When you note the huge amount of time, effort and investment that has been put into re-badging The Gwent Hospital Trust as ‘The Aneurin Bevan Hospital Trust’ and kitting out all the nurses in new uniforms and re-liverying all the Hospital and Trust vehicles – Did this help a single patient? Did it clean a single filthy ward? Did it save a single life?

I believe you will find that every question gets an emphatic NO.

However for lack of competent management and utter dishonesty and failure to supply the hospital with the requisite CT Scanner or for that matter manage additional shifts to ensure clinical needs were met – I for one may prove in the long run to have been killed by the self serving utter incompetence of Health Care Wales which sees itself as a job creation and marketing organisation designed to display the incompetence and irrelevance of most forms of Consultancy and Administarion, when particularly exempt from accountability as is too often the case in the feather bedded world of The Snivel Cervants.

Well off to Velindre we left with time to spare expecting to arrive at 12:45hrs. for 13:00hrs. – NO SUCH LUCK!

Just before the Coldra Roundabout the traffic ground to a halt – so we phoned to say we would be late but no idea when the CDU was great and just reassured us it would be OK they would fit us in. As a result of some rather ‘rapid’ driving after we passed the single lorry sitting undamaged in the center lane about 5 miles on, we were a mere 20 minutes late!

No problem we gather as Pharmacy is running 1.1/2 hours behind (A Management problem due to lack of allocation of resources in staff numbers to maintain the right output for clinical need) – IS THERE ANY PART OF THE NHS NOT BEING DESTROYED BY ITS OWN USELESS MANAGEMENT?

Well after much time wasting eventually we set off on the treadmill, so to speak.

Bed allocated and then the tedium of signing my life away admitting I knew the risks and knew this was not a cure and knew etc. etc. etc. and now sign this form.

I kept thinking if they can’t manage to keep the ceiling boards up and house the unit in something more solubrious than a glorified packing case wjhat chance they had a clue what they were doing with the medical treatment!!

Anyway medical steps:

01: Place fist and forarm in a bucket of hot/warm water for 5 minutes to relax and open all the veins (that’ll fool them!)

02: Find a suitable vein on the back of the hand and see if you can make it hurt as you insert a cannula needle:

03: Flush the vein for a few minutes with saline.

04: Switch to a bag of chemo that goes in at 999mg an hour so about 40 minutes!
      The first bag was the Gemcitabine which is using a saline carrier – no effects discomfort or pain

05: Flush the vein for a few minutes with saline.

06: Switch to a second bag of chemo that goes in at 999mg an hour so about 40 minutes!
      The second bag was the Carboplatin which uses a glucose carrier base and is in a black bag cover as it is light sensative (I hope I have these two the right way around! More to the point I hope they did!!!!) – no effects discomfort or pain.

07: Flush the vein for a few minutes with saline.

08: remove needles/cannula & tapes and away to go 😉

09: WELL NOT QUITE!
      More ‘debriefing’ this time with a care packet and warnings that I may have all sorts of dire consequences like sickness & heavy periods!! well that’s what the leaflet says! diarrhoea, flue like symptoms, temperature and durance vile!!
So here is a big bag of specialist anti sickness pills and our phone number 24/7 if you have ANY queries.

Well let the lions into the arena and as a gladiator about to do battle salute the Emperor:
‘Those about to die Salute you Caesar’

It was more convincing in The Colosseum than in a cardboard box set up as a Welsh NHS chemo clinic I’m sure!

Well off home expecting to be ill at any moment and shiver and ache with the ague!

Eventually I went to bed at about 04:00hrs. having waited until I was feeling ill so that I could THEN try to sleep on and sleep through it – but no sign of the ill bit, so I gave up and went to bed!

I do feel sorry for Lee – I have no option but enjoin the battle but she has the onerous task of watching and hoping that all will be well, it must be very scarey for her after more than half of her life with me!

I just want to say sorry for copping out at times and leaving Lee and friends to cope!
Any help and support YOU can give her will be hugely welcome.
I do make a lousy patient!

.
If YOU want to follow my fight against Cancer from when it started and I first presented with symptoms see The TAB just below the Header of this Blog. called >DIARY of Cancer< just click and it will give you a long list of the main events in chronological order.
.
Thoughts and comments will be in chronological order in the main blog and can be tracked in the >ARCHIVE< in the Right Sidebar. You may find the TABS >MEDICAL LINKS< and also >CANCER LINKS< of help.
.
YOU are welcome to call me if you believe I can help in ANY way.
.

Posted by: Greg Lance-Watkins
tel: 01291 – 62 65 62

12-Apr-2011 – DEATH by MANAGEMENT?

12-Apr-2011 – DEATH by MANAGEMENT?

Hi,

early screening is a great idea, as one of the great keys to Cancer survival is early diagnosis and prompt treatment.

It does make me wonder that although I have now had cancer for 13 years this latest TCC (Transitional Cell Carcinoma) was obvious during my bladder op. in December – just look at the Cancer Diary and consider the dates!

For more details on TCC CLICK HERE

Having discovered the tumour in the bladder and aware that it MIGHT be through the bladder wall I can only call the 4.1/2 months of delay utter incompetence on the part of management at some level in the idiotic multi level QUANGOcracy that is Britain’s NHS of today, as a result of the 13 years of obscene misrule and economic illiteracy of our Government.

Had my surgeon in December been able to carry on and do the obvious by removing a cuff or coin around the site and re-establish the integrity of the bladder at the time would I now be facing a potential death sentence? Would cancer have ever had the chance to spread to the lymph glands?

Would I need chemo. with its consequences and far from wonderfull side effects and poor prognosis?

To what extent can it now be argued that due to the incompetence of the multi layered QUANGOcracy that is the modern NHS and the childish doctrinal weenie waggling of NHS Wales, desperately wasting public money on reforms and rebadging etc. – not because it provides a better service but purely because they can to hide their over staffing and inadequacies as managers or even politicians they end up killing patients.

Just what is the value of spending a small fortune on rebadging The NHS Health Care in Monmouthshire after Aneurin Bevan when he was clearly utterly useless, was arguably one of the first champagne socialists – neglected his constituents in The Valleys and although married to an outspoken Communist used his Ministerial income to buy a farm in Surrey or was it Sussex.

Just what did Aneurin Bevan ever do for Health Care in Britain let alone wales – it was he who was charged to implement the decision made by the previous Government and agreed to by Labour and The Liberals to impliment Lord Beverridge’s Plan for a National Health Service and almost all of todays problems in The NHS can be attributed to Aneurin Bevin who seemingly was too stupid to understand The Beverridge Plan and could not resist tampering with it – resulting in it becoming a political football with a massive overstaffing of managers relative to medical staff and medical management – we lack even the ability to train adequate staff hence the huge number of aliens imported from third world countries who can ill afford to loose their most valuable assets!

Surely the cost of rebadging in Monmouthshire would have been far better spent on another CT Scanner and better management of MEDICAL resources – who cares what uniform nurses have or what fatuous badges are on NHS vehicles.

I believe a more available scanner would stand far more chance of having saved my life and ensured that the cancer had not spread than any amount of ego trips for inadequates with what can only be described as non jobs!

Many will find this article of interest CLICK HERE
Which together with this CLICK HERE
indicates it is not just The NHS going off the rails!

We seem not only to have moved into a ‘Post democratic Era’ where Politicians are an entity in their own right but where we have little or no meaningful say as all too much of our lives is clearly founded on NON Science, NON Logic, NON Entities and NON Jobs functioning for their own personal gain at the expense of the society they are paid to serve yet seemingly believe are merely there to ensure their incomes!

When will a death due to this level of self serving indifference be found to be at least manslaughter if not murder by a Coroners’ Court or is that as hopelessly unlikely as a Police Officer being charged with murder when they gun down yet another innocent victim!

I just want to say sorry for copping out at times and leaving Lee and friends to cope!
Any help and support YOU can give her will be hugely welcome.
I do make a lousy patient!

.
If YOU want to follow my fight against Cancer from when it started and I first presented with symptoms see The TAB just below the Header of this Blog. called >DIARY of Cancer< just click and it will give you a long list of the main events in chronological order.
.
Thoughts and comments will be in chronological order in the main blog and can be tracked in the >ARCHIVE< in the Right Sidebar. You may find the TABS >MEDICAL LINKS< and also >CANCER LINKS< of help.
.
YOU are welcome to call me if you believe I can help in ANY way.
.

Posted by: Greg Lance-Watkins
tel: 01291 – 62 65 62