Full three day JR hearing in Leeds starting on 12 June 2018.<\/span><\/p>\n <\/p>\n
127 of the 137 Acute Hospital Trusts in England Enjoy Suspicious, Simultaneous Uplifts in A&E Performance<\/b><\/p>\n
Colin Standfield, a medical researcher in Ealing, has been monitoring and analysing NHS Acute Hospital A&E performance for over five years. In May 2018, he noted that between March 2018 and April 2018 there have been unprecedented and simultaneous uplifts in A&E attendances at 92% of NHS Acute hospitals. This applied to \u2018Type1\u2019 (the most seriously ill\/injured) and to \u2018All\u2019 categories. For this to happen simultaneously and similarly in all these hospitals is a statistical phenomenon. Colin has never before detected such an orchestrated uplift between two successive sets of data.<\/span><\/p>\n <\/p>\n
One wonders whether there has been\/is a systematic change in the way attendances and admissions are being recorded. A cynic might suggest that the data collection is being \u2018coached\u2019 or \u2018fudged\u2019.<\/span><\/p>\n <\/p>\n
UK Statistics Authority (UKSA) Raises Concerns Yet Again About the Accuracy of A&E Waiting Time Statistics<\/b><\/p>\n
In May 2018 \u2018Health Service Journal\u2019 (HSJ) revealed that UKSA has expressed its concerns to NHSE and NHSI that \u2018A&E data collection guidance, based on agreed principles, has still not been published\u2019. UKSA first raised concerns about the accuracy of NHS A&E statistics in January 2018.<\/span><\/p>\n <\/p>\n
HSJ quotes concerns from the Royal College of Emergency Medicine (RCEM) and from the Society of Acute Medicine about the accuracy, consistency and timeliness of NHS A&E performance data. The RCEM emphasised that the NHS must make a clear distinction to the public about the difference between overall A&E performance and the performance of Type 1(seriously ill\/injured) emergency departments.<\/span><\/p>\n <\/p>\n
GP Numbers in England Are Declining<\/b><\/p>\n
March 2015: 35,516<\/span><\/p>\nMarch 2018: 34,434<\/span><\/p>\nOver 1,000 GPs have been lost over the last three years. In June, 2015 Health supremo Jeremy Hunt MP said he wanted 5,000 more GPs by 2020. Well that target just went up to over 6,000 and there are just less than 20 months to go to meet it.<\/span><\/p>\n <\/p>\n
Cancer Referrals by GPs Being Refused, Downgraded as \u2018Less Urgent\u2019 or Delayed<\/b><\/p>\n
\u2018GP Online\u2019 revealed in April 2018 that from an admittedly small sample of 507 GPs, 25% had cancer referrals refused and 36% had cancer referrals downgraded as \u2018less urgent\u2019. Overall 46% of the GPs had cancer referrals bounced back or downgraded \u2013 and of these 25% of the patients involved did have cancer.<\/span><\/p>\n <\/p>\n
If this is the reality of the cancer referrals \u2018pathway\u2019 one seriously worries about referrals for the much less esteemed, less funded mental health referral pathway?<\/span><\/p>\n <\/p>\n
Almost One Third of all Mental Health Referrals For Younger Children by GPs Were Refused 2014\/15 to 2017\/18<\/b><\/p>\n
Response to an NSPCC Freedom of Information request has revealed this refusal rate over the last three years. Allied to this younger peoples\u2019 mental health GP referrals were 25,140 in 2014\/15 and rose to 34,751 in 2017\/18.<\/span><\/p>\n <\/p>\n
Hammersmith & Fulham Clinical Commissioning Group (CCG) Expects \u00a318 Million Bail Out From NHSE for 24,000 New Patients at Dr Jefferies GP Surgery in Fulham <\/b><\/p>\n
\u2018GP Online\u2019 reports that Dr Jefferies GP surgery in Fulham has submitted a rather large bill to its CCG for 24,000 new patients. These patients have signed up for the surgery\u2019s \u2018GP at Hand\u2019 service. This service offers (for those patients accepted) a rapid Smartphone based consultation. Upon signing up for the service registration at their \u2018old\u2019 GP surgery is apparently cancelled, and they go onto the very long Dr Jefferies list.<\/span><\/p>\n <\/p>\n
If you are pregnant, have cancer or are mentally ill you are unlikely to be accepted as a GP at Hand patient. There are more patients in the 20 to 29 year old age group registered than in any other age group.<\/span><\/p>\n <\/p>\n
Babylon, GP at Hand\u2019s owner, had plans to roll out the service to Birmingham and Manchester, but NHSE has objected. However it was NHSE which caused this financial and GP list disruption by agreeing to a six month trial of GP at Hand in January 2018 in Camden, Islington, Enfield and Barnet. <\/span><\/p>\n <\/p>\n
NHS Buckinghamshire CCG Forecasts \u00a319 Million Deficit for 2017\/18<\/b><\/p>\n
In a wonderful example of \u2018Yes Minister\u2019 bureaucracy-speak, this \u00a319 million deficit was apparently caused by \u2018over performance\u2019 and \u2018under delivery\u2019. Buckinghamshire CCG is one of six partners in the Buckinghamshire pioneer, \u2018shadow\u2019 Integrated Care System. Even as late as December 2017 (month 9) the CCG forecast was that there would be no year-end deficit.<\/span><\/p>\n <\/p>\n
Like the nine other pioneer, shadow NHS ICSs, no visible ICS progress is indicated on its web site. No ICS subject areas, no new ICS press releases and no new ICS events \u2013 on any of the ten ICS web sites.<\/span><\/p>\n <\/p>\n
Funding for Sustainability and Transformation Partnerships\u2019 (STPs\u2019) IT is Being Blocked<\/b><\/p>\n
In February 2016, Jeremy Hunt MP announced a \u00a31.8 billion fund to achieve a paperless\u2019 NHS by 2020. It was part of an announcement of a \u00a34.5 billion fund for technology within the NHS to be spent by 2021. Tens of millions have already been paid to 23 NHS Trusts. However the next wave of payments is allegedly to be paid to STPs. The pot of money is now referred to as the \u2018provider digitalisation fund\u2019. The fund was supposed to start dishing out cash in Autumn 2017, but this did not take place. On 1 March 2018, NHSE announced that \u00a3990 million would be allocated to digitalised providers. In late April 2018, NHSE retracted this figure.<\/span><\/p>\n <\/p>\n
The NHS and IT have a very chequered history. The National Programme for IT in the NHS was launched to great fanfare in 2002, and then dismantled in 2011. The losses are still being totalled up but in 2013 they had exceeded \u00a310 billion making it the world\u2019s most expensive civilian IT failure.<\/span><\/p>\n <\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
Issue: 67 21 May 2018 This occasional newsletter is researched, written and edited by a group of concerned residents in Ealing, West London who want to preserve our NHS. We view the wholesale engagement of private, for-profit healthcare service suppliers as unnecessary, profligate and dangerous. Increased financial funding is what is needed in our […]<\/p>\n","protected":false},"author":2,"featured_media":1477,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[],"tags":[],"class_list":["post-1524","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg","uagb_featured_image_src":{"full":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg",2560,1440,false],"thumbnail":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1-150x150.jpg",150,150,true],"medium":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1-300x169.jpg",300,169,true],"medium_large":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1-768x432.jpg",640,360,true],"large":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1-1024x576.jpg",640,360,true],"1536x1536":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg",1536,864,false],"2048x2048":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg",2048,1152,false],"td_0x420":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg",747,420,false],"td_80x60":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg",80,45,false],"td_100x75":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg",100,56,false],"td_180x135":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg",180,101,false],"td_238x178":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg",238,134,false],"td_265x198":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg",265,149,false],"td_300x160":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg",284,160,false],"td_300x194":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg",300,169,false],"td_300x350":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg",300,169,false],"td_341x220":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg",341,192,false],"td_341x400":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg",341,192,false],"td_511x400":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg",511,287,false],"td_537x360":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg",537,302,false],"td_640x0":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg",640,360,false],"td_640x350":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg",622,350,false],"td_681x0":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg",681,383,false],"td_681x400":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg",681,383,false],"td_741x486":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg",741,417,false],"td_1021x580":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1.jpg",1021,574,false],"mailpoet_newsletter_max":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/04\/My-Post-1-1320x743.jpg",1320,743,true]},"uagb_author_info":{"display_name":"Eric Leach","author_link":"https:\/\/ealingsaveournhs.org.uk\/?author=2"},"uagb_comment_info":0,"uagb_excerpt":"Issue: 67 21 May 2018 This occasional newsletter is researched, written and edited by a group of concerned residents in Ealing, West London who want to preserve our NHS. 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Increased financial funding is what is needed in our…","jetpack-related-posts":[],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=\/wp\/v2\/posts\/1524","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1524"}],"version-history":[{"count":2,"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=\/wp\/v2\/posts\/1524\/revisions"}],"predecessor-version":[{"id":1526,"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=\/wp\/v2\/posts\/1524\/revisions\/1526"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=\/wp\/v2\/media\/1477"}],"wp:attachment":[{"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1524"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1524"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1524"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}