Category Archives: Public services policy

Record rise in people using private healthcare amid NHS frustration

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Data prompts speculation NHS inability to cut waiting lists could make private healthcare ‘new normal’

Record numbers of people are paying for private healthcare, spending up to £3,200 on having a cataract removed and £15,075 on a new hip, amid growing frustration at NHS waiting lists.

Across the UK last year 272,000 people used their own funds to cover the cost of having an operation or diagnostic procedure at a private hospital. That was up from 262,000 the year before and a sharp rise on the 199,000 who did so in 2019, the year before the Covid pandemic struck.

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Senior doctors in England to vote on industrial action

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BMA says consultant pay has declined by 35% since 2008-9

Senior doctors in England are to vote on whether to strike amid the continued row over pay in healthcare, as teachers’ unions also plan to hold a ballot for industrial action.

The ballot will open on Monday until 27 June as the British Medical Association urges members to approve.

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‘I’ll be bolder than Blair on public service reform,’ says Keir Starmer

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Leader pledges a radical, reforming Labour government with aid to first-time buyers and a revamp of tuition fees among the party’s targets

• Read more: ‘I want Labour to be the party of home ownership,’ says Starmer

Keir Starmer today pledges to lead a radical, reforming Labour government that is bolder than Tony Blair’s on public service reform, as he announces plans to accelerate housing building and get more young people on to the property ladder.

In an interview with the Observer before Thursday’s local elections, the Labour leader insists he will more than match Blair for radical ideas on overhauling public services including the NHS. “This will be a bold and reforming Labour government bringing about real change that I hope will be felt through the generations,” Starmer said.

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NHS leader asks union to let striking nurses go back to work for emergencies

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Health service bosses say patient safety could be at risk when nurses in England stage 28-hour stoppage from Sunday evening

An NHS leader has urged the Royal College of Nursing to let striking nurses leave picket lines and go back to work in their hospital if emergencies occur during their strike this weekend.

Matthew Taylor made the appeal as the NHS braced itself for renewed disruption to services as a result of the first strike by nurses since they rejected the government’s improved pay offer.

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Barclay ‘wasting public money’ with legal action against nursing strike

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Exclusive: Health secretary trying to ‘wear down’ NHS nurses rather than negotiating, RCN general secretary to tell high court

Steve Barclay will be accused of wasting taxpayers’ money by pursuing striking nurses through the courts when the government seeks on Thursday to shorten their industrial action due to start on Sunday evening.

In a witness statement to be heard in the high court, Pat Cullen, the Royal College of Nursing’s general secretary, will say the health and social care secretary is trying to “wear down” nurses through legal action.

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Rishi Sunak appears ready to try to tough out further wave of NHS strikes

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High-risk tactic increases likelihood of combined stoppages by nurses and junior doctors in England

Rishi Sunak appears set on trying to face down unions in a high-risk strategy to tough out a renewed wave of NHS strikes in England that health service leaders warned were unsustainable and could put patient safety at risk.

With the prime minister and his health secretary, Steve Barclay, seemingly offering no fresh concessions for nurses or junior doctors, they risk the possibility of combined strike action, a scenario one NHS leader said would put the health service “into uncharted territory”.

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Further England nurses’ strikes present ‘severe challenge’ to NHS

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NHS leader says threat of joint strike with junior doctors could pose hardest challenge yet

A 48-hour nurses’ strike in England in May will present “severe challenges”, and the threat of coordinated industrial action with junior doctors could pose the “most difficult challenge” to date, an NHS boss has said.

Speaking after a four-day junior doctors’ strike ended at 7am on Saturday, Sir Julian Hartley, the chief executive of NHS Providers, said fresh strike action announced by the Royal College of Nursing from 30 April until 2 May, and the possibility of stoppages continuing into next winter, was “extremely worrying and concerning”.

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Senior UK civil servants could strike after ‘unconscionable’ pay offer

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Government’s limiting of average pay rise to between 4.5% and 5% prompts fresh strike dates and possible FDA ballot

The UK’s most senior civil servants could take their first strike action in more than a decade after ministers imposed an average pay rise of between 4.5% and 5%, in a move described as “unconscionable” by union leaders.

The Cabinet Office published pay remit guidance limiting awards to an average of 4.5%, plus an additional 0.5% for the lowest pay bands.

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Junior doctors’ union asks Acas to help end strikes deadlock

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Conciliation service urged to look for ways to end logjam with government over demand for 35% pay rise

The junior doctors’ union has asked the conciliation service Acas to look into ways of breaking the deadlock in their dispute with the government over their claim for a 35% pay rise.

Tens of thousands of junior doctors in England are on the second day of a four-day strike in pursuit of their campaign to achieve “full pay restoration” after a significant loss of earnings since 2008-09. It is expected that up to 350,000 appointments and operations could be cancelled as a result.

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Government disposed of 3bn items of PPE bought in pandemic, data shows

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Department of Health and Social Care in England has removed 269,500 pallets of PPE from its stock

The government has disposed of more than 3bn items of personal protective equipment (PPE) it bought during the pandemic, figures have revealed.

An estimated 3.14bn items have been shed through a mixture of recycling, energy from waste processes – including some incineration – donations and sales.

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Union leader urges TUC to unite in defying planned anti-strike law

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Fire Brigades Union chief says joint action needed to oppose ‘pernicious’ minimum service levels bill

A leading trade union has called for a concerted campaign of defiance and civil disobedience against the government’s planned anti-strike laws.

Matt Wrack, the general secretary of the Fire Brigades Union (FBU), urged a coordinated campaign among trade unions of “mass non-cooperation and non-compliance” against the minimum service levels bill.

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Health unions hail victory after government’s new pay offer for NHS staff in England

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Offer includes two one-off payments – 2% bonus and 4% Covid payment – plus pay rise of about 5%

Health unions hailed a historic victory on Thursday, after Steve Barclay made a significant new pay offer aimed at ending NHS strikes in England, in a climbdown that could embolden other unions at loggerheads with the government.

After months of rolling strikes involving thousands of NHS workers including nurses, ambulance staff and physiotherapists, the government ditched its claim that this year’s pay deal could not be reopened and offered a one-off bonus worth up to 8.2%.

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NHS strikes: Steve Barclay expected to announce formal pay offer

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Offer to unions involved in strikes in England expected to include one-off payment of up to 6% for this year

The health secretary, Steve Barclay, is expected to announce a formal pay offer to key unions involved in NHS strikes in England, including a one-off payment of up to 6% for this year, in an effort to end months of industrial action.

Last-minute talks between the Department of Health and Social Care (DHSC) and the unions were understood to be continuing on Thursday morning, but an offer was expected to be made public later in the day.

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Ambulance call handlers in England tell of anguish over death risk to patients

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Dispatchers tell investigation it is common to worry: ‘How many people are we going to kill today?’

Ambulance call handlers suffer anxiety about how many people will die before they can get help to them each day, researchers looking into the welfare of NHS staff have found.

Officials from the Healthcare Safety Investigation Branch (HSIB) in England asked staff working in urgent and emergency care, including in A&E, NHS 111 call handling centres and ambulance services, for their experiences as part of wider research into NHS care.

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‘It’s soul destroying’: why so many NHS staff are off sick with burnout

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Doctors, paramedics and nurses explain the stress and anxiety of working in a system that has reached breaking point

“Frustration with the system was why I went off in the end,” said Conor Calby, 26, a paramedic and Unison rep in southwest England, who was recently off work for a month with burnout. “I felt like I couldn’t do my job and was letting patients down. After a difficult few years it was challenging.”

While he usually manages to keep a distinct divide between work and home life, burnout eroded that line. He also lost his sleep pattern and appetite.

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More than 70,000 staff at 150 UK universities to strike for 18 days

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Industrial action to take place in February and March in dispute over pay, conditions and pensions

More than 70,000 staff at 150 universities across the UK will strike for 18 days between February and March in disputes over pay, conditions and pensions, it has been announced.

The University and College Union (UCU) said the precise dates of the action will be confirmed next week.

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Health unions refuse to give evidence to ‘rigged’ NHS pay review system

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Officials from 14 health unions want to hold direct talks with ministers to agree pay rises for NHS staff

The system for setting NHS staff pay is under threat after health unions refused to submit evidence to the two bodies that advise ministers on how big annual increases should be.

The role and credibility of both the NHS pay review body (NHSPRB) and the review body on doctors’ and dentists’ remuneration (DDRB) have been brought into question by the move.

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PPE Medpro: UK government alleges firm supplied defective gowns to NHS

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Exclusive: DHSC alleges gowns were not sterile, could not be used within NHS ‘for any purpose’, and technical labelling was ‘invalid’

The UK government has accused a company linked to the Conservative peer Michelle Mone of supplying defective gowns that could have compromised the safety of patients had it been used in the NHS.

The Department of Health and Social Care (DHSC) paid the company, PPE Medpro, £122m for 25m sterile surgical gowns under a contract awarded in June 2020 after Mone first approached ministers offering to supply PPE. However, the DHSC has alleged the gowns were rejected because they were not sterile, their technical labelling was “invalid” and “improper”, and they “cannot be used within the NHS for any purpose”.

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Rishi Sunak swaps Christmas address for surprise phone calls

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Prime minister facing industrial action records calls thanking public sector workers for ‘sacrifices’

Rishi Sunak has chosen to record phone calls with public servants in which he thanks them for their “selflessness” rather than broadcast a Christmas message to the nation.

The prime minister made apparently surprise calls to four workers and the crew of a naval ship to express his gratitude for their “sacrifices” after an “extraordinary year”.

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NHS braced for surge of patients after ambulance workers’ strike

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Doctors warn of a backlog of patients and ‘deteriorating health’, with calls to 999 down 25% during paramedics’ 24-hour stoppage

The NHS is bracing itself for an influx of patients between now and Christmas after thousands of people deferred seeking treatment during the ambulance workers’ strike on Wednesday.

Senior doctors are warning that the decision by many people in England and Wales not to request help while paramedics were staging a 24-hour stoppage will leave the NHS struggling to cope at a time when hospitals would traditionally be scaling back their services for the festive break.

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