Business department says bill will enforce ‘basic’ level of service from different sectors during stoppages
Ministers are to unveil controversial new legislation designed to curb the effectiveness of strike action as industrial disputes continue to paralyse services across the UK.
The Department for Business, Energy and Industrial Strategy has previously said the bill will enforce a “basic” level of service from different sectors if workers choose to strike.
Continue reading...Some suggest political naivety played a role as No 10 admits it is taking a ‘new approach’ by discussing pay
At the end of talks over next year’s pay deal for NHS workers, which broke up without resolution on Monday, union negotiators told Steve Barclay: “You know we’re going ahead with strikes?” One of those in the room said the health secretary shrugged his shoulders in resignation. “I accept that,” he told them.
But the fact ministers sat down with unions to discuss pay at all is, in itself, a breakthrough. For weeks the government has been indicating that, while it would meet unions to avert further strikes, reopening this year’s pay deal was not an option.
Continue reading...Medical union balloting 45,000 members from today over strike in March as ministers meet unions in effort to end disputes
Good morning. There are various meetings taking place today between ministers and union leaders representing workers in health, education and the rail industry after Rishi Sunak called last week for both sides to get around the table. This is quite a shift from the pre-Christmas position when ministers insisted it was up to management negotiators to take the lead in talks with unions. At the end of last week it was not clear whether this was mainly a presentational ploy (Sunak wants the government to be seen as “reasonable’”), or whether significant concessions might be in the pipeline, but yesterday, as my colleague Pippa Crerar reports, Sunak hinted it was the latter in his start-of-year interview with Laura Kuenssberg.
But it is quite possible that the strike crisis could get worse before it gets better. The British Medical Association is from today balloting 45,000 junior doctors in England on strike action and, if they vote in favour, a 72-hour strike is planned from March. This morning Dr Emma Runswick, the BMA’s deputy chair, told Sky News that the chances of a strike were “very high”. She explained:
[Health secretary] Steve Barclay’s planning to meet with us on Wednesday but only to discuss a very narrow set of things. He’s talking about the evidence that the government will submit to the pay review body. Unfortunately, they’ve already submitted their remit letter to the pay review body telling us and them that we only should receive 2% next year.
So, that’s another massive pay cut after we’ve had a pay cut this year, and for the previous 15 years. Again, another pay cut on top of the quarter pay cut we’ve already received, so I’m not optimistic … about the meetings, though we will go and we will negotiate if that is an available option to us.
We’re asking for the reversal of that pay cut [over the last 15 years]. So, mathematically, it might even be more and if we have another pay cut this year, it’ll be more again. So, we’re only asking for what we’ve had cut from us back.
Continue reading...PM urged to ‘come clean’ amid suggestions he is out of touch with millions who face long NHS waits
Rishi Sunak has refused to say whether he uses private healthcare amid suggestions he is out of touch with millions of ordinary people who face long waiting times to receive treatment on the NHS.
The prime minister said his own healthcare was “not really relevant” and was a “distraction” from his focus on making sure people across England receive high-quality NHS provision.
Continue reading...Political disagreement about the role of the state, the expense of reform and our unwillingness to confront ageing are at the root of the problem
A confidential No 10 memo on (not) reforming social care reads: “The prime minister agreed that this seemed the right course, but noted that careful thought needed to be given to the presentation in order to avoid charges that the government had pulled back from its original commitments on long-term care.”
That’s not a recent leak: it was from 1996, and shows how far back political failure on social care stretches. Politicians have not incurred any penalties for shirking this responsibility. In fact, the only leader who has really been burned by it is Theresa May – and that’s because she tried to do the right thing and be honest with the public about the cost in the 2017 election.
The past three decades have seen many attempts to reform social care. They all had different solutions and all collapsed in slightly different ways. But there are three things that the failures have had in common.
Observer investigation finds a ‘two-tier’ health system emerging in England, with rapid access available to those able to pay
NHS trusts with record waiting lists are promoting “quick and easy” private healthcare services at their own hospitals, offering patients the chance to jump year-long queues, the Observer can reveal.
Hospitals are offering hip replacements from £10,000, cataract surgery for £2,200 and hernia repairs for £2,500. MRI scans are offered for between £300 and £400.
East Sussex healthcare NHS trust has thousands of patients waiting for diagnostic tests but offers “fast access” to scans through its private division.
Great Western hospitals NHS trust in Wiltshire is warning patients that services are “extremely busy”, while its private division promotes self-pay treatment for those who “don’t want to wait for an NHS referral”.
James Paget university hospitals NHS trust in Norfolk is advertising private services on its NHS website, stating: “We provide highly experienced consultant-led services … without the waiting list.”
Continue reading...Industrial action on 23 January in England and Wales will coincide with strike by Unison members
More than 2,600 additional ambulance workers plan to strike in late January over pay, the trade union Unite announced on Friday.
Unite’s members will join colleagues belonging to Unison in striking on 23 January, with hospital bosses calling for “serious talks” between the government and unions to avoid “even more pressure on already overstretched NHS services”.
Continue reading...Waiting times for admission to A&E in last week of year likely to be highest recorded by the service
More than a quarter of ambulance patients in England waited more than an hour to be admitted to A&E in the last week of 2022, amid “one of the most difficult” winters in NHS history.
Of all those arriving by ambulance in the week to 1 January, 26.3% waited with crews for more than 60 minutes.
Continue reading...PM offers no hint he will compromise on pay offers as former cabinet minister says nurses key to dealing with NHS pressures
The journalist interviewing Rishi Sunak this morning did not press Sunak on excess deaths because he needed to ask some questions about Prince Harry’s memoir. But Sunak would not go near the topic.
Asked how he felt seeing the royal family “torn apart” by these claims and revelations, Sunak replied:
As you would expect, it is not appropriate for me to comment on matters to do with the royal family.
I wouldn’t comment on matters to do with the royal family. I would just say I am enormously grateful to our armed forces for the incredible job they do in keeping us all safe. We’re all very fortunate for their service.
Continue reading...Specialisms such as dentistry have shortages and EU exit still causes issues with medicines in Northern Ireland, thinktank finds
NHS trusts in England have increased recruitment from low-income “red list” countries to make up for the post-Brexit loss of EU staff, despite a code of practice to safeguard health services in those developing countries.
A report by the Nuffield Trust thinktank also identified shortages in vital specialist areas since Brexit, including dentistry, cardiothoracic surgery and anaesthesiology.
Continue reading...PM plans a ‘no tricks’ reset but with an inflation fall already expected this is more about hanging on at an election
In his first big speech since taking over at No 10, Rishi Sunak promised “no tricks, no ambiguity” as he announced his five promises to reset the government after a difficult year.
The prime minister said he would be focusing on halving inflation, growing the economy, reducing debt, cutting NHS waiting lists, and stopping small-boat crossings to the UK.
Continue reading...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”.
Continue reading...In what NHS calls ‘never events’, items including swabs, blades and drill bits left in patients 291 times in England in 2021-22
A rising number of medical foreign objects, including wire cutters, scalpel blades and drill bits, have been left inside hospital patients after surgery in England, new figures reveal.
Blunders involving a “foreign object accidentally left in body during surgical and medical care” led to 291 “finished consultant episodes” in 2021-2022, official data shows.
Continue reading...Downing Street says NHS is receiving funding it needs despite Royal College of Emergency Medicine saying ministers are in denial
Earlier today the vice president of the Royal College of Emergency Medicine said ministers were in denial over the extent of problems facing hospital A&E departments. (See 11.19am.) At the Downing Street lobby briefing this morning the prime minister’s spokesperson tried to avoid sounding complacent, but he did claim the NHS has the funding it needs this winter. He told journalists:
We are confident we are providing the NHS with the funding it needs, as we did throughout the pandemic, to deal with these issues …
We have been upfront with the public, long in advance of this winter, that, because of the pandemic and the pressures it’s placed in the backlog of cases, that this would be an extremely challenging winter. And that is what we are seeing.
We have continued to put billions of pounds of additional funding into the NHS – £7.5bn for adult social care and for delayed discharge over the next two years. And there’s £14.1bn in additional funding to improve urgent and emergency care and tackle the backlogs.
This is certainly an unprecedented challenge for the NHS, brought about by a number of factors.
Could Johnson really win a parliamentary ballot? Or might Conservative members impose him on unwilling Tory MPs (which proved less than successful in the case of Truss)? Above all, is it likely that he would stand in the first place? For all his reputation for recklessness, Johnson has a prudent streak. Both last year and in 2016 he decided not to stand, bruising the feelings of some of those who had invested hope in his candidacy …
It’s possible that a reinstalled Johnson could confound his critics, as he has done so many times before, and win the Conservatives a fifth term. Let Sunak do the hard work, Johnsonians will say – the tax rises, the spending cuts. Then their man can breeze in with his unquenchable optimism, cut taxes and cheer Britain up. Really?
Continue reading...Ministers urged to recall parliament amid warnings patients are dying needlessly due through inaction
The crisis engulfing the NHS will continue until Easter, health leaders have warned, as senior doctors accused ministers of letting patients die needlessly through inaction.
More than a dozen trusts and ambulance services have declared critical incidents in recent days, with soaring demand, rising flu and Covid cases and an overstretched workforce piling pressure on the health service.
Continue reading...Lib Dems say face-to-face GP bookings ‘almost extinct’ in some areas as their survey shows a rise in self-prescribing
Almost one in four people have bought medicine online or at a pharmacy to treat their illness after failing to see a GP face to face, according to a UK survey underlining the rise of do-it-yourself treatment.
Nearly one in five (19%) have gone to A&E seeking urgent medical treatment for the same reason, the research commissioned by the Liberal Democrats shows.
Continue reading...President of the Royal College of Emergency Medicine believes waiting times for December will be the worst he has ever seen
As many as 500 people could be dying each week because of delays to emergency care, a senior healthcare official has said.
The president of the Royal College of Emergency Medicine, Dr Adrian Boyle, believes waiting times for December will be the worst he has ever seen, with more than a dozen NHS trusts and ambulance services declaring critical incidents over the festive period.
Continue reading...Chief medical officer Chris Whitty told health secretary Steve Barclay there was no evidence tests on travellers would have any effect
Rishi Sunak’s decision to perform a U-turn and impose Covid checks on travellers from China was dismissed on Saturday night as a purely political manoeuvre that would make no difference to the rise or fall of cases in the UK.
The health secretary Steve Barclay was briefed by the chief medical officer Chris Whitty on Thursday and was told there was no clear evidence of significant benefits from testing travellers from China. The Observer has learnt that on the following day, Barclay discussed the issues with Sunak, who nevertheless decided it was more important for Britain to align itself with those nations – the US, Japan, Italy and Spain – that had already imposed such tests.
Continue reading...Almost every facet of life in the UK – courts to cost of living, transport to healthcare, environment to asylum system – is at breaking point
In mid-November Rishi Sunak was asked in a Channel 4 interview to name one public service that “was working, adequately, working properly”.
The prime minister didn’t give a direct answer. But the exchange feeds into an ever-more-common discourse: that the UK is facing “polycrisis” in almost every facet of life in Britain. From courts to the cost of living, transport to healthcare, environment to the asylum system – everywhere appears to be affected.
Continue reading...England to become first country to eliminate virus thanks to targeted screening campaigns and effective treatments
The NHS is set to eliminate hepatitis C in England by 2025 due to targeted screening campaigns for those at risk and effective drug treatments, according to health officials. NHS England said the measures are helping to dramatically cut deaths from the virus five years ahead of global targets.
Deaths from hepatitis C – including liver disease and cancer – have fallen by 35% since NHS England struck a five-year deal worth almost £1bn to buy antiviral drugs for thousands of patients in 2018.
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