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nhsManagers.net

18th February 2025

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News and comment from

Roy Lilley



Game...

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Frangipani essential oil is made using one of the rarest of plants.


It is derived from Plumeria alba shrub, which costs $1500 per ounce. The flower for the oil only comes from the Comoros Islands in France.


It’s a favourite of expensive perfume makers and blenders of exclusive massage oils, due to its…


‘… exotic notes while still being a sweet floral.’


Put it on yer Xmas list.


Yesterday, there was more than a whiff of Frangipani about Labour’s press release (1,500 words!) boasting about achieving their manifesto pledge…


‘… to deliver over two million more elective care appointments, hit early with over 100,000 more treatments, tests and scans for patients each week.’


Massaging the facts doesn’t quite do it. There’s more…


‘…Waiting list falls by almost 160,000 since government took office.’


...claiming responsibility for that is like saying, on the drive to work this morning, all the red lights were green because there is a Labour government.


Confusing coincidence with crafting, calculating and configuring policy is nothing more than curation of the actualité. A fine example of retrospective genius.


Let’s have a closer look at our great leader’s strategic opportunism.


Have there been more appointments and what-not, since he descended from the heavens in a cloud of golden light? 


Yes. Yes… but...


... comparing July to December '23 with '24 is management by serendipity. The earlier period was beset by junior doctor strikes which wrecked rotas and backed up waiting lists.


It is true that Labour can take the credit for ending the strikes…


... if buying-off strikers can be deemed credit worthy. Putting up the wages bill means most of the extra money Labour has found for the NHS has been eaten up by addition costs in staffing. 


It’s a two year deal and I predict now… the BMA will want more in the third year.


Given a clear run, unencumbered by industrial action, which the NHS is powerless to resolve as pay and conditions are a national matter, reserved for the DH+ to handle…


... the sharp-end of care can do really well.


The NHS was on the way to treating over 7% more patients than the previous winter, well before Labour arrived.


So much for a broken NHS.


Eighty nine diagnostic hubs were doubled to 180 under funding and an initiative bequeathed to his successors by Tory health secretary, Steve Barclay. I think I’m right in saying more hubs are yet to materialise under Labour?


So much for a broken NHS.


Demand is up but the NHS is holding the lists pretty much flat, despite an horrendous winter period that started in the Autumn and is continuing into Spring.


So much for a broken NHS.


There has been a strong recovery for three and a half years after covid despite industrial action, the confusion of seven health secretaries and inflation.


So much for a broken NHS.


Waiting lists have been cut by 160,000, as a result of more activity, evidenced by an overtime bill that was soaring long before Labour arrived.


So much for a broken NHS. 


NHS' recovery has had nothing to do with Labour, but...  


... it is true they’ve provided some more money.


Partly for a strike settlement that was little more than capitulation and a bonkers increase in national insurance costs. 


The NHS has made good use of the remainder and could not have done so if it was… well… broken.


Politics is a dirty game and no place for the innocent. Management by strategic opportunism defines it.


The NHS will recover. All it needs is sensible funding, a period of calm and it will find its feet. The evidence is in the numbers.


The NHS does not need ambitious politicians with post-rationalisation policies claiming success with policies that were not theirs and money that is a myth, and anyway…


… it’s bad politics. 


Bigging things up, telling porkies and massaging events is tempting but getting caught-out, like this, erodes trust. 


If HMG are dabbling in ‘retrospective-sense-making’ in the NHS, what’s happening in defence, schools, prisons and all the other parts of government where we are less informed.


The world is facing a new order, difficult choices and new alignments. We have to be able to trust government.


Eroding trust is a foolish game. 

Want to contact Roy Lilley?

Please use this e-address

roy.lilley@nhsmanagers.net 

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Dr Paul Lambden


The Changing Face of Disease


'The style of medicine has moved from a professionally intimate doctor-patient relationship based on physical examination to a much more diagnostic approach, achieved by testing. Less obvious has been the way in which health allows us to live . . . and die.'


News and Other Stuff

-

>> GP practices face £70k bill - to fund national minimum wage changes.

>> NHSE has officially scrapped the ‘golden handshake’ GP recruitment scheme - citing a ‘need to prioritise budgets’. 

>> NHS Providers has appointed an ambulance trust boss who also has extensive acute sector experience as its new chief executive - he'll struggle to get it back to where it was after the last boss let it slide out of public sight.

>> NHS must no longer rely on ‘free capital’, claims government adviser - very good sory from the HSJ. The problem with private capital is it is much more expensive that the Treasury. Effectively the Taxpayer pays... over the odds.

EVACUATING INJURED CHILDREN FROM GAZA, FOR TREATMENT IN THE UK.


Just before Xmas, on the 15th December, over 50 MPs wrote to Keir Starmer asking him to facilitate the evacuation of seriously, war-wounded children from Gaza to come here for treatment. There is money available and they will not be a burden on the NHS. One of the stumbling blocks being our insistence on biometric passports, which are impossible in Gaza.

Other countries have opened their health services.

It appears the MPs waited over 40 days for a reply from Downing Street, that promised action... so far over two months later, there is no sign of action or the follow-up promised by the PM.

The BMJ ran a piece by George Webster which is a very good summary of events and inaction.

If you think we should be helping Gaza kids with their urgent healthcare please click here and say 'yes'.

Let's go to......


Shrewsbury and Telford ...


'... Staff often need time and space to have support following a personal bereavement or if affected by a colleague or patient death... the answer is a dedicated room.'

Story from another industry that might strike a chord?

⬇️ For more news, scroll down








This is what I'm hearing, unless you know different. In which case, tell me, in confidence.

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>> I'm hearing - nothing from the Confed or the think-tanks about HMG's claim over 2m more appointments since Labour came to power. I wonder why?

More news


>> 'Instability, uncertainty, chaos': Health expert unpacks wider implications of high-profile resignations - concerns over the future of New Zealand's health sector, off the back of three high-profile resignations that took place this week.

>> A 96 per cent accurate prostate cancer test has been developed by scientists - backed by Olympic cycling champion Sir Chris Hoy.

>> NHS expands HIV opt-out testing - to 30 more A&Es.

>> NHS England launches flexible working - e-learning.

 
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