NHS A & E departments ‘left unsafe by political meddling’ – Remedial Action – John Gelmini

English: NHS logo

English: NHS logo (Photo credit: Wikipedia)

 

 

 

 

This morning I re-blogged a BBC article entitled NHS A & E departments ‘left unsafe by political meddling’. I received a very detailed response from John Gelmini which I am sharing below because I think that John’s comments are very much in the public interest. Personally, I agree with the broad thrust of John’s argument but not necessarily every detailed point.

 

Do you agree or disagree with John?

 

…………………………………………………………………………………………………….

 

NHS A and E departments ‘left unsafe by political meddling’ – Remedial Action – John Gelmini

 

The NHS was unsafe to begin with and has not been fit for purpose for years.

 

Sir David Nicholson who should have been sacked is to be allowed to retain his £2 million gbp pension pot despite all the deaths at Mid Staffordshire and despite the 120,000 people who die every year because of botched operations and the 70,000 people who die at the hands of GPs due to misdiagnosis and the 450,000 who die faster than they need to because of the Liverpool Care Pathway(the real life version of “Logan’s Run” where anyone over 35 was designated for a rapid death.

 

Someone yesterday actually said on television that Sir David Nicholson, the man who torpedoed the Lansley NHS reforms along with David Cameron,”Was going to be a hard act to follow”.From what I have seen of Nicholson in action practically anyone could have done better but that is typical of the Establishment incompetents who run UK PLC for the indifferent men in the shadows.

 

A & E has been misused for years by patients who cannot be bothered to look after their own health due to overeating and drinking on an empty stomach (we have the fattest woman in Western Europe average of size 16 and growing and the 4th fattest men) plus a diabetes and dementia epidemic.

 

The Government has failed to cut NHS managers whose numbers have grown by 225% since Tony Blair came to power and whose numbers had risen by 189% since Margaret Thatcher came to power and was replaced by Blair.

 

On my quarterly visits to my doctor’s surgery I notice how full the car park is.Invariably it is fullest just before a half term, just after a holiday and just before a Bank Holiday.I know many of the people there and at least 50% of them are malingerers wasting the doctor’s time on things which they can handle themselves and which would not be a problem if they walked briskly, followed a sensible pattern of eating, ate earlier, drank less, managed their time and had a more balanced personal philosophy coupled with greater self-discipline.

 

It is these people and others like them who make further demands on the NHS and clutter up A & E plus preventing people who are genuinely sick from getting proper medical attention thus resulting in more people ending up at A & E.

 

The previous Government compounded the problem by failing to negotiate properly with the BMA over the out of hours contract and paying the GPs too much money and the Coalition has failed to renegotiate.

 

The public are also to blame because too many of them make wrong lifestyle choices (watch any fish and chip shop queue for a week and you will see the same people night after night) and then expect the NHS to deal with them whenever they have a headache and if the GP’s surgery is closed, rather than deal with their own problem they turn up at A & E.

 

What is required is an adult conversation between the public, the medical profession, local authorities and the Government about lifestyle choices, the costs of Adult Social Care, NHS managers(how many and what type), diet, nutrition and exercise.

 

Out of that should emerge:

 

–Variable taxes on foods

 

–Preventative strategies whereby people take control over their own health thus reducing the need for GP and A & E visits in the first place and for so many people (25% of the pensioner population), to need Adult Social Care plus A & E visits when they have falls etc

 

–A flat NHS structure with just 4 layers from top to bottom

 

–A new more honest approach to Adult Social Care administered within the NHS and matched by reductions in the numbers of local authority employees and heads of Adult Social Care

 

This should include care options in Thailand , Goa and the use of robots in care homes as happens with German and Japanese Adult Social Care recipients plus aggressive “re-enablement for those who remain

 

–A new out of hours contract for GPs

 

–An understanding on the part of the public that THEY are responsible for their own health apart from genuine accidents,disasters,force majeure events

 

–Tax breaks for private medical treatment and Private Medical Insurance

 

–More honesty about healthcare costs–At present the public thinks that everything should be free and is not prepared to say what it is willing to pay.

 

The Government is equally unprepared to engage and the medical profession and the Health Service Unions muddy the water

 

Sadly, I do not think that any of the players is up for this sort of adult debate so the issues will fester until something breaks.

 

 

 

Enhanced by Zemanta

The Case against further Western Intervention in Syria – A personal view from John Gelmini

BlairIraqWarDemo

BlairIraqWarDemo (Photo credit: Wikipedia)

Effigy of Tony Blair from a 2003 anti-war demo...

Effigy of Tony Blair from a 2003 anti-war demonstration against the Iraq War (Photo credit: Wikipedia)

Earlier today I re-blogged an editorial from the Financial Times entitled Get tough with Syria over sarin use – FT.com. I received a very detailed response from John Gelmini arguing passionately against further intervention in Syria which I am sharing below. I would welcome your views on this blog.

Personally, I do not agree with John’s view here and feel that some form of intervention in Syria is appropriate, ideally with the blessing of the UN. Also I am uncomfortable with some of the data shared by John because I have no means of validating it. However, John makes some powerful points which are worthy of further debate. Let me know what you think.

—————————————————————————————————————————————THE CASE AGAINST FURTHER WESTERN INTERVENTION IN SYRIA – JOHN GELMINI

I seem to remember talk of “Weapons of Mass Destruction” and a threat that was “growing, credible” and of missiles capable of “hitting the UK within 45 minutes” prior to the invasion of Iraq.

The subsequent Iraq war which was illegal (the advice from Lord Goldsmith was never published) saw 775,000 Iraqis die, billions of pounds worth of economic damage, 1 million deaths as a result of UN sanctions, 500,000 refugees and tens of thousands of malformed babies as a result of UN sanctions and the bombing and destruction of the Iraqi water system.

This is apart from the lost lives of our soldiers, American soldiers and the billions wasted and spent on rebuilding that country which is now descending into sectarian strife.

Lord Chilcott’s enquiry which had to be a whitewash to protect Tony Blair, Alastair Campbell and Tony Blair’s inner circle from accusations of war crimes duly did its work. But the stain on this country’s reputation of 400 plus payouts by the Ministry of Defense to families of Iraqis whose relatives have been hooded, tortured and often beaten to death in custody with more cases in the wings does not help because it makes our troops look like latter-day versions of Nazi storm-troopers.

The net result of that war has been to advantage the Chinese who have done a deal with the breakaway part of Kurdistan, to enable America to steal oil (some would call it the spoils of victory), but not enough to cover all the costs of occupation, the war itself and their own casualties.

Similarly, Iran with its large Shiite population now has powerful influence in Iraq and will exercise de- facto control once we leave.

We are now told that Syria has used Sarin gas against the rebels who are, of course, backed by Britain, America and France using smuggled weapons and special forces who have been in the country for at least the past 2.5 years.

We are also told that Al Quaida is active and that we are supposedly concerned about Sarin falling into their hands.

Al Quaida means literally “The database” and they were originally set up by the CIA to fight Russia in Afghanistan, a country which we and the Americans wanted to invade as far back as the 1990s so that we could build the Turkmenistan oil pipeline and seize the mineral wealth of that country embodied in copper and lithium deposits worth $6 trillion USD. Those deposits are now being mined by China Metallurgical Corporation by 350,000 Chinese miners after the Americans cleared the area of Taliban, the Chinese agreed to continue their reluctant support of the Petrodollar and the Chinese agreed to rebuild Hamid Karzai’s damaged infrastructure.

We were told that Osama Bin Laden was killed by US Navy Seals in a daring raid in Abbottobad, Pakistan using a stealth coated helicopter when in reality he died in December 2001 from kidney failure in an American military hospital in Germany where a team of American doctors tried to save his life for more than 1.5 hours.

Le Monde was reporting Osama Bin Laden’s presence in France at a board meeting of the Gum Arabic Company (they make the gum arabic which suspends the particles in Coca Cola and soft drinks for sale all over the world). He was trained in engineering construction at Cambridge University, was a main board director of the Bin Laden Construction Company, the largest construction company in the Middle East and the builder of the Tora Bora cave complex in Afghanistan which the Americans destroyed with a 15000 pound thermo-baric bomb. At the time of the Gum Arabic board meeting which followed 9/11 and the fall of the Twin Towers, the official story via the BBC and mainstream news sources was that Osama Bin Laden was on the run yet the Gum Arabic board meetings were events this man regularly attended in earlier years.

On a regular basis we are being lied to about world events and we are probably being lied to about Assad’s use of Sarin.

The bigger issue is the endgame and what we would hope to achieve by toppling Assad and what the consequences might be.

My prognosis is that it would lead to a wider Middle East War and would make the Chinese and Russia not want to prop up the Petrodollar or Sterling and create other difficulties for us in the West without us being able to do anything about it.

A wider war is only in the interests of the military industrial complex, certain people in Israel and the 21 leading families of the world. For the rest of us it means, death, destruction and huge costs, none of which we can afford.

Toppling Assad might sound wonderful to starry-eyed idealists but:
–Who is going to take in all the Syrian refugees and who is going to pay for their rehabilitation?
–Who will replace Assad, our puppet, someone else?
–Will the Syrian rebels remain within our control if they win or will they get out of control and cause more trouble elsewhere in the Middle East?
–How do we propose to pay for a wider war given our present finances?
–What is an acceptable level of casualties for us if we are involved and how many conscripts will we need given that the British Tri Forces are too small?

Trying to be the policeman of the world and constantly meddling in the affairs of other countries where we have no business might have been our role in the past but the task now should be minding our own business and rebuilding our un-competitive economy.

JOHN GELMINI

Enhanced by Zemanta
Follow

Get every new post delivered to your Inbox.

Join 4,672 other followers