If there is a single thread of management thinking running through all this, we must turn to Edwards Deming, who said;
'… every system is perfectly designed to get the results it gets...'
https://t.co/xYC2e29r7w
I’m fuming
Dr Amir Khan on ‘No Appointment Necessary’ nails the problem with the new Advice and Guidance
It’s effectively moving the hospital waiting list to the community so it’s not counted against Govt targets
We see you @NHSEngland@wesstreeting
https://t.co/KLryiZJvs2
Thanks to @wesstreeting and @SKinnock I've started planning my NHS exit.
Their triumphant declaration of just how shit they think GPs are this week is just so disheartening and I think I'm done.
By all means, fix the front door lads, the house inside is gonna be empty.
GP Referrals cannot be blocked by NHS Trusts due to Jess’s Rule
https://t.co/2jreIvVyly
The new GP contract stipulation of the use of Advice & Guidance pre-referral is null and void
Add to any referral ‘In accordance with Jess’s Rule & Patient choice’ #TeamGP
Thoughts?
Our NHS is crumbling while private investors extract hundreds of millions in profit.
Patients over profit.
Read the full report here: https://t.co/i6ntgGcrRE
Shred the strategic plans @wesstreeting for once let our real NHS do their best "Frontline staff adapt. They improvise. They don’t need nincompoops redefining a corridor as a ‘non-clinical space’. They want real space" 💙@RoyLilley
My view is the NHS is like the dustcart that follows the Lord Mayor’s show of life, sweeping up. Public health services have been defunded and stuffed up the back passage of Councils, community services shredded and health visitors as rare as hen’s teeth.
I’m hearing 1500 NHS people didn’t get their redundancy letter yesterday ‘due to a technical hitch’ by comms and only came out this morning! Is there anything the @DHSCgovuk can get right?
Our Co-Chair @DrJohnPuntis said:
“This looks like another example of a hugely wasteful IT contract, and the lack of public trust will make it unworkable. They ought to end the contract or not renew it and accept that the public is very concerned...”
https://t.co/13BFlDmoAQ
protect the scarce skills that actually make commissioning work;
Data analysts,
health economists,
contracting specialists,
service designers
performance evaluators…
Lose them and ICBs becomes a talking shop with a cheque book but no steering wheel. https://t.co/uxzVBGXM7N
Waiting lists
There is a reason they have fallen and it’s not what you think
There is a task force removing patients from waiting lists and this appears to be the reason for a fall in waiting lists
The New Hospital Programme now has a more realistic timetable, with final hospitals due in 2045–46.
But for RAAC-affected hospitals, a tight construction schedule with little contingency for delays means there are significant delivery risks.
Our report: https://t.co/YLXpQRdmrB
Last time #Labour were in power public satisfaction with NHS was 70%
Today it’s 21%
72% of us today think there are not enough staff which correlates with highest dissatisfaction in waiting times at A/E and elective surgery
69% of us think not enough money is spent on NHS 1/4
This dispute is no longer really about Christmas, or even pay.
It’s about how fast Starmer wakes up to who is running the NHS and the fact Streeting has made a Horlicks of this...
...and how fast he can get everyone around the table at Number Ten. https://t.co/YVWyPXuqCv
The NHS survived this year because staff absorbed the consequences of decisions they didn’t make,chaos they didn’t create.
The blunt message from this year is the NHS is led by someone who isn’t clever enough, experienced enough and is too cocky by half. https://t.co/pzUr9HJ9yC
‘I can’t think of any other cabinet minister whose public reputation is so at odds with how they perform behind the scenes’
These vicious comments - from article in @thetimes - show scale of Labour in-fighting in the succession struggle
Brutal on Streeting from colleague: ‘Wes has zero interest in the health service or patients. He has subcontracted the job of secretary of state for health to Alan Milburn so he can concentrate full-time on what he regards as the far more important job of being Wes Streeting’
Wes Streeting wants t blame the flu, or blame doctors for the current crisis in the NHS.
The reality is the NHS is being underfunded, and operations are being cut back to save money.
NHS orders hospitals to cut back on operations to save money
https://t.co/GTTGv7snuE