Displaying items by tag: underfunding

NHS staff shortages include nurses, midwives, GPs, hospital doctors and mental health workers. Staff leave because of low pay, stress and reduced job satisfaction. Recruitment and retention is a growing problem in this major staffing crisis. In July the government published a long-term workforce plan. Many are sceptical about whether it will lead to a sufficient increase in staff numbers. If it is successful, there will be 300,000 extra doctors, nurses and health professionals by 2037 by training, retention and reform. Criticisms of the plan include shortening medical degree courses from 5-6 years to four years and the general vagueness around who will train the expansion in medical students. There is also uncertainty over funding after the first five years of the 14-year plan. The total absence of any mention of pay and its importance in retention is the elephant in the room.

One patient’s time in A & E: ‘I witnessed the devastation of thirteen years of government underfunding of emergency care. After I phoned 111 they told me to travel immediately to my local hospital’s emergency department. They booked me in for a 9pm arrival time. I imagined I would be seen then but there were sixteen ambulances waiting to offload their patients. The waiting room was a vision of hell. Every chair was occupied. Sick people looking dangerously unwell leaned against walls; the wait went on and on for all of us. I was seen by a doctor at 3am. During those six hours, I witnessed a man with what appeared to be cardiac symptoms collapsed onto the floor, possibly from a heart attack. A toddler was screaming “It hurts, it hurts!” for almost three hours without a break. It was devastating to hear. When I asked a nurse if this was an especially busy night, she said, “This is a quiet one”.’

In Russia’s underfunded health system, staff who transferred to critical care duties were made to write resignation letters after refusing to work with infected patients without protection. Ambulances queue for hours to deliver patients to overloaded hospitals without oxygen, while desperately-needed ventilators are bought up by billionaires to install in their mansions. The president of a medical trade union who said ‘The government is openly lying’ was later detained by police on a trip to investigate hospital supplies. ‘Putin doesn’t care about loss of life, only loss of power’, said a human rights campaigner. St Petersburg has patients lying on mattresses in corridors. Doctors were incensed when Putin dispatched a planeload of medical supplies to New York when they were having to buy their own equipment online. Pray for Putin’s priority to be human lives, not his popularity or finance agendas.

A report by victims' commissioner Baroness Newlove warns that anti-social behaviour is being ignored by authorities across England and Wales. She said police, local councils and housing providers were downplaying the harm caused by crimes, and victims being repeatedly targeted were left to ‘suffer in silence’. Meanwhile police chiefs and local government associations said they took anti-social behaviour seriously; but their resources were under strain, and they needed more funding to tackle the problems. People are scared, whether in their homes or in the streets; syringes are buried in children's sandpits, and there are huge increases in 'petty' council fines. Victims say they often feel persistently targeted by their perpetrators, and ignored by those with the power to prevent and intervene. Anti-social behaviour such as vandalism, street drinking, prostitution-related activity, and nuisance neighbours is often treated as a series of isolated incidents, rather than taking into account the cumulative effect it has on victims; affecting mental health, sleep, work and relationships.