Tag Archives: Nurses

The excuse from a failed politician

The NHS has been in the news more than once as it is an important issue. It is today’s article in the Guardian that is a much bigger issue than most people will realise. Let’s take a look at the issue. The title ‘NHS would be put under threat by Brexit, says Jeremy Hunt‘ (at http://www.theguardian.com/politics/2016/mar/26/nhs-under-threat-from-brexit) is only the beginning.

To show you part of this we need to look at this part by part. The first part is shown at the very beginning “The National Health Service will face budget cuts, falling standards and an exodus of overseas doctors and nurses if the UK leaves the European Union, health secretary Jeremy Hunt has said“, which gets my initial response ‘Let me play the worlds tiniest violin for you Jeremy! Why don’t you consider an alternative job like in a taxi or perhaps become a barber, it’s just a suggestion!

Is my response to harsh? In this light, which should always be considered, we need to state the following:

  1. The NHS will always face budget cuts, Brexit is not a factor in that reality. Remember that the NHS works off the UK national budget, which is under pressure to say the least, the EU donation not being the smallest expense in all this.
  2. Failing standards if Brexit happens. This might be the most ludicrous reasoning. Ludicrous because standards are either being met or not and at present from several sources they are not being met, the EU seems to be setting unrealistic high requirements in some cases, requirements that many nations are failing, it should be about British standards, they should be the highest and they should be met, EU be damned (and all that).
  3. An exodus of overseas doctors and nurses when Brexit happens. This could have been an issue, but it was clearly stated in my blog ‘The News shows its limit of English‘ (at https://lawlordtobe.com/2015/06/22/the-news-shows-its-limit-of-english/), where I showed how both Sky News and the Guardian were basically fucking up and creating unneeded panic. That article called ‘New immigration rules will cost the NHS millions, warns nursing union‘ showed the lack of investigation by both news sources as the UK government had published clearly in section 79E ‘is expected to demonstrate that he is being paid either at or above the appropriate rate for the job, as stated in the Codes of Practice in Appendix J‘, the nurses are clearly mentioned and the expected income as set out in the charter.

As I see it, I had to explain that to the press in my article on June 22nd 2015, so why would Jeremy Hunt state option C? In his defence, some people might be nervous if the UK leaves the EEC, yet a British passport is one of the most revered ones on the planet. So any non-EU medical employee would do a lot to gain that status and the UK government has done its share of keeping these highly qualified people interested in staying in the UK. So tell me, why is Jeremy giving us part C?

He actually gives us a decent answer through “Hunt argues that, with the NHS budget already under huge pressure, funding levels can only be maintained if the British economy remains strong“, it is only partially an acceptable answer as the NHS has been a mess for almost half a decade now, so these issues had been known, even if Brexit is an additional element, the danger of Brexit had been a fact for at least 6 months, that is, the chance of it becoming a reality, so the consequences of diminished economy has been an element for almost a decade. Even as the UK had been fortunate, the dangers of a receding economy have been a danger for the larger extent and when we realise that other EU nations have not been this fortunate, we should see that part in the light of ‘Jeremy hunt has had an economic advantage until now’. Not being ready for that risk is clearly a failing of health secretary Jeremy Hunt (as I personally see it).

After that he then kicks in his own windows when we read “He cites a series of economic surveys, including from the CBI as evidence of the adverse impact of an exit on the UK economy“, the CBI survey, which was an absolute joke, as shown in ‘Is the truth out there?‘ (At https://lawlordtobe.com/2016/03/21/is-the-truth-out-there/), it makes for a decent read and shows how the CBI survey could be seen as another chapter from one of the most famous books in statistics called ‘How to Lie with Statistics‘ by Darrell Huff, a 1954 publications that shows us never to ignore the classics.

The quote: “Hunt suggests that progress the government is making in employing 11,000 extra doctors and 12,000 more nurses will be threatened and warns of the “damage caused by losing some of the 100,000 skilled EU workers who work in our health and social care system”. Some could leave because of uncertainties over visas and residence permits, he suggests“, which again I consider to be a load of (the word starts with a ‘B’ and ends with ‘locks’). There shouldn’t be any uncertainties on visas or residency permits and offering that even as a suggestion makes (again, in my personal opinion), Jeremy Hunt unqualified for his present position. It is his job to create calm and take stress away, not to introduce additional stresses to an area where he already failed, in addition to these points I am raising, personally, as a conservative. I believe that there are questions on Brexit and to be against Brexit might be the party line, but there are too many questions regarding the European Community, there are conservatives who seem to support Brexit. For one there is Lord Chancellor Secretary of State for Justice Michael Gove, who gave his reasons at http://www.independent.co.uk/news/uk/politics/eu-referendum-michael-goves-full-statement-on-why-he-is-backing-brexit-a6886221.html, that part is not up for discussion. The only quote in all this is “The EU is an institution rooted in the past and is proving incapable of reforming to meet the big technological, demographic and economic challenges of our time“, which applies to the NHS because it is facing both technological and economic challenges already. The Labour party bungled the option to get part of the technological solution implemented that could have helped the NHS (perhaps you remember the loss of roughly £11.2 billion in NHS IT restructuring).

My issue in all this is that (again, as I personally see it) Jeremy Hunt is not much of a visionary, which means that as expected, he will follow the party line as any governing body needs to adhere to. Yet in all this, scaremongering is the wrong approach. We need to be the enlightened party, the leaders that give rise to inspiration by properly informing the people. The growing problem for the Conservatives is that like Michael Gove, more will see that the EU has stopped being a solution. Many will not be as eloquent as Michael was in his essay, as printed by the Independent. This does not matter if we are united in finding a solution. My big worry is that scaremongering is a dangerous tactic. It is also the wrong one to make for the reason that enlightening the audience creates trust, needlessly scaring them will only drive part of our party towards UKIP (or Labour), a choice that is a lot more dangerous! To govern one must be elected and the view given at present is not that encouraging.

Stephen Dorrell, the former health secretary and ex-chairman of the Commons health select committee gave us this “EU research programmes and single market legislation have greatly strengthened European cooperation in this area with substantial benefits for both healthcare and employment in the UK. It is a simple fact that Brexit would put all this at risk“, which we might see (initially), as a fair enough statement. Yet in my view, the information could be regarded as incomplete (read: speculative view). You see, when we consider Stephen Dorrell, Healthcare and Public Sector Senior Adviser to KPMG in the UK (at https://home.kpmg.com/uk/en/home/contacts/d/stephen-dorrell.html), we need to consider what KPMG could lose, apart from the NHS £1 Billion revenue solution, as one might phrase it. When we re-consider the info the Guardian gave, which is correct in the view that NHS funds will find cutbacks, KPMG has a clear danger that it will reflect on their 10 figure deal, all in pounds and a lot less on medical staff. This gives an additional weight to the view that Stephen Dorrell did not give all the information, because there is a lot more, not on the hands of Stephen Dorrell or in the hands of him mind you, but in the hands of his friends (read: associates), possibly with KPMG who are realising that Brexit will impact their juicy pharmaceutical profits, with a growing chance that India could move more and more into the UK pouch of generic medication and the expenditure cutback solutions they bring. Now, reader be warned, there is a fair bit of speculation here (the part about India), that speculation is partially because I think there are long term solutions here for the Commonwealth at large, partially because it seems to me that I (and the public at large) have had enough of fat cats (especially pharmaceuticals) avoiding taxation to the degree they have whilst selling overpriced solutions, that are being re-patented again and again.

The list of misinformation appears to be growing and I am trying to offer resistance, because my party should be better than that! After all, we aren’t the Labour party!

 

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The News shows its limit of English

It was Sky News that showed a dangerous escalation as per next year if the Conservatives do not change certain parts of their immigration plan. Even though this is now all over the news, the BBC reported this in Feb 2012, it is only that this administration will now be confronted with it. So could this government have made such a blunder?

It is the Guardian that produced the most disturbing quote (at http://www.theguardian.com/society/2015/jun/22/new-immigration-rules-cost-nhs-millions-nursing), stating “Employers have had since 2011 to prepare for the possibility their non-EEA workers may not meet the required salary threshold to remain in the UK permanently.”, as I see it, that quote boils down to “You have 4 years to get rid of them, or get them nationalised“, which is saying a bit much!

Yet, when I look at the immigration rules appendix i (final) i see the following at section 245HF

At (d)(ii)(1) it states:

(1) At or above the appropriate rate for the job, as stated in the Codes of Practice in Appendix J, or

After which we get the 35,000 pound issue, so when we look at appendix J (at https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/420539/20150406_immigration_rules_appendix_j_final.pdf) we see the following: on page 18 and 19 we see category 2231 Nurses (the appendices are attached to the story).

So the question becomes, what were the papers making noise about? Sky News, the Guardian, Daily Mail, et al. Is it me, or are they just starting a needless panic?

Section I (at https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/420536/20150406_immigration_rules_appendix_i_final.pdf) states: “Pay requirements which the Secretary of State intends to apply to applications for indefinite leave to remain from Tier 2 (General) and Tier 2 (Sportspersons) migrants made on or after 6 April 2016

Then on page 2 we clearly see the issues reported.

Let’s go by the booklet:

  • First (a) no unspent convictions (so no criminals, makes sense….yes?)
  • Second (b) no general grounds for refusal and no illegal entrant (again, makes perfect sense)
  • Third (c) have spent 5 years lawfully in the UK, which was always a requirement, and in any combination of the following:
    As a tier one migrant, excluding the Post Study work, or the Graduate entrepreneur.
    As a tier 2 migrant (general migrant); the bulk of all nurses will be a tier 2 migrant.
  • Then this person also needs a letter from the sponsor (their boss) that they still require the applicant (basically that this person has a job, which as a nurse is pretty much a given).
  • In addition to this that the applying migrant is paid at or above the Codes of Practice in Appendix J, which gets us to the other appendix (J) which clearly states that a nurse does not need to make 35,000 pounds.

So can anyone tell me why these papers were not read correctly by the writers of the stories (or their editors for that matter)?

The paper clearly indicates that this is the situation with all nurses for 2016. So why are these publications stirring panic amongst the nurses?

Perhaps the journalists are not British citizens and they failed provision 245HF (f), where it states: “The applicant must have sufficient knowledge of the English language

OK, that was a mean statement to make, but in this day and age where doctors and nurses are nervous enough, adding silly levels of stress are just a little bit too silly for words in my slightly less humble opinion (just for today).

On the other hand, if there are new revisions and I was unaware of them (basically I had not found them at the GOV.UK site), I will be eating humble pie and upgrading this story as soon as I am aware of it.

20150406_immigration_rules_appendix_i_final

20150406_immigration_rules_appendix_j_final

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The second exploitation

It is always nice to see business to take a look at others and see how they can profit. As The US had to increase its Intelligence spending from 2004 onwards, many of us saw the outrageous amounts that the taxpayer had to dish out for intelligence resources. The biggest drain was not the need for more men, but the simple fact that much of the Intelligence community went private and those intelligence officers who were making on average $72333 year, suddenly in the private sector were asking for $172333. It was a simple ask and demand issue. This has gone on for some time and now we see how others are picking up the idea.

It is Sky News who informed us (at http://news.sky.com/story/1310468/nhs-hospital-paid-1800-a-day-for-nurse) on something so outrageous, that for a moment I thought they had just copied and pasted news from the Telegraph (the truth is far more shocking).

The first quote should be a massive wakeup call “On May Day Bank Holiday this year a locum agency was paid more than £1,800 to supply a nurse for a 12-hour shift, new figures show“, so a group that does not get anywhere near such an income supplies more funds for one day then most nurses will ever make in a week. Can anyone please explain that to me?

I know that I had given the answer in the beginning of this blog, yet in my blog of June 19th ‘Concerning the Commonwealth‘ I wrote “if we look at the NHS, then staffing and expertise are also a worry, which is by the way a worry in many Commonwealth Nations. Most of these nations have well over 5% unemployed; can some not be re-schooled in the healthcare sector?” Of course, that was after the event and long before Sky News wrote their article, yet overall, just as we saw on the mismanaged 111 helpline; it seems that hospital resources are not budgeted correctly either. You see, when we look at budgets, we think of coin and cost. It seems that most people think in that same way. Yet, hours and staffing is also a budget we must keep. The fact that we for some reason suddenly need to pay 1800 pound for a 12 hour shift comes down to the cost of a full day plumber (or the equivalent of two QC’s).

Yet the article is also lacking, WHY was this action taken? Perhaps there were valid (or better stated a host of) actions that resulted towards this choice. So, not unlike the Telegraph, we should ask the questions in regards to these events as they are told to us. This is why I decided to hold on to this, as it was clear that there was more to this than meets the eye. My initial response: ‘Bad Sky News, bad!‘ (Especially as the health strikes were already going on).

It is now, today August 10th that I see an article of the Guardian that does more than just put the Sky News article to shame. I am not debating whether the article was true, but it seems that there are sides that certain people are never happy to inform the others about.

This part is now seen (at http://www.theguardian.com/society/2014/aug/09/former-nhs-carers-intensify-strike-over-pay). If I read this correctly then these people are making just above minimum wage, yet these people are doing intense work, needing to keep a mind of everything (especially physicians at times), whilst making no more than the brain dead fast food counter staff tends to make. How is this even close to acceptable?

Perhaps Sky News did stumble upon something, but they ignored the other side. So at 7 pounds, a nurse makes 280 pounds pre taxation. If that person was staying at a homeless hostel, she would lose out on 105, which gives her 175 to live on for a week, which is 25 pounds a day, take in consideration underground, busses and such, which makes for another fiver down the sewage (as they would rightfully see it). So how can ANYONE live on less than 20 pounds a day? Remember, this still needs to account for food, clothing and a few other items.

There is no denying that leaving the NHS in private hands is worse than just a bad idea. It could be the first onset of death for healthcare in the UK. As politicians have wasted in excess of 15 billion pounds on failed approaches to healthcare, why think that the private sector (a greed and profit driven entity) would do better to the cost and even more disgraceful, better to the people it is supposed to take care of?

The article has a clear quote that shows the danger people face: “Once they have squeezed out the state sector, and the third sector, we will then see prices rise; then we will see profits; then we will see these tax-efficient structures working.” This is a clear ‘divide and conquer’ approach, a method, might I remind the reader of that has been around Julius Caesar, so long before Nicola Machiavelli decided to become devious. Attached to this is that as more and more cost cutting solutions are born, ‘surviving’ on tax shelter operations, then the treasury coffers will miss out on a lot more, which will just force a system of checks and balances which is no longer depending on any balance, it makes for a massively unbalanced future for both the people and the state.

The part that gets me is the people behind the strike “Fifty carers for the disabled are staging one of the longest strikes in the history of the health service to secure a living wage for staff working in privatised services formerly run by the NHS“. Have these people on minimum wage figured out what politicians, who make a lot more than that are ignoring?

The danger is that when (not if) the healthcare sector collapses, the fallout will be unimaginable. Those deciding on cutting costs (which by itself is not a bad idea), should also consider the dangers that follows. Government has health and medical options because (for now) it is not driven from a profit point of view, which is at the heart of this situation, this is not about cutting cost or making profit, this is about breaking even or losing an essential part of support for the living. When we are left to the devices of that what brings profit, we see the first steps into culling a population. It will not happen because they are killed, it will happen because services are no longer available. Then what will the government do, and who will they have to pay, or more interestingly, how much will it cost the government then?

Is that in any way a lesser form of murder?

The question becomes: ‘If a Service Level Agreement is set between government and the private sector, can any of these parties be prosecuted for murder?

You the reader will laugh now, which is fine, but when we see the first casualty because of these changes consider my words and consider how that person would still be alive if certain steps had not been taken.

 

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