‘We should strike the right balance between recognising the extraordinary achievements that NHS personnel deliver each day and the need for improvement’ – Chris Hopson et al. Photograph: Christopher Thomond for the Guardian
This week, at a single of the most pressured occasions of the yr, hundreds of thousands of committed NHS personnel all through the nation will be supplying high-high quality healthcare to hundreds of thousands of sufferers – something that typically acquired lost amid final year’s headlines. As we move into 2014 can we, as organisations representing the NHS frontline, get in touch with for a new page to be turned as we begin a new year? The failures in patient care need to be addressed, and element of carrying out this implies, in the words of Professor Don Berwick’s review of patient security, leaving “worry, blame, recrimination and demoralisation” behind, and going forward with power and optimism.
Undoubtedly, there are problems to face in making sure we have the substantial-quality service that every person in the NHS wants to offer you, which includes growing demand on services and the need to do more with tighter budgets. But we need to reach a more measured see of how the NHS is carrying out. We have to strike the correct stability between recognising the extraordinary achievements that NHS workers provide every day and the need for improvement highlighted by the Francis report. Rather than searching back to the failures of the previous, we now need to have to dedicate our time and energy to meeting the quite real problems we encounter to secure a sustainable NHS for the long term.
Chris Hopson Chief executive, Basis Believe in Network, Dr Mark Porter Chair of council, BMA, Dr Clifford Mann President, College of Emergency Medicine, Matt Tee CEO, NHS Confederation, Phil Gray Chief executive, Chartered Society of Physiotherapy, Dr Maureen Baker Chair, Royal School of Standard Practitioners, Professor Cathy Warwick Chief executive, Royal College of Midwives, Dr Peter Carter Chief executive and basic secretary, Royal School of Nursing, Richard Thompson President, Royal University of Doctors, Professor Sue Bailey President, Royal University of Psychiatrists
• It is really worth contrasting the government’s most recent miserly and cruel rationing of NHS services (Tourists and migrants to be charged to use NHS emergency providers, thirty December), with Cuba’s technique to well being requirements – a nation with a GDP per capita of 15% of the UK’s. At residence, Cuba has presented extended-term care for 18,000 victims of the Chernobyl catastrophe and has presented eye surgical procedure, at no price, for hundreds of 1000′s of Latin Americans. A recent review by Professor John M Kirk reported that Cuba has much more health care personnel serving abroad than the G8 nations combined. As of April 2012, there were 38,868 Cuban health care professionals doing work in 66 nations, of whom 15,047 had been physicians.
Cuba’s health-related internationalism programme rarely will get reported, although it did when the country supplied one,500 health-related specialists to the US to assistance the catastrophe relief hard work following Hurricane Katrina – which George W Bush rejected. When Bevan founded the NHS he said it would be based mostly on the principles that it would meet the wants of everyone, be free at the level of delivery and be based on clinical want, not ability to pay out. Comparing that with the imply-spirited utterings of David Cameron and Jeremy Hunt, he sounds like Fidel Castro.
Martin Quinn
Tavistock, Devon
• Your post on expenses for antenatal care and childbirth (Report, 28 December) mentioned that the well being of migrant ladies and their youngsters had been being put at risk, but failed to give information of the guidelines or how to contest fees getting manufactured by NHS trusts misapplying rules. It appeared that all immigrant females were becoming charged – although a moment’s imagined would have raised queries about EU nationals. On checking, it emerges that asylum seekers and ladies who have overstayed visas can be charged. Nonetheless, if they cannot spend, then providers are even now offered – something that the article did say. So it would be useful to lessen be concerned for females with legitimate visas, refugee standing or waiting to hear about asylum claims, if it had been manufactured clear that they will not be charged.
Diana Bruce
Derby
• The final time NHS staff were ordered to refuse to treat foreign sufferers with no charge was for the duration of Thatcher’s leadership. Shortly after, I was known as to see a distressed girl who’d brought her sick child to our hospital’s children’s ward. Ahead of I arrived, an enthusiastic administrator had informed her that even though she was entitled to treatment as the daughter of a US serviceman stationed in the United kingdom, her child had no such right. She had presently been provided the identical data at the military hospital, which is why she had come to us. By the time I attended she had left, her little one unexamined and untreated.
I felt deeply ashamed on behalf of my department and my hospital that we had been the expression of our politicians’ parsimony. I am appalled that my successors could be forced into adopting the identical business strategy to individuals needing help.
Dr Harvey Marcovitch
Balscote, Oxfordshire
A new yr should herald a new start for the NHS | @guardianletters
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