Wes Streeting's dreams are going to be shattered
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- Опубликовано: 23 июн 2024
- It seems as if Wes Streeting’s dream for the NHS is that it be a low-cost, semi-automated, significantly privatised provider of healthcare to consumers - which is what he thinks we all are. That dream will be shattered by a sugar and ultra-processed food healthcare crisis and the wave of litigation that will hit the NHS due to Streeting’s plan to use under-trained staff.
#nhs #election2024 #uk #health #labourparty
ABOUT RICHARD MURPHY
Richard Murphy is Professor of Accounting Practice at Sheffield University Management School. He is director of Tax Research LLP and the author of the Funding the Future blog. His best known book is ‘The Joy of Tax’.
This video was edited by Thomas Murphy.
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Wes Streeting's dream will be shattered when someone else wins his seat. Please make it happen.
He will win his seat no one to touch him , reformers will see the errors of their way and vote for another party.
As much as Starmer himself, Wes Streeting is one of the main reasons why I´m not voting Labour this election
The dream team of anti socialists .
Reeves, Streeting & Starmer. A triumvirate of horror...
@@duncanpoundcakeSNP,Alba,Scottish Greens.
A triumvirate of horror.....
@@Magpie6639Reeves, Streeting and Starmer trumps every time.
He is going to load the NHS with PFI debt.
Any PFI debt can be taken off the NHS and centralised.
What you seem to have described is the current Government structuring the employment market so that medical professionals find the only available jobs are in the private sector.
Wes Streeting is a nightmare.
Spot on. Let's keep the Tories in shall we?
Streeting might lose his seat. Here's hoping.
It is unfortunate that Streeting will have the roll intended form him by Starmer as he has no experience whatsoever in management or health provision. Another political studies student with no real work experience and a child of Thatcher and Blair.
Starmer and streeting love taking the genociders money
So Streeting is just another Tory, like Starmer.
Butt hurt Corbynistas are so predictable.
In 2022 just a couple of miles from where I live in north London, a young woman died of a blood clot because a Physician Assistant told her the pain in her leg was caused by anxiety. It seems that she didn't even know that the person who diagnosed her wasn't a qualified GP.
Why would she know? Unless she was specifically told so.
@@SaxonSuccess She asked for a GP appointment, so took it in good faith that he was a GP. Her partner went with her and was a witness to what happened.
Private healthcare cannot “help” the NHS, it’s not big enough. The largest private hospital group in the country Spire did the same number of procedures last year as the NHS does in 36 hours. It also cherry picks the easiest & most profitable operations. This means £10 million a week (every week since 2012 according to WeOwnIt) leaves the NHS in profits for private healthcare shareholders. It also means that the NHS which trains all our medical staff is struggling to train new doctors on simple procedures. But there is hope. 94% of all outsourced contracts end within the next 5 years so we could bring them back in House & keep our health budget for patients not profits.
12 years in the NHS me. anyone who has spent even 10% of that time in the firm knows Streeting is a know-nowt bellend and his plans are a fantasy.
Richard’
You are right. But it’s worse than you state.
1. People will react when the NHS continues to fail to deliver. They will sue as you suggest but they will also become more assertive and demanding, complaining and campaigning.
2. The staff will react when they are blamed for its failures. Many will exit. Strikes and disputes will increase.
3. The managers will lose patience and rebel. Dumb insolence will rise. Increased pressure will result in more bullying and passive resistance.
4. The right wing will call for more privatisation and increase social polarisation and overt inequality.
5. The price of private care will rise. NHS staff will spend more time prioritising private patients.
6. Proxy wars will be fought for access to the nhs. Anti immigration is first : but hostility to the increasing demands of the mentally ill , and the elderly will follow.
7. The continued failure to fix social care will exacerbate and compound all these problems.
All of this can be avoided but the impression is that Streeting believes in his nonsense.
You’ve written the most sensible post on this subject that I have read in months 🙂 sadly…. 😕
Exactly, a legacy of the last 14 years of mismanagement. Where I live we have no waiting lists, see your doctor the same day and the per capita contribution is £900 per annum, the UK NHS is £5000! It needs some serious surgery. Oh and we get dental and optometry.
Frightening. Privatisation by stealth
Wes Streeting and Keir Starmer have both accepted donations from a hedge fund owner with business interests in private healthcare. They are going to massively extend the private sectors involvement in the NHS, which will make it even easier for the next Tory government to finish the job of fully privatising the NHS. This is the main reason why I'm not voting Labour OR Conservative in the forthcoming election.
Ha ha ha
The hedge funds have a tiny % of their portfolio in private healthcare.
Such donations to Labour are zero evidence of vested interest in private healthcare.
And there is no evidence they are going to,”massively extend the private sectors involvement”
On the money as always. Unfortunately,Streeting just doesn't get it. But then he is virtually a Tory...
That's why he gets on with Kier....bird of a feather
He understands perfectly well. He just doesn't care.
Virtually? The tories before the Grantham Witch wouldn't have had him in the party, to fer too the right.
Peter Hitchens says he's a Marxist.
Wes streeting might not win his seat
In Britain, generally speaking, we eat as bad as the Americans, we drink as much as the Eastern Europeans, and we are as depressed as the Scandinavians
None of the above apply to me.
I couldn't agree more. I saw some polling that suggests he might not keep his seat. Which would be a great way of achieving this.
As if it's just Streeting that wants privatisation
@keithparker1346 it's not over with Wes, but it makes a great first step 😁
@@markwelch3564oh it would be a nice symbolic victory if he did not keep his seat
@@keithparker1346 and hopefully serves as an inspiration for other seats too!
Lots of Labour seats are not safe and could be gained by Reform. Presumably you think that's a better outcome than a Labour government? Revolution in 2030, etc?
SPOT ON !!!
Well said - an obvious chancer.
Bad analogy with cataract operations as 90% are already done by the private sector meaning the NHS is losing the skills to be able to do them "in house" in future.
The demographic time bomb of an ageing population has been ignored for 40 years. Selling off school playing fields & allowing so many children to opt out of PE & games has led to the obesity crisis. Swimming pools have been closing since the Pandemic. £40 a month to use not all the facilities in my local leisure centre, over 2 miles away, & then the cost of getting there.
I have often noticed that any employer who has marked staff as 'unproductive' dooms those staff because the employer has chosen not to do their part of the deal between employer-employee. Watched a video by the Not the Andrew Marr Show where an English doctor was describing the damage he is seeing in the NHS and what will be its future under Labour. It is so hard to have come through a pandemic which should have taught us the value of working with one another and all we get are egos in politics. I live in Scotland and am hoping it can one day become independent and shake off any damage. Thanks for your videos.
I am English and have long thought it would be not be in Scotlands interests to become independent, I have changed my mind. Get away from the scum both Labour and Tories that are English politicians. I will be sorry to see you go, but you can’t be any worse than what you are getting no. I live in Australia now and glad I left
Ireland's life expectancy is 2 years longer than the UK which shows how bad the health crisis is getting.
Life expectancy at birth in the UK in 2020 to 2022 was 78.6 years for males and 82.6 years for females
Life expectancy in Ireland continues to increase, standing currently at 84.4 years for women and 80.8 years for men, according to the HSE Annual Report for 2022
Mr Starmer talks of service he needs to insist the NHS has the expertise it requires for all our needs
There are also a lot of malnourished children who are now coming into adulthood.
Roll on Scottish independence thank you richard for being on Scotlands side
Scotland will never be independent.
It is part of Britain. Just like Cornwall, Wales, Yorkshire.
We are one people.
SNP control health in Scotland..
As you’ve said, being fat causes type 2 diabetes; it’s not necessarily because of sugar consumption. The UK is getting fatter because we eat too much and do too little exercise. Too many people eat takeaway burgers, pizzas and supermarket sandwiches.
Fork Crimes.
My kids included , what to do ? Fat shaming doesn`t help and anyway they say catastrophic climate change is left unaddressed with the fastest ever rise in GHG`s when we think were doing marvelously with renewables ,so who cares ?
Nearly all those have high sugar content
@@keithparker1346 It’s not sugar which is the cause. It’s allowing oneself to get fat. We all have personal responsibility.
If you ask Google whether sugar causes diabetes it will say no.
You obviously read the Daily Fail and do not understand metabolism. Fat people are created by the standard food pyramid - heavy on carbs - and cheap (affordable) processed and ultraprocessed food. Vegetable oils and hidden sugar cause endless cycles of eating, and hunger shortly after. The obese are often undernourished, and never reach saity. Saity can only be reached by consuming protein and animal fats - the proper human diet. Poverty drives obesity and dietary misinformation, often given in good faith from 70 year old "orthodoxy" , is making it worse. Fat people are sick, not lazy. Fat people are the result of the modern diet, not lack of exercise.
100% correct
"How can we achieve our objectives as cheaply as possible and not spend any more money that we REALLY have to?" That has been the thinking for every UK government since the 1950s. Special Case: Thatcher did it because she could, the rest just followed through the hole she created.
Physician assistants and nurses are not trained in differential diagnosis, DIAGNOSIS and complex risk management. That is why admission to medical school is stringent, requiring AAA grades at A-level, passing The University Clinical Aptitude Test (UCAT) for medicine and a searching interview by very senior doctors and academics. It is also why medical training is amongst the longest, with basic undergraduate training taking 5 - 6 years, following by many more years of post-graduate education working under the close supervision of senior doctors, approved for such PG education. For every specialty, including General Practice, additional Post-Graduate Examinations must be passed before a doctor can practice fully independently. Even then regular formal clinical appraisals and assessments are mandatory to enable a doctor to retain their license to practice.
The skills to practice as a doctor are hard won and Physicians Assistants do not have the same advanced skill set as doctors - period.
Nationalize Wes Streeting!
sugar the road to expanding NHS demand so very true, 👍👍
It's frightening the number of teens and 20 odd year olds who do not drink tea or coffee. Their choice increasingly seems to be some form of energy drink, obviously laced to the brim with sugar. Couple that with a huge increase in ultra processed food and it becomes a huge battery store of problems for any health service, not just the NHS. A doctor told my nephew that his body was 20 years older than what it should be, effectively 40 rather than 20. He's addicted to junk food and energy drinks. Try as I do I can't get him to make healthier choices. Most of his friends have the same or very similar poor diets.
Thanks for sharing, I live in Scotland. I'm voting SNP or an independent. Labour have moved too far to the right, they're trying to catch their Tory mates on the far right, either way it's a race to the bottom. Let's hope someone, maybe an independent can win his seat.
The BMA are taking the GMC to court over the issue of Physician Associates or whatever they call them
Streeting is a technocrat par excellence - a Blair protégé - a careerist who is aiming to be PM and will do whatever he needs to get there, not to be trusted whatsoever
You’d be surprised how much damage doctors can inflict by doing (or, more often, not doing) something to their patients-without getting sued. There are tens of millions of people, with complex chronic illnesses, like ME/CFS and long covid, who are receiving very little effective treatment, but have no recourse to litigation. Usually, doctors get sued, when they operate and something goes wrong. In this new, enervated NHS, expect to see many fewer surgical procedures. If they didn’t operate, they generally won’t get sued.
Wes that little fire starter 😆
There's a basic flaw in the thinking here.
The idea that Streeting wants a productive NHS.
No, no. That is patently untrue.
Wes Streeting wants to deliver a health service that incentivises the rich going for private healthcare, in the American model, and the poor becoming an illustrated warning of what happens if you don't comply with the imperative to get rich.
He will endure the protests in the knowledge of a job well done.
That’s utter bolox
You Corbyn cultists live in a fantasy world
That happens in mental health units,, I was in over a month in November, it's to make the number up to say they're fully staffed
Streeting is one of a number of current Labour MPs who i really dont understand why he is in the Labour Party since he seems to not believe in anything that the Labour Party has historically stood for (and theoretically still stands for - a fully public NHS for example). Instead, he seems determined to tear down everything that the Labour Party has created in the past and trash its legacy.
High time someone said this. The way to get health costs under control is to make people healthier and safer. Curtailing sugar consumption is a big part of that but also alcohol and tobacco. Educatio is the key to that. In addition, a number of measures could be taken to make older and disabled people safer in and around their homes. Finally, let's get kids into healthy habits like walking, cycling and playing sports and taking those habits into adulthood with more swimming pools and sports facilities. All will save money in the long run.
One last thing to save the NHS - let's all pray for Streeting to lose his seat to an independent or Green candidate.
There's a real possibility of a Reform + Conservative coalition government if polling trends are to be believed. Then we won't need to worry about Wes Streeting being shattered. Reform are curently likely to achieve 20% of the vote share, which is fairly insignificant under the current system. But push that up a bit higher to 25-30% and they start to win lots of 'safe' Labour seats.
Let's also remember that RR always intended to be harder on benefits than the Tories....
Food for thought.
His dreams may be shattered before then? He may not hold on to his seat, and personally, I hope that he doesn’t!
Privatisation is with the same NHS trained clinical staff and differently qualified staff, like pharmacists.
I am a retired community pharmacist.
That’s if he keeps his seat
PCSOs (introduced under Blair in (2002), HLTA's taking classes in schools under Blair (2003) .... I think you can see where this is going, and which party is driving it .....
I have hardly followed Wes Streeting's career as a politician, although I know that he is Shadow (soon to be actual) Health Secretary and that he is considered by some journalists/politicos etc as a rising star in the Labour Party and possible future leader.
However I do remember a few months ago Streeting telling the mainstream media that if he became Health Secretary in a Labour government that he would make more use of the private sector to bring down waiting lists and that the government (and hence a few tens of millions of UK taxpayers) would fund the private sector to deliver this.
The problems regarding Physician Associates and Nurse Associates are of course deeply concerning, and I am sure that there is a group of doctors in the UK who are making their concerns known about this to politicians and the Department of Health, though I'm not convinced the general public know about the possible level of problems in the (nearish) future caused by partially qualified medics making decisions that should be only made by GPs or Consultants/Senior Registrars.
Hopefully if the seriousness and extent of the possible future problems with the NHS becomes obvious to the next (Labour) government sooner rather than later (say within 12-18 months of taking office), they will have a serious rethink about how to address these problems (euphemistically known in the 21st century as "issues").
If Wes Streeting as Health Secretary is faced with these potentially ever growing public health challenges as is not prepared to address them with suitable strategic and operational changes, then Starmer would be wise to let him go (sack him) as Health Secretary. Time will tell .....
Scary.
I totally agree with Richard - start looking after yourselves people. Diet is top of the list, metabolic dysfunction includes obesity and diabetes, but the list is long. Lack of exercise is second. You cannot run off a bad diet.
I recommend Robert Lustig, David Unwin , Eric Westman and Zoe Harcombe as good starting points. Best of luck.
I think his dream will be shattered by Leanne Mohamad.
The dilemma of long waiting lists is due to immigration. I live in Australia and the same thing is happening. My Australian doctor works in a clinic with 4 other doctors all Muslims with most of the patients are Muslims. I asked him does he get many Muslim patients choosing him and he said “ no and it suits me fine, they have very compromised medical histories “. When I go to my clinic it is packed with pregnant Muslims and Indians. Of course I will be called a racist which I am not. Whether or not I am a racist is not the point it is the truth
Physicians assistants are doing operations!?!?! Wtf?! 😳
Wes Streeting ……….lol Starmer’s Labour what a joke.
They have come to finish Blair's project. It's over. Thatcher won - her legacy is two Labour governments in her image witu thumping majorities.
Thatcher won and we all lost.
There's a word for people who speak disparagingly of "Lefties" and that word is Tory.
In America 70 million people can’t afford private healthcare and medical bills are the cause of the largest number of bankruptcies. Coming to a hospital near you.
What a fix ehy ? 🤦♂️
You are 100% right about sugar and it needs to be banned, or at least highly taxed
Banning Sugar? Are you crazy ?
Agreed. Sugar Tax is a very good OMD album.
@@stephfoxwell4620 Did you not read the caveat of 'or at least highly taxed'? I don't think many people will take the first part of the comment literally. It is making a point.
@@eightiesmusic1984 Which part of "it needs to be banned" should not be taken literally?
We have too many Puritans commenting on here already.
@@eightiesmusic1984 The comment was a wish list including a minimum requirement.
I'm hearing a lot of assumptions in this video without any evidence to back up these claims. I have only heard Streeting state he wants to double down on making the nhs better. With better outcomes for patients and staff. Labour have also stated they will use the private sector, only to bring down waiting lists until the nhs is back on its feet. This, though, may take over a term in office.
But "use the private sector to bring down waiting lists" is enough nonsense to undermine the whole plan
There is no spare capacity sat idle in the private sector, so either this is unresearched, or Wes is funding an expansion of the private sector
I don't want an unresearched plan, and if we have money to expand capacity, we should so so within the NHS!
Then Google why is streeting in talks with private health care in Israel 😡
Brainwashing is a big problem in england yet you can get the real facts by googling which labour mps are in the pockets of the rich
@@ImloyaltoScotlandonly this is exactly my point. It's not stated on the video and undermines his presentation.
@@markwelch3564 so you would rather people wait as they are now for months if not years. It could be a decade or more before the nhs is back to 2010 outcome levels.
If you read rather than rewrite and cherry pick my initial comment it states "use the private sector, ONLY to bring down waiting lists until the the nhs is back on its feet". This does not mean that they only use the private sector for waiting lists though. They want dentistry and GP's expanded too. These are all private companies that work with the NHS.
And if they work better for patients then I'm happy with that.
I lost 22kg by cutting out junk food, only when i started becoming more aware of what i was eating did i notice that the vast majority of food has harmful crap added to it! They even dump sugar in bread these days, and vegetable oils have been dumped in almost everything, even many chip shops are using cheap nasty oils instead of beef dripping
The NHS is a floored system.
Not as floored as the American private system ( coming to a hospital near you ). 70 million people in America can’t afford private healthcare
@@johnm7267 The response I was expecting.
What about France, Germany, Switzerland, Belgium, Netherlands?
Hes one of their smarter candidates 😂
Strikes me a raw vegan diet is the way forward… going backwards in time in order to move forwards as a species, plus the karma is better 🙂
The problem with Streeting is that he's a young man that has never done any job except politics. That means he's an easy-to-sway victim of the smartest people in the room - those that represent the interests of capital. He has literally no idea of what he's about to unleash, he's just convinced by their self-interested arguments and the no-doubt unspoken offer of a great 'thank you' job in a healthcare corporation post-politics.
You literally have no idea.
@@RobinHarris-nf4yv maybe you'd like to make an argument to support your statement.
@@leighvaughton2740 there is nothing in your original post other than uninformed opinion.
Come on let’s hear your evidence that Streetings ideas are coming from healthcare corporations.
And what healthcare corporations do you think are lobbying Labour
@@RobinHarris-nf4yv OK you maybe don't know about google. 'Streeting takes £175k from donors linked to private healthcare' The National April 2024. Maybe try searching labour funding from private healthcare for the rest. But you probably won't.
@@leighvaughton2740 Ive researched those articles from the national Scot.
They don’t show donations from healthcare companies at all, they show donations from Peter Hearn who doesn’t own private healthcare.
They also donations from hedge funds, which aren’t healthcare businesses and their portfolios contains under 1% in private healthcare.
I suggest you do your research a bit better.
If you have any other links I’m happy to research
No doubt any privatised parts of the NHS won’t face perfect competition and will extract rentier profits just like the US
There won’t be any privatised bits.
IF you have no real allodial land, do you believe you are still free?
I’m sorry but it’s just not true that Physician’s Assistants are performing surgery. I agree with many of your assertions within this video about NHS funding for the future, and the problems caused by sugar and the convenience foods industry etc, but surgery is not performed by a Physician’s Assistant. Can you provide any evidence of this?
I dont think he meant surgery in terms of operating on people I think he means working in a surgery performing consultations.
Dr Sandeep Bansal tweeted that a PA in the UHB Trust in vascular surgery was performing toe amputations, full amputations co-operating with Reg or Consultant, and harvesting veins.
Just something I saw on X but you or someone else might want to look into this further.
Let me disabuse anyone who believes that Streeting is for efficiency to benefit society. He is about a distorted view of financial "efficiency", which is a misnomer. You can achieve financial efficiency by reducing quality. Associate practitioners replacing GPs is a classic example.
Physician Associates... I work in General Practice and we have 2 PAs here and the place would not function as well as it does without PAs and other non-medical staff (ANPs, ECPs, Paramedics, etc). The problem with PAs etc is a problem of supervision, NOT the job role itself.
eg. You are 21, fit and well, and have a cough that is bringing up thick green phlegm. You are feeling cold despite having a raging temperature. You have been like this for a few days. What is wrong? You have a chest infection. You do not need a GP with their years of training to tell you that and give you the appropriate antibiotics and advice. While your PA deals with that the GP is looking at an 80 year-old diabetic lady with a unilaterally swollen ankle and shortness of breath on the back of some severely deranged bloods - A lady they would not be able to see if they were with an otherwise fit and well 21 year-old. Its NOT the role, its the supervision and deployment. As an analogy you wouldn't want a suspension technician fixing your exhaust system, but you WOULD be happy with them sorting your shocks out.
Also as a GP you get 10 minute appointment slots. That's 10 minutes to go to reception, get someone into your room (Which can sometimes take 5 minutes in itself!), get a history, examine the patient, formulate your differential diagnoses, decide upon a treatment plan, arrange any necessary referrals and follow up, and then make sure your notes are water-tight. 10 minutes. For all that. That is why a lot of Drs don't want to go into general practice.
I agree with just about every word that you say but the "Shock horror partially qualified staff" outrage surrounding PAs is mostly unwarranted and the Management who look upon them as a cheaper way of doing the job of a Dr do NOT get enough criticism.
Richard your not a Politician, stick to economics seriously I listen to you a lot
Aside from dealing with the backlog the services provided by the NHS will have to be insourced
Outsorcing doesn't save money it doesn't improve the service and you loose control of quality which nosedives adding additional cost. Streeting has a political problem on how to get waiting lists down quickly so productivity increases and Labour get reelected in 5 years.
And you are not economist or a politician you stick to being a mediocre guitar player
Perhaps they'd better actually pay nurses and doctors well so they are retained. Remember this Labour party has said that doctors and nurses wouldn't get more pay
@@keithparker1346 One of the reasons we have high immigration is the pull factor of wage suppression in the public sector.
The government shrugs it's shoulders and just recruits from the 3rd world as well as allowing outsourcing.
If they don't deal with it Farage will continue with his foghorn of ignorance.
Streeting is doing well on the rounds, not that I agree with what he is saying.
I've worked in 2 companies that have outsourced service functions it has reduced my productivity quite significantly.
Richard, your video is built on a strawman argument, it is not Wes Streetings dream to have a low cost semi automated NHS
Wes Streeting has been discussing bringing primary care, ie doctors surgeries, fully into the NHS……so he wants to increase nationalisation not increase privatisation
NHS in Scotland is shattered if Swinny had his way and didn't have generous Barnett formula funding from Westminster to pay for it.
According to IFS report as well as many others such as LSE,FT,IoG for example,indy would mean large cuts on public spending combined with large tax rises given last 10 years Scotland has a fiscal deficit 3-5% larger than UK as a whole.
On top of that leaving UK single market (60% of Scottish external trade,compared to 19% for EU)would severely damage Scottish businesses.
But dont worry,it'll never happen......