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Posts Tagged ‘NHS’

  • by Miranda Eeles
  • Researcher at London School of Hygiene & Tropical Medicine

“Why are we not more angry?”

That was the question being raised by the participants of Sandwell Health’s Other Economic Summit (SHOES) which brought together academia, doctors, architects, journalists, local government and civil society to discuss issues ranging from sustainable food policy and climate change to the privatization of the NHS.

The Summit, which was held at the Balaji Temple in Tividale on Friday 28th March, is Sandwell Health’s annual event that aims to explore current themes and challenges in public health both at global and local level.

Neo-liberalism, corporate power and an assumption that development equals economic growth were identified as some of the mains reasons behind the problems facing the world today, and the increasing gap in inequalities.

“We need to change the narrative”, said Dr David McCoy, senior clinical lecturer at Queen Mary University, London and Chair of MEDACT.  “We need to demonstrate an alternative system and put forward intellectual and scientific arguments to eradicate poverty and address climate change.”

Corporations, government and the insurance industry were all put under the spotlight as speakers lamented a lack of leadership across the party spectrum.

But as in previous SHOES events, the audience also heard about the achievements at local level which illustrate how change can happen, provided the political will is there.

Urban food growing, investing in community assets and young people, creating a culture of activity and a return to a strong synergy between rural and urban environments were listed as some of the ways in which to address local needs.

This year’s Summit also was a celebration of the exemplary work done by John Middleton, Sandwell’s Director of Public Health, who retired at the end of March after 27 years in the job.

‘Dials’ and ‘levers’ were terms used to describe priorities and actions that have been employed under his leadership to bring different agencies together to improve the health and well being of the local population, including the Police, NHS Trusts, Clinical Commissioning Groups, a Youth Council and different departments of Sandwell Council.

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I was born before the NHS.  My Dad was a window cleaner and Mum a shop worker.  He saved the equivalent of three week’s wages to have a ‘midwife’ come and help his young wife through 12 hours of labour.  No gas, no air and no prospect of going to hospital.  Her first born had died, she nearly bled to death.  A woman at risk but determined to start a family.

When the 1948 NHS Act came along it lifted, from the shoulders of working people, the anxiety of sickness, injury and accident.  It was an heroic piece of politics, built on belief and vision.

Today, that young wife is a frail widow being cared for, in her own home, by a hospital in-reach team.  Her husband died years ago but his life was extended by an aortic valve replacement.  It was innovative, new and must have cost thousands.

I started life without the NHS and I expect to end without it.  Today’s politicians are driven by balance sheets, not beliefs.  There are no visions or convictions, just focus-groups and practicalities.  The eagerness to get the NHS off the nation’s books will become more urgent.  The damage to the economy has hobbled the NHS and the grim economic prospects with cripple it.  The NHS is running up the down escalator of time, costs, and demand.

Can we learn or legislate to make fat people thin?  Can we find a way to help old people remember who they are?  Can we turn the feral into families?  Probably yes; but we don’t have the time or the money or the know-how.

Yes, the NHS has to be efficient and safe and clean but it has to be central to a political desire to promote, encourage and endorse social medicine and its values.  I judge it is not.  If we want an NHS we have to pay for it.  No politicians have the courage to ask for the money.

We can fiddle with technology, fidget with data and lean care-pathways but the truth is; the NHS is about smart people with a strong sense of vocation.  There is no shortage of them but the places that can employ them will become scarce.

In ten years we will be well on our way to 20 giant hospitals, vertically integrated with privately run health and care shops in the high street.  Basic services will be available, top-ups common and a major source of NHS income.

Nurses will provide their own uniforms, patients will buy their pills on-line and in-patients pay for their meals.  As maternity is a condition and not an illness, mums will pay for their deliveries – just like it was when I was born.

My message comes from the past, delivered in the present but meant for the future.  ‘We tried, we did our best but they wouldn’t listen.  Not enough of us saw it coming and too few saw it going.  I’m sorry’.

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