May 2025 blog
Physician Associaters: What do they do...
BMA PA, AA submissions to Leng
Right wing Telegraph article:
Was generous to JDs, now a rod for her back
The DDRB was designed to take doctor's pay out of pay comparisons-now used from April 1st to hold down all other's pay...
Latest wheeze: no new money, take from existing bugets... WORSE CARE!!!
The Leng review
I am sure Prof Leng is honorable-but any review run by DHSC is immediately suspect.
The way evidence is collected, the primacy of Stephen Nash-an unqualified, unregistered advocate for PAs, AAs, and self appointed unregistered union head...
Leng: the prime purpose is to justify PAs, AAs, to dilute
doctors, beat down the BMA-as Barclay admitted...
Tufton Street think tanks, and Parle, Massey- "shorten
training" means the qualification earned in the UK will not, cannot be
accepted abroad
Purposely blocking GP training, bottlenecks for JD specialities
Rotations-not necessary in the internet age of Facetime, Teams
etc
Must fund GPs
ICBs 30% cuts, then 15% cuts
Destroy NHSE: many staff supported a unified, public Bevan NHS
The S o State for Health and SC MUST have duty to provide a
comprehensive NHS and SC
Farage, Musk, Trump, Northern Rock, Kate Andrews want to buy NHS, privatise,
reduce treatments with INSURANCE!
They need smaller workforce
Labour change: the green light to change anything they want
Blair chatbots to replace GP receptionists. A useless gimmick! Does Blair have
a tie in with Bill Gates (as previous wasted attampts), Microsoft,
AI: a wasteful gimmick, unless analysed, tested and useful...
Need more doctors, nurses, beds, investment
Scanners, diagnostics: in NHS premises, run by NHS staff
Streeting vows to privatise, outsource
leading to a Depressed workforce
Leaving, emigrating, retiring
GP capitation now raised only slightly
GP practices can now recruit more GPs
NHI increases, cannot receive full income, cannot pay staff, recruit
staff
Expenses NHI, electric, gas, rates, interest,
Overloaded by hospitals, care in the community without funding…
A & E needs more space, more chairs, more doctors, nurses, helpers, enquiry
computer pods, reduce demand by walk in centres-but mainly MORE GPs
What the media do not tell you about the NHS
Full Pay Restoration
Valid Workforce Plan
Unblock Resident Doctor training, stop prioritising worthless PAs, AAs...
Stop blocking GP referral to Specialist Consultant
Stop bribing GPs to reduce numbers waiting
Pay Nurses properly, midwives
Ambulance "Trusts" should buy enough ambulances, drivers, paramedics
Unblock drop off barriers-more admission cubicles, A & E space, Doctors, Nurses, helpers
Unblock medicine shortages, reverse Brexit, do not cave in to Trump
No US trade deal, please!!! Keep Trump away from our NHS!!!
Many MPs take money from profiteer health companies...
Crafty cheating to reduce the wait list-cooking the books
Very skilled, experienced, knowledgeable GPs only refer a patient to a hospital specialist consultant after due consideration.
A referral can be rejected by a pimply youth, returned to the GP
A scheme exists for a GP to receive £20 for requesting "help
and guidance", but this is now being used to remove patients from hospital
referrals
back "into the comunity" -ie overloaded understaffed GPs...
Often, you have to join a waiting list to get onto the waiting list
You can also be arbitrarily removed if, on holiday, you do not
confirm you still require treatment
-back to the GP for another fresh referral..
Carehomes should be provided out of taxation. You should not have to sell your home, paid for out of taxed income.
A means test, perhaps...
Care Home Carers should be employed by the NHS, on NHS pay bands, with qualifications and advancement!
Many medicines are in short supply-caused by Brexit, and now by Trump's lunatic wargames with tariffs and taxes.
Hunt tries to claim his vaccines deal was thwarted...
Nobody has ever formulated an intelligent cohesive NHS Social Care workforce analysis.
The NHS is short of Doctors, Resident Junior Doctors, Midwives, Oncologists, Radiographers, Midwives.
A proper analysis of which jobs are essential, and plans to increase supply is oposite to government's wish to dilute, reduce, privatise.
Government want half trained quacks-known as PAs, AAs, to fool patients that all is well-but deaths occur when unsupervised substitutes kill patients.
Midwives are leaving, nurses are leaving, Doctors are leaving...
https://lowdownnhs.info/community-healthcare/neighbourhood-health-care-could-stretch-nhsd-budget-to-breaking-point/
https://archive.ph/2025.04.17-122332/https://caselaw.nationalarchives.gov.uk/ewhc/admin/2025/960
Caselaw National archives BMA v GDC
https://www.rcgp.org.uk/news/pulse-survey-stress-burnout
https://www.bma.org.uk/bma-media-centre/bma-reacts-to-disappointing-high-court-ruling-on-blurred-lines-between-pas-and-doctors
https://www.bbc.co.uk/news/articles/cm2xkrg6m7no
Emergency care needs improvement
https://www.bbc.co.uk/news/articles/cgrgqqjdlg4o
Plan for GPs to keep patients out of hospital
https://www.youtube.com/watch?v=Dy9tg9Fn4Kk
Bob Gill: What the media doesn't tell you NHS
https://publicmatters.org.uk/2019/10/08/how-much-of-the-nhs-in-england-has-already-been-privatised/
How much NHS already privatised
https://inews.co.uk/news/im-a-doctor-heres-why-brexit-has-made-it-harder-to-get-life-saving-drugs-3652475
https://x.com/AllysonPollock
"Integration" means Privatisation!
KEEP THE US OUT OF OUR NHS AND SOCIAL CARE!!!
Breaking news...
Wes Streeting has funding for the first new NHS dental surgery,
in Frinton.
The dentist is 79...extractions and vulcanite dentures only at present!
Prof Allyson Pollock
Private provision forcing longer wait for NHS hip and knee replacements
Starmer and Streeting promised Privatisation on Steroids...
Outsourcing is to "show favoritism to Industry"
Profiteers first duty is to shareholders, CEOs, Board members
Profiteers take teams from the NHS, provide worse care at far greater expense!!!
A study of NHS-funded hip and knee replacement operations has found fewer surgical
admissions within NHS hospitals and rising waiting times even as NHS contracts
with private providers have expanded.
A study by Graham Kirkwood and Allyson Pollock of NHS-funded hip and knee replacement
operations has found fewer surgical admissions within NHS hospitals and rising
waiting times even as NHS contracts with private providers have expanded.
On average, patients funded by the NHS and treated by private providers waited
half as long as those treated in NHS hospitals.
The study covers from 1997 to 2019 and highlights a widening inequality. It
shows the poorest 20% of patients were significantly less likely to be treated
in the private sector and were facing longer waiting times than the richest
20%.
Between 2003 and 2008 - when the proportion of NHS patients treated in the private
sector was negligible - NHS surgical admissions rose and waiting times more
than halved. But after 2008, as private provision expanded, NHS capacity fell
sharply and waiting times increased across the board.
These findings show that the private sector is now substituting for, not adding
to, NHS capacity. This is leading to reduced in-house provision, longer waits
for all, and a system skewed in favour of those able to access private facilities
with NHS funding.
The period of the 22 years studied marked the development of a two-tier system
within the NHS - where patients receiving NHS-funded treatment in private hospitals
enjoy faster access than those remaining within the NHS system.
The findings raise urgent concerns about the growing reliance on private companies
for NHS services, undermining the founding principle of equitable access based
on need, not wealth.
There should be a moratorium on NHS contracts with the private sector for elective
surgery and an end to the private provision of clinical services in the NHS
including:
•urgent rebuilding of in-house NHS capacity to tackle waiting lists and restore equitable care •a full investigation by Parliament and the National Audit Office into the true cost of outsourcing, the profits of private companies, and the additional income earned by NHS consultants and staff linked to this trend The research makes it clear: outsourcing is worsening outcomes, fuelling inequality, and hollowing out the NHS from within. Private sector involvement in the NHS has a damaging impact. A two-tier system is being created that benefits the wealthy while leaving poorer patients behind. It’s time to take action to reverse course.
Kirkwood G, Pollock AM. Outsourcing National Health Service surgery to the private
sector: waiting time inequality and the making of a two-tier system for hip
and knee replacement in England. International Journal of Social Determinants
of Health and Health Services