NHS and those bastards at the TPA

How dare they? How damn dare they?

Tell everyone that the NHS is not very good at preventing mortality amenable to health care?

There is no evidence for this, envy of the world it is!

http://www.bmj.com/content/327/7424/1129.full

2003 report in the British Medical Journal. The NHS comes 18 th out of 19 systems studied in the prevention of mortality amenable to health care.

How dare those tax dodging bastards tell the truth!

NHS Scotland:

A summary of the key findings are provided below:

  • During 2000-2004, there were 34,000 deaths in Scotland (around 6,800 per annum) categorised as amenable to health care, representing approximately 10% of all deaths annually.
  • Ischaemic heart disease, cerebrovascular disease, malignant neoplasm of colon and rectum, malignant neoplasm of breast, and pneumonia accounted for the largest numbers of amenable deaths, and caused 82% of all amenable deaths in Scotland during the 5-year period.
  • Greater Glasgow NHS Board has the highest age and sex standardised amenable mortality rates for both males and females, with significantly high standardised rates also observed for Argyll and Clyde and Lanarkshire.
  • The overall standardised death rate for amenable mortality in Scotland was 123.6 per 100,000 population compared to 130.0 for the UK.

Tax dodging bastards!

6 comments on “NHS and those bastards at the TPA

  1. What in the flying fuck is a ‘death prevented’? Surely it’s ‘postponed’. I’d rather die next week in a balls-to-the-wall barbiturate and vodka binge than fifty years from now shrieking in agony as the bone cancer rips through me. Of course I’d prefer even further to go fifty years from now, cancer-free, during the vodka/viagra/ScarlettJohanssonBot(TM) binge. But we’re not usually allowed to make the choice.

  2. Oh look, here’s another report in the BMJ http://www.bmj.com/content/336/7659/1469.full , which quotes a US study (which is behind a paywall) as showing the NHS to be the best of six health systems considered. But then, one wouldn’t want to cherry pick.

    The concept of “mortality amenable to health care” is of doubtful value. It consists of deeming certain diseases to be curable below a specified age, and counting deaths from those diseases. But if a lot of people in Scotland die of heart disease or strokes, that might have more to do with their lifestyles than the healthcare they get (unless you want to blame NHS Scotland for not making Scots eat less and exercise more). There’s high mortality in Scotland from colorectal cancer, but there’s also high incidence. It’s presumably not the fault of NHS Scotland when Scots get cancer.

  3. Did you look at the criteria, PaulB? Those six countries were judged on things like ‘healthy lives’, ‘equity’ and ‘patient-centered care’.

    Meaningless, in terms of real results.

  4. Peter Risdon: yes, I read what it said. I also read the paper behind the NHS Scotland report. Interestingly, the fourth bullet point does not correspond to anything in the paper: the comparisons therein report that NHS Scotland has a standardised amenable rate higher than the UK average.

    The paper comments that “Amenable mortality is highly correlated with all cause mortality”. Which would seem to be a fatal blow to the contention that NHS Scotland is primarily to blame.

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