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Health Care

Take the wind out of their sails

Resident doctors are demanding another 30 per cent pay rise as Labour faces a “summer of discontent”.

The medics, previously known as junior doctors, are threatening more walkouts despite getting a pay rise that they sought three years ago.

Go back to calling them student doctors. Then they can argue with the public about the wages of student doctors….

Interestink

The UK is becoming “the sick person of the wealthy world” because of the growing number of people dying from drugs, suicide and violence, research has found.

Death rates among under-50s in the UK have got worse in recent years compared with many other rich countries, an international study shows.

While mortality from cancer and heart disease has decreased, the number of deaths from injuries, accidents and poisonings has gone up, and got much worse for use of illicit drugs.

The trends mean Britain is increasingly out of step with other well-off nations, most of which have had improvements in the numbers of people dying from such causes.

The increase in drug-related deaths has been so dramatic that the rate of them occuring in the UK was three times higher in 2019 – among both sexes – than the median of 21 other countries studied.

So the UK is becoming more like the US in its pattern of deaths. Which means that it’s not the NHS v insurance based health care which causes the American pattern of death, right?

Ah

Weight-loss injections could cut the risk of cancer by almost half, research suggests.

Researchers analysed the health records of more than 6,000 obese patients with Type 2 diabetes, half of whom were given bariatric surgery while the others were prescribed GLP-1 weight-loss jabs.

The Israeli team found that while weight-loss surgery cut the risk of obesity-related cancer by up to 42 per cent, the impact of the injections might be even better.

So it’s not the injections, it’s the weight loss. And the injections are better at the weight loss than the surgery, and so and therefore…..

Rather fun

A majority of Britons may now consider themselves neurodivergent, meaning they have a condition such as autism, dyslexia or dyspraxia, according to a leading psychologist.

Not wholly and not quite but sorta – if it’s the majority then it’s not divergent, is it?

The headline and the story…..

Scale of Britain’s junk food crisis laid bare

And:

Researchers from Brazil’s scientific institution, the Oswaldo Cruz Foundation, analysed the impact of UPFs on the rates of premature deaths in eight separate countries.

The study, published in the American Journal of Preventative Medicine, found UPFs made up 53 per cent of people’s food energy consumption in the UK.

The peeps whoi invented the concept of UPFs are sure that UPFs are very bad. Yes, yes, they are.

She said while this study was observational and could not prove a link between the two,

Quite, quite….

I’ve already seen the claim

The NHS will test all children who believe they are transgender for autism under new plans seen by The Telegraph.

Every child referred to a gender clinic will be “screened for neurodevelopmental conditions” such as autism and ADHD under new guidance, to be introduced in the wake of the Cass review.

The review, by paediatrician Baroness Cass, found that the mental health conditions were disproportionately common among children and young people with gender dysphoria.

See, see, the establishment is claiming that trans peeps are mad, see!

Which isn’t the case at all. From observation there’s a case – not a proof, a case to be made – that trans is, in at least some people, a social infection that affects autists more than others. Therefore, before slicing and dicing it should be sensible to actually check this.

No?

What is this? 4%, 5% of income?

GPs in poor parts of England are paid £5,500 less a year than in wealthy areas, study finds

And the difference in living costs – not just house prices, pints and all that too – is more or less than 4 or 5%?

Quite, internal to England price differences are more than 5%. The GPs in the poorer areas almost certainly have higher real incomes than those in richer.

No, no, we know this is true because we’ve the existence of London weighting to show us that it does. It’s just that it’s not only London, see?

Yes?

Computed tomography scans – also known as CT, or Cat, scans – may be causing 1 in 20 cancers, a study has found.

About five million of the scans, which use X-rays to create detailed internal pictures of the body, are carried out each year on the NHS. But new research from the University of California (UC) suggests they could lead to lung, breast and other cancers, with a tenfold increased risk for babies.

There are no solutions, only trade offs.

This has all been known for a very long time. The only interest here is that they’ve upped the rate at which they think it happens.

Winner of today’s Fuckwit Competition

Paulette Hamilton, the MP for Birmingham Erdington and chair of the all-party parliamentary group on black health, said: “The findings of this landmark survey confirm what black women have known for decades: our reproductive health is in crisis. Yet our pain is too often dismissed, underresearched and inadequately treated.

“The fact that black women are 69% more likely to suffer from serious reproductive conditions than white women is not just a disparity, it is systemic neglect.”

She added: “It is imperative that we address these disparities by investing in targeted research, prioritising culturally competent care, and dismantling the structural racism that leaves black women bearing the brunt of reproductive injustice.”

The actual difference is:

Brown, who said she felt dismissed by NHS consultants at first, eventually had surgery that found 25 large fibroids measuring up to 12cm each. After being diagnosed Brown, from a mixed heritage background, found out that black and mixed women were at a higher risk of developing fibroids.

And that’s actually it.

Stark ethnic inequalities were revealed by the survey. More than a third (38.1%) of black women reported a reproductive condition, compared with 27.7% of white women, making black women 69% more likely to have such a condition than their counterparts after adjusting for age. This was caused by a large difference in the percentage of women reporting uterine fibroids: 19.8% of black women reported having the condition, compared with only 5% of their white counterparts.

It’s one of them genetic things. Like the fair being more prone to skin cancers, West Africans to sickle cell, Mediterranians thalassaemia and so on. It’s not the system, not capitalism, not structural, it’s genes. But for the shrieking harpy….

This is both true and useful

Each year, hundreds of potentially world-changing treatments are discarded because scientists run out of cash. But where big pharma or altruists fear to tread, my friend and I have a solution. It’s repugnant, but it will work

This is both true and useful. Not many ideas are that, so this is worth considering. Read the full thing.

Manslaughter? Eh?

The number of patient deaths being investigated as possible manslaughter at a troubled NHS hospital has more than doubled to 90, the Guardian can reveal.

The growing number of allegedly suspicious deaths, up from an initial total of 40, has forced Sussex police to ask the Home Office for extra resources in dealing with its expanding inquiry into University Hospitals Sussex (UHSussex), known as Operation Bramber.

It is examining allegations of medical negligence and cover-up in the general surgery and neurosurgery departments of Brighton’s Royal Sussex County hospital, part of UHSussex, between 2015 and 2021.

OK, murder – Letby – and euthanasia (sdhe got off, so not murder) at Gosport. But manslaughter?

So they’re not blaming inequality then?

That’s a relief:

Life expectancy in England is rising more slowly than in the rest of Europe, according to a new Lancet study.

Obesity, bad diet and a lack of physical activity are behind a decade of life expectancy stagnation, the researchers said, with stalling progress to tackle deaths from heart disease and cancer.

Scotland had the lowest life expectancy among the 20 countries analysed, followed by Wales and Northern Ireland.

However, England was the country that had made the slowest progress since 2011.

What do we all blame that on? Celts? Devolution? Fewer markets in healthcare? What?

Honey here is an ignorant tosser

When I was pregnant for the first time in 2020, I remember saying to my husband: “This country does not give a toss about the health of black people.” Why? As a pregnant woman and a sickle cell carrier, I was shocked to learn how little information is shared about this disease. Logging into pregnancy apps or reading NHS leaflets, you find an endless list of illnesses and conditions – genetic and non-genetic – that may affect your baby. Yet sickle cell was barely mentioned, despite it being the fastest-growing genetic disease in the UK.

Sickle cell affects those of West African heritage. Until recently this wasn’t, in fact, an issue among the British population. Of course, given recent immigration, it is becoming more of one.

The NHS is not known as being a hugely responsive organisation. And there we are, that’s all we need to know.

Could be, possibly…..

She added: “Mumsnet users tell us that they feel in many cases difficulties in seeking diagnoses and treatment are driven by misogyny, with women’s pain seen as less serious or valid than that of men, and women’s health concerns [are] dismissed, belittled or ignored.

That the NHS does not provide timely treatment is not news. That the wimmins’ care is worse than the chaps, well.

The attention paid to breast cancer over the decades, as compared to that given to prostate, might not quite bear that out really.

See, see? Told you so!

Mr Streeting’s argument focussed on Mr Farage’s suggestion that the health service, which may have caused 50,000 deaths due to delayed treatment last year, could move to the insurance-based model used in France in order to improve efficiency.

The Health Secretary framed NHS performance as a battleground between Left and Right, saying: “The failure of our public service to meet the needs of the people is a fertiliser for the populism we see across liberal democracies.”

He said that the NHS needed improvement in order to remove “the conditions where the populist Right thrive”.

Competition works!

OK, so far it’s only political competition leading to potential improvements in the NHS. But who thinks Wes would be bleating like this if he’d not got Reform breathing down his neck?

Logical, on the face of it

Obese patients and smokers face being sent to the back of the queue for NHS surgery under government plans.

Reforms announced by Sir Keir Starmer will mean that patients will only be given a date for an operation if they have been assessed as “fit to proceed”.

Tens of thousands of patients waiting for hip and knee surgery will be asked to first undergo a 12-week weight-loss programme, while smokers will be urged to quit.

Fatties might not need new knees if they were thinner. Smokers recover badly – or worse – from surgery. So, you know, sensible enough.

Except we all know how this will turn out, don’t we? You’ll not get near a knife if your BMI is even 25.1 and if you’ve even been in a room with an unlit tab.

There is also another issue. People in countries with functional medical systems are thinking “!2 weeks? Wait? For Surgery?”

New plans! New plans!

He said: “Our 10-year health plan will deliver three big shifts in the focus of healthcare from hospital to community, analogue to digital, and sickness to prevention. We will refresh the NHS workforce plan to fit the transformed health service we will build over the next decade, so the NHS has the staff it needs to treat patients on time again.”

Last year, health officials drew up a strategy – which would have seen a 49 per cent increase in hospital consultants by 2036 – but just 4 per cent more GPs.

Now, they will be told to “refresh” the plan to tip the balance in favour of services closer to home, meaning far more GPs, health visitors and community nurses trained and hired.

As I keep pointing out about the place GP training has been in the hands of govt for 80 years now. And they’ve not even been able to process really simple stuff – like the feminisation of the profession will lead to fewer working hours per GP trained.

That’s just one of the problems with government plans. Governments aren’t very good at planning.

Who?

The national debate on assisted dying is both moving and frustrating. The dark magnitude of British terminally ill teacher Nathaniel Dye’s words – “my very death depends on it” – weighs on the nation’s conscience.

Dark magnitude? Nation’s conscience? Fair bit of rhetorical puff being applied there.

This interpretation is misguided. For one thing, cold utilitarianism favours assisted death. The taboo that nobody dares to articulate is that assisted dying will leave society financially better off. The NHS spends most of its resources on palliative care for people in the final six months of their life.

What do you mean no one dares articulate? This is the very point that some of us have been shrieking. That the fiscal issues so heavily favour topping Granny that that’s what will happen. Therefore……

Assisted dying will also help people protect their family wealth. Those who are being forced to spend savings and sell assets to pay for end-of-life care will at least have an alternative option. While this might sound grotesquely materialistic, for many the ability to leave a parting gift to their family, and the reassurance that while they may no longer be with them in life, they can at least contribute to their security in death, is more precious than another few months in a hospice bed.

That any number of avaricious little bastards will thereby guilt Granny into taking the pills….

Critics of the Bill have warned that legalising assisted dying could lead to a slippery slope, with not just the terminally ill but the chronically ill becoming eligible and under pressure to end their lives. This argument seems naively narrow.

Naively narrow? But it’s the argument you’ve just made twice!

Jeebus. First they came for logic….

He may be right or wrong but this is deffo the way I think about it

In the report, Mr Teague writes: “Many of the safeguards promised by its supporters amount to nothing more than arbitrary restrictions, with no rational foundation. Reason demands their removal, propelling an irreversible expansion of scope that has already taken place in the Netherlands and elsewhere.

“This process is as logically inexorable as it is empirically inevitable, for the very arguments relied upon to justify physician-assisted suicide would also support the introduction of voluntary and, ultimately, non-voluntary euthanasia.”

I’m pretty sure we already have “non-voluntary euthanasia” or, as we might call it, murder. The Gosport Hospital and Liverpool Pathway cases seem to show that to me. In that latter there were bonuses for hitting targets of those “choosing” euthanasia. We know what targets do, right?

I do grasp my life my choice arguments. No, really. I’ve just no idea at all about how we move from where we are to a greater, erm, freedom without it descending into a welter of murder of little old Grannies.

Ever so slightly odd

An NHS nurse was suspended for more than two years after a patient claimed she was pregnant with his child, an employment tribunal has heard.

So, she worked on a ward for crims who were nutters. One of whom made the claim.

OK, well, we have had reports of warder and crims etc. So, investigate by all means:

Employment Judge Simon Loy said there were then a “series of extensions” to her suspension, which lasted for 29 months.

Among humans at lesat that’s long enough to sort out the pregnancy issue, no?

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