November 2025 blog
Your GP surgery is under attack from Wes!!!
Funding is far too low...
We need more GPs-thousands are ready to work-but practices cannot afford to hire them due to ARRS rules...
Practices need their expenses reimbursed-individually
Hospitals need more Doctors (training pathways blocked by Streeting)
Hospitals need more beds... to allow entry to A & E
Doctors-both GPs and JUnior Residents need FULL PAY RESTORATION
Doctors practices need more ancillary trained staff-NOT USELESS PAs (Politician's Apologies)
Community hubs, Darzi centres-are a threat to your GP-stuffed with untrained PAs, privately owned, privately run-taking funds from your convenient local established GP
SUPPORT YOUR GPS-by Writing to Streeting!!!
You get the idea! Who is worth more-a GP. Doctor or an MP???
Starmer, MacKey and Streeting certainly have declared war on Doctors!
Wes reportedly said "I hate bloody Doctors"
Which would you rather save with a parachute-a Doctor or an MP???
Streeting's plan is to build privately owned, privately run Community Hubs, staffed by PAs and Advanced Care Practitioners-NOT qualified Doctors
and force GPs to "go private" by lowering capitation fees-currently £160 per patient per year
allowing practice expenses and dragonian rules to drive partnerships out of the NHS.
PFI rules meant new hospitals had to be smaller, fewer beds, fewer Doctors, fewerNurses
Ourt own GP died from aourtic aneurism, being sent home through lack of beds. In a recent A & E visit-34 patients required a bed, only 11 were available... CRAZY!
Care "in the community" means burnt out GPs overworked. Lack of Care beds means bed blocking... The Cure is SIMPLES... INVEST IN LARGER HOSPITALS, not through NOT PFI...!!!
Why NHS dentistry died...
Thatcher and Regan developed the "sod the poor, lower taxes strategy...
In NHS dentistry-the DHSS took target income (knobbled by
DDRB!),
plus target averaged expenses to calculate the global sum.
The spreadsheet (covered by the Official Secrets Act!) took as fixed the global sum, and divided each fee into this…
If dentists worked hard, did more exams, fillings etc-the fee went down…
If a dentist spent more on equipment, because the average stayed constant-his income went down…
In theory-if we all did fewer fillings etc-the fee would go up, but nobody could afford to do fewer…
DHSS really wanted dentists to do cheaper, basics: say extractions only, no dentures if possible
but dentists wanted to try to do good dentistry-root treatments, crowns, chrome dentures, bridges.
A crown was £39, profit after expenses £4 before tax, £2 after tax…
Blair was urged to remove crowns, chrome dentures, bridges etc from the menu-but wanted the illusion that NHS dentistry was comprehensive, and just as good as private treatment...
The government used "we need more time with the patient" to introduce capitation
children got 29p a month-so received no treatment, and hospital referral for extractions under GA soared.!
adults got the same fee for three fillings as one..., same for difficult etched white fillings as cheaper, quicker (?better?) amalgam
this deterred dentists
the unit of dental activity UDAs (yoodahs) were rationed to each dentist in a year, dispersed late by Crapita, so dentists were stopped from working hard-the exact result DHSS wanted-it kept the cost of dentistry down!!!
The BDA urged any dentist who was in a wealthy area togo private-and many brave souls did, in droves...
Rationing treatments
Accountable Care Organisations, ICBs,
use rationing to deny
treatment-as do Private
Health Insurers....
The government, Treasury and DHSS really want inexpensive basic NHS treatment.
Surgeons, medics, eg, want to develop best techniques and operations for their
patients…
and advocate for their patients…
Say an eminent experienced surgeon is good at leg lengthening… is this really essential for a comprehensive NHS?
Equally-breast reduction, breast augmentation (except after removal)
facelifts, hair transplant...
-
some wise caring Solomon may need to ration treatment.
Wes Streeting NHS Failures...
The Lowdown-excellent support for NHS right click-open in new window...
Government privatisation on steroids
