Aside Posted on
Your plans are neither safe, nor sustainable, nor morally okay.
BY LUCY BRADBEER PUBLISHED 28 JULY, 2015 – 15:31
“Make the care of the patient your first concern.”
This is the cardinal rule of Good Medical Practice, the handbook issued to every medical student by the GMC at the dawn of their training. Ask any doctor: we have this rule as deeply ingrained throughout medical school as any physiological action or pharmacological mechanism. We probably mumble it in our sleep.
And we try to. We try so damned hard. Along with the nurses, the allied healthcare professionals, and all the auxiliary teams – we do what we can with meagre staffing levels and stretched resources pitted against relentless “efficiency savings“. We work and work and work, in a miasma of demoralisation that has only thickened over the past weeks and months as the true depth and breadth of the cuts has become horrifyingly apparent.
The patients are more numerous and sicker than ever before; partly due to the ageing population, but also because the patients getting admitted to hospital have been disproportionately disadvantaged by the decimation of health and social care provision both in hospitals and nationwide in the community. The estimated funding gap for adult social care this decade? £4.3 billion.Charity funding cut by £1.3 billion; personal care cut; mental health services cut ; disability benefits cut; carers in crisis; benefit caps inexorably tightening; all welfare increasingly inaccessible to the most vulnerable members of society: the unwell, the poor, the young, the disabled.
Given the above, it is indisputable that the actions taken by this government and the last have made the British population sicker.
The knock-on effect on healthcare resources is both predictable and inevitable.
Vulnerable, isolated older people are arguably the worst hit; the sterling work by Age UK shines a light on the shameful state of things for this demographic. These are the patients who bounce in and out of hospital and “bed-block“, often due to multiple morbidities and complex psychosocial needs.
Hospital admission should always be a last resort. Unfortunately, in so many cases, things are so bad in the community that last resorts are all we have.