Link to this page: https://www.socialistparty.org.uk/issue/817/18871
From The Socialist newspaper, 2 July 2014
Underfunding crisis threatens NHS
Doctors have recently warned that the National Health Service (NHS) is facing collapsing services due to an underfunding crisis. However, the Con-Dem government is keen to point out that spending on the NHS is both 'ring-fenced' from austerity cuts and is rising in real terms. In reality...
- The government is pushing through £20 billion in 'efficiency savings' ie cuts, by 2015, while NHS England estimates a £30 billion shortfall by 2021.
- Making cuts means fewer staff and poorer healthcare. Since the Con-Dems came into office there are 5,000 fewer nurses working in the NHS. Staff shortages have resulted in trusts having to use agencies to supply staff costing even more money. For example, there has been a 60% rise in the total bill for locum doctors in the past three years.
- The drive to achieve Foundation Trust (FT) status (all hospital trusts were meant to become FTs by April 2014) has also sparked rounds of cost cutting. It contributed to the scandal of 'excessive deaths' at the Mid Staffordshire Hospital because management cut permanent staffing levels on wards.
- Furthermore, the rate of inflation in the NHS is significantly higher as a result of the excessive cost of drugs charged by mega-profitable pharmaceutical companies.
- NHS resources are also being siphoned by rip-off Private Finance Initiative (PFI) contracts. Construction and maintenance of all new buildings in the NHS must be done through PFIs. These decades-long deals amount to a super-expensive hire-purchase arrangement, except that the buildings are not owned by the NHS but leased back to health trusts. PFI payments have drained many trusts of resources threatening healthcare provision. Over 25 trusts are currently facing bankruptcy.
- In 2012, South London Healthcare Trust had to be placed in administration, following bankruptcy, because PFI repayments amounted to 14% of its income.
- Under the 2013 Health and Social Care Act, 60% of the NHS budget will be open to for-profit private health providers.
- Since 2005, Independent Sector Treatment Centres (ISTCs) run by for-profit companies have been awarded contracts in the NHS to deliver minor elective treatment, but are estimated to charge 11.5% more for operations than those carried out by the NHS.
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The coronavirus crisis has laid bare the class character of society in numerous ways. It is making clear to many that it is the working class that keeps society running, not the CEOs of major corporations.
The results of austerity have been graphically demonstrated as public services strain to cope with the crisis.
The government has now ripped up its 'austerity' mantra and turned to policies that not long ago were denounced as socialist. But after the corona crisis, it will try to make the working class pay for it, by trying to claw back what has been given.
- The Socialist Party's material is more vital than ever, so we can continue to report from workers who are fighting for better health and safety measures, against layoffs, for adequate staffing levels, etc.
- When the health crisis subsides, we must be ready for the stormy events ahead and the need to arm workers' movements with a socialist programme - one which puts the health and needs of humanity before the profits of a few.
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In The Socialist 2 July 2014:
Socialist Party news and analysis
End low pay - Fight until we win
Needed: a political voice for the working class
Coulson conviction: Cameron should go!
The great British housing disaster
Jimmy Savile - a Tory union basher
Underfunding crisis threatens NHS
International socialist news and analysis
South Africa - victory in platinum miners' strike!
Solidarity needed against nationalist attacks in Sri Lanka
Socialist Party workplace news
Camden caterers: Fighting for a living wage
RMT: Remembering Bob Crow through struggle
Unite conference debates union's Labour link
NUT: Over 10,000 votes for Martin Powell-Davies
Doncaster Care UK workers continue pay struggle
Socialist Party reports and campaigns
Kent TUSC stands up for Freedom Passes
Birmingham schools: Challenging Gove's agenda
Obituary: Ian Whyles - miner, socialist and class fighter
Socialist Party review
Review: Murdered By My Boyfriend
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