So, who rules; the healers, or those who desire healing?

Which is the largest single employer in this United Kingdom? The National Health Service.

Who governs the NHS? Overall control rests with Government, who provide the taxpayers’ cash upon which the NHS depends. Medical control stays within the framework explained here, and is formed of CCGs, various Agencies, Hospital Trusts etc.; most of which are peopled with medically-biased staffers.

We all know that the NHS is continually stressed, continuously asking for more cash, more staff, more, more and ever more. And they do have a point. Major planning for the NHS provisions of health care was carried out over a decade ago, and our population has increased by some 6 millions, and maybe more since that, most of which is accounted for by Labour’s gerrymandering of the EU migration system, along with the suicidal inrush of mainly Muslim migrants from the Middle-East and from the cess-pit cultures of Muslim Bangladesh/Pakistan along with Afghanistan. So we have a Health system designed for 60 millions, but operating on a severely-stressed basis for 67-odd million; lots of whom are all getting older.

So, two CCG’s (Clinical Commissioning Group) have decided that, for certain procedures, they will ban patients from surgery indefinitely unless they lose weight or quit smoking, under controversial plans drawn up in Hertfordshire. The new rules, drawn up by clinical commissioning groups (CCGs) in Hertfordshire, say that obese patients “will not get non-urgent surgery until they reduce their weight” at all, unless the circumstances are exceptional. The criteria also mean smokers will only be referred for operations if they have stopped smoking for at least eight weeks, with such patients breathalysed before referral. IVF services will also be cut back.

East and North Hertfordshire CCG and  Herts Valleys said the plans aimed to encourage people “to take more responsibility for their own health and wellbeing, wherever possible, freeing up limited NHS resources for priority treatment”.

Now knee-jerk reactions have come from Trusts, hospitals, charities such as ‘Patient Concern’ who predictably stated ‘We didn’t sign up for a two-tier health service’; but what should the British people’s response actually be? Do we push ever larger quantities of cash just to plug the leaking holes in the NHS dyke, or do we state the obvious; which is; ‘The medical people know what is right, in that weight-loss and cessation of smoking will allow the medical procedures to be of benefit: so follow the advice, or go without the surgery!’

Hell’s gates, I know how difficult it is to lose weight, I have been trying for ages; I remain fat, but at least I am not putting weight on. I stopped smoking 33 years ago, and that was the smartest thing I have done in years. If I can rid myself of an addiction which would have killed me; why can’t others?

13 comments for “So, who rules; the healers, or those who desire healing?

  1. Mudplugger
    October 18, 2017 at 1:23 pm

    If the NHS is encouraged not to provide medically necessary treatment for those whose legal lifestyle choices may have compromised their health, then maybe we should define that as the basic ground-rule for all.

    Then try explaining your new Golden Rule to the vociferous gay community whose unsafe sexual practices give them HIV, for which the NHS can apparently always find limitless funds for hugely-expensive treatments, with no added hectoring. Not forgetting that at least the smokers have pre-paid for their treatment in excise duties – there’s no tax on unprotected bum-banditry (yet).

    Then let’s get onto the injured weekend sports-players . . . . and then . . . .

    It’s not the job of the NHS to apply value judgements to the means by which its clients acquired their illnesses – the job is to treat them, ideally with fairness.

    • Bemused
      October 18, 2017 at 4:43 pm

      Hear hear.

    • opsimath
      October 18, 2017 at 5:32 pm

      Quite so, Very well said, sir.

    • October 19, 2017 at 1:54 pm

      And transgender surgery. !!

      It came to light recently in Oz that our military have spent over Au$1 million on cutting bits off soldiers to boost the number of females in uniform !! No mention of their smoking habits.

  2. Errol
    October 18, 2017 at 8:15 pm

    I do tihnk sex change operations should be privately paid for. If it’s a mental illness, teach them that they’re ill but do not indulge their fantasies.

  3. Ed P
    October 19, 2017 at 7:22 am

    All cosmetic surgery, in which I’d include stomach stapling & sex changes, should be privately funded and never have priority over essential, but taxpayer-funded operations.
    It’s obscene that there are long waiting times for potentially live-saving operations, but magically surgeons can “find” almost instant theatre time for private operations.

    • Mudplugger
      October 19, 2017 at 8:43 am

      The ‘creative’ arrangements used by medics, from GPs upwards, dates back to the founding of the NHS when it was considered necessary to ‘cross their palms with gold’ to get doctors to sign up to it.
      (Despite all the NHS surgery branding, your local GP is not employed by the NHS: he/she is a self-employed private contractor – yet he/she still gets access to the very generous NHS pension scheme – spooky that.)

      Almost 70 years later, it’s time the employer (NHS) took charge, treating all its workers as simply technical staff, with standard terms of employment, their workloads, outputs and assignments being controlled by professional and accountable managers, just as happens in any other large organisation.
      It won’t happen because the powerful vested-interest groups of the various ‘royal’ colleges still run the show for their own benefit and no government has the balls to challenge them, certainly not this one.

      • October 19, 2017 at 1:56 pm

        Another tier of managers and admins, Muddy? Another 97 forms?

        • Mudplugger
          October 19, 2017 at 5:25 pm

          It’s easy to miss the key words ‘professional and accountable’ – that’s what would make the difference.

          • Hereward Unbowed.
            October 19, 2017 at 5:43 pm

            for what it’s worth, I think you make a good point, however the problem arises in finding suitable people who are, ‘professional and accountable’ and therein is, a poser which involves all UK society.

  4. Hereward Unbowed.
    October 19, 2017 at 4:29 pm

    But if everybody is fit and healthy, then they’re {NHS] all out of a job.

    Damned to die and damned if you do or don’t – anyway.

    BE HEALTHY you Brits and proletariat scum, because we CAN’T AFFORD YOU and…………….. the trains and boats and planes bring in another 800K new unhealthy arrivals p/a.

    I saw an news item about Skunk and smoking it causes all sorts of psychotic alterations [it does no doubt of it] – the upshot of the report ‘legalise it and sell it coz it’s better to regulate the strength or whatever’ and thus the government sanctions Skunk more people ‘discover it’ – so how is that going to help the NHS in the long run – see what I mean?

    The government and that busybody chief Medical Officer Dame Sally Davies is always exhorting the nation to ‘get healthy’ and lead a healthy lifestyle and so in the long run we KNOW WELL that humans don’t live forever, thus, is it not stacking up future problems?

    I recall Simon Heffer;s musings, and being thoroughly relaxed about people smoking, one reason being that, they die off sooner ie, at a younger age.

    These days no one believes in God but the NHS and so many people love to play at being God and I ask, who are they to set themselves up as God? It is not also true that, a society which does not believe in ethics nor indeed anything much else, is a society which can never endure.

  5. Hereward Unbowed.
    October 20, 2017 at 8:06 am

    Lets throw in some ballpark figures and not to forget the ocean going hypocrisy.

    Britain has circa, the highest rates of imbibing, snorting, shooting, smoking proscribed substance abuse in Europe. Furthermore, not all of these are drop outs and students, maintaining a habit be it, Dope, Skag or Cocaine costs money – there are 7 million people employed in the Public sector and the taxpayer funds indirectly most of the bods who work in associated ‘industries’ not least in consultancy, accounting, and the legal sectors – don’t tell me that the vast majority of these ants don’t do some illegal ‘recreation’.

    It is estimated that the Treasury benefits to the tune of some £10 billion from Tobacco duties.
    It is reckoned that smoking related illness ‘costs’ the NHS in the guestimated region of some £2 billion.

    Why aren’t the Treasury standing up and challenging the NHS and informing them about the nett benefit to the Exchequer overall? No? why not?

    The fucking weasels who attempt to run the lives of people in this benighted land we call ‘home’about it all it is, the two faced hypocrisy which sticks in the craw, after all isn’t Tobacco a legally licenced product? Most of the tosserati all smoke wacky baccy and shoot up at weekends and then, if they are so determined to stop the habit then – why don’t the vermin in the nanny state……….. go the full hog and prohibit the habit – and good luck with that btw.

    On obesity, another NHS deflection feint, there is no obesity ‘epidemic’, there are people who purchase and eat the wrong stuff ….that don’t, will not exercise or that their jobs are static – remember it is also reckoned that half of the NHS staff have ‘an obesity problem’…………..Plus, perhaps too many people are given overly generous benefits to buy junk food.
    Education would help but the NHS isn’t overwhelmed by fat people, that’s just another nanny state porker.

    Isn’t it a free country – “still”……………yeah don’t answer that.

    And the latest wheeze is another whopper and government sleight or actually a crass deceit.

    Listening to R4 [may the Lord have mercy on me]………… today ‘the Lancet’ reporting that 50, 000 deaths are [here’s the smoke and mirrors bit – scuse the pun] to “air pollution” and yet nowhere on planet earth, unless you live down a volcano or even next to a coking plant does it say on death certificates – “this bod died of inhaling NO, NO2, particulates”. yeah OK it may be that it is a factor if you are susceptible to pulmonary-cardiovascular problems [I know I hear you, with, apologies to James] – diesel but then……………who was it in the fairly recent past, just who was the champion of diesel autos – yep HMG!!

    Finally muse on………….and could it be, could it possibly be that…………………now they want us all to drive electric buggies, could it be that TPB are purposefully, malignantly demonizing the combustion engine………………shurely they’d never stoop so low!

    you bet your bottom $s these fekkers are.

  6. Hereward Unbowed.
    October 20, 2017 at 8:18 am

    on a meme, here’s a link that makes some very interesting reading but I bet R4 won’t feature it tomorrow…………….

    Government BS; lies, damned lies and specious extrapolation and air pollution statistics

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