How privatization turned the worst-performing NHS hospital around

From the American Spectator.

Excerpt:

[T]he most successful of the “drastic” experiments put in place is that much-hated bête noire of progressives and Obamacare supporters everywhere: privatization. The Mail Onlinereports that Hinchingbrooke Hospital, “The first NHS trust to be operated entirely by a private company has recorded one of the highest levels of patient satisfaction in the country.”

In other words, the Brits were so desperate to fix their crumbling health care system, they experimented with the private market and it is outperforming government-run health care without breaking a sweat. Hinchingbrooke was, like so many hospitals in the UK, about to go under when a private company called Circle Holdings was awarded a 10-year contract to run it. This is the first time such a company has been given control of an NHS hospital and the results will not come as a surprise to anyone who understands free enterprise.

As the Mail Online goes on to report, “The company running the trust has slashed losses at the hospital by 60 per cent and will soon begin to pay… debts built up over years of mismanagement.” Though will be no surprise to free market advocates, it has been a real eye-opener to the NHS. Privatization isn’t the dirty word it once was in the much-maligned health system: “The takeover deal … is seen as a blueprint for the future of many NHS trusts. The George Eliot Hospital in Warwickshire is already considering adopting the model.”

It will also come as no surprise to those who believe the market provides the most efficient health care delivery model that, in addition to dramatically improving the financial prospects, privatization has improved patient satisfaction. Before Hinchingbrooke was taken over by Circle Holdings, patients had a very low opinion of the hospital and the care it provided. Now, this perception is dramatically improved: “Patient satisfaction has risen to 85 per cent, placing Hinchingbrooke in the top six of the East of England’s 46 hospitals.”

I took a look at the UK Daily Mail article and found an interesting section:

Patient satisfaction has risen to 85 per cent, placing Hinchingbrooke in the top six of the East of England’s 46 hospitals. The feedback is calculated by asking families and patients whether they would recommend the hospital, then weighting the answers compared to local peers.

Previously the trust was among the lowest ranking for satisfaction.

Figures also show that Hinchingbrooke has risen from being one of the worst performing trusts to one of the best under the private firm’s management.When Circle took over, the hospital was consistently near the bottom of the 46 trusts, with many patients waiting more than four hours in A&E.

It now tops the list for short waiting times, seeing 98.2 per cent of patients within the required window.
The hospital also ranks fifth for the proportion of patients with suspected cancer having tests within a fortnight.

Before the takeover it had missed targets every month since June 2010.

It now treats 89 per cent of cancer patients within 62 days, beating the 85 per cent target.

Circle saved millions of pounds a year by cutting out arduous paperwork and middle management.

Under the former ownership, a lengthy form had to be filled out every time a lightbulb needed changing, in a process that often took more than a week.

The group, which runs independent hospitals in Reading and Bath, inherited debts of £39million with the project.

The hospital had been expected to lose £10million last year, but this has been whittled down to  £3.7million by the Circle group.

It made up the deficit from its own coffers, rather than taxpayer funds, and is expected to break even in the current year.

Do you think that we might consider privatizing Medicaid and Medicare, since we know that privatization is good for health care consumers and taxpayers? Of course not, because privatization is bad for politicians, who want to retain control of health care. Privatization is good, but we’re not going to get it unless we vote the socialists out.

Filed under: News, Consumer-Driven Health Care, Doctor, George Eliot Hospital, Health-care, Hospital, Medicine, National Health Service, NHS, Patient, Privatization, Service, Single-Payer, Socialized Medicine, Taxpayer, Warwickshire

Report: Patients receiving poor care at NHS hospital

A damning report on the state of government-run health care in the UK, found in the leftist New York Times, of all places.

Excerpt:

Shockingly bad care and inhumane treatment at a hospital in the Midlands led to hundreds of unnecessary deaths and stripped countless patients of their dignity and self-respect, according to a scathing report published on Wednesday.

The report, which examined conditions at Stafford Hospital in Staffordshire over a 50-month period between 2005 and 2009, cites example after example of horrific treatment: patients left unbathed and lying in their own urine and excrement; patients left so thirsty that they drank water from vases; patients denied medication, pain relief and food by callous and overworked staff members; patients who contracted infections due to filthy conditions; and patients sent home to die after being given the wrong diagnoses.

[...]The report into what has been called the biggest scandal in the modern history of the health service found that many of the problems were due to the efforts of the hospital to meet health-service targets, like providing care within four hours to patients arriving at the emergency room. It also said that in its efforts to balance its books and save $16 million in 2006 and 2007 in order to achieve so-called foundation-trust status, which made it semi-independent of control by the central government, the hospital laid off too many people and focused relentlessly on external objectives rather than patient care.

Patients have to be cared about in a for-profit system, otherwise, no one will get paid. In a socialist system, patients pay first and then hope to get care later. Although there are many hard-working doctors and nurses in the NHS, you can’t separate the care that a patient gets from the reward that doctors and nurses get, otherwise, they lose their incentive to care for patients.

But an even bigger problem is that when government runs health care, all kinds of things start to get covered that are not really health care, as the government begins to use health care as a way to buy votes. Suddenly, patients with real health care needs have to get in line behind people who want sex changes, breast implants, IVF, elective abortions and so on. There just isn’t time to give everyone care when the people seeking have no incentive to live responsible lives and make responsible choices in order to avoid risks that may require care. I do believe that the majority of NHS doctors and nurses mean well. They want to serve and help others. But when patients have no incentive to be responsible, there will be too much demand for care, and there will be shortages. When prices are health below market value, demand surges and a shortage will occur.

Here’s a bit more about the NHS health care problem from the UK Daily Mail.

Excerpt:

This week, the  scathing report on the Stafford Hospital  Scandal — after abuse and neglect led to the unnecessary deaths of hundreds of patients — said ‘fundamental change’ was needed in the NHS. It condemned ‘failings at every level’ and contained 290 recommendations for reform. However, Robert Francis QC’s report was merely the latest damning indictment of the health service.

In November 2012 the Care Quality Commission found that ten per cent of hospitals and  15 per cent of care homes weren’t treating their patients with respect. Health Secretary, Jeremy Hunt, warned that cruelty and neglect  had become normal in some hospitals and care homes.

[...]Reports in 2011 from Age UK and The Patients’ Association exposed some horrendous instances of abuse and neglect — not only enforced incontinence and unanswered buzzers, but patients left hungry and thirsty or in soiled bed-linen.

Another reason for these shortages is bureaucratic red tape. Government-run enterprises are inefficient:

Talking with a cross-section of hospital staff, older nurses told me where they feel the problems lie. They say it is not so much a question of cruelty and neglect — although they acknowledge that this can exist — but more that ward culture has changed.

In the past, the patient’s comfort and needs came first, but now it is all too easy for elements of patient care to be missed as nursing staff focus on paperwork and meeting targets.

Should we have government-run health care? Let’s look at how it works in other countries and decide using the evidence.

Filed under: News, Government, Health-care, Medicine, National Health Service, NHS, Report, Socialism, Socialized Medicine, Stafford

Government-run health care: starving sick babies and children to death

Here’s a scary story from the UK Daily Mail. (H/T Dan Mitchell)

Excerpt:

Now sick babies go on death pathway: Doctor’s haunting testimony reveals how children are put on end-of-life plan

• Practice of withdrawing food and fluid by tube being used on young patients
• Doctor admits starving and dehydrating ten babies to death in neonatal unit
• Liverpool Care Pathway subject of independent inquiry ordered by ministers
• Investigation, including child patients, will look at whether cash payments to hospitals to hit death pathway targets have influenced doctors’ decisions

Sick children are being discharged from NHS hospitals to die at home or in hospices on controversial ‘death pathways’.

Until now, end of life regime the Liverpool Care Pathway was thought to have involved only elderly and terminally-ill adults.

But the Mail can reveal the practice of withdrawing food and fluid by tube is being used on young patients as well as severely disabled newborn babies.

One doctor has admitted starving and dehydrating ten babies to death in the neonatal unit of one hospital alone.

Writing in a leading medical journal, the physician revealed the process can take an average of ten days during which a  baby becomes ‘smaller and shrunken’.

The LCP – on which 130,000 elderly and terminally-ill adult patients die each year – is now the subject of an independent inquiry ordered by ministers.

The investigation, which will include child patients, will look at whether cash payments to hospitals to hit death pathway targets have influenced doctors’ decisions.

Read the whole thing, but here’s a snip:

Bernadette Lloyd, a hospice paediatric nurse, has written to the Cabinet Office and the Department of Health to criticise the use of death pathways for children.

She said: ‘The parents feel coerced, at a very traumatic time, into agreeing that this is correct for their child whom they are told by doctors has only has a few days to live. It is very difficult to predict death. I have seen a “reasonable” number of children recover after being taken off the pathway.

‘I have also seen children die in terrible thirst because fluids are withdrawn from them until they die.

‘I witnessed a 14 year-old boy with cancer die with his tongue stuck to the roof of his mouth when doctors refused to give him liquids by tube. His death was agonising for him, and for us nurses to watch. This is euthanasia by the backdoor.’

This is what Democrats believe about health care. When the government runs health care, health stops being about curing sickness and starts being about buying votes. Suddenly, free abortions, breast enlargements, in vitro fertilization, drugs to calm down fatherless children, contraception, HIV/AIDS all become priorities. There are some people out there who want government to pay for the health effects of their own immoral / reckless choices, and that’s what government-run health care is really about. Enabling certain lifestyles that require health care subsidies so those people can live “as good as” traditional morality lifestyles. It’s interesting to note that in countries that have government-run health care, like Canada, doctors and nurses are regularly forced to act against their consciences to murder rather than cure. It’s no surprise because socialists in the Soviet Union and Nazi Germany have essentially the same view of conscience as modern leftists like the Democrat Party.

There isn’t enough money for us to pay people to voluntarily incur health care costs (and other social costs) with their immoral / irresponsible choices. But that’s exactly what happens when you make everything “health care” and then make it “free” in order to buy votes from people like Sandra Fluke. What Democrats do is look for groups that need subsidies or validation and they offer it to them with taxpayer money and laws prohibiting dissent. They essentially take the complete anti-freedom point of view on every question. They hate liberty, and love power. The want to control others and to be adored by those who depend on their benevolent redistribution of other people’s money.

Related posts

• Public health care working as designed in the UK and Canada
• NHS paying millions to hospitals to deny food and fluids to end-of-life patients
• UK socialism in action: patients waiting on trolleys for over 50 hours
• NHS makes patients wait unnecessarily in order to avoid “raising expectations”
• NHS refuses to treat woman who is starving to death
• Former NHS hospital director dies on surgery waiting list
• Women gives birth after NHS nurses send her home from hospital
• UK patients denied treatment as “public option” system makes cutbacks
• How do governments control costs in a single-payer health care systems?
• NHS patients giving birth in waiting rooms
• What does universal health care really mean?
• How well is government-run health care working out in the UK?
• British national health care system prepares to cut 20 billion dollars
• NHS kills a man’s wife by delaying cancer treatment for 7 months
• How is socialized medicine working out in the UK and Canada?
• Police probe death of NHS hospital patient who begged for water
• How government-run health care leads to euthanasia
• NHS employees leapfrog their own waiting lists to access private health care
• NHS delays treatment for broken arm for four months and counting
• One in six patients misdiagnosed by NHS
• The deadly consequences of rationing health care
• Health care in Britain: question a doctor and lose your children
• How death panels work in the British health care system
• One million NHS patients receive brutally inadequate health care
• 4000 NHS patients denied hospital beds to give birth to children
• Woman gives birth on pavement after NHS refuses to send an ambulance
• NHS hospitals infested with a dozen varieties of vermin
• 39-year old woman is prescribed painkillers and dies after 11-minute NHS exam
• NHS refuses to pay for lower-back painkillers

Filed under: News, Canada, Choice, Competition, Costs, Death, Death Panels, Denied, Doctor, End of Life, Euthanasia, Government, Health-care, Horror Story, Hospital, LCP, Liverpool Care Pathway, Medicine, Mercy Killing, Murder, National Health Service, NHS, NHS Horror Story, Obamacare, Operation, Patient, Public Option, Single-Payer, Socialism, Socialized Medicine, Terminal, Treatment, UK, Waiting List

Public health care working as designed in the UK and Canada

The UK Daily Mail gives us a bird’s eye view of the largest government-run health care delivery system in the world.

Excerpt:

A mother has described how her baby was left to die ‘like an abandoned animal’ after hospital doctors repeatedly ignored her desperate pleas for help.

Paula Stevenson begged doctors to act as her one-year-old daughter Hayley struggled to breathe in the days after a major heart operation.

She was so desperate she even tried ‘bribing’ a nurse with a £100 shopping voucher to give Hayley the attention she needed. Instead, hospital staff ‘humiliated and belittled’ her – treating her like a ‘nuisance’ for speaking up, she said.

Tragically, Mrs Stevenson’s maternal instinct was proven right when Hayley died of heart failure after both her lungs collapsed under the hospital’s watch.

Yesterday, as an inquest into her death concluded, a coroner said there had been ‘serious failings’ in Hayley’s care. Birmingham Children’s Hospital admitted full liability for her ‘avoidable’ death.

[...]Doctors failed to update her medical charts, were slow to look at X-rays and failed to refer Hayley to intensive care when her condition worsened.

People only care about giving you good service if they have to compete for your business in a free market, where suppliers have to offer higher quality at a lower price. Maybe that’s why the American for-profit system delivers so much better care than anywhere else in the world, and why the socialized medicine system in the UK is a miserable failure at everything except killing patients dead. The customer is never right in a government-run system. You are forced to pay into it first, and then they decide later what treatment you can have – after they’ve already been paid.

Well, maybe that’s just a problem in the UK. Canada has a single-payer government run health care system. Maybe it works better than the UK government-run system? The Montreal Gazette reports on health care in Quebec – la belle province – Canada’s most secularized and socialist province.

Excerpt:

Surgery wait times for deadly ovarian, cervical and breast cancers in Quebec are three times longer than government benchmarks, leading some desperate patients to shop around for an operating room.

But that’s a waste of time, doctors say, since the problem is spread across Quebec hospitals. And doctors are refusing to accept new patients quickly because they can’t treat them, health advocates say.

[...]The latest figures from the provincial government show that over a span of nearly 11 months, 7,780 patients in the Montreal area waited six months or longer for day surgeries, while another 2,957 waited for six months or longer for operations that required hospitalization.

The worst cases are gynecological cancers, experts say, because usually such a cancer has already spread by the time it is detected. Instead of four weeks from diagnosis to surgery, patients are waiting as long as three months to have cancerous growths removed.

But maybe the government-run health care systems cost less than the private systems? After all, governments can be more efficient than the private sector, because they have a monopoly and that’s more efficient, right? The Vancouver Sun reports on what single-payer health care costs in Canada.

Excerpt:

The true cost of Canada’s health care system is more than $11,000 in taxes each year for an average family, according to Vancouver-based think tank The Fraser Institute.

[...]Institute senior fellow Nadeem Esmail said in a news release sent out this morning: “There’s a widespread belief that health care is free in Canada. It’s not; our tax dollars cover the cost of it. But the way we pay for health care disguises exactly how much public health care insurance costs Canadian families and how that cost is increasing over time.”

The release noted that since 2002, the cost of health care insurance for the average Canadian family increased by 59.8 per cent before inflation.

“By way of comparison, the cost of public health care increased more than twice as fast as the cost of shelter, roughly four times as fast as the cost of food, and more than five times as fast as the cost of clothing,” the release said.

This is the system that Obamacare is trying to force onto us by eliminating private sector health care. We voted for a system that takes the consumer out of the health care business. Now government will call the shots, just like in the UK and in Canada.

Related posts

• NHS paying millions to hospitals to deny food and fluids to end-of-life patients
• UK socialism in action: patients waiting on trolleys for over 50 hours
• NHS makes patients wait unnecessarily in order to avoid “raising expectations”
• NHS refuses to treat woman who is starving to death
• Former NHS hospital director dies on surgery waiting list
• Women gives birth after NHS nurses send her home from hospital
• UK patients denied treatment as “public option” system makes cutbacks
• How do governments control costs in a single-payer health care systems?
• NHS patients giving birth in waiting rooms
• What does universal health care really mean?
• How well is government-run health care working out in the UK?
• British national health care system prepares to cut 20 billion dollars
• NHS kills a man’s wife by delaying cancer treatment for 7 months
• How is socialized medicine working out in the UK and Canada?
• Police probe death of NHS hospital patient who begged for water
• How government-run health care leads to euthanasia
• NHS employees leapfrog their own waiting lists to access private health care
• NHS delays treatment for broken arm for four months and counting
• One in six patients misdiagnosed by NHS
• The deadly consequences of rationing health care
• Health care in Britain: question a doctor and lose your children
• How death panels work in the British health care system
• One million NHS patients receive brutally inadequate health care
• 4000 NHS patients denied hospital beds to give birth to children
• Woman gives birth on pavement after NHS refuses to send an ambulance
• NHS hospitals infested with a dozen varieties of vermin
• 39-year old woman is prescribed painkillers and dies after 11-minute NHS exam
• NHS refuses to pay for lower-back painkillers

Filed under: News, Canada, Choice, Competition, Costs, Death, Death Panels, Denied, Doctor, End of Life, Euthanasia, Government, Health-care, Horror Story, Hospital, LCP, Liverpool Care Pathway, Medicine, Mercy Killing, Murder, National Health Service, NHS, NHS Horror Story, Obamacare, Operation, Patient, Public Option, Single-Payer, Socialism, Socialized Medicine, Terminal, Treatment, UK, Waiting List

NHS paying millions to hospitals to deny food and fluids to end-of-life patients

From the UK Telegraph.

Excerpt:

Almost two thirds of NHS trusts using the Liverpool Care Pathway have received payouts totalling millions of pounds for hitting targets related to its use, research forThe Daily Telegraph shows.

The figures, obtained under the Freedom of Information Act, reveal the full scale of financial inducements for the first time.

They suggest that about 85 per cent of trusts have now adopted the regime, which can involve the removal of hydration and nutrition from dying patients.

More than six out of 10 of those trusts – just over half of the total – have received or are due to receive financial rewards for doing so amounting to at least £12million.

[...]At many hospitals more than 50 per cent of all patients who died had been placed on the pathway and in one case the proportion of forseeable deaths on the pathway was almost nine out of 10.

[...]The LCP was originally developed at the Royal Liverpool University Hospital and the city’s Marie Curie hospice to ease suffering in dying patients, setting out principles for how they to be treated.

It involves the withdrawal of treatments or tests from patients which doctors believe could cause distress and do more harm than good.

[...]A series of cases have also come to light in which family members said they were not consulted or even informed when food and fluids were withheld from their loved-ones.

What would happen if we had government-run health care? When you make something “free”, more people want to use it, but fewer people want to provide it – because there is no money in it. So what does the government do to control costs? They ration care to people who can no longer vote to keep them in power. The weak, the elderly – just put them on a pathway to death. Is that what we want here in the United States?

Related posts

• UK socialism in action: patients waiting on trolleys for over 50 hours
• NHS makes patients wait unnecessarily in order to avoid “raising expectations”
• NHS refuses to treat woman who is starving to death
• Former NHS hospital director dies on surgery waiting list
• Women gives birth after NHS nurses send her home from hospital
• UK patients denied treatment as “public option” system makes cutbacks
• How do governments control costs in a single-payer health care systems?
• NHS patients giving birth in waiting rooms
• What does universal health care really mean?
• How well is government-run health care working out in the UK?
• British national health care system prepares to cut 20 billion dollars
• NHS kills a man’s wife by delaying cancer treatment for 7 months
• How is socialized medicine working out in the UK and Canada?
• Police probe death of NHS hospital patient who begged for water
• How government-run health care leads to euthanasia
• NHS employees leapfrog their own waiting lists to access private health care
• NHS delays treatment for broken arm for four months and counting
• One in six patients misdiagnosed by NHS
• The deadly consequences of rationing health care
• Health care in Britain: question a doctor and lose your children
• How death panels work in the British health care system
• One million NHS patients receive brutally inadequate health care
• 4000 NHS patients denied hospital beds to give birth to children
• Woman gives birth on pavement after NHS refuses to send an ambulance
• NHS hospitals infested with a dozen varieties of vermin
• 39-year old woman is prescribed painkillers and dies after 11-minute NHS exam
• NHS refuses to pay for lower-back painkillers

Filed under: News, Choice, Competition, Costs, Death, Death Panels, Denied, Doctor, End of Life, Euthanasia, Government, Health-care, Horror Story, Hospital, LCP, Liverpool Care Pathway, Medicine, Mercy Killing, Murder, National Health Service, NHS, NHS Horror Story, Obamacare, Operation, Patient, Public Option, Single-Payer, Socialism, Terminal, Treatment, UK, Waiting List