NHS Is Not A Business QED!

As my regular readers will know I benefitted from the wonderful services of the NHS last year and Guys hospital in particular. Having never been in hospital in my 69 years it was a whole new experience. One that made a huge impact upon all of my senses.

The incredible man who operated on me was one of this country’s leading surgeons and only in conversations with his registrars later did I find out that to become a surgeon requires 15 years of study and application . . . Yes 15 years!! I had previously respected lawyers and accountants who took 5 to 7 years to qualify but this type of work elevates surgeons into a whole different professional category.

During both of my stays I came to recognise that I was in a world removed from the ‘dog eat dog’ outside world. It was a world in which people (the staff), put other people (the patients) first and genuinely cared about their welfare. Nothing was ever too much trouble and relief from pain and anxiety was paramount.

I did, however, experience something unpleasant and that had to do with money, not care. One night a fellow patient fell out of bed trying to reach his water jug. The ‘agency’ nurse came and looked through the curtains, turned and walked away! The duty nurse was as shocked as I was and screamed at the offending nurse, whilst immediately going to the assistance of the struggling and bemused patient.

This was an ‘in my face’ example of how our NHS cannot be turned into a business. This was not the only example I saw during my time at Guys, which demonstrated the quintessential uniqueness of our NHS. That the employed staff cared and the non-vocational staff cared less. This caring is not confined to the nursing staff but is apparent right up to the top echelons of medical practice, as the following makes clear.

Three years ago my doctor sent me for investigation and after scans a consultant confirmed I would need a replacement hip “but could I hold on for another three years until I was 70?” I was told I was better off anyway, with my own hip and I took this advice at face value.

What a fool! Three years on and now I will also need a knee replacement, as that extra time suggested by the consultant has resulted in additional damage beyond my hip.

With the benefit of hindsight, I am now convinced his advice, on delaying the surgery, meant a saving on his budget for that year and has resulted in greater expense now. Short termism is not just a practice of the financial and political markets!

My wonderful surgeon at Guys (who is ‘observing’ my recovery over the next 2 years), has had hip surgery and so knows what I am going through. Quite out of the blue at our last meeting, when he learned I had now been recommended for hip surgery, volunteered to have my bones scanned to identify the extent of the deterioration.

By doing this he could reduce the time taken to actually get me into surgery when my case came up for action. ‘Care’ was the overriding factor that prompted him to get involved.

Our world beating NHS is only as good as the people who are a part of it. Those people are irreplaceable and not interested in turning this service into a business. Profit and bonuses, or any other form of financial incentive, would not in any way improve the deep caring attitude of the staff who come to this type of vocational work, no matter what level they practice at.

Vocational work has never been associated with profit . . . to everyone, except politicians and corporations that is a given. It is an attitude of mind that sends people into Care and Education that contrasts dramatically with neoliberal thinking and the lust for profit.

However, it is now becoming obvious that our current breed of politician is incapable of such thinking. The cult of neoliberalism is endemic within our Tory party in particular, as increasing privatisation is evidence to. Are they not proud of what successive governments have achieved and as a result, how revered our health service is across the globe?!!

As with the EU, I am fast coming to the conclusion that there is little point in fighting the political establishment for change. They lack ethics and integrity, having now become servants of neoliberal beliefs and will simply not listen.

Indeed, they are now applying odious political tactics to the NHS, to undermine its credibility and further their corporate masters aim of pimping profits from this venerable service, destroying it and its essential caring ethos in the process.

Applying democratic principles of demonstration and protest to a political body that no longer operates such principles can only mean one thing. If we are to bring Society back from the brink of neoliberal catastrophe we must also focus on regime change. And we have to start planning now.

Until the next time

 

Thinking from his Book: Global Magna Carta. Returning Power to the 99% . . . If They Want It! By J T Coombes