The number of EU nationals registering as nurses in England has dropped by 92% since the Brexit referendum in June, and a record number are quitting the NHS…
The haemorrhaging of foreign staff is being blamed by the Royal College of Nursing (RCN) on the failure of the government to provide EU nationals in the UK with any security about their future…
Janet Davies, chief executive and general secretary of the RCN, said… “The government risks turning off the supply of qualified nurses from around the world at the very moment the health service is in a staffing crisis like never before.” [The Guardian]
No wonder, therefore, that Norman Lamb made this his opening point when speaking at the Liberal Democrat federal spring conference in York:
First, we condemn Theresa May for her refusal to guarantee the rights of EU citizens working in our NHS and care services to stay in this country.
We value the vital contribution you make. We demand that their right is guaranteed.
The Budget completely failed to address the dire financial situation facing the NHS and care.
Whatever your politics, it makes no sense to spend a reducing share of our national income on the NHS as demand rises at 4% every year
Whatever your politics, it makes no sense that in 2018/19 spending per head in real terms will actually fall as pressures grow
Whatever your politics, surely we can’t tolerate over a million older people with care needs left unmet.
Yet this is the reality today.
And it’s not just numbers or statistics – it’s the impact on people which is so disturbing. There are real consequences for families up and down our country.
This is what the brilliant charity, Young Minds, reports from its Parents’ Helpline:
“The helpline receives calls every day from parents who are desperately trying to get support from Children’s Mental Health Services. We regularly hear from parents who can’t even get a referral or who have been waiting months for an initial assessment and whose children’s conditions have got worse during that time. Children who have started to self-harm or become suicidal during the wait – or who’ve dropped out of school, which not only has a big impact on their own education but also means that one of the parents has to give up their job to look after them. We hear from parents who’ve separated because of the pressure the wait is putting on the whole family.”
This in our NHS. It’s shameful.
The man in North Norfolk told that the waiting time for the adult ADHD clinic is two years. What’s he supposed to do in the meantime?
People waiting in a state of acute anxiety for a cancer operation which is delayed beyond the standard maximum 62 days from referral to treatment. Across the country, this standard is no longer being met.
Or the missed ambulance response times for patients in life or death situations, the record numbers of delayed discharges – frail older people stuck in hospital becoming more dependent.
A system under impossible pressure.
The awful truth is that failures of care are becoming commonplace – at a time when the Secretary of State claims that he wants the NHS to be the safest health system in the world.
And here’s the really insidious trend. More and more people, who have the funds, are opting out, fast-tracking treatment by paying privately. And who can blame them. You do what you can for your family.
But how can we tolerate a situation where those with money can get speedy access to treatment whilst those without are left waiting. This totally undermines the solidarity of which we are all proud, that belief that in this country, you get access to treatment regardless of your ability to pay.
And just look at how we have fallen behind other European countries in how much we spend on healthcare. Germany and France spend more than we do.
Watch how the Tories self-righteously condemn other countries for falling short of the golden 2% share of GDP spent on defence – an international benchmark, yet seem not to care when we fall so badly behind on health spending?
We can’t carry on letting people down. We are the sixth largest economy in the world. Surely we are capable of doing better than this?
So the Lib Dems will lead the way, showing how we can give hope to patients and to the remarkable workforce in the NHS and in care services.
I pay tribute to the work carried out by the independent expert panel. I thank them for guiding us. Their interim report is powerful.
An OBR for Health – an independent assessment of the amount of money needed to deliver a modern and effective health and care system – taking it out of the hands of politicians, restoring people’s trust.
And three options for providing sustainable funding.
I have been clear that I am immensely attracted to their third option – a dedicated NHS and Care Tax, shown on your pay packet, fair between generations and progressive.
And until such a tax could be implemented, we have to find a credible way of funding the necessary increased investment.
I want us to consider a penny on income tax to help guarantee that our loved ones get the care they need, in their hour of need. But we must be smart on how that extra money is spent. As our expert panel has proposed, extra investment must be focused on out of hospital care and social care. We must champion prevention of ill health, investing in public health – so stupidly cut by the Tories.
And we must invest more in mental health to end the injustice suffered by those with mental ill health.
So Liberal Democrats will lead the way in coming up with solutions for the big challenges we face.
But there is real urgency about the crisis we face. That’s why I have brought together Conservative, Labour and Lib Dem MPs to call for the Prime Minister to establish an NHS and Care Convention.
It was a great Liberal, William Beveridge, who proposed the NHS.
Now, as we approach its 70th year, the NHS is in desperate need of renewal.
Today’s Liberal party – the Liberal Democrats – must meet that challenge. We must lead the way.
UPDATE: It gets worse.
There are fears the NHS could suffer a shortage of nurses after Brexit, according to a report by the Health Service Journal (HSJ).
A leaked document reportedly seen by the HSJ cites the “worst case scenario” of a shortage of 42,000 nurses. [ITV]