by
KarenF
@ 2007-12-14 - 11:30:22
From the Daily Mail:
Chief medical officer wants hospitals 'fined if they harm patients'
Hospitals should be fined if they harm patients, the Government's chief medical officer said yesterday.
Sir Liam Donaldson also suggested that hospitals where patients contracted superbugs could have to pay for any extra treatment.
At the launch of a report by the National Patient Safety Agency, he said: "Why should the Health Service, funded by the taxpayer, pay for the care of a patient that's had bad care?
"In any other walk of life if you receive very bad service then you don't pay for it, you get a refund, and I don't think it should be any different in the Health Service.
He's obviously never heard of Ryanair. Or Local Government. Or New Labour. I've received terrible service from this government, which has lost my personal details, including everything needed for someone to steal my identity and my child's. It has also reneged on promises to improve educational standards, and has gone 90% of the way to privatising the NHS when it promised it wouldn't. Where's my refund, Sir Liam?
The NHS, like government, is NOT a business, and it wastes money to run it as such. It is a public service. Like the railways, privatising it will create greater expense for the service users, with more safety and service problems.
"If somebody develops MRSA and has to stay in hospital longer to be treated, why should it be funded?"
He said that in the U.S., some states require hospitals by law to report medical errors.
Last month, Rhode Island Hospital was fined 50,000 dollars for performing "wrong site" surgery on a patient for the third time this year.
Sir Liam said similar systems should be brought in here which would act as an "incentive" for hospitals to provide better care.
When I began working in the NHS in the mid-80s, we often had visits from US healthcare managers who wanted to see how the NHS achieved so much on so little funding. They didn't take on much, because as businesses it wouldn't work. Everyone just mucked in, we were poorly funded, but basically we were left to get on with the job as we saw fit. There was a feeling that everyone was in it together: our hospital managers were well-known faces who were often on the wards and understood the difficulties faced by staff. We knew they'd help if they could, but were cash-strapped.
This isn't suitable for a business model, which is what the US healthcare system is. Fundholding managers want to feel in control because they have to report back to shareholders and make profit. Yet they are way distanced from their staff. Those making the financial decisions may never have seen a ward, they are relying on reports and statistics. So endless time is taken collecting data and meeting targets that are clinically pointless.
Primary care trusts could withhold some of the funding due to the hospital for the care of the individual affected, Sir Liam said.
So a hospital that is obviously already struggling will be made to struggle more. It doesn't take a brain surgeon to realise that this will only make infection rates and other tragedies resulting from malfunding even worse.
Malfunding is probably the best word to use, even if it might be a made up one. The NHS is now gobbling up resources, but the money is disappearing into the gaping maw of financial mismanagement, funding givernment targets and staff demoralisation: there's no feeling of wanting to muck in any more (eg by working routine unpaid overtime, not taking holiday, and working outside of job description) because for staff it is now them against the managers, who are seen as the agents of Government.
He would be recommending the idea to Lord Darzi, who is carrying out a review of the NHS.
Data from the NPSA revealed there were more than 700,000 "patient safety incidents" in the NHS in 2006/07.
In total, 6,558 incidents resulted in severe harm and another 40,665 caused moderate harm to patients. There were 2,929 deaths.
Last night the Department of Health insisted that it would not be taking forward Sir Liam's proposal to fine hospitals for poor quality care.
I suppose we should be thankful for small mercies.
But it added that under the NHS "operating framework" unveiled yesterday, PCTs would be able to charge hospital trusts if they failed to stick to locally-defined targets to reduce C.diff rates.
Charges would also apply to trusts which breached an 18-week waiting time target, due to be implemented by the end of next year.
Because it is so very important that one shouldn't wait more than 18 weeks to have one's ongrowing toenail removed. And an 18-week wait for a breast cancer operation really isn't anything to complain about.
Why the fuck don't the government piss off meddling in the NHS and go and do something useful, like looking for those missing computer discs, or even better, trying to find their long-discarded socialist principles?