While Scotland’s 35% lower fatality rate will be explained by multiple factors, the decision in 2008, to axe outsourced cleaning and to increase the number of cleaners, by Nicola Sturgeon, then Health Secretary, seems likely to have been a major factor.
What happened:
(May 2011) In the 1980s, the Thatcher government in the UK introduced compulsory tendering of all cleaning and catering work in hospitals throughout the UK. This was bitterly fought at the time, with a series of lengthy strikes, public campaigns and court cases. For the next 20 years the unions continued to organise cleaners, negotiate to improve their pay and conditions , and campaign to bring work back in-house. Now, three of the four countries in the UK have decided that there will be no more contracting-out of these services, and all cleaning in NHS hospitals will remain in-house. In Scotland, the decision was taken in 2008, against the background of major problems in British hospitals with infections resistant to treatment. The Scottish ministry of health banned any further contracting-out of these services, so that when existing contracts expire all work returns and remains in-house. It also financed the employment of 600 extra cleaners to raise standards of cleanliness.
https://www.epsu.org/article/uk-hospital-cleaning-brought-house-scotland-wales-n-ireland
Scientific evidence that it has worked:
The number of older people recorded as having contracted the Clostridium difficile hospital bug has dropped by 37% in a year, statistics showed today. Quarterly figures from Health Protection Scotland show that between October and December last year 425 new cases of C.diff were recorded in those over 65, compared with 672 in the same period of 2009. The number of new cases in under-65s has fallen by 45%, from 235 in the final quarter of 2009 to 129 in the final quarter of last year. Cases of MRSA-related illness among all age groups were also down, with 82 new infections recorded between October and December 2009, down from 119 cases in the same period of 2009.
SNP Health Secretary Nicola Sturgeon today praised Scotland’s NHS staff’s commitment to driving down the number of hospital infections. Commenting on the figures, she said: “The SNP Government has put 1,000 additional cleaners in our hospitals, brought an end to the privatisation of hospital cleaning contracts and introduced a tough new inspection regime by the Healthcare Environment Inspectorate.
https://www.dailyrecord.co.uk/news/health/number-of-cases-of-killer-hospital-bug-1099571
New research shows that NHS hospitals that employ private cleaners are associated with a higher incidence of MRSA, a ‘superbug’ that causes life-threatening infection and has previously been linked with a lack of cleanliness…on average, the incidence of MRSA infection between 2005 and 2009 was 2.28 in every 100,000 bed days in trusts that outsourced their cleaning, compared with 1.46 bed days in trusts that used in-house cleaners –.a difference of almost 50 per cent.
The research was conducted by the University of Oxford, with the London School of Economics and Political Science, and the London School of Hygiene & Tropical Medicine.
Talking-up Scotland / Scottish media fact checking is like shooting fish in a barrel 
Pied Piper anywhere?
“Hospitals are infested with rats, fleas, ants and cockroaches, and many have leaking sewage pipes.
Almost all hospitals have suffered from pests while two thirds have leaking roofs and pipes after years of raiding maintenance budgets to cover day-to-day spending.”
https://www.thetimes.co.uk/article/hospitals-plagued-by-rats-fleas-and-leaking-sewage-ks3pt6rnp
Wot, no pigeons?
“Droppings in an operating theatre, flies in a labour ward and a false widow spider are among the reasons pest control services were called to Welsh hospitals over the past five years.
Ants and rats prompted the most call-outs but cockroaches, wasps, slugs and maggots were also spotted.”
https://www.bbc.co.uk/news/uk-wales-50737114
Different dates, different places, same problem.
“Rats have been spotted running around a hospital kitchen in an infestation lasting ‘several weeks’.
Workers at Warrington General Hospital have flagged up the problem and pest control officers are battling to get the situation under control.”
https://www.liverpoolecho.co.uk/news/liverpool-news/rats-found-running-around-hospital-17166655
“A rat was spotted running across a patient’s bedroom at a mental health ward in Northern Ireland in sickening footage.”
https://www.mirror.co.uk/news/uk-news/absolutely-huge-rat-spotted-scampering-20553276
The Guardian tries to sum it up.
https://www.theguardian.com/society/2016/dec/30/nhs-hospitals-pest-control-cockroaches-rats-rentokil
“Thousands of pests including cockroaches and rats have been found in NHS hospitals in each of the last five years as the cost of tackling them has spiralled, new figures have shown.
Data obtained by the Press Association under freedom of information shows there were nearly 5,000 pest control callouts by NHS trusts to hospitals in England in 2015-16 – equivalent to around 13 a day. The areas where pests have been sighted included maternity wards, children’s intensive care units and operating theatres.
The amount of money hospitals spent on treating pests reached nearly £1.1m in the year to March 2016 and the overall figure is likely to be far higher, as 87 of about 150 trusts responded to the request. Some refused to say how much they had spent, citing private finance initiative deals or that the information was “commercially sensitive”.
Costs have soared compared with five years ago, based on an analysis of like-for-like data from the 62 trusts that provided figures for both 2011-12 and 2015-16, which showed a rise of more than 26% over the period – from £646,857 to £815,855.”
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Wow, none shall sleep?
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This is the best source of fully evidenced information bar none, our MSM, BBC ought to be ashamed but are so consumed by by factionalism and self interest that distortion, manipulation and omission of facts is now the norm, and as for some of the comments made by their readership, one would be hard pushed to distinguish between being governed by a party doing its best for everyone, under extremely difficult, challenging circumstances by NS and one led by Benito Musselini
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Sleepwalking, runs in the family, like noses. You, too?
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Just me, the only ‘lark’ in a house with four ‘owls’.
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Health before Wealth
Cleanliness is next to Godliness
SIMPLES
As the Merkat says
But we all know what the Market says
Wealth before Health
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Sorry if I’m being pedantic, but the difference isn’t “nearly 50%” (implying a figure of forty-something %), it’s 56%, i.e. 56% fewer deaths where cleaning is in-house, or 56% excess deaths where it’s outsourced. That’s a very comforting saving of human lives on the one hand and a damning indictment of outsourcing, as well as a refutation of the supposed benefits of the free-market, on the other.
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