Am I missing something? Just transfer patients to other health boards?

NHS Lanarkshire’s three hospitals are all full despite national Covid hospital admissions being at less than half of the peak in February and 15% down on late September. ICU cases, at 56 across the whole country, are down from over 100 a few weeks ago.

Staff absences are down for the sixth week in a row and a quarter of the peak in April 2021.

NHS Scotland has 279 hospitals some of which are only a few miles from the three in Lanarkshire. Why can’t they take some of the load off Lanarkshire?

Annual State of NHSScotland Assets and Facilities Report for 2014 - gov.scot

Which health board is better placed, more central, than Lanarkshire, to transfer patients to other boards with several large hospitals?

Is there some financial arrangement whereby the costs of treating transferred patients are then charged back to the originating board and the folk who manage them don’t like to see that on their books?

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5 thoughts on “Am I missing something? Just transfer patients to other health boards?

  1. OT John, not sure if you’ve read the latest (unattributed/SO?) promotion piece on the Scotland/Politics “Scottish schools spending ‘is highest per pupil in UK’ “, based on an IFS UK-wide report, but here presenting a Scotland perspective.

    What jumps out in the opening paragraphs is the ever changing datum, or implication of continued datum by omission of mention, there is no way on earth the IFS would have produced such a convoluted distortion.
    Naturally comments were opened for the keyboard rent-a-gobs to descend en masse.

    Liked by 2 people

    1. I took a quick look as the IFS article dated 22 October 2021 entitled ‘Comparisons of school spending per pupil across the UK’ (https://ifs.org.uk/publications/15764 ) It includes these statements on education spending:

      ‘The overall trends in England and Wales are very similar over time, as are the levels of spending per pupil from 2011–12 onwards. Between 2009–10 and 2018–19, spending per pupil fell by 8% in real terms in England and by 5% in real terms in Wales.’

      So on funding by the Westminster and Cardiff governments (Tory and Labour respectively) the trend for spending on education between 2009-10 to 2018-19 is reported by the IFS as ‘very similar’!

      We also learn: ‘Between 2009–10 and 2014–15, spending per pupil fell by 7% in real terms in Scotland. These cuts then began to be unwound, with spending per pupil growing by 7% in real terms between 2014–15 and 2018–19.’

      The IFS adds: ‘Squeezes in core school spending per pupil over the last decade in England, Wales and Northern Ireland will make it that much harder for schools to address the major challenges and inequalities they face in the wake of the pandemic.’

      Interestingly, it is ONLY in the press release to accompany its publication that the IFS author adds this: ‘‘However, it is important to remember higher spending need not automatically translate into better educational outcomes. Indeed, international comparisons of test scores suggest numeracy and science scores were declining in high-spending Scotland relative to the OECD average up to 2018. ‘

      There is NOTHING in the IFS’ published research to evidence anything on the significance or otherwise of these specific ‘test scores’ and funding to achieve ‘better educational outcomes – it’s just a throw away line. Of course the BBC News website article opts to quote this bit from the press release.

      The notion that a country’s education system could or should be judged by such (I assume PISA) test scores alone is ludicrous. However, if we allow for a moment the OECD is to be taken as THE authority, then ALL its findings on Scotland perhaps should be taken into account – but rarely if ever are, and certainly not by opposition politicians, the corporate media and BBC Scotland. And now not by the IFS!

      What follows is from: OECD (2021), Scotland’s Curriculum for Excellence: Into the Future, Implementing Education Policies, OECD Publishing, Paris.

      ‘PISA’s new global competence module aims to capture the capacity of 15-year-olds to examine local, global and intercultural issues, to understand and appreciate the perspectives and world views of others, to engage in open, appropriate and effective interactions with people from different cultures, and to act for collective well-being and sustainable development.

      ‘Scotland ranked among the top-performing countries in global competence. ….. Scotland was the fourth top-performing country, behind Singapore, Canada, and Hong Kong (China), …’

      From the same OECD report, on ‘equity’: ‘Students’ socio-economic status has a relatively small impact on their performance in Scotland, compared to other OECD countries and economies. The extent of socio-economic disparities in academic performance indicates whether an education system helps promote equality of opportunities.’

      And finally the same report gives this endorsement: ‘Scotland’s Curriculum for Excellence (CfE) offers an inspiring and widely supported philosophy of education. Its framework allows for effective curricular practices and for the possibility of a truly fulfilling education for learners. Building upon its commitment to education quality, Scotland can make adjustments within CfE’s flexible framework to achieve its potential for learners present and future.’

      Liked by 2 people

  2. £Billions are spent on healthcare. Grampian had relatively few in hospital with Covid. The central belt has 2million people. There are hospitals centred there. Lothian and Glasgow are near Lanarkshire. There would be facilities there in the region.

    Less people are attending appointments or operation from choice. Or being advised not to because they could die from Covid but not from waiting. Other people are being seen quicker with manageable conditions.

    Doctors are still visiting people with covid every day, especially people who live alone.

    Like

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