Has Scottish Labour ‘jumped the shark’ on Scotland’s NHS?

– and condemned the Welsh Labour Government by implication?

By stewartb

There are notable features in a research report published recently (9 June 2022) by the health think tank, the Nuffield Trust. It’s entitled: ‘How well is the NHS in Wales performing?’

Source https://www.nuffieldtrust.org.uk/news-item/how-well-is-the-nhs-in-wales-performing

The first thing to note is the objective of the Trust’s work: ‘to review how waiting times in Wales compare with other UK countries and with historic trends.’  However, the more remarkable feature is this: We (i.e. the Trust) were asked by the BBC to review how waiting times in Wales compare with other UK countries and with historic trends.’  (my emphasis)

Regular visitors to TuS will appreciate the ‘groundbreaking’ nature of this, of the BBC actually commissioning a comparative study! Many will know that BBC Scotland for years has failed to acknowledge the relevance of giving UK context or perspective when repeatedly condemning the Scottish Government for NHS Scotland’s performance.

Timeliness

It seems timely to highlight the findings of the Nuffield Trust study as the Labour Party in Scotland once again pushes its SNP-bad refrain with regards to the NHS. This from Jackie Baillie, from 15 July, seems to be way over the top:

DISTRACTED SNP ENDANGERING LIVES AS WORST EVER A&E WEEKLY STATISTICS RECORDED’ adding ‘… Humza Yousaf has completely failed to make any meaningful attempt to address the underlying problems or control this crisis.” and“… lives are being risked due to the incompetence of Humza Yousaf.” and“This distracted SNP government is putting lives at risk and threatening the very existence of our NHS.”

Is this what  jumping the shark in Scottish politics looks like?

See https://jackiebaillie.laboursites.org/news/2022/07/15/distracted-snp-endangering-lives-as-worst-ever-ae-weekly-statistics-recorded/

For the avoidance of any doubt, the motivation for this post this is really NOT to have a pop at the Welsh Labour Government: it is to expose the crass politicisation of the challenges facing NHS Scotland by opposition politicians in Scotland – and especially by the leadership of the Labour Party in Scotland. And in the process, it is to expose the editorial position – with its failure to provide context or perspective – adopted by BBC Scotland to the detriment of its mission to educate and inform listeners/viewers and to the advantage of opposition politicians in Scotland.

Research findings

First on context and attribution of responsibility: ’The Welsh government has exercised its powers to determine a distinct structure for the health service’ adding ‘All parts of the UK have struggled with waiting times over the past decade – missing their targets as financial constraints were followed by workforce shortages and Covid-19

1) A&E Waiting Times compared across four parts of the UK, since 2012:

Patients in Wales have been more likely than their Scottish or English counterparts to wait four hours in every single month since 2012 .… People waiting longer in A&E is often a sign that a health care system is struggling to free up enough bed space and staff inside the hospital to admit people.’

2) Median waiting times for referral to treatment in (Tory) England and (Labour) Wales, since September 2011:

’…  patients in Wales have consistently waited longer. The gap had been slightly closing before Covid-19, but median waits spiked further in Wales during the pandemic and did not recover as much.

3) Waiting times for referral to treatment for trauma and orthopaedics in England and Wales, 2020-2022:

‘The same pattern of longer waits in Wales (than in England)is visible. The gap is just as pronounced at the 36-week mark, which is perhaps surprising given that Wales, unlike England, has an explicit target that no patient should wait for 36 weeks.’

4) Distance away from cancer waiting time targets in England and Wales: the report shows the proportion of patients starting treatment within 62 days relative to the relevant targets in the two countries:

‘Since 2019 the Welsh NHS now counts all patients who wait from the point of cancer being suspected, whether by a GP, in A&E or during some other treatment. It has reduced its target from 95% to 75% to reflect this wider category. It has continued to miss this target by about the same as England misses its target: there is little sign here of Covid-19 being a greater problem west of the border.’

5) Treatable mortality rate, 2001 -2020: this is the rate at which people in each country die from causes which can be mainly avoided by timely and effective health care:

‘While it has made progress since devolution, Wales currently has a higher rate of treatable mortality than England or Northern Ireland, and around the same as Scotland. Improvements have stalled in all four countries in recent years, but this slowdown seemed to happen earlier in Wales and there has been little progress for the last decade.’

6) Age standardised mortality rates:

‘A person in Wales is more likely to die each year than a person of the same age in England.’

7) Funding 2004-5 to 2018-9: per capita spend on the NHS in 2019-20 was highest in NI followed by Scotland, then Wales and then England:

‘Wales gets far more funding per person than England – around 15% more, or £1,325 per person more in 2019/20. …. However, Wales actually spent (only) around 5% more than England in the year immediately before Covid-19. This smaller difference (in NHS spend) is because the Welsh government has prioritised health care slightly less aggressively and spends more on other services – including social care, where spending is 30% higher than in England.’

8) Staffing levels: consultants and nurses per 100,000 population:

‘Looking at the numbers of staff, Scotland has by far the highest number of doctors and nurses, as shown in the figure below. Compared to England, Wales has fewer consultant doctors relative to its population size, but more nurses.’

9) Staffing levels (2): general practitioners per 100,000 population, 1997-2021:

‘The number of GPs in Wales is broadly the same as a decade ago relative to the size of the population. Meanwhile, this ratio rose sharply in Northern Ireland but fell in England. The total number of GPs per person in Wales (63 per 100,000) is considerably lower than in Scotland (77) but higher than in England (57). These differences are equivalent to Wales having 170 more GPs than if they had English staffing levels, but 470 fewer than Scotland.’

10) Hospital beds, 2020-21:

‘the Welsh health service had around 270 general hospital beds, not including maternity, mental illness or learning disabilities, for each 100,000 people. This compares to 170 in England.’ (But see later.)

11) Length of time people stay in hospital, 2010-11 to 2020-21: as long as good care is being provided, a shorter length of stay will usually reflect greater efficiency:

‘The average length of stay in Wales is much higher than in England, at seven days against 4.3 in 2020/21. This is a very large difference: … The difference actually grew in the three years before Covid-19 as England improved.

‘It might be that some proportion of this difference reflects patients being more unwell, or needing different kinds of treatments, but there are some serious questions to ask here. Northern Ireland and Scotland, which also have higher need and a more rural population than England, have somewhat higher length of stay but to a much lesser extent than Wales.’

‘It is also possible that longer length of stay may have some benefits, reducing the chance that people are sent home too early only to have to be admitted all over again. Data from one clinical audit on breathing difficulties did find that this happened less in Wales.’

Nuffield Trust’s conclusions – possible reasons why patients in Wales generally wait longer for care than English counterparts

  • the Trust argues that although the Welsh NHS receives more money than the English NHS per patient, this may not be enough more to account for an older population with a higher mortality rate
    • It suggests that whilst total public spending in Wales – around 15% higher than in England – is more in line with estimates of higher NHS need, the ‘Welsh government has simply chosen not to focus its budget on health to the same extent as governments in London, who over the past decade have increased English NHS funding while cutting other budgets. These are not easy choices to make.
  • the Trust suggests that: ‘the NHS in Wales is less efficient or less focused on delivering timely care. While it may be influenced by the kinds of procedures people need, length of stay data appears to suggest that Wales is taking much longer to get patients treated and safely discharged. This may explain why it struggles to admit patients as quickly despite having many more beds.’
    • it adds: ‘The OECD, in a review six years ago, warned that Welsh health boards lacked the capacity to drive improvement and innovation, and that central government needed to do more to support them and hold them to account.

Labour’s political posturing in Scotland

In the Nuffield Trust’s extensive analysis of the state of the NHS in Wales – an NHS which is the responsibility of a Labour government in Cardiff – you will NOT find any of the following charges being levelled against the Welsh Labour government.

  • that the Welsh Labour government is ‘distracted’?
  • that the Welsh Labour government is responsible for ‘endangering lives’ due to the A&E performance figures for NHS Wales
  • that the Welsh Labour government’s health secretary has ‘completely failed to make any meaningful attempt to address the underlying problems or control this crisis’
  • that ‘… lives are being risked due to the incompetence of the Welsh Labour government’s health secretary’ – nor this
  • that  ‘This distracted Welsh Labour government is … threatening the very existence of our NHS.’

Despite the evidence from the comparative study, there is no mention of any of this: other reasons are advanced for the relatively poor performance of NHS Wales! Notwithstanding the poor performance of NHS Wales – relative both to NHS England (under a Tory government) and NHS Scotland (under an SNP government) – it is the Labour Party in Scotland that makes such lurid accusations against the present Scottish Government and its health secretary. And Labour finds a BBC and other corporate media outlets in Scotland only too willing to amplify its ridiculous, hypocritical claims without perspective or challenge – and specifically without reference to what’s occurring within the NHS in Wales under a Labour government.

Based on the results of the Nuffield Trust’s and other evidence, the logic is clear: attacks by Labour on the Scottish Government over NHS performance here in Scotland must warrant greater condemnation of the track record of a Labour government in Cardiff.

End note

Why doesn’t BBC Scotland commission a comprehensive, independent expert assessment into the performance of NHS Scotland relative to the NHS elsewhere in the UK?  And while it’s at it, let the BBC commission a similar UK-wide comparative study into education. I have no fears as to how Scotland would fare in such studies despite the Scottish Government – like the Welsh Government – having severely limited control over crucial economic policy levers unlike the government for England.

However, I do wonder if even an authoritative evidence base would end the disrespectful, casual and unsubstantiated claims of Scotland’s ‘failures’ – the almost daily gaslighting of Scotland – coming from Unionist politicians and their media allies!

8 thoughts on “Has Scottish Labour ‘jumped the shark’ on Scotland’s NHS?

  1. I have heard or read several of the Tory Beauty Pageant contestants criticising Scotland for its health and education record, WITHOUT evidence, context or a wider perspective.

    They are enabled to do this by the media, which uses the same methodology to gaslight Scotland and demonise the SNP.

    Liked by 3 people

  2. I recall when, shortly after DRoss became leader of the Scottish Tories, an edition of the Sunday politics on Radio Scotland devoted a significant amount of the programme to a round table discussion with Tory, Labour and LibDem staffers to determine the ‘attack lines’ to be directed at the SG. This discussion was chaired by the BBC presenter! As you can guess, the attacks were to be on health and schools, and, that is exactly what we have had.

    Liked by 3 people

  3. As we are still part of this United Kingdom it’s surely fair to assume that we should compare our services to those of the other nations. I’m sometimes criticised on social media for comparing Scotland to other parts of the UK (usually because the Scottish stats are better since I am sharing your blogs as proof of that) but, if we have no yardstick by which we can measure performances then what is the point in measuring them at all? Why would each country not just be satisfied with their own stats? The only reason for that is that Scotland has its fair share of Unionists whose only aim is to talk down any Scottish achievements. And the only reason they would do that is because they are not supportive of their own country. It’s a really weird position to be in. Whenever we have been delivered screaming headlines about how bad Scottish statistics are you can be certain that worse news will follow from rUK.

    Liked by 3 people

  4. I doubt any on this forum hold any hope of an authoritative analysis seeing the light of day on Scottish media, or for that matter UK media, gaslighting the public has become the default condition, particularly when it comes to matters Scotland.
    The problem with gaslighting is once seen it cannot be unseen…
    eg -Last week’s Jo Coburn’s politics programme – Tom Loughton was talking rubbish on Scotland’s condition which Coburn neither interrupted nor challenged, yet when it came to Phillipa Whitford’s rebuttal the opposite was true.
    Coburn claiming she didn’t have the information to hand to validate what Whitford said was a blatant lie for the purpose of casting doubt – There is an entire team on-line and in her earpiece feeding her any information immediately.

    Reading the comments on such as this Youtube clip of the interview is revealing, https://youtu.be/DWnw7jwLA8A , predominantly English commentators noting the blatant bias, and supportive of IR2 or even independence at complete odds with the media line.

    Even if folks don’t have access to the data by which to form an opinion, they know they’re being lied to by politicians and the media, Jackie Baillie and the BBC in Scotland are simply the more extreme end of the spectrum.

    Like

  5. £15Billion is spent on the healthcare system in Scotland. One of the biggest spends and employers. The Scottish health/social/care is better. It would be even better without the colossal interference from Westminster in the Scottish budget.

    UK spend £120Billion. The Condems tried to cut NHS spending £20Billion from 2015 to 2020. £4Billion a year. Instead of putting it up. The Tories did not plan for the pandemic. Instead they cut funding to concentrate on Brexit. Poor, bad management, £Billions have been wasted on poor, bad planning ending up in the pockets of the Tories and associates.

    Increased Defence budget £5Billion a year Instead of increasing Healthcare rises. Increasing NI tax putting the burden on the poorer. Tax evading Tory Millionaires setting the tax rate for others. Making people poorer and putting up the cost of living. The rish get more wealthier, evading tax.

    The unionists criticising the Health service in Scotland are a disgrace. They are responsible for any failing in the UK Health system. The Scottish Gov has to mitigate their cuts. The illegal Barnett Formula.

    The Healthcare/system in Scotland is appreciated by everyone that uses it. Saving lives everyday. While the Westminster Gov trues to destroy it. Making people ill and cutting life expectancy in the South. The Unionist Parties and health boards are a damn disgrace.

    Like

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