image “The ward relies heavily on health care assistants, who are poorly trained and lacking in the skills needed. Their priority should be to meet basic needs instead the most vulnerable patients are left hungry, dirty and often in pain.”

“Meal trays were often brought and left without any interaction, trays were then returned unopened as the poor soul didn’t know the food had been served. Others needing nourishment were too ill to reach their food and it was returned uneaten.”

“…elderly confused men wandered the ward sometimes aggressively but mostly looking for care”

The quotes above are taken from letters on the Cure The NHS website run by patients and relatives of those who went to Mid-Staffordshire NHS Foundation Trust for treatment . They only tell a fraction of the story. Between 2005 and 2008 between 400 and 1,200 more patients died than would have been expected in the hospital. Many others were left in beds covered with human waste. The shocking thing about that figure is that the enquiry into the catastrophe cannot be any more precise than a margin of error of 800 patient deaths. All this in a rich county in the 21st century.

New Labour’s Health Secretary Andy Burnham says “this was ultimately a local failure.” That’s just not true. Rather than hold a public enquiry as relatives have been demanding he opted for a private investigation. Yet even that was obliged to find the finance target driven culture with which New Labour has infected the public sector responsible. In order to get trust status “managers were focused on cost cutting, hitting targets”. Patient care and patient outcomes weighed much less heavily in the balance than saving money. Several hundred people paid with their lives for this.

That sort of target setting is always accompanied by fear, lying and bullying. People fear that if they don’t meet their targets they will be sacked so they lie. Managers bully them into trying to achieve unrealistic or meaningless benchmarks. The report says “there was an atmosphere of fear and bullying ". This is common across the public sector and will get worse when the cuts come in the next few months. What’s horrific is that doctors or unions appeared to be powerless in front of this finance powered juggernaut.

Astonishingly this dysfunctional hell hole was awarded the top rating achievable for British hospitals, a status which attracted extra funding. It was able to do this not just because of the neo-liberal internal regime New Labour has made mandatory. Would this disaster have happened if the unions had been able to stand up to their management and if hospital users and staff were responsible for setting the priorities?

Probably not.

ADVERT

BMA London Regional Council
Open meeting on the threats to the NHS in London

7-9 pm, 25th February 2010
The Great Hall, BMA House, Tavistock Square, London

This meeting aims to:

  • Discuss the report "London on the Brink"
  • Give an opportunity to share information about the changes proposed across the capital
  • Enable BMA members to meet with other NHS Unions and NHS Campaigners to widen the BMA "Look after our NHS" campaign

 

6 responses to “Target culture kills patients”

  1. Value for money,exploit all the time does the captial of our existance.Time to say good riddance to capital.Socialist health, care for all.

    Like

  2. This is truely disgusting. I have experienced callous treatment in the NHS myself which was shocking. The trouble is if you set a bureaucrat a target they will meet it come hell or high water and in the course of meeting it will not care one iota about the trail of devastation they leave behind them as a result. All they care about is a pat on the head from a grateful owner or their end of career pension and knighthood.

    Ideally a government should not set targets but lay out a general idea of what they want to see from or achieved by government services and enterprises. Those who are most capable of steering their organisations in that general direction should be rewarded for their services to society and that way we might get gifted administrators and organiser instead of faceless, heartless, self-serving bureaucrats.

    But perhaps the most important way of avoiding vile debacles such as this one is if top managers and leaders are democratically elected by the workforce. That would cut through bureaucratic dictators, jobs worths, frustrators and demoralisers to the benefit of the working classes and consumers in the way that money currently does it for the capitalist classes.

    Like

  3. David the trouble is that this culture is imposed on all sorts of people in the public sector.

    An experienced primary school teacher was telling me that when a child from Somalia or Latvia arrived in his class his first thought used to be “how do I help this child learn English and fit into school?”. Now he says his thought is “that’s going to pull down my levels and I’ll have to explain why I’m not meeting my targets”. It can also have an impact on his salary.

    Unsurprisingly, rather like in Eastern Europe, there is a strong temptation to diddle the numbers.

    Like

  4. I don’t disagree Liam. But it is the leadership that sets the tone.

    Like

  5. This is a disgrace and shows the real meaning of addressing ‘efficienies’, however I think we should be careful when criticising targets, if the targets are non financial. I remember watching a clip of the Michael Moore film Sicko and he compared targets in the UK and the USA. He pointed out that in the UK doctors had targets such as reducing the number of smokers, whereas in the USA doctors targets were making a buck.

    Like

  6. Isent this around my union branch members and the number of people who said all you need to do is change the name of the institution and the type of service and this can describe any organisation now in the public sector facing cuts.

    The use of the targets is a style of management that fails to trust the workforce and attempts to alienate the workers further from the users of the service, the working class that they are meant to be serving.

    The latest proposals by Labour in Lambeth is not about establishing so-called co-operatives but about making workers responsible for cuts. The Tory proposals of “pay as you use”, is the same approach-passing the buck for failed funding onto users of services.

    Efficiencies is not what this is about, it is about privatising, cutting and slashing the social wage.

    Like

Leave a comment

Trending