Saudi Arabia’s takeover of British politics will be complete with the Tory-DUP Coalition

Saudi Arabia’s takeover of British politics is complete following the Tory-DUP coalition (as they have a more direct financial link with the DUP)

DUP Referendum campaign funded via Prince Nawwaf:
https://www.opendemocracy.net/…/secretive-dup-brexit-donor-…

http://www.independent.co.uk/…/election-dup-brexit-donation…

£3,300,000,000 = The amount we got last year for arms exports to Saudi Arabia.

Wikileaks: Saudi Arabia’s rulers threatened to make it easier for terrorists to attack London unless corruption investigations into their arms deals were halted… told they faced “another 7/7” and the loss of “British lives on British Streets” if they pressed on with their enquiries.

Wahhabism (as part of the Salafi movement) = The ideological concept of destruction and terrorism (suicide bombings, indiscriminate attacks) which is the root of current home-grown terrorism. From Saudi Arabia. We have now sponsored it for years and years to come.

And to protect us…

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“Oh stop moaning about your job, It was worse in my day”

                  “120-hour weeks we worked”                  

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                                               “Fell asleep whilst clerking in a patient!

This Argumentum ad Populum type of logic in an argument about a job or job proposal is unacceptable in any line of work, from astrophysicist to zebra feeder. However, this is particularly toxic in our line of work as doctors, as there are some former doctors who are especially loud and saturate the realms of politics and media with this outlook. Thankfully, there are far more senior doctors who don’t have this attitude. This is intended towards the first group.

Dear former doctor, thank you for all you have done in service of our nation’s health. But….

• In your day, interns had free hospital accommodation

• In your day, your salary went a whole lot further, and many of you were able to pay off your mortgages.

• In your day, junior doctors lived and worked together and provided a network and coping mechanism in times of difficulty. There was a “firm” culture where health staff were a team.

• In your day, nurses had the time and authority to deal with many issues themselves instead of having to spend almost their entire shift completing paperwork.

• In your day, junior doctors did not graduate with close to £100,000 of student loans to pay.

• In your day, doctors had a ridonculous final salary pension to look forward to.

• In your day, your working life was often not left to be dictated on the whim of management or human resources. In fact, there was no management or human resources.

• In your day, junior doctors from Australia, New Zealand and North America used to flock en masse to the United Kingdom, not just for Fellowship posts for Specialist Training. Why doesn’t this happen any more?   Why is there such disparity between ourselves and our peer countries that so many junior doctors have applied to go overseas, when it was once the other way round? Does that not tell you something about how things are comparatively?

Even if junior doctors were working their feet skinless in the pits of hell in your day, why does that matter?  You are justifying the unjust, by saying the past was worse. And shame on you.

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In this junior doctors row, even real doctors can become spin doctors.

Sarah-Wollaston_2985657b

Dr Sarah Wollaston is Conservative MP for Totnes and Chair of the Commons Health Committee. She is a former GP and teacher. Her daughter, a junior doctor, left the NHS last year with 8 of her friends to go to Australia. She has consistently voted in favour of easing restrictions on private companies to deliver healthcare in the United Kingdom:

 

http://www.theyworkforyou.com/mp/24761/sarah_wollaston/totnes/divisions?policy=6677

Dr Wollaston has penned a “balanced” piece for The Guardian, looking to apportion blame for the junior doctors strikes on both the government and junior doctors:

http://www.theguardian.com/commentisfree/2016/apr/03/in-this-junior-doctors-row-both-sides-have-lost-sight-of-the-patient

This attempt is about as impartial as Bill O’Reilly’s “No-Spin Zone” programme on Fox News, with a combination of subtle spin and phony ignorance.

Here is a dissection of some key points in her article:

“Sick people seem an afterthought as the government and the BMA pursue an unnecessarily toxic debate”

No they don’t, the BMA and junior doctors’ entire motivation is to safeguard the future of care in this country.  The BMA are well-supported, but if anything much less powerful than other doctors’ unions around the world.  This has come about following years of erosion and in-fighting. If anything, junior doctors are upset that the BMA have not been going far enough:

http://doctoryak.com/blog/what-if-the-government-were-negotiating-with-the/

“Many of my daughter’s colleagues are not planning to join her on the journey home next year and there has been a marked increase in the numbers applying for certificates to work overseas.”

I wonder why?

“The dispute looks set to erupt into a dangerous full walkout by junior doctors. The British Medical Association claims that the contract will harm patients by stretching doctors too thinly across seven days while reducing their take-home pay. The government insists that patients are being put at risk by understaffing at the weekends and that the contract reduces doctors’ maximum hours and consecutive shifts while increasing basic pay by 13.5%.”

She knows better than anyone that net pay will go down for many, yet uses the same smoke and mirrors technique used by her colleague Jeremy Hunt meant to fool the public – “increasing basic pay by 13.5%”. She is being disingenuous here because anyone who has looked at the contract knows that out-of-hours pay is cut significantly so net pay is down for many fields, especially emergency ones.

And how could the government set up the world’s first and only routine national health service when it has been reducing funding for the NHS since it took power? https://youtu.be/r60Hf2CmxE0

 

“It seems to me that the contract is more about the manifesto commitment to a seven-day NHS and the perceived barrier of premium Saturday pay rates”

Well no argument here.

“Mine was the last generation of doctors to endure crushingly unsafe 120-hour working weeks and I have no romantic nostalgia for the 72-hour shifts commonplace in the late 1980s”.

But we have her on record insinuating that “doctors today shouldn’t complain, we had it worse in our day” and this is the crux of her emotion when it comes to this issue – she doesn’t think these unsafe hours are “all that bad” compared to what she went through. A former doctor who has this kind of attitude should not have this role, because they are using their own personal experiences to influence their judgment. There are many doctors much more experienced than her who had it a lot worse and know that this logic is at best irrelevant (the world is different now), at worst dangerous.

“Pressing ahead with a full walkout however, will serve only to harden attitudes and solves nothing. Most importantly, it will be disastrous for patients”.

New Zealand had a full walkout for 4 days a decade ago – patient waits were shorter, and emergency outcomes were better when staffing was only done by consultants and staff grades. It achieved the desired effect perfectly as New Zealand vastly improved its junior doctor contract, halting an exodus to Australia and attracting hordes of British doctors (when the net flow was previously the other way round).

 

“How can it be argued that patients will be safer only if all Saturdays are paid at the premium rate, however infrequently worked? Given the scale of concessions and protections on maximum hours and consecutive shifts, the BMA could have declared victory and moved on to focus on the deeper and longstanding causes of discontent.”

More spin – No one is saying this. And also this isn’t about some childish notion of “victory”. Furthermore, do you not think protections against tired doctors aren’t a worthwhile concession? Or do you want your daughter returning from her jaunt in Australia working unsafe shifts?

“Many more of their duties could be shared with others such as pharmacists, physician associates and admin staff”

Well in many hospitals we are seeing physician associate posts advertised (with salaries twice those of junior doctors) but the erosion of junior doctors’ work to become what it is today has happened over two decades now so this is going to take a long time to fix, and people like you who have taken roles in politics should have been coming out a long time ago.

“In some hospitals, such as Salford Royal in Manchester, electronic patient records are finally reducing the scandalous waste of time and resources that come with duplication and paper trails.”

In other hospitals such as Addenbrooke’s in Cambridge, electronic patient records have cost hundreds of millions and effectively bankrupted the hospital, introduced too quickly and with many, many glitches, effectively slowing down and losing continuity for patients.

 

“A constructive relationship between doctors and government will take time to rebuild; it cannot be imposed and it will not happen unless both sides put patients first and start listening. Saving lives must take priority over saving face.”

And as someone who is a former doctor and part of this government, you should practice what you preach and not keep coming out with this spin (feigned under the guise of a balanced inbetweener of two warring factions), when you know how much of a disgrace these proposals have been, you know how much the NHS has been wilfully under-funded and you personally have sanctioned the many Private Finance initiatives popping out like fungus on a damp corpse.

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Letter to the Chair of the Health Committee in the House of Commons

Dear Dr Wollaston (Conservative MP for Totnes and Chair of the Health Committee in the House of Commons),

It is with dismay that I am writing this open letter to you (a former GP with first-hand experience of the situation with junior doctors as your daughter has recently left the NHS to work in Australia), after seeing your media appearances targeting junior doctors who are being forced to enter industrial action due to a contract proposal which is unsafe for both patients and doctors and is already leading to a significant reduction in medical
student numbers and retained UK doctors.

(Newsnight 11/01/06 – http://www.bbc.co.uk/programmes/b06wcl4y

Telegraph – Junior doctor strike appalling and highly unsafe – http://tiny.cc/zmk27x

Polticshome – Junior doctor strike plans ‘extreme’ – Sarah Wollaston http://tiny.cc/b8j27x

Western Morning News – Appeal to halt strike – http://tiny.cc/j8j27x  )

As you are uniquely endowed with the experience of three service vocations (doctor, teacher and currently member of parliament), I find it mind-boggling that you choose to toe the party line rather than do the right thing.  This contract:

i) removes the robust national safeguards which prevent doctors working excessive hours

ii) cuts out the minimum break requirements

iii) fundamentally changes the normal working week to add a day when hospital resources are lacking

iv) disadvantages doctors who work less-than-full-time and have families.

It is truly unacceptable and the facts are there for all doctors and the public to see. There
is no union pressure which led to 99.4% of junior doctors supporting industrial action (98% full strike) and 66% of the public supporting it (http://www.bbc.co.uk/news/uk-35288042)

Your daughter and 8 of her friends have recently left the National Health Service to work in Australia:  Huffington Post   –   http://tiny.cc/otk27x

Like your daughter, I also went to the Antipodes for a few years and can vouch for the overwhelming disparity in working conditions between the UK and abroad and the ease of finding a training job as a UK-trained doctor.  I came back for two reasons: my family
and because I feel a debt to the NHS from a personal perspective. However, there are many doctors who have decided that enough is enough and the numbers leaving are surging as evidenced by the phenomenal increase in applications for the GMC certificate of good standing (needed to work abroad) since these contract proposals started.

Guardian 22/09/15 – Registrations to work abroad soar – http://tiny.cc/9pl27x

“The General Medical Council received 1,644 requests for certificates of current professional status (CCPS)  – required to work abroad – in just three days last week. Usually, the
regulator receives 20-25 a day.”

In addition to doctors leaving, the next generation of doctors is already dwindling!  The number of medical school applications this year has dropped by 11%. I teach medical
students and my current batch are all looking to apply to work abroad.

My two questions are – 1) Do you not find this immenselyworrying 2) Why are you doing this?

You must be aware that if this contract goes through, so many more doctors will join your daughter in Australia or leave medicine. When you were training, however bad working conditions might have been, there was a net influx of doctors from Australia and New Zealand to the United Kingdom. This no longer exists, and the incongruence of working and living standards now threatens the future of the national health service as we will be left with huge gaps.  This will add to the irony of this entire catastrophe starting because the Secretary of State for Health wanted to parcel it within the implausible ambition of the world’s first and only 7-day “routine” healthcare system (in a country which has reduced GDP per capita spend on healthcare consistently since 2010 in comparison with our peers).

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I beg you not to use your hugely influential position to bring about a change which will bring the National Health Service to its knees and will cause immense harm to the British public over the 21st century.

Yours sincerely,

Dr Nima Ghadiri

Junior Doctor

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