Friday 14 October 2011

The SNP, the NHS and the elderly

I've written before about the NHS's shameful treatment of the elderly (http://nicksimpsonmusic.blogspot.com/2011/05/coming-soon-serbia.html), and it came as a depressing no-surprise to find the Care Quality Commission reporting yesterday that of 100 hospitals it inspected recently, only 45% were providing proper service to elderly patients, and 20% were so bad that they were actually breaking the law.

I'm not going to waste time thinking of terms adequate to excoriate those responsible for this situation. Obviously individual callousness and inhumanity plays a part, but so also do overtraining (nurses with degrees, so the theory goes, are not overly keen to wipe up excrement), overwork and lack of money.

There is a connection between this story and another in the papers today. Andrew Lansley, the Health Secretary, has appalled campaigners concerned about British obesity levels by urging people to eat less and by trying to persuade manufacturers to cut calorie levels in food. Why is this so bad? Because, as Jamie Oliver says, manufacturers won't do it, and everyone already knows we should eat more healthily and exercise more.

About 60% of British adults and 30% of children are obese or overweight. Obese people get ill more and are more likely to end up in hospital. More pressure on hospitals means more work for nurses and more money spent treating people who, frankly, don't have to be there. All of which means worse treatment for other patients; including the elderly.

The Tories, sadly, seem reluctant to do anything which might offend their friends in big business. Lansley has fallen into the error of thinking that a laudable Tory idea ("people should take responsibility for their own actions") can be taken in isolation; whereas in this instance people failing to take responsibility means a drain on NHS resources, with consequences which are only too obvious.

Alcohol abuse probably costs the state even more than obesity, which is why the Scots have proposed a minimum price on drink.

When you find yourself yearning to be governed by the SNP, something somewhere has gone badly wrong.