10 Easy to follow steps for NHS eligible PIP victims and advice for the DH and government by Dr Una Coales, Secretary of Conservative Health

Alas there are still thousands of PIP victims in the UK who have not had their implants explanted because they refuse to be left without an implant for body image and self confidence. Yet they also cannot afford to raise £3k for removal and replacement privately and many are still paying off their credit card or loans for the original PIP operation. Some have successfully received a full refund on their PIP operation from their credit card under section 75 of the Credit Consumer's Act whilst others are told by their credit card companies that because the government has not made a statement that the PIP implants are faulty, they may not receive a refund. The evidence that PIP implants are faulty is the fact that this is a global crisis in which countries like Iceland have scanned all their PIP victims for free and countries like France and Germany advise explantation to all their PIP victims. Sadly today I learned of a PIP victim who has committed suicide. What is the price we are placing on one human being's life?

 

Here are 10 easy to follow steps for NHS eligible PIP victims.

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Humza Osmani: A view from the medical students

Final Year Medical Student, King's College London School of Medicine at Guy's, King's and St. Thomas' Hospitals

The healthcare reforms have been debated at the GMC, various Royal Colleges and of course, in Parliament. However, what do the next generation of doctors think? As a final year medical student, I decided to ask my fellow peers about the reforms and more importantly, if they know about the changes! The underlying reason for this task was my belief that it is of paramount importance that medical students learn about and discuss  the NHS management structure, including difficulties and possible solutions. This will ensure that future doctors a) have a good understanding of how the NHS operates b) are able to better engage and work to improve the NHS.

 

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Dr Richard J Pinder: On medical staffing

Rarely does a week go by when I don't hear a horror story about a colleague's medical HR department that has concocted a new and increasingly-creative approach to staffing a junior doctor rota. Creatitivity should be commended in the NHS (see my previous remarks!) but the creativity shown by some middle managers and rota-coordinators seems committed to eradicating any good-will towards the NHS that might have remained, and the remainder is borderline unlawful.

I quite frankly despair hearing the various intimidatory moves that many HR departments put to use. I am more shocked at the apathy of senior doctors who stand by and allow weak managers to plug their own failings by demanding that junior doctors cover gaps in rotas that may have stood for months, citing that the contract demands the doctors  provide "emergency cover".

 

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Sally Taber: Filled with Doubt

Many tens of thousand breast implants have been performed in the UK since the early 1990s, all but 5% of them for cosmetic reasons.  Implantation is an operation carried out by surgeons to surgical standards.  The operating surgeon is responsible for outcomes.

A breast implant is a medical device, a bag filled with silicon gel. manufactured to a CE Standard by many approved companies. In the UK the watchdog over this process is the Medicines and Healthcare Regulatory Authority (MHRA).  Safe, you may think.

Well, maybe.  Following the recent scandal about breast implant material manufactured by the French company PIP, some lessons about safe use of medical devices have to be learned.  Beyond that lie questions of moral behaviour by those who implant for commercial gain; those who regulate the medical industry, and those in Government.

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Dr Una Coales: The real purpose of the Health and Social Care Bill, and why £1645 does not go far to pay the health bill.

Secretary of Conservative Health

The real purpose of the Health Bill

The real purpose of the Health Bill is to keep a terminal NHS alive as long as possible so that when it fails, it will die on another government's watch but not this one, which is why the Coalition government are doing their best to keep it going with suggestions of autonomy and income generating ability to inject into NHS hospitals from the private sector. The NHS is financially unsustainable, which is why some NHS trusts are replacing doctors with nurse consultants, surgeons with nurses doing foot operations, ER doctor consultants with nurse consultants, training nurses to be nurse prescribers, to perform scans instead of doctors, to see patients in breast clinic instead of surgeons, hiring cheaper doctors from the EU to cover shifts in hospital and out of hours services in general practice, closing vital NHS wards and services to keep a hospital open, primary care trusts are refusing some hospital referrals and operations, and so on and so forth, etc.

 

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Dr Una Coales: Leaked NHS London Risk Assessment; Health Bill and Privatisation? What does it really mean?

Secretary of Conservative Health

According to a Labour member interpretation of the NHS risk register, we should be worried about the Health Bill. Well I have had a look at this leaked NHS London risk register. Click NHS London Risk Assessment (Annex A Corporate Risk Assurance Framework) and also had it reviewed by an independent economist and we both came to the same conclusion.

 

The first column is labelled as risk, the second as mitigating control (actions) and the third as assurances. In other words this table lists possible risks, then existing and planned mitigation of risks. In other words, there are assurances of risk mitigation in place or will be in place to offset any risks from restructuring NHS London.