Dr Dan Goyal Profile picture
Jan 1, 2022 9 tweets 3 min read Read on X
Can 2022 be the year we learn from our mistakes?

We are entitled to make mistakes, given how new Covid is.

But stubbornness and ego have no place in pandemic management.

On that note: Covid admissions rising in many places.

Here’s New York: Image
And here is London:

@chrischirp Image
Denmark, France and the wider US… Image
And here is South Africa nearly two weeks ago…

(Note: last week is never complete, as is current week). Image
And there was clear signal that admissions were rising at the start of December. Image
There was plenty of time to prepare for Omicron.
Even just improved social protections - such as the devolved nations have now put in - would have helped.

For the economy of the nation - not just an elite few - and to save lives a short circuit breaker would have worked.
We remain about 4 weeks behind South Africa!

…they remain with 10-fold higher Covid inpatients than their previous Delta baseline.
They of course mitigated against the wave. And still within two weeks jumped:

Gauteng…
Dec 5th:
1.5k admitted
115 in ICU
29 Ventilated

Dec 19th:
3.4K admitted
285 in ICU
110 ventilated
We must predict this will get worse. And if we don’t take action the ensuing healthcare rationing that we have suffered for nearly 2 years will reach new dizzying heights.

Act now! Or damage health and economy of the nation.

Get your house in order @Conservatives

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More from @danielgoyal

Sep 20
I need to tell you where the trap is in relation to the NHS

Both Streeting & Starmer have committed to keeping the NHS “free at the point of use”…

But that can look like many different things
🧵
1/x
For example, currently you can see your GP, get referred for a colonoscopy, be seen in a private hospital, and not be charged a penny. Technically, free at the point of care, even though it has cost us all more money to deliver that care.
So, Starmer and Streeting could expand this…allowing even more “NHS patients” to use the private sector but paid for with public money, with money taken directly from the NHS budget in fact.
Read 17 tweets
Sep 13
The Darzi Report (England only)

My thoughts…

🧵
Darzi seems to grasp - to some degree - the depths of the state of the NHS crisis.

Crucially, Darzi gets that primary care is grossly overwhelmed.
His Second paragraph highlights the FACT GPs are seeing more patients with less GPs. Image
A&E is a disaster. Image
Read 24 tweets
Aug 23
The new commonwealth healthcare survey is out & summarised here by @HealthFdn

Some read!

In short, all the rhetoric about “can’t get a GP appointment” is BS

Our primary care remains one of the best in the world

Hospitals don’t fare so well

🧵1/4

health.org.uk/publications/l…
Big news is that access to GPs in the U.K. was one of the best

Yes, you read that right…

“This places the UK among the better-performing nations with respect to same- or next-day appointments, with only the Netherlands (50%) and Germany (49%) significantly higher.”
This access may be coming at a cost though!

The UK scored poorly on “time spent” with appointments

No surprise given most countries run at 15-20 minute appointments versus the UKs 10 mins.

In 2013 85% of people felt the GP spent enough time. It’s now 58%
Read 5 tweets
Jun 19
NEW: SNP manifesto

This is the kind of manifesto many wanted Labour to deliver

The pitch is left of centre - socially progressive…

with a persistent argument about the harms of being tied to a broken Westminster

Protecting the NHS from privatisation is a key theme

🧵
Some highlights:

SNP taking a clear position on integrity in politics and the lack thereof in Westminster. Hard to argue against this Image
3. Some hard data comparing Scotland to England.

The SNP argues this is despite a stranglehold Westminster has on Scotland policy areas and the “power grab” of the current U.K. govt. Image
Read 12 tweets
Jun 17
Given some so called patriots want a French healthcare system, let’s take a look at it.

🧵

Summary: social insurance with 95% of people taking private healthcare to cover copays. Costs £40bn per year more. Less equitable than NHS, but can turn a profit
1/10
Akin to some other European countries, France uses a social insurance based model predominantly - where employer and employee pay a means-tested insurance premium

but unlike most EU countries the French people pay a surcharge on pretty much everything they access or use
This has led to 95% of the population taking out private insurance.

This is an insurance premium (on top of the social insurance premium) that is in part based on likelihood of needing health care - older people paying more.

Typical costs: Image
Read 13 tweets
Jun 14
Labour Manifesto - NHS

Some good policies but overall disappointing and a bit concerning.

A summary thread
1/x
1. There is the title: Build an NHS Fit for the Future

In one way, fair enough. Buildings are outdated and crumbling and IT is hopeless

But, Labour seems oblivious to the fact the NHS leads the world in medical and surgical care. The issue is merely access not tech upgrades. Image
2. "publicly owned and funded" is meaningless. Even the deranged health system of the U.S. has a publicly funded component - waiting lists are horrendous and access to treatment is very limited.

We want universal access to all available treatments - quite different! Image
Read 20 tweets

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