Dr Dan Goyal Profile picture
Jan 16, 2022 11 tweets 6 min read Read on X
Oh my, Johnson must be getting desperate. His tactic for holding onto power now seems to be “talking up” his success in managing the pandemic.

Some things to bear in mind as the battle for the narrative continues…
While we can get distracted by the ‘with’ or ‘from’ Covid argument, here is the excess death data…one of the good overall measures for how a nation responded to the pandemic.

Ireland, Germany and France had about half as many excess deaths as the UK.
We averaged between 500 to 1000 extra deaths at home per week, throughout the pandemic.

Note, only a fraction were Covid.
We cancelled a huge number of surgeries.

[2020 data]
And waiting lists are now at an all time record of nearly 6m.

And note the steep increase as Omicron surges and displacing care for millions…and Johnson decided to “persevere”.

bbc.co.uk/news/health-58…
Even our access to urgent and emergency care has been severely reduced.

Getting an ambulance for Cat 2 - stroke, chest pain..- has more than doubled to an AVERAGE of 53 minutes.
The delays get even worse once arriving at A&E. A new record for our government in people waiting more than 12 hours in A&E.

Note: much, much worse on this Omicron wave.
Delayed action has led to thousands of deaths and millions suffering.

The PM has failed to learn and has repeated the exact same ‘too little too late’ approach in all four waves.

And we are only just keeping up with our counterparts on vaccines…
Impression
It would be neither just nor of use to future outbreaks for Johnson’s pandemic leadership to be considered anything other than disastrous.
The strategy seemed to be mass infection + healthcare rationing in 2020.

Then vaccines, mass infection and further rationing of healthcare in 2021.

We have had two years to prepare: better masks, ventilation, improve NHS capacity…and Johnson has failed.

Four chances…OUT!
Boris set to use “success” in pandemic to stay in office.

The actual outcomes ⬆️

@HackedOffHugh @daraobriain @RealMattLucas @DeborahMeaden @stephenfry @davidschneider @campbellclaret @guardian @SkyNews @GMB @PeterStefanovi2 @DrEricDing

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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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