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

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
May 21
We are already in a two-tier healthcare system

Nuffield Trust reports this week on a massive increase in private provision

More worrying, a massive surge in people using their savings to access care

From the best health system to one of the worst in 14yrs!

Summary 🧵
The amount the NHS pays (this is our tax money) to the private sector has nearly doubled in five years…

From £1.66b to £3.1b

2/9 Image
This is catastrophic for the future of our health system

It’s based on political targets superseding clinical ones - Managers wanting to please whoever the latest Health Sec is versus prioritising clinical needs

Urgent and primary care should be priorities not GE fodder!
3/9
Read 10 tweets
Apr 29
I have no inherent obligation to work in the NHS

My obligation is to my patients, whoever they are and wherever they live.

But I want to work in the NHS…

Selfishly speaking, I appreciate not having to say no to treatments because a patient can’t afford it..

But…

🧵 1/6
After 14 yrs of Tory rule and a cowed and complicit NHS Leadership, patients are being denied treatment due to lack of resources. It is hard to witness, day in and day out.

The very principal of the NHS - access for all - no longer exists!

2/6
So do I blame any doctor seeking work elsewhere? Absolutely not. Better to survive and help patients than to be broken by a system that makes treating patients harder and harder, in a country increasingly polarised. Staying in the NHS now can be very damaging for staff.

3/6
Read 6 tweets
Apr 21
This is simply unbelievable.

The way the Tories go on about it you’d think we spend all our money on the sick and unemployed

But check out the stats!

We should be paying much more…

Near bottom for incapacity benefit Image
Bottom half for social spending

France spends 50% more

Germany 25% more Image
Spending on unemployment is actually just ridiculously low..

Bottom of the table

About TEN times less than other comparable nations Image
Read 5 tweets

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