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Martin McKee 🇺🇦 Profile picture
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Jul 29 • 8 tweets • 5 min read
1/8 Britain's not working
@lu_hiam & I have been looking at the health-related workforce crisis in 🇬🇧 @bmj_latest
bmj.com/content/378/bm…
2/8 Last week @jburnmurdoch published an extraordinary analysis @FT showing 🇬🇧 unique among industrialised countries in not getting pandemic-related loss of workers from ill health back to work. This should have been headline news
ft.com/content/c333a6…
3/8 Part of this likely due to #LongCOVID - see new report from @TheIFS
ifs.org.uk/publications/1…
4/8 However, as @jburnmurdoch notes, problems predated the pandemic * he collates evidence that #NHS is "on its knees". Those waiting 12 months for treatment approximately the same number as those unable to work.
5/8 Many politicians (inc. @RishiSunak @trussliz @Keir_Starmer) rightly noting that 🇬🇧 has terrible record on economic growth. Inevitably, they all ignore elephant in room, #Brexit, but neither do they say much about health
6/8 This is not good enough - we need something more than vacuous statements, fantasy economics, and knee-jerk policies. And what on earth is @Keir_Starmer's "distinctively British" approach?
7/8 Someone, somewhere in 🇬🇧 politics needs to get a grip. We need a vision for a country in which health and other sectors work together for the common good. BTW We've been saying this for years
euro.who.int/__data/assets/…
8/8 As we discussed yesterday in @TheLancet there is lots of scope for co-benefits, but nobody seems to be looking for them
thelancet.com/journals/lanpu…

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More from @martinmckee

Martin McKee 🇺🇦 Profile picture
Jul 28
Our new paper @TheLancetPH argues for shift from “Health in All Policies” to “Health for All Policies”
From @OBShealth w/ @scottlgreer @m_falkenbach @WismarMatthias @josepfigueras @luigi_siciliani

sciencedirect.com/science/articl…
For years, we’ve (rightly) been asking what other sectors can do for health - good housing, safe transport, healthy environments, crime prevention and much else make us healthier
But health can do lots for other sectors. Healthy people stay in workforce, are more productive, pay more taxes. Good mental health reduces demands on criminal justice system.
Read 6 tweets
Martin McKee 🇺🇦 Profile picture
Jul 27
Some of the greatest mistakes in the pandemic were in procurement. We’ve now published a summary paper from our report for @EU_Health
w/ @annagaal @JanDeMaeseneer @luigi_siciliani @lasleh & colleagues

cambridge.org/core/journals/…
Public procurement widely misunderstood. It’s not just buying stuff. Can also promote innovation, development of small and medium-sized enterprises, sustainable green growth and social objectives like public health and greater inclusiveness.
Good procurement does need highly skilled people - shouldn’t be left to amateurs (or politicians & their friends!) and there are many specific issues to consider with medicines, technology, IT in health
Read 7 tweets
Martin McKee 🇺🇦 Profile picture
Jul 19
The pandemic is NOT over. The 🇬🇧 may have given up but we on @IndependentSage haven't. Today we set out a 7 point plan @bmj_latest
🧵
1. Clear and consistent messaging concerning covid risk and risk mitigation, reinforced by public statements by those in positions of authority;
2. Increased efforts to promote vaccine uptake, among all age groups, with particular emphasis on groups whose uptake has been low, in particular ethnic minority communities, coupled with a clear long term plan to address waning immunity and immune escape by new variants;
3. Installing and/or upgrading ventilation/air filtration in all public buildings, with schools an urgent priority over the summer holidays;

4. Provision of free lateral flow tests to enable everyone to follow existing public health guidelines;
Read 6 tweets
Martin McKee 🇺🇦 Profile picture
May 19
Great to be meeting in person with colleagues in our @Magnet4Europe project in Cork. Thanks to @HorizonEU for supporting this important project to improve mental health in the health workplace & to @JdaDrennan for hosting us ImageImage
@LindaAiken_Penn showing shockingly high levels of burnout in European hospitals, but enormous variation even within countries. Also real problems with work environments but again it varies - bad conditions aren’t inevitable ImageImage
Matt McHugh reports really worrying levels of concern by nurses/doctors in Europe about quality of care - and it matters when we face staff shortages ImageImageImage
Read 4 tweets
Martin McKee 🇺🇦 Profile picture
Mar 23
So many times I was asked “But Sweden …”
Now we have a detailed, and damning account of what went wrong. “drastic deviation from 280 years of respect for scientific facts” A reminder that a well prepared country with expertise +++ can go terribly wrong nature.com/articles/s4159…
And a reminder of what we on @IndependentSage said about 🇸🇪 in September 2020, in case anyone is suggesting it’s only obvious with hindsight - it was pretty obvious then

independentsage.org/wp-content/upl…
And let’s not forget that the Swedish approach attracted support elsewhere - as in this meeting organised by Sunak - revealed in excellent book Failures of State by @JCalvertST & @Arbuthnott
Read 8 tweets
Martin McKee 🇺🇦 Profile picture
Jan 3
>100 of us have called for an urgent global “vaccine plus” policy @bmj_latest
With thanks to @adamhamdy for his leadership

bmj.com/content/376/bm…

🧵
.@WHO should
1. Unequivocally declare SARS-CoV-2 an airborne pathogen & stress implications for preventing transmission
2. Promote use of high-quality face masks for indoor gatherings and other high-transmission settings.
3. Advise on effective ventilation and filtration of air
4. Set criteria for imposing or relaxing measures to reduce covid-19 spread based on levels of transmission in the community.
Read 5 tweets

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