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COVID-19 has exposed just how sick the NHS and ALL public services were BEFORE this emergency began. Their future is YOURS to decide

April 28, 2020 Leave a comment

The flipside of so much focus on support for the NHS and frontline staff is the spotlight that has been shone on its supply chain, lack of resources and specifically the serious lack of PPE being stockpiled for a medical crisis before the COVID-19 Pandemic began.

Today, in the middle of the Coronavirus emergency, it would be hard to find anyone who wouldn’t agree that this really is not how things should be within our Health Service. Yet at any other time, the same people are more likely to nod politely and walk away thinking little more about it than that you were just having a whinge.

You won’t feel the blast from a bomb until the bomb has gone off and the NHS has suffered from a serious lack of urgency and attention because things like PPE have simply been one of those things that it seemed easy to put off until another day.

The lack of planning and consideration within the NHS for the ‘what ifs’, along with the serious staffing shortage that has now been highlighted too are pretty much the tip of the iceberg of the problems and difficulties that affect just about everything else within it too.

But it doesn’t stop there.

In fact, as perhaps the most recognisable face of public service provision in the UK, the real problems that the NHS is facing and the reasons that it is facing them are also being faced and experienced just the same across all parts of Government and the whole of the Public Sector too.

No. I’m not referring to a shortage of PPE across bodies like the Environment Agency, Highways England and local councils too – even though it could very well be the case. I am referring to the cultural rot that exists within all of these public-serving organisations that causes all of the problems that we only experience when they deliver their effects.

This isn’t a new problem and it has been building for a long time. Whilst they appear to be very different outcomes, the Rotherham scandal and the mechanics of the Grenfell disaster are sadly the outcome and effect of all the very same causes that have set the NHS up to struggle at the very time and in the very places that everything should feel like it has come together seamlessly as one.

Political correctness, the push for diversity, EU-derived employment legislation, protectionist culture where the buck gets endlessly passed to none of the above, political interference with ridiculous schemes like PFI, the creation of a massive backroom structure of managers with titles that were never needed before and a complete lack of understanding of how money being thrown at problems at the very top of Government only make the problem worse and push the problem into the lap of the next government or generation of politicians to skirt around another day.

These and others are all contributory factors to a public-sector-wide malaise where managers and those with responsibility have been conditioned to avoid doing anything that reaches beyond the confines of their own contract and job.

Some would call it a failure to use common sense. Others, that it is basic lack of appreciation of what public services are actually there for. But in many cases the whole lack of interest in really serving the public and tax payers that all of these jobs were created to help is made distinctly worse by the reality that the wages of those in these jobs will alwaysget paid.

The problems that the NHS has will not be solved by simply upping the budgets for any of the parts of it. The money will get spent, but it will never reach the parts that it really should do whilst the culture remains the same. Ultimately without top to bottom and above all cultural reform, the Key Workers and Frontline Clinical Staff throughout the NHS will not ever be valued and given the opportunities that they should have and we would all want them to.

Beyond the effort to ‘protect the NHS’, the Lockdown has began to cause massive problems that are set to reverberate throughout our society in the coming weeks, months and years. The impact of what this Government has done will cause harm to people and the country in many different ways that could have been avoided if we had different politicians in charge.

These are not the people who will put everything that is wrong in the NHS and the Public Sector right. Not now, not after the COVID-19 Pandemic is over, not at anytime thereafter.

The politicians we have today simply don’t and will not try to understand what is actually going on.

So if you love the NHS, the nurses, the doctors, the surgeons, the therapists, the healthcare workers and all of the key staff in our hospitals that make the real part of the NHS work, remember them at the next General Election or when this Government collapses – whichever happens first,  and bear in mind that is the point when you can help to make things different for all of them by making a different choice to the one you normally would, and choose an option that will not be available from any of the existing political parties that we know.

 

 

 

 

Public outcry over Grenfell may ensure prosecutions, but the root causes of public sector indifference are cultural and injustices are destined to continue

July 24, 2017 5 comments

Residents of Kensington and Chelsea are right to be very concerned about the conduct of the local Council in their handling of events leading up to, during and after the Grenfell Tower tragedy. Yet we should all be concerned with the reality sitting beyond and concerning the state of the whole Public Sector, which leaves Grenfell unique only because of the size and obvious impact of this horrific event, which has captured the public imagination for all the wrong reasons.

It would be difficult for anyone not to picture the horror of the event and to at very least attempt to consider just how significant the impact of an experience of this nature would be. But the race to apportion blame and the politicisation of this disaster for purposes which reach way beyond those of helping or supporting the people directly involved are diversionary at best, and belie the indirect culpability which lies at the feet of politicians of all backgrounds and officers alike, who are operating and making decisions within a system which might appear fine beyond without the presence of Austerity, but is otherwise quietly failing us all miserably.

Yes, the criminal inquiry which the Police are now working on may well identify individuals who will be charged and subsequently found guilty of having some kind or level of criminal liability. Just as the Judge-led inquiry into the technical aspects of the event, construction and renovation of Grenfell Tower may identify problems with wider policy which will then be used to inform changes which will be intended to make structural development safer for users.

But as I have written before when then Prime Minister David Cameron was talking up Jail-terms for the individuals responsible for the failures of the Local Council and Public Sector in Rotherham, there are cultural issues present right the way through local government and the public sector which make incidents that continue to disadvantage the public all but inevitable at all levels, and in many ways that people outside of Government may never become aware of.

Did anyone get jailed over Rotherham? Has anything changed since then? Have any of the parliamentary political parties demonstrated even the slightest hint that they are in touch with the greater problems caused not by Austerity alone, which persist far more significantly in the background and way beyond?

No being the answer to these questions is of course a travesty in itself. Yet even worse is the misleading direction that this whole debate will be taken if sound bites and labels such as ‘social murder’ continue to be taken literally by followers of the media who rely on news mediums – rightly or wrongly as it may be – to provide them with an accurate view of what is really going on, when all they are really getting is very little fact and one hell of a distorted view.

If the complexity of the issues which make our public services arguably unfit for purpose in all but name are not understood by the very people who hold the responsibility to lead us at all levels of Government, how can anyone who does not even have the slightest experience of the inner workings of the public sector be expected to have even a remote idea of what is really going on?

If they did, we would surely be now looking for names for a whole range of crimes either carried out or instigated without intent otherwise known criminally as corruption, embezzlement and fraud, to name just a few.

Some might like that idea greatly. But the very regrettable reality is that the problem spanning the public sector is culturally embedded and the result of many issues which to address will take political leadership of a kind that we have long since seen on offer.

Ultimately, an embedded problem of this kind must be addressed by action taken at the very top and this is why I previously asked if the last Prime Minister should himself be the one facing the jail term.

Until there is an acceptance and willingness on the part of politicians from all political parties to address the greater problems which sit behind not only events with the level of notoriety of the Grenfell Tower disaster and Rotherham, but also the ‘unintended’ injustices of all kinds which are visited upon taxpayers daily, we remain destined to have future events of this kind continuing to unfold.

This is at best unjust and it is a very long way from what we should all be able to expect from any form of government which actually works for the people it is supposed to serve.

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