Category Archives: health

New Film: The triple whammy horror facing 1950s born women

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Today Backto60 launched the first of two campaigning films in the run up to their appeal against the judicial review decision in the Court of Appeal on July 21.

They aim to overturn the judicial review which rejected their claim for compensation and full restitution of their pension back to 60 which was rejected on all grounds by judges. They have been given permission by the Court of Appeal to appeal on all grounds.

The film shows how 50swomen – already waiting up to six years for their pensions – are now hit by the Covid-19 pandemic- forced to work in unsafe situations in their 60s in hospitals or care homes or left isolated facing mental health problems.

We now know through a report from the National Audit Office,Parliament’s financial watchdog, that 25,000 people were moved from hospital to care homes at the beginning of the pandemic without any health checks for Covid-19. No wonder so many died and Dr Bharat Pankhania, Senior Clinical Lecturer at University of Exeter Medical School, in the film condemns this as a disgrace.

The film quotes experts who have backed the campaign to point out how just how damaging the situation. You can follow them on Twitter here – @2020Comms @JackieJonesWal1 @ManzurHannah @DrDavinaLloyd1 @doctorshaib @NexusChambers @AnnaCCampaigns @SOS_Initiatives.

The overall picture is bleak – the combination of the pensions delay, austerity and now the virus- have made difficult lives even worse.

But there is also hope. Professor Jackie Jones points out that the UN Convention on the Elimation of Discrimination against Women – may well launch an inquiry into how badly the UK treated 50s women – shaming the country internationally.

The court case is likely to have to hear additional evidence on whether it was a really equal playing field if at the same time 4.6 million men over 60 are estimated by the Department for Work and Pensions to have had all their national insurance contributions paid by the government so they could get higher pensions. A government promise in the 1990s to extend this scheme to women for eight years after the change was introduced in 2010 was reneged on by the last Labour government and the Tory-Liberal Democrat coalition.

The film directed by Jasper Warry at Hello Dear Productions is eminently watchable and the experts explain their points succinctly – my only apology is that you have to put up visually with me having a shaggy lockdown non hair cut!

How the raising of the pension age for 50s born women has fueled poverty, ill health and depression

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Campaigners at the Royal Courts of Justice.

A new and highly detailed research study by King’s College, London reveals that the lowest paid women born in the 1950s are now substantially worse off because of the government’s decision to raise their pension age from 60 to 66.

The damning findings confirm why the BackTo60 campaign are right to highlight the inequalities and seek to overturn a judicial review in July which refused to provide any compensation for 3.8 million women.

Since the situation is now even worse because of the huge death rate among the elderly it also shows how sensible it will be for the organisation to highlight the issue in two films that will be backed by a crowdfunder. The link to their crowdfunder, which has already raised over £5000 is here.

The academics at King’s College compared the fate of those who had already retired at 60 with those who were having to wait for their pension until they are 65 or 66.

They found the change in pension age widened inequality, increased poverty by six to eight points, caused much more depression and mental health issues and also made people more likely to succomb to additional health problems like diabetes or arthritis.

It was specifically bad for women who had to work longer in low paid jobs often involving manual labour, such as working in care homes.

In their academic language it says the “increases had a negative impact on health: women aged 60–64 years are no longer eligible to collect their pension due to the reform exhibit worse mental and physical health scores (PCSs) and higher prevalence of clinical depression than women of the same age unaffected by the reform.

Moreover, longer extensions of SPA [ State Pension Age] led to higher declines in mental health than shorter extensions. Crucially, the negative health effect of SPA postponement is confined to women from lower-grade routine occupations, and it is largely driven by longer exposure to adverse psychological and physical stressors. As a result, the reform had the undesirable consequence of increasing health inequality by occupational grade, as evidence points to a 12 percentage-point increase in the probability of depressive symptomatology.”

You can read the report, published in Health Economics, here.

Michael Mansfield

It should put a spring in the step of lawyers like Michael Mansfield, who are fighting for BackTo60 in the forthcoming judicial review appeal and its findings ought to worry the Department for Work and Pensions as it exposes the damage they have done. Though making anyone there or in Downing Street remorseful for anything is a tall order.

On Byline Times: The sad irony that coronvaris could force the closure of the UK’s leading smallpox immunologist’s museum

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Edward Jenner’s house. Pic credit: Facebook

Today Oxford University’s Jenner Institute – named after smallpox vaccination pioneer Edward Jenner – is receiving millions of pounds to find and develop a vaccine to cure covid-19.

Yet at the same time the small charity running Edward Jenner’s home and museum has been so badly hit by the lock down that it is facing permanent closure – all for the sake of a few thousands pounds. And the World Health Organisation celebrated the 40th anniversary of the eradication of the disease this weekend – nearly 200 years after Edward Jenner worked out a vaccine.

Full story on Byline Times. The charity also has a crowdfunder here if you want to contribute.

On Byline Times: The £8m contact tracing app contracts for Covid-19 and plans to outsource its management

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NHS contact tracing app being trialed in the Isle of Wight Pic Credit: Linked In

I have just had a forensic look at the contracts awarded for the controversial Covid-19 contact tracing app which is now being trialed in the Isle of Wight.

Among the surprises are the plan to allow a big Swiss company Zuhkle Technologies AG to take over its management and allow access for overseas engineers to monitor the app. And there is still the controversy over whether the decentralised Google/ Apple app should be used rather than a centralised NHS App collecting data from your smartphone.

Full report on Byline Times and a link to two of the main contracts.

Exclusive on Byline Times: How a highly controversial contract to collect data on thousands of English Covid-19 hospital patients was never put out to competitive tender

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Image by Syaibatul Hamdi from Pixabay

An expose by The Guardian earlier this month revealed that confidential data from patients being treated for Cofid-19 in England was being collected and processed by tech companies – two of which were highly controversial companies.

Now after persistently chasing up officials NHS England have admitted that the contracts which involved the US company Palantir – run by Trump supporting right wing billionaire Peter Thiel – and British start up Faculty – which has links to Dominic Cummings, the Prime Minister’s chief adviser – were never put out to tender.

Read how they did it on Byline Times here

On Byline Times: WHO guidelines ignored to shield over 60s because UK “not a developing nation.”

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Image by Syaibatul Hamdi from Pixabay

My first new article on Byline Times reveals the reason why the government is sticking to shield only those in their 70s rather than follow World Health Organisation guidelines to shield the over 60s. It is because the UK thinks this should only be applied to developing nations.

This disputed by WHO who point out that 95 per cent on the deaths in Europe are among the over 60s with France, Italy and Spain responsible for the vast majority of European deaths.

The article highlights the plight of people in their 60s – most of them still working because of the rise in the pension age – with some left with no money as jobs collapse and others working in the NHS where the risk of Covid- 19 is at its highest.

Read the full story on Byline Times here

Revealed:The chaotic free prescription and dental treatment scandal

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An example of an attempt to check whether you are entitled to a free prescription by Trent Valley Surgery

If you are under 60 and over 16 do you know when you can get a free prescription and free dental treatment? No, if you don’t you are in good company and if you claim could even be one of 1.7 million people in England falsely sent a £100 penalty by the NHS.

A absolutely scathing report out today from MPs on the Commons Public Accounts Committee today describes the whole system for regulating free prescriptions and dental services as ” not fit for purpose “.

It reveals that despite a so called 24 page ” simplified ” guide telling you when you qualify most people are completely confused and rightly so.And if you get it wrong you are automatically guilty of fraud and get a £100 penalty fine rising to £150 if you don’t pay it promptly.

The report said :” Exemptions from prescription and dental charges include age, maternity, receipt of certain means-tested benefits, low income, and long-term medical conditions in some cases, although we are told that this list of long-term conditions has not been updated for 50 years [YES 50 YEARS -my point] save the addition of cancer in 2009. “

Worse qualification for a free prescription does not automatically qualify you for free dental treatment. And if you are on Universal Credit your right to claim will vary from month to month depending on your income.

The report says : “There is currently no way of indicating receipt of Universal Credit on prescription forms, resulting in more confusion, and the Department for Work and Pensions does not confirm eligibility when they write to claimants about their confirmed benefit entitlements.”

The result of all this chaos is that since 2014 no fewer than 5.6 million penalty notices have been issued and 1.7 million have had to dropped once the person challenged it because it was found out they were entitled to claim.

Naturally the threat of penalities has made vulnerable people more frightened of going to the dentist for essential treatment in case they were fined and to get prescription medicines.

Worse the policing of the system to prevent fraud has been an abysmal failure. The report found “nearly 115,000 people have received five or more PCNs [penalty notices] for prescriptions, over 1,600 have received 20 or more—yet only five cases have been referred to the Crown Prosecution Service. Only one has been heard in court ” Yes that it right one court case.

And anyway the NHS does not have a proper system for collecting the debt – relying in part on Capita.

The MPs said: “The PCN process generated a net yield of £25 million for the NHS, a pitiful sum compared to the annual cost of prescriptions which is around £9 billion. We do not dispute that it is right to try and deter fraud and recover costs mistakenly paid by the NHS, but the current system is not fit for purpose.

Now there is a simple high tech solution to check prescription entitlement in real time – and the government is committed to eventually introducing a computerised system. It is trialing one now in just four chemists. How pathetic is that.

Meg Hillier, chair of the committee, makes some very pertinent points .

“Patients find it very confusing to understand whether or not they can claim free prescriptions or dental treatment because of a convoluted system that causes patients, in some cases, distress.

“A presumption of guilt means penalty charge notices are issued too readily, particularly where vulnerable people are concerned. Yet where there is clear evidence that people are persistently committing fraud by making false claims, there has been a failure to take effective action.

“The Committee fully support efforts to deter fraud and pursue those who claim exemptions to which they are not entitled to but the current penalty notice system is cumbersome, inefficient and not fit for purpose.

“The Department should substantially overhaul the system, so that those who are rightfully entitled to free prescriptions and dental treatment get the exemption they deserve.”

Over to the NHS to sort out this scandal – one among many. MPs want to call officials back next year to explain how they have solved it.

Theresa May’s mental health act reform: Warm words but scant action

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CROSS POSTED ON BYLINE.COM

You may well have missed it under the Brexit deluge but Theresa May announced a major reform of the Mental Health Act this month – the first for 30 years.

Sir Simon Wessely, a tame report on reviewing the mental health act

She had commissioned Sir Simon Wessely, Regius Professor of Psychiatry at King’s College London and president of the Royal Society of Medicine to examine the legal state of Britain’s mental health system.

His report came out earlier this month. Frankly it is full of warm words but proposes scant action and dumps the problem of better treatment for mental health patients on the NHS.

The good part of his report is that it does give better rights for patients held under community treatment orders. and some useful changes when mental patients die in police custody including restoring non means tested legal aid to challenge the authorities.

The bad part of his report is that it fails to offer a solution to what is one of the most glaring problems in the mental health service – the vast number of Afro-Caribbeans who are sectioned compared to the majority white population.

It acknowledges it exists and in his introduction Sir Simon Wessely quotes the view of one ethnic minority person who told him “for a black person, a psychiatric hospital is seen as the place where they drug you up, and at worst even kill you”.

He goes on to confirm that nothing much has changed in 30 years.

“it is sad to record that little has changed. There does appear to be more consensus that this increase is real, and not an artefact, and also that it is related to experiences of discrimination, exclusion and racism. There is also consensus that even taking this into account, the use of coercion is far greater in this population, finding its most painful expression in the statistic that those of black African or Caribbean heritage are over eight times more likely to be subjected to Community Treatment Orders than those of white heritage. In other words, too often and in too many areas the experiences of those of black African and Caribbean heritage is one of either being excluded or detained.”

He then admits institutional racism exists even if it is unconscious but the main body of the 307 page report does not address the issue of why psychiatrists accept that Afro-Caribbeans are eight times more likely to be schizophrenic or suffer from psychosis than anyone else. Nor does it propose any remedies for this particular problem. You can read the report via this link.

institutional racism

As Suman Fernando,a psychiatrist and author of a major work on institutional racism , put it:

Suman Fernando. Pic credit: http://www.sumanfernando.com

” The first question to be asked is whether this report would have had the same approach to ‘race’ if the victims of institutional racism had not been ‘black and minority ethnic’ people but a white minority / majority group?   The issue here is about white privilege and power. And the question arises as to how this systemic failure of an official report has come about.  Second, who carries responsibility for the failure of this report to have race on its agenda for change? “

He concludes:” This Review has raised false hopes in the minds and hearts of many black people “

Consultations on this report will begin in the New Year with legislation to follow. But it will get nowhere without a big commitment to resources and a change of culture and attitudes by psychiatrists treating patients.

As Norman Lamb, Liberal Democrat health spokesman put it: “In the Government’s response to the Review, there must be a commitment to invest more money to support those at crisis point and help people before they reach crisis point. The Conservatives to date have failed to adequately invest in Mental Health. Without strong goals and commitments from the Government, rising detention rates will not be adequately challenged.”

tame conclusions

My conclusion is that both Theresa May and Simon Wessely are speaking from the same song book. They are prepared to speak warm words about the problem but are not prepared to take radical action to solve it. No wonder he can calmly state that no political influence was brought to bear on the report. It wasn’t necessary given its tame conclusions.