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The Guardian - UK
The Guardian - UK
Comment

The NHS: Tory fag-packet health policy ignores the emotional challenges facing medical workers

Pressure point: Successive governments have increased the demands made of medical workers.
Pressure point: Successive governments have increased the demands made of medical workers. Photograph: Andrew Matthews/PA

I’m almost made ill by the spectacle of fly-by-night career politicians pontificating about the “impossible” public-service professions (as Freud tellingly called them), when in reality the narrow politicised calculations fuelling their pronouncements do a kind of violence to the complex and highly demanding services that dedicated health and education professionals provide for us all (“Health minister tells GPs: stop moaning about the job”, News, last week).

Such politicians commonly have neither the slightest idea about the emotionally challenging nature of these professions, nor any insight into how their political meddling and hyperactive “initiatives” make these jobs all the more “impossible”.

No wonder there are mounting GP and teacher recruitment and retention crises in this Gabraithian age of government-induced “public squalor” – and that the Royal College of GPs and the teaching unions are “moaning”; for recent Tory fag-packet policy pronouncements only reinforce what a catastrophe it would be for professionals’ working conditions if the Conservatives were to win next May.

Dr Richard Housel

Stroud, Glos

The health secretary Jeremy Hunt has decided that NHS staff are not worth the 1% universal pay rise that was proposed, despite this being the recommendation of the independent NHS pay review body (“Most Tory MPs back NHS pay rise, says poll”, News last week). One assumes that this decision would have been made with David Cameron’s approval, despite his waxing so lyrical on the NHS at his party conference.

The recommendations of all other public sector pay review bodies have been accepted, except for health workers. Indeed, the justification for the MPs’ 10% salary hike is that it is the recommendation of an independent regulator and irreversible, despite public objection from the prime minister, his deputy and the chancellor.

I fail to understand the logic that a single minister can overrule one independent recommendation whereas the three most senior members of the government have no sway over another.

If the NHS is to be a major issue during the forthcoming election debates, then I fear the Tories may come to regret Mr Hunt’s decision. I suspect that the public’s sympathy will rest more with health workers than avaricious MPs. One potential compromise would be to offer the 1% to all NHS workers earning less than an MP’s salary.

Dr John Trounce

Hove, East Sussex

Earl Howe thinks GPs are “moaning” too much, putting young doctors off a career in general practice

We are in this sorry state of affairs due to constant reorganisation of the NHS, thanks to Conservative, Labour and now the coalition governments.

It is not only affecting the morale of GPs but also that of hospital doctors. The increased bureaucracy with diminishing resources is affecting the care that we provide for our patients. Recent election manifesto pledges such as 48-hour access and seven- day/8am to 8pm access will only make this worse. That, to me, is a very good reason to be moaning.

Dr Richard Ma

London N7

The anachronistic Monday to Friday, 9 to 5 mentality being so doggedly defended by members of Britain’s medical profession has no place in a modern seven-day, 24-hour society. Everybody else has embraced the idea, including other public servants. Now the promises must become reality.

Jane Stevens

Norwich

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