BBC Scotland ‘News’ react to the Ofcom report showing a massive loss of viewers and STV News being better respected, with one of their trademark NHS Scotland scare stories based on insubstantial biased research by a trade union.
Referring to a trade union as ‘leading doctors’ we heard:
Doctors have warned that Scotland needs to increase spending on the NHS by up to £3bn a year to bring it into line with other similar EU countries.It blames a lack of investment for missed targets, staff shortages and low morale.
This is an astonishing set of lies about the performance and the condition of NHS Scotland turned uncritically into a supposed news report by BBC Scotland.
While some incredibly ambitious targets are missed, many are achieved and go unreported:
There is no staffing crisis in NHS Scotland:
The BMA and the BBC have no hard evidence of low morale in NHS Scotland, only shoddy unreliable, self-selecting samples of those predisposed to moan. There is hard evidence of the exact opposite:
Expenditure is not the only, not even a reliable, measure of the quality of a health system. We hear that Austria and Belgium spend more but nothing of their performance. The graph below shows that the USA spends the most, yet life expectancy is lower. As for Belgium and Austria, life expectancy is little different. It’s clear also from the graph that after a certain point, extra investment yields diminishing returns.
We’ve known for some time that what really matters once you have a reasonable level of investment is how well the system is run. See this:
Scotland has a unique system of improving the quality of health care. It focuses on engaging the altruistic professional motivations of frontline staff to do better and building their skills to improve. Success is defined based on specific measurements of safety and effectiveness that make sense to clinicians. There is much for the other countries of the UK to learn from this…Scotland has a longer history of drives towards making different parts of the health and social care system work together. It has used legislation to get these efforts underway while recognising that ultimately local relationships are the deciding factor. There is much for England and Wales to learn from this.
Research Report, July 2017, Learning from Scotland’s NHS at: https://www.nuffieldtrust.org.uk/files/2017-07/learning-from-scotland-s-nhs-final.pdf