“It would not be impossible to prove with sufficient repetition and a psychological understanding of the people concerned that a square is in fact a circle. They are mere words, and words can be molded until they clothe ideas and disguise” ― Joseph Goebbels.

Jeremy Hunt claims that patients are more likely to die at weekends.

Freemantle, M Richardson, J Wood, D Ray, S Khosla, D Shahian, WR Roche, I Stephens, B Keogh, D Pagano, J R Soc Med. 2012 February; 105(2): 74–84:

‘The research, published online today (15 May 2014) in the European Respiratory Journal, is the first to assess death rates among patients staying in hospital over the weekend, irrespective of the day of admission.

Previous studies have identified the ‘weekend effect’, where patients admitted to hospital at the weekend have an increased risk of dying. While this could be down to a shortage of staff, it could also be due to the fact that more severe patients will admit themselves to hospital during a weekend, while those with milder symptoms would wait to speak to their doctor the following week.

This new study analysed the ‘weekend effect’ in a different way by assessing whether patients who stayed in hospital over the weekend, even if they were admitted earlier in the week, were also experiencing an increased risk of death.

The principal finding of our study is that hospital admission at the weekend (Saturday or Sunday) is associated with a significant increased risk of in hospital death over the 30-day follow-up period, but being in hospital at the weekend is associated with reduced risk of death. Thus for every 100 deaths among patients admitted on a Wednesday, we would expect 116 among otherwise similar patients admitted on a Sunday. However, for every 100 deaths among patients in hospital on Wednesday we would expect to see 92 among similar patients already in hospital on a Sunday.

These findings are consistent for emergency and for elective admissions. The findings for the English NHS were consistent with the analysis from 254 academic and not-for-profit US hospitals, suggesting that this finding may be systematic in health care organizations

Our study showed an increased 30-day mortality risk for patients admitted with emergency conditions over the weekend period compared to the rest of the week. This finding confirms previous reports for specific clinical conditions and a more recent survey of outcomes in the NHS. The increased mortality associated with emergency weekend hospital admissions may be multifactorial. The cohort of patients admitted during the weekend will include those patients who would otherwise, had they been less ill, have had their admission postponed until a week-day.

Jeremy Hunt claiming that patients are more likely to die at weekends is an attempt to convince people that a square is a circle. He has taken facts out of their context for political purposes, and, as such, uses the same techniques of truth manipulation that Joseph Goebbels would have approved.

The NHS is not a business.

The NHS has the amount of money the government decides to spend on it.

Claiming that Hospitals are overunning their budgets is like saying “Oliver Twist is asking for more, he says he can not not survive on what we give him”. It is like saying a square is a circle, and, if we repeat this often enough, fools will believe us, and the only remaining trick is to ensure that enough fools vote for us.

ALL those who work in the NHS – UNITE!


lenin nightingale 2016


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