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What role will the NHS play in the 2017 election?

BMJ 2017; 357 doi: https://doi.org/10.1136/bmj.j2024 (Published 27 April 2017) Cite this as: BMJ 2017;357:j2024

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Re: What role will the NHS play in the 2017 election? The Sweet Shop is Closed- Syndrome!

The Sweet Shop is Closed Syndrome

Why is it we see but don’t register?
We can’t get a GP appointment; there is delayed cancer treatment, unfilled GP, nurse and other NHS job vacancies. Out of hour providers struggle to find people to cover the rotas.
We can see it, can’t we? But are we attributing responsibility? A conservative led government has been in power since June 2010 (coalition or alone). That is seven years, seven intakes of trainee doctors, seven intakes of trainee nurses, seven intakes of trainee teachers …
So where are they? Why don’t we have enough? Even with so called open borders.
Our elected representatives must be accountable for this and held to account for this. Clear choices have been made by them and yet those who have made them still hold the confidence of many may be even a majority of voters! The Conservative Party, whether in coalition or in government, has made those choices, choices which have led to a “strong and stable Britain”. They have indeed driven forward their policies and made their choices. Are we really now a “Strong and Stable Country”?
It is clear we are not; austerity driven choices have reduced public services across the board. There can be no questioning this; however the conservatives seek to portray it differently:
“The country is strong, stable and open for business”
“More money than ever before into training nurses…..”
In the same breath they say the cuts are and were essential. So which is it, more money or more cuts? This is the proverbial “forked tongue”.
How is it that we believe and accept that the NHS is safe in their hands?
Is it because in our pushchairs and car seats or hanging on to the parental fingers, we have all asked: “Can I have some sweets, please?” The slightly delayed reply “uhh, no, the sweet shop is closed!” The tinkling of the bell over the door, the rustle of sweet paper, the lights and children in the shop tell us otherwise, but that trusted parent, that familiar voice, insists “no, it’s closed” and so we learn from very young, that our responsible adult, our role model, will adjust reality to suit the occasion.
But that isn’t what we take home, not our concept message, the conflict in our child minds, is our emotional support person, our role model, and our world, shows us that they are right, we cannot believe our eyes, not believe the evidence, not think for ourselves. The origin of seeing but not registering, not activating our thoughts to affect our actions, goes right back to those formative years: “the sweet shop is closed” or “daddy is busy”….
Endless white lies or euphemisms, that we legitimise as all knowing, busy parents, have come back to haunt us.
We can see the conservatives are definitely not to be trusted, but the Pied Piper “Come with me” call, at the Conservative Party conference, is leading us, like unwitting children, to our doom. Doom sounds dramatic, but it is a Doomsday scenario, when our Prime Minister (acting), aligns herself with a President such as Donald Trump, tells us she will reduce migration to the tens of thousands, the Universities and Independent schools alone would go bankrupt overnight (No of international students – 15/16 census for UK = +/-127000). She approaches an epoch making negotiation, Brexit, with her qualification as key negotiator, I am a bloody difficult woman.
We are clinicians, health care workers; our responsibility is first and foremost to “Do NO Harm!” Our greatest contribution now, today, is to SEE. To speak up as individuals and as a body, every day, say this Tory party is NOT fit for office.
It is our duty to the health of the people, our colleagues, services and our nation. Whatever else follows we will address it, but to have this Tory party as our representatives, without forewarning of the consequences, is a derogation of our duty of care as health care workers.
We do see. We must see and report that we see. We must act on what we see. We must stand up and say what we see. If we do not we will follow the USA, down a path of authoritarianism, corruption and possibly worse.
Like the USA we will say: “How did this happen, how did we get here?”
The answer is long known, and well expressed: All it takes for evil to flourish is for good people to do nothing
ARE WE GOOD PEOPLE?

Competing interests: No competing interests

18 May 2017
Sally Godward
Portfolio GP
MRCGP
Worthing