The number of clinical staff in the NHS has fallen this year.

In today's PMQs David Cameron said the number of clinical staff in the NHS "had gone up".

By both a measurement of the number of clinical staff in the NHS (by headcount and 'full time equivalent') you can clearly see that there are less clinical staff in the NHS as of January 2012 than it was 1 year previous. This by any measurement shows that the number of clinical staff has fallen. It is a source of great pity that we do not have the figures for February, March, April and this month. You can be sure that the number has fallen again as this is notoriously a time when jobs are axed (that is out of winter season). In addition, the focus solely upon clinical staff is wrong. The NHS workforce as a whole should not be split up in this way. When it comes to lowering MRSA & C-Dif infections, the role of non-clinical staff including cleaners can be just as important. And if you look at the numbers of those staff, you can see that the staff are falling across the board. (see below)

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The big 6 energy companies made profits of £4,335,000,000 last year.

Figures just released by the Office of National Statistics claim that the number of households living in fuel poverty has declined by 0.7million ( see data here ). The government say that less than 5 million households live in fuel poverty, while Uswitch claim that 6.3 million households live in fuel poverty. Uswitch's figure is much more reliable as their's summer 2011 price hikes. We say a family is in fuel poverty when it spends 10% of household income on its dual energy costs of heating the home and operating cooking and electrical appliances. However, as USwitch explain the governments figures are appallingly out of state ( here ). The publication today by the government only examines fuel costs up to the end of 2010. The Office of National Statistics does admit that if it factored in housing costs then 3 million more households could be described as living in fuel poverty, it also admits that 72% of English households faced a high risk of fuel poverty at year end (2010)....

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Attesting to Meaningful Use Quality Measures

I was recently asked how eligible professionals should report the Meaningful Use Clinical Quality Measures if there are zero denominators (i.e. you do not have any hypertensives, adults, or patients with 2 or more visits in the measurement period) Here's the answer as I understand the regulations and FAQs: 1. Report on the 3 Core measures if you can, which include *Hypertension: Blood Pressure Measurement *Tobacco Use Assessment and Tobacco Cessation Intervention *Adult Weight Screening and Follow-up 2. If any of the 3 Core measures has a zero denominator, replace them one-for-one with one of the 3 alternate core measures. If you can’t get to 3 non-zero denominators between the core and alternate core, report on all 6 (even if it means that you have to report 6 zero denominators) *Weight Assessment and Counseling for Children and Adolescents *Preventive Care and Screening: Influenza Immunization for Patients ≥ 50 Years Old *Childhood Immunization Status 3. Regar...

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