Exhausted? Of course I am.
Jeremy Huntâs strategy seems to be to wear the striking junior doctors down with cuts and propaganda. Will it work?
I am, like many of my colleagues, indeed exhausted.
Iâm exhausted of going to work to find huge gaps in the rota where doctors used to be, where nurses used to be, where physiotherapists and occupational therapists used to be. Iâm tired of never seeing a contract, never being able to plan to see my family. Iâm exhausted by the deaf ears of faceless administrators.
Iâm tired of endless top-down reorganisation, target-chasing and publicity managing. I miss looking after patients. I miss training to be a better doctor.
Iâm exhausted by the media. I was on BBC radio during the last strike, and a rather hostile presenter asked me âWhy are you on strike? Why arenât you doing your job?â. I gave a polite, measured answer. But I wanted to reply with; âIâm striking today to protect the long-term health of patients. Thatâs my job. But what about you and your fellow âjournalistsâ? Are you doing âyour jobâ? When a Secretary of State and Prime Minister can say anything and it is reported verbatim; unscrutinised, unchallenged and uninvestigated? When they can lie about stroke care, perinatal care, weekend hospital care, consultant cover, NHS funding, NHS safety and privatisation and barely any journalist will take the time to report the utter lack of credibility on any health issue in any way? Iâm doing my job to the best of my ability- are you doing yours?â
Sigh.
Iâm exhausted by the politics and the endless lies and spin. Iâm tired of having to counter the same propaganda ad nauseum. A âseven-day NHSâ sounds great- but what is it? Is it urgent emergency care? We already have that. Is it routine care? We donât need and canât afford that- not when the NHS has never been poorer. Can we make it better? Of course- but we need investment, policy based on evidence not sentiments. Should I go to hospital at the weekend? Emphatically, categorically and unreservedly YES.
Iâm sick of noxious columnists pumping out toxic nonsense; dâAncona, Baxter, Lawson, VineâŠthe cogs of the Tory spin machine are many, and they are all dirty.
Most of all Iâm exhausted by fighting for an NHS on the brink of destruction- whilst the public remains largely unmoved. When you go to the doctor and she tells you something is seriously wrong- how do you respond? Do you then go to the Daily Mail to fact check it? Do you ask for a balanced opinion from a close-to-government think tank, deeply invested in privatisation?
Iâll declare my vested interest right here; Iâm a junior doctor and I think the NHS is the best healthcare system for my patients- in equity, in outcomes, in value for money. Now the junior doctors are striking, the GPs are resigning, the consultants are halfway between both. The student nurses are protesting, the staff nurses are planning, and pharmacies are closing. Meanwhile NHS services are already being sold- to Virgin, Circle, TDL. Domestic and domiciliary staff have been private for years already. PFI hospitals are ÂŁ80 billion in debt for ÂŁ10 billion of services â does that sound efficient to you?
The end of the NHS is here- not in five or ten years, but here, now, collapsing from August. Do you really believe this government is âthe party of the NHS?â
Did you vote for this? Did you look at the Tory manifesto and read the pledge âSeven Day NHSâ and think- âThatâs got my vote, now bulldoze the thing and whereâs that private health insurance brochure?â
We havenât explained ourselves properly and for that I wholeheartedly apologise. The junior contract is simply a means to make lucrative weekend work cheaper, and reduce the pay bill and pension bill on hospitals for private takeover. There really is no other reason to do what the government are doing. They donât care about the safety of patients- theyâve cut hospital budgets in relative terms more deeply than at any time in NHS history, we have fewer doctors and spend a lower percentage of our GDP on healthcare than most of Europe, and they tried to suppress reports on safe staffing levels for nurses. They donât even care about âbalancing the booksâ- the NHS will be ÂŁ2 billion in debt this year. The national debt in 2007 was ÂŁ500 billion, now itâs ÂŁ1.6 trillion. In 2007, the deficit was ÂŁ41 billion â now itâs ÂŁ90 billion. I hear your cries of âthe financial crashâ. Exactly- and here is the cost- years of private debt generated by illegal banking practices absorbed into the public purse. Banking and corporate tax evasion remain unchecked. The NHS and every other public service for sale. Itâs a crime too huge to see.
Iâm exhausted. Yes. And alone, perhaps, defeated. But Iâm not alone. 250,000 doctors in this country, 400,000 nurses, 150,000 allied health professionals. 19 million families. 66 million people.
Dear other normal human beings, join us, and help save our NHS, if we can.
DOMINIC PIMENTA













