
CHRISTINA McANEA: 'Workers at private firms delivering NHS services rarely get a good deal'
Since Labour came to power, things are looking up for the NHS. We've seen record investment and waiting times falling.
But this progress risks being derailed. The government plans to transfer thousands of low-paid health workers out of the NHS. Ministers are allowing hospital bosses to set up their own companies to save cash.
Before the election, Labour promised to bring workers on private contracts back into public services. But in power, ministers are doing the opposite. Plans to create a company in Dorset are underway. But more than a thousand cleaners, porters and caterers at local hospitals say they want to stay in the NHS.
Hospital managers have said there'll be no impact on patients. Nor on staff pay, pensions or jobs. But Unison thinks otherwise. Ten years ago, Tory ministers had the same terrible idea. Health workers didn't like it then. And they don't like it now.
The NHS needs help to get back on its feet, recover from the pandemic and years of Tory underfunding. No one should be making a profit from running public services. Workers at private firms delivering NHS services rarely get a good deal.
I recently met a group of cleaners from east Lancashire working for contracting giant Mitie in health centres. The company regularly gets their pay wrong. The cleaners often receive less than they should, leaving them struggling.
To make matters worse, Mitie refuses to pay staff bonuses given to other NHS workers during Covid. So far, the cleaners have taken eight days of strike action. But the firm still refuses to act.
One in five payslips is incorrect. That's unacceptable. Company execs would be fuming if their wages were regularly wrong and they were denied bonuses.
The staff take real pride in their jobs. But what really grates is that last year Mitie boss Phil Bentley took home £14.7m. And the firm's profits were £234m. Unison's calculated that giving staff the £1,655 Covid bonus would cost Mitie £70,000. Mr Bentley earns that in just ten hours.
Neighbourhood health centres, like the ones the Mitie workers clean will be at the heart of the government's ten-year plan. This promises a revitalised NHS that works for patients. The plans mustn't be blown off course by unnecessary and unpopular privatisation, which doesn't work.
Finally, this week I went to Gloucester in a shower of rain to meet phlebotomists who've been on strike for 121 days. These dedicated staff specialise in taking blood from patients and want to be paid fairly. But bosses won't budge. Other hospitals have paid up.
It's time NHS managers in Gloucester did the same.
Millions to benefit from workers' rights reforms
Millions of workers will soon benefit from what's in the employment rights bill.
It will stop people on zero-hours contracts being exploited, give workers sick pay as soon as they're poorly and make it harder for bad bosses to sack staff.
This is the biggest set of workplace changes in a generation. But lots of people don't know much about it. The government should be shouting it from the rooftops.
Filming of frontline workers for clicks has to stop
Working on the front line is tough. The likes of paramedics, police officers and firefighters see and deal with horrendous things all the time. They deserve our thanks and respect. What they don't need is people making life tougher for them. But that's what's happening.
Research from my union Unison found that one in seven health workers had experienced unwanted filming or photography in the past year. Staff being filmed as they treat heart attack victims. With the footage being livestreamed or put on platforms like TikTok.
Someone filmed a car crash with seriously injured people. They refused to stop and had to be escorted away by the police. This ghoulish filming for clicks has to stop. Let our dedicated public servants do their jobs. Put the phone away.

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


Daily Mail
37 minutes ago
- Daily Mail
Neurologist issues urgent concerns over using massage guns over risk of triggering a stroke
A leading neurologist has issued an urgent warning over using a massage gun to relieve neck tension, as this could trigger a potentially life-threatening stroke. Dr Baibing Chen, from the University of Michigan, shared the warning with his 163,000 Instagram followers, stating that this is one of three common activities he would never do to protect his brain health. In the video, which has been viewed over 8million times, he also urged his followers to stop blasting loud music through headphones and warned against holding in a sneeze. The neurologist said: 'I would never use a massage gun on my neck,' . 'This is because the vertebral and carotid arteries in the neck are vulnerable to damage from the repetitive shear forces from a massage gun.' These arteries make up a vital part of the circulatory system and supply the brain with blood and life-giving oxygen. Dr Chen added that this repetitive damage can increase the risk of an artery tearing, encouraging the formation of blood clots, restricting blood flow and triggering a stroke. A stroke is a serious medical event that can cause permanent brain damage or even death. Dr Chen added that using a muscle gun with direct pressure can also dislodge hidden plaques that line the artery wall. He said: 'This can cause a clot to travel to the brain and lead to an ischemic stroke.' This happens when a blockage cuts off the blood supply to part of the brain. According to the NHS, around a quarter of strokes are caused by a narrowing or blockage of the carotid arteries. The main symptoms of a stroke can happen suddenly and include facial weakness where one side of the face may fall making it hard to smile; arm weakness which impacts a person's ability to lift both arms; and speech problems. For this reason, Dr Chen also warned against holding in a sneeze. He said: 'This is because sneezing generates high internal pressure that's higher than car tire pressure. 'Holding [a sneeze] in forces this pressure into delicate areas and may lead to ruptured eardrums, torn throat tissues, and even air leaking into the chest. 'In rare cases, the sudden spike in pressure can rupture blood vessels in the brain leading to subarachnoid hemorrhage or intracerebral bleeding—especially in individuals with aneurysms or weakened arteries.' A subarachnoid haemorrhage is considered a medical emergency. Finally, Dr Chen advised turning down the volume before plugging in headphones. He said: 'Loud music isn't just bad for your ears it's actually bad for your brain as well.' Tackling hearing loss early could delay the development of dementia for a number of years, promising new research suggested this year. Studies have long suggested that around four in 10 cases of the memory-robbing condition could be preventable. Now experts believe that up to a third of cases could be attributed to hearing loss. Dr Chen explained: 'This is because when the brain struggles to process sound it reallocates resources away from memory and thinking, increasing cognitive decline.' Dementia affects around 982,000 people in the UK and studies show that those with untreated hearing problems may be up to give times more likely to develop the condition. He added: 'Sounds over 85 decibels, similar to city traffic, can cause damage over time where as exposure to 100 plus decibels, like a concert or many earbuds at max volume can cause permanent hearing loss in as little as 15 minutes.'


Daily Mirror
37 minutes ago
- Daily Mirror
New NHS fat jab guidance issued as top doctor says it's 'crucial'
The obesity medication is being used by thousands of people in the UK Thousands of people across the UK using weight loss medication have been warned that they are risk of regaining their lost pounds unless steps are taken. Successfully managing weight after a course of the popular fat jabs does not end with the completion of the medication, according to experts. In new guidance from the National Institute for Health and Care Excellence anyone completing obesity medication or weight management programmes should be offered structured, long-term support to help maintain weight loss and improve overall health. The new quality standard, published on Tuesday, says healthcare providers should offer ongoing advice, tailored action plans, and regular follow-up for patients after treatment. This includes access to tools such as the NHS Better Health platform, support from dietitians or nutritionists, and community-based peer groups like walking clubs or fitness sessions. Research shows that without this, many will put back on weight, which can negatively impact both physical and mental health. The updated standard replaces three previous guidelines and reflects the latest thinking on tackling obesity through the health system. It comes as new weight loss drugs such as semaglutide (Wegovy) and tirzepatide (Mounjaro) become available on the NHS for those with the greatest need. Around 240,000 people are expected to be offered tirzepatide over the next three years. Deputy Chief Executive and Chief Medical Officer at NICE, Professor Jonathan Benger, said: 'Successful weight management doesn't end when medication stops or when someone completes a behavioural programme. 'We know that the transition period after treatment is crucial, and people need structured support to maintain the positive changes they've made. This new standard makes sure services provide that vital continuity of care, and it supports the NHS 10 Year Plan to shift from a 'sickness service' to a genuine health service focused on prevention.' More than 1.5million people in are thought to be taking weight loss injections across Britain. However most get their drugs through private prescriptions where there is often little support with changing behaviours such as diet and exercise. Some studies have shown people start putting weight back on within two months of stopping the jabs. Researchers from Peking University People's Hospital in China carried out a review of 11 studies covering more than 2,000 slimmers. They discovered most kept their weight off for at least four weeks after stopping, but started putting it back on by the eight-week mark. In a separate study by Oxford University it was found many people regained all their weight within two years. Healthcare teams are now expected to monitor patients for at least a year after treatment and offer additional support if needed. This could include practical advice on daily habits, home and workplace adjustments, and access to digital self-monitoring tools. In England, 29% of adults live with obesity, and 64% are overweight or obese. Obesity increases the risk of serious conditions such as type 2 diabetes, heart disease, certain cancers, and musculoskeletal problems. The cost to the NHS is estimated at £11.4 billion annually, with a wider economic impact of £74.3 billion. Dr Rebecca Payne, Chair of NICE's Quality Standards Advisory Committee said: "Weight management is a long-term journey, not a short-term fix. The evidence is clear that advice and support for maintaining weight after stopping medicines or completing behavioural interventions can help prevent weight regain and enable people to experience lasting benefits. 'We've seen excellent examples of services that already provide comprehensive discharge planning and ongoing support. This quality standard will help ensure all healthcare providers adopt these best practices, giving every person the best chance of maintaining their weight management success over the long term. 'This standard ensures healthcare services are equipped to provide that essential ongoing support." Healthcare providers and commissioners are expected to begin implementing the standard immediately. Full guidance is available on the NICE website.


The Independent
an hour ago
- The Independent
Great Ormond Street Hospital criticised by NHS watchdog for using doctors' assistants to fill surgical rota
Great Ormond Street Hospital (GOSH) has been criticised by the NHS watchdog for using doctors' assistants to fill its surgical rota. GOSH, one of the world's leading children's hospitals, had resorted to using physician associates (PA), now called doctors' assistants, to fill gaps for registrars due to short staffing, the Care Quality Commission (CQC) found during an inspection in October 2024. In addition to concerns over the use of PAs to cover during times of short staffing, the CQC found that the trust also had a shortage of nurses trained to carry out tracheostomies, leaving only one trained nurse available to work during some shifts. Widespread controversy over the use of physician associates by the NHS was subject to a national review earlier this year, following the death of Emily Chesterton in 2022. She died from a pulmonary embolism after being misdiagnosed twice by a physician associate, who she believed to be a doctor, at her GP surgery in north London. Following the Leng review into the use of PAs, the government accepted the recommendations, which included that PAs should be renamed and only see patients in limited circumstances. The CQC's inspection of GOSH, the results of which were published last month, was triggered by concerns over the care of hundreds of children by orthopaedic surgeon Yaser Jabbar, who was accused of carrying out botched surgeries. Last year, GOSH launched a review of the care of 723 children treated by Mr Jabbar, following concerns raised by parents and the Royal College of Surgeons. Of the cases reviewed so far, 22 children were found to have come to harm, including amputations which might have been avoided and injuries that left them with lifelong pain. The CQC's inspection report does not make statements about the surgeon's case; however, its inspection of the department cited concerns over 'governance' and 'surgical accountability and oversight' at the trust. The report said: 'A key area of risk identified was the safe staffing levels within surgical services. Reports indicated that physician associates (PAs) were being used to fill registrar rota gaps. 'When this took place, they reported directly to a named consultant and could seek additional clinical support from senior registrars or fellows as required. Additionally, there were concerns regarding the availability of tracheostomy-trained nurses, with incidents where only one trained nurse was present during shifts, limiting safe break coverage.' In response to concerns around staffing, the trust began a recruitment drive, with new nurses in training and temporary staff cover arranged where required. However, at the time of the assessment, gaps remained in some key areas, particularly within ear nose and throat and urology services. In response to the CQC's concerns around staffing, a spokesperson for Great Ormond Street Hospital said patient safety was its top priority. It said: 'Physician associates are a valued part of our multidisciplinary team – they are assigned daytime shifts within a specific physician associate roster and are always supported by at least one consultant. In the event of sickness, the entire team adapts to provide the necessary cover to ensure we provide the best possible patient care. 'This is always with appropriate supervision and in line with Trust policy.' The news comes as the government faces ongoing strikes from resident doctors across England over pay and a lack of specialist training posts for doctors, following a five-day walkout last month that saw thousands of staff take action. The British Medical Association, which represents resident doctors, has previously used pay comparisons between PAs and resident doctors as part of its argument on why pay for its members should be raised. Last week, the BMA also warned that thousands of resident doctors, formerly called junior doctors, would not get specialist training jobs once they finish their initial two years training, with around 30,000 doctors competing for 10,000 posts.