Britain’s NHS ‘needs culture change after appalling care’

Updated 06 February 2013
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Britain’s NHS ‘needs culture change after appalling care’

LONDON: Britain’s state-run health service needs a fundamental change of culture to restore public trust after patients at one hospital received appalling care, an inquiry found yesterday.
Elderly patients at Stafford Hospital in central England were left in soiled sheets for hours, unwashed for up to a month at a time and deprived of food and water to the point that some resorted to drinking from dirty flower vases.
Top lawyer Robert Francis, who led the public inquiry, said he had unearthed a “lack of care, compassion, humanity and leadership,” which led to the “appalling and unnecessary suffering of hundreds of people.”
Data shows there were between 400 and 1,200 more deaths than normal at Stafford Hospital between 2005 and 2008, but he said it was impossible to say whether these were caused by the neglect.
Prime Minister David Cameron said the scandal went to the heart of the public’s faith in the NHS, a vast cradle-to-grave system of health care, which has been free at the point of use since its creation in 1948.
The inquiry placed most of the blame on Stafford Hospital’s management board, saying managers focused on meeting government targets and cutting costs, resulting in severe staff shortages, to the detriment of patient care.
But Francis said the scandal was allowed to continue because of failures “at every level” of the NHS, noting that a plethora of professional bodies and regulators had failed to raise the alarm.
“The NHS is full of dedicated, skilled people committed to providing the best possible care to their patients. There is much to be proud of about what they do for us,” he told a press conference in London.
“However the service so valued in this country and respected internationally is in danger of losing public trust unless all who work in it take personal and collective responsibility to root out poor practice wherever it is to be found.”
In a statement to parliament, Cameron said he was “truly sorry” for the way the system had allowed “this horrific abuse to go unchecked and unchallenged” for so long.
He said he had a “deep affection” for the NHS, which played a prominent role in the opening ceremony of the London Olympic Games last year, but lamented: “This precious principle of British life was broken in mid-Staffordshire.”
He announced a new post of chief inspector of hospitals and said regulators and professional bodies would be questioned on why no nurses or doctors had been sanctioned, or any prosecutions brought over the scandal.
Among its 290 recommendations, the inquiry proposes new “fundamental standards” of care, which should be enforceable by law.
An earlier investigation by Francis in 2010 revealed standards of hygiene so low in Stafford that visiting relatives took it upon themselves to remove used bandages and dressings from public areas and even to clean the toilets.
The lawyer yesterday said the NHS needed a “patient-centered culture” in which staff across the board take individual responsibility for their work, with a “zero tolerance” approach to poor standards of care.
He said there needed to be more openness to acknowledge when things have gone wrong and called for an end to “gagging” clauses, which punish whistleblowers.
Professional bodies largely welcomed the recommendations, while the families of patients who suffered at the hospital backed the focus on patients. However, some campaigners were not satisfied.
Julie Bailey, whose mother died at Stafford Hospital in 2007, said she wanted to see the resignations of both David Nicholson, who held a senior post in the local health authority before becoming head of the NHS in England in 2006, and the head of the Royal College of Nursing, Peter Carter.
“We have lost hundreds of lives in the NHS and we want accountability. We owe that to our society,” she told reporters.


Zelensky urges Biden, Xi to join peace summit

Updated 26 May 2024
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Zelensky urges Biden, Xi to join peace summit

  • Moscow’s forces have in recent weeks advanced on the battlefield and stepped up air strikes on cities
  • Kyiv hopes the June meeting in Switzerland will help pile international pressure on Russian President Vladimir Putin

KYIV: Ukrainian President Volodymyr Zelensky appealed to US President Joe Biden and Chinese leader Xi Jinping on Sunday to join an upcoming peace summit as his country struggles to stave off unrelenting attacks by Russia in its 27-month-old invasion.
Moscow’s forces have in recent weeks advanced on the battlefield and stepped up air strikes on cities, and Kyiv hopes the June meeting in Switzerland will help pile international pressure on Russian President Vladimir Putin.
In English-language video recorded inside the charred remains of a printing press destroyed on Thursday in a Russian air strike, Zelensky said the summit would “show who in the world really wants to end the war.”
“I am appealing to the leaders of the world who are still aside from the global efforts of the Global Peace Summit – to President Biden, the leader of the United States, and to President Xi, the leader of China,” he said.
“Please, show your leadership in advancing the peace – the real peace and not just a pause between the strikes.
Russia has said it sees no point in the conference to which Moscow is not currently invited.
Zelensky’s comments came two days after Russian sources told Reuters that Putin was ready to halt the war in Ukraine with a negotiated ceasefire that recognizes the current battlefield lines.
Zelensky and Ukraine’s supporters say a ceasefire will only help Russia rearm and regroup.
Russia has in recent months made slow but steady gains along several parts of the sprawling eastern front and is attempting to push deeper into the northeastern Kharkiv region after a ground incursion launched earlier this month.
In an interview with Reuters last week, Zelensky said it was crucial to get as many countries around the table at the peace talks as possible. Putin has said he believes the talks may convert Ukrainian demands for a Russian withdrawal into an ultimatum for Russia.


Taiwan’s president says open to working with China on ‘peace’

Updated 26 May 2024
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Taiwan’s president says open to working with China on ‘peace’

  • China launched military games around the island three day last week
  • President Lai Ching-te made overtures to Beijing before his inauguration to resume communications

TAIPEI: Taiwan’s president said Sunday he was still open to working with China on building “mutual understanding and reconciliation,” days after Beijing launched military drills around the self-ruled island in response to his inauguration speech.
President Lai Ching-te was sworn into office on Monday, and China — which claims democratic Taiwan as part of its territory and regards Lai as a “dangerous separatist” — launched military games around the island three days later.
Fighter jets, naval vessels and coast guard ships encircled Taiwan until Friday night, which Chinese military analysts said was to practice seizing it.
On Sunday, Lai said his May 20 inaugural speech highlighted that “peace and stability in the Taiwan Strait is a necessary element for global security and prosperity.”
“I also called on China to jointly shoulder the important responsibility of regional stability with Taiwan,” he said during an event with his Democratic Progressive Party (DPP) in southern Tainan.
“I also look forward to enhancing mutual understanding and reconciliation through exchanges and cooperation with China... and moving toward a position of peace and common prosperity.”
He added that “any country making waves in the Taiwan Strait and affecting regional stability will not be accepted by the international community.”
Lai made overtures to Beijing before his inauguration to resume communications — severed since 2016 after former president Tsai Ing-wen took office.
Like Lai, Tsai is also part of the DPP, which holds a stance of defending Taiwan’s sovereignty.
In response, Beijing has upped military and political pressures on Taiwan, and its naval vessels, drones and warplanes maintain a near-daily presence around the island.
On Sunday, two days after the drills ended, Taiwan’s defense ministry reported that seven Chinese aircraft, 14 naval vessels and four coast guard ships were “operating around” the island in a 24-hour period ending at 06:00 a.m. (2200 GMT Saturday).


Moldova turns to Russia to seek extradition of convicted politician

Updated 26 May 2024
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Moldova turns to Russia to seek extradition of convicted politician

  • The Victory bloc, made up of four parties, campaigns with the slogan “No to the EU” and calls for Moldova instead to join the Eurasian Economic Union — a Russian-led regional grouping

CHISINAU: Moldova is now seeking extradition from Russia of an opposition politician convicted of mass fraud after he moved there from exile in Israel, the country’s justice minister said on Saturday.
Ilan Shor, a pro-Russian business magnate, was sentenced last year in absentia to 15 years in prison in connection with the disappearance from the banking system of $1 billion in 2014, dubbed Moldova’s “theft of the century.”
Shor has organized noisy street demonstrations against pro-European President Maia Sandu and urged Moldovans to vote “no” in a referendum authorities have called for October on joining the European Union by 2030.
Justice Minister Veronica-Mihailov Moraru said Moldova would redirect its extradition appeals to Moscow after Shor said he had moved to Russia and announced he had been granted Russian citizenship.
“The justice ministry has not been informed of this by the Russian authorities,” she told TVR Moldova television.
“If we are advised officially that he holds Russian citizenship, we will analyze the circumstances and consider how to act in procedural terms.”
Moldova, an ex-Soviet state lying between Ukraine and Romania, had repeatedly sought Shor’s extradition from Israel.
After his conviction, a party bearing Shor’s name was banned by the Constitutional Court and a new party, called “Chance,” was formed in its place.
Shor is the driving force behind the “Victory” electoral bloc launched last month — in Moscow — to oppose the EU referendum and Sandu’s bid for re-election at a poll to be held on the same date.
He said last week he wanted to become prime minister if a president favorable to his views would nominate him.
Sandu denounces Moscow’s invasion of Ukraine and describes Russia and corruption as the biggest threats to her country.
The Victory bloc, made up of four parties, campaigns with the slogan “No to the EU” and calls for Moldova instead to join the Eurasian Economic Union — a Russian-led regional grouping.
It has not yet decided on a candidate to run against Sandu. The opposition Socialists and Communists, also friendly to Moscow, oppose the pro-EU referendum but have shown little inclination to cooperate with Shor and the Victory bloc.


Polish students occupy top universities to cut ties with Israeli academia

Updated 25 May 2024
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Polish students occupy top universities to cut ties with Israeli academia

  • Students set up encampments at the University of Warsaw and Jagiellonian University
  • ‘We consider opposing genocide as our highest obligation,’ students say

WARSAW: Polish students have joined the global movement to end partnerships with Israeli institutions and were occupying the country’s top campuses on Saturday because of Israel’s war on Gaza.
Students and alumni of 12 universities in Poland have been calling on their management to publicly disclose which Israeli academia, research centers, organizations and companies they have been cooperating with and in what scope.
In open letters to rectors, they demanded that the universities “boycott Israeli institutions at the national and international level until the occupation of Palestine ends, recognize the right of Palestinians to equality and self-determination, and recognize the right of return for Palestinian refugees.”
As no action followed from university authorities, on Friday evening they set up encampments at the campuses of the University of Warsaw — the country’s largest academic institution — and of the Jagiellonian University — the oldest and most prestigious.
In a joint manifesto, the protesters said: “We will occupy the university space with our own bodies to demand action ... we consider opposing genocide as our highest obligation.”
Israeli airstrikes and ground offensives in Gaza have since October killed 36,000 Palestinians with more than 80,000 wounded, the vast majority children and women. Many have lost their lives as most of the hospitals have been flattened by bombardment and no medical assistance could reach them.
Protesting students say that failing to oppose the onslaught would mean tacit consent — and complicity.
The University of Warsaw is linked through a research project to the Ben-Gurion University, whose Homeland Security Institute partners with the biggest Israeli arms manufacturers such as Elbit Systems, Rafael Advanced Defense Systems and the Israeli Ministry of Defense. It is also linked to the University of Haifa, which runs special programs for Israeli forces and intelligence.
“As a student, I feel I should have a say in what our university is investing and what its partners are. We know that the university is tied to the Israeli army, forces and apartheid system,” Agnieszka, a sociology student and one of the coordinators of the strike at the University of Warsaw, told Arab News.
“That’s why I’m here ... I hope it will change something.”
Agnieszka was speaking from behind the university gate, which has been locked since Friday evening as campus authorities sealed all entry points, preventing anyone from leaving or getting inside.
People were coming to the gate and the campus fence to bring the students water, food and power banks, and to show support.
While no one could join their encampment anymore, the dozens of students gathered inside believed they could bring change.
“We’ve been protesting since October against the genocide that is occurring in Gaza, and now we’re sort of bringing it closer,” said Nena, who studies at the Faculty of Philosophy.
“We have more direct impact on the institutions we are part of.”
At the same time, 300 km away, students of the Jagiellonian University in Krakow were also locked up at their campus, posing the same demands as those in Warsaw, and vowing that they “will not be indifferent, will not be silent, will not be passive,” as they called for others to join.
“It’s important for me to be here,” Gabriela, an international relations student told Arab News from the Krakow protest site. “It’s important to show solidarity with other encampments around the world, so that authorities can’t ignore our demands any longer.”
The University of Warsaw and the Jagiellonian University have not engaged in any discussions with the protesters. Neither university commented on whether it would agree to the students’ demands. The spokesperson of the Jagiellonian University said that to “ensure the safety of the strike participants,” there was a person “appointed to monitor the situation.”


Millions of Indians beat extreme heat to cast votes

Updated 25 May 2024
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Millions of Indians beat extreme heat to cast votes

  • 111 million people vote in election’s penultimate phase
  • Temperature in New Delhi soared to more than 44 degrees Celsius

NEW DELHI: Voters in Delhi braved a sweltering heatwave on Saturday as they queued at polling stations in the penultimate phase of India’s general election.
The voting, which more than 968 million people have been eligible to do, started on April 19. Some of India’s 28 states and eight federally governed territories completed the process in a single day, while others have spread it out.
The sixth phase of the poll covered the capital, Delhi, as well as the neighboring states of Haryana and Uttar Pradesh, Jharkhand, Odisha, West Bengal and Bihar in the country’s east, and Jammu and Kashmir.
In Delhi, voters queued to cast their ballots despite the temperature soaring to over 44 degrees Celsius — with humidity making it feel like 56 C, according to reports — prompting the Election Commission to deploy paramedics to some polling stations.
While there have been concerns over voter turnout — with the first phase estimated to have seen at least 4 percent fewer people take part than in 2019’s election — those who arrived to cast their votes said there was no way the heat could deter them.
“Voting is the only way we can convey our feelings toward governance. It is a decisive way. To spend one hour in the line after five years is not a big deal for us,” said Karan Sharma, who was voting in the East Delhi constituency.
“We were complaining about the heat, but ... it’s a duty, it’s like eating food. After every five years, the festival comes, we have to participate in it.”
For Kavita Wadhwa, who cast her vote in the New Delhi constituency, it was a matter of exercising her rights.
“We have the right to select our own leaders,” she told Arab News. “It’s important for us ... It’s a democratic country.”
The election sees Prime Minister Narendra Modi chasing a third straight five-year term in power, targeting 400 of the 543 parliamentary seats for the National Democratic Alliance led by his Hindu nationalist Bharatiya Janata Party, which has been in power since 2014.
He is challenged by an alliance of two dozen opposition parties — the Indian National Developmental Inclusive Alliance (INDIA), led by the Congress Party, which ruled the country for close to 45 years following its independence in 1947.
Modi’s key contender is Congress leader Rahul Gandhi, the son of Rajiv Gandhi, a grandson of Indira Gandhi, and a great-grandson of Jawaharlal Nehru — all of whom were prime ministers of India.
Gandhi also cast his vote in Delhi on Saturday, after which he took to social media to encourage others to follow suit.
“Your vote will not only improve your life but will also protect democracy and the Constitution,” he said on X. “Come out of your homes in large numbers and vote for your rights and the future of your family.”
Around 111 million people were eligible to vote in the sixth phase of the election. Some of them, like Arohi Anand, were voting for the first time.
“I think it’s a great right ... The government is for us — if we don’t vote, it is on us,” he told Arab News. “(The heat) is a secondary thing. The most important thing is our vote, because the government is the most important thing; it will shape our future.”
The party or coalition that wins at least 272 of the 543 contested seats in the lower house of parliament will form the government.
The first five phases of the election have already decided the fate of 429 representatives. Saturday’s vote will add another 58.
The seventh and final phase of the election will be held on June 1. Vote counting will take place on June 4.