{"id":139436,"date":"2025-09-15T18:20:03","date_gmt":"2025-09-15T18:20:03","guid":{"rendered":"https:\/\/www.newsbeep.com\/uk\/139436\/"},"modified":"2025-09-15T18:20:03","modified_gmt":"2025-09-15T18:20:03","slug":"hospital-league-tables-will-harm-not-heal-the-nhs-hospitals","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/uk\/139436\/","title":{"rendered":"Hospital league tables will harm, not heal, the NHS | Hospitals"},"content":{"rendered":"<p class=\"dcr-130mj7b\">Wes Streeting does not seem to understand the complexity of healthcare funding. League tables will exacerbate regional differences rather than abolish them (<a href=\"https:\/\/www.theguardian.com\/society\/2025\/sep\/09\/nhs-hospital-league-tables-are-brought-back-by-ministers\" data-link-name=\"in body link\" rel=\"nofollow noopener\" target=\"_blank\">Norfolk hospital worst in country as NHS league tables reintroduced, 9 September<\/a>). The problems are not unknown but, sadly for this government, will not be solved in the next four years. It should not be a surprise, especially for Mr Streeting, that the NHS cannot function efficiently until social care is fixed.<\/p>\n<p class=\"dcr-130mj7b\">There is a massive shortage of staff in all specialities, which take 10 to 15 years to get from university to skilled professional. This leads to a reliance on locum and agency staff. The hospitals at the bottom of the tables will have the highest usage of them, reducing quality of care at a higher cost. Increasing the use of private clinics simply loses staff from the <a href=\"https:\/\/www.theguardian.com\/society\/nhs\" data-link-name=\"in body link\" data-component=\"auto-linked-tag\" rel=\"nofollow noopener\" target=\"_blank\">NHS<\/a>.<\/p>\n<p class=\"dcr-130mj7b\">The solutions are neither quick\u00a0nor easy. Prevention, which\u00a0is\u00a0the best way to address demand in the long term, needs cooperation between government departments, something that has not been seen for decades. <br \/>Dr Michael Peel <br \/>London<\/p>\n<p class=\"dcr-130mj7b\"> The new scoring system of NHS trusts, especially regarding mental health care, may be too simplistic. Within the past year, I\u2019ve had a mental health admission involving a transfer of care from one trust to another \u2013 the care at one ward was much better and well rounded, despite this trust having a lower rating by two points. While this rating may be based on the trusts\u2019 finances, I worry that it could create fear for people coming under the care of a mental health service, something that is already such a difficult\u00a0process.<\/p>\n<p class=\"dcr-130mj7b\">The care within the same trust but in different services and wards is so varied. When a health trust provides so many different services, is it really fair to combine it all under one number? <br \/>Name and address supplied<\/p>\n<p class=\"dcr-130mj7b\"> I have read about the new league tables for local hospitals and how they will be accountable for their performance on a range of metrics such as appointment waiting times. Has this had an effect on my care? As a sufferer of skin cancer for more than 30 years, I have had six-monthly checkups and treatment for all of that time until now, when my consultant told me that, due to a growing waiting list of new cases, my future checkups would be extended to nine months instead of six.<\/p>\n<p class=\"dcr-130mj7b\">Over the past 30 years my treatment has comprised cutting or freezing lesions on a regular basis. Now I am being exposed to the risk of missing out on a critical diagnosis in time for treatment. Is this an example of hospitals concentrating on how to boost their rankings instead of on existing patients?<br \/>Bill Mason (100 years old) <br \/>Beckenham, Kent<\/p>\n<p class=\"dcr-130mj7b\"> A rating for an entire hospital based on 30 metrics is no use to me if I need elective surgery. There can be five to 20 surgical departments in a large hospital. Outcomes for elective surgery will vary between them and between individual surgeons. The waiting times may\u00a0vary by condition if some surgeons tend to specialise. Overall, it\u2019s the wrong rating for a\u00a0complicated choice.<br \/>Peter West<br \/>Health economist, London<\/p>\n<p class=\"dcr-130mj7b\"> Our local Medway NHS trust was fifth from bottom in the acute trust league table, but recent experiences of myself and friends at the hospital have been excellent. Indeed, I received a letter offering a follow-up appointment date within two weeks of returning a self-test kit. <br \/>Ralph Jones<br \/>Rochester, Kent<\/p>\n<p class=\"dcr-130mj7b\"> Have an opinion on anything you\u2019ve read in the Guardian today? Please <a href=\"https:\/\/www.theguardian.com\/society\/2025\/sep\/15\/mailto:guardian.letters@theguardian.com?body=Please%20include%20your%20name,%20full%20postal%20address%20and%20phone%20number%20with%20your%20letter%20below.%20Letters%20are%20usually%20published%20with%20the%20author%27s%20name%20and%20city\/town\/village.%20The%20rest%20of%20the%20information%20is%20for%20verification%20only%20and%20to%20contact%20you%20where%20necessary.\" data-link-name=\"in body link \" https:=\"\" rel=\"nofollow noopener\" target=\"_blank\">email<\/a> us your letter and it will be considered for publication in our <a href=\"https:\/\/www.theguardian.com\/tone\/letters\" data-link-name=\"in body link\" rel=\"nofollow noopener\" target=\"_blank\">letters<\/a> section.<\/p>\n","protected":false},"excerpt":{"rendered":"Wes Streeting does not seem to understand the complexity of healthcare funding. League tables will exacerbate regional differences&hellip;\n","protected":false},"author":2,"featured_media":139437,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[43],"tags":[102,2960,56,54,55],"class_list":{"0":"post-139436","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-healthcare","8":"tag-health","9":"tag-healthcare","10":"tag-uk","11":"tag-united-kingdom","12":"tag-unitedkingdom"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts\/139436","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/comments?post=139436"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts\/139436\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/media\/139437"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/media?parent=139436"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/categories?post=139436"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/tags?post=139436"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}