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ZOMBIE THREAD ALERT: This thread hasn't been posted on for a while.
Live webchat with Health Secretary Andy Burnham today (Weds 22 July) 2.30-3.30pm(276 Posts)
We're delighted to announce that Andy Burnham, Secretary of State for Health, will be joining us on Mumsnet tomorrow (Wednesday 22 July) between 2.30pm and 3.30pm for a live webchat, during which he's promised to answer your questions about swine flu (and anything else you'd like to know).
Andy has been Health Secretary since June this year. He is also MP for Leigh in Greater Manchester, was born in Liverpool, has three children, supports Everton and, apparently, plays a mean riff on the guitar.
Because of the last-minute scheduling of this webchat, we're NOT taking advance questions, so stand by your keyboards at 2.30pm tomorrow (or get someone else to ask your question if you can't be there)!
Any news on the rest of the answers HQ?
Thank you v much for coming back and answering these. It is much appreciated .
I'm impressed. Well done Mr. Burnham.
Oooh, excellent. Well done Mr Burnham for getting back <brownie points to his aides anyway>
We've had more answers to questions that Andy Burnham didn't get round to in last week's chat, and there are more to follow, hopefully later today.
MORE SWINE FLU QUESTIONS
Grendle: I would like to know what he thinks of the RCOG/RCM guidelines on swine flu and pregnancy. In particular, as access to homebirths can be so variable anyway, will their advice that if services are stretched generally then homebirth services may be cancelled be used as an excuse to deny women the choices they want in birthing? What will be done to ensure this isn't the case?
Also, if services get really stretched due to staff illness, how will they make sure that breastfeeding and other postnatal needs are fully supported? Particularly if as RCOG/RCM suggest women may be encouraged out of hospital faster and not receive postnatal home visits from midwives. Will all hospitals be actively promoting referrals to the voluntary breastfeeding helplines as a backup?
Please could more information about relenza and any flu vaccine and pregnancy be provided in order that pregnant women can make informed decisions about whether or not to take up these options. Simply saying 'this is what we recommend, there's no evidence of harm' isn't really reassuring enough, nor enough info on which to make a judgement. Pregnant women are not sheep.
blondieminx: please could you also outline what continuity planning is being undertaken in hospitals to ensure that this country's already overstretched midwifery service gets support so that midwives are there when we need them when the time comes to deliver our babies? Also please could you confirm whether hospitals will be given guidance to offer reassurance scans to mothers-to-be who have taken Relenza (bearing in mind the lack of data about this drug)?
Thanks Grendle and blondieminx, you both hit on some important issues. I know swine flu is a big concern for expectant parents, which is why we've been working closely with the Royal Colleges to give joined up advice.
On Grendles question about Relenza and vaccines, we do want to be as open as possible in the information available. The last thing I want to do is to tell pregnant women 'you must do this, you must do that'. It should be up to the individual to decide but it needs to be an informed decision, based on an awareness of all the pros and cons.
You can find a lot more information about Relenza on our website (www.dh.gov.uk), and Id also urge you to speak to your GP or midwife if you have any concerns about taking Relenza.
On the vaccine front, Im clear that we do need to make sure vaccinations are safe, and were working with the licensing authorities to ensure the appropriate checks are carried out.
Turning to the issue of maternity services, I do want to stress that the NHS has been planning for a pandemic for many years, and this includes plans for how maternity services should respond. The guidelines weve sent out to the NHS make clear that maternity units should do everything possible to allow women to choose the type of birth they want.
Equally, maternity services will make every effort to ensure Swine Flu does not compromise the quality of care and support that new Mums receive immediately after giving birth.
As I say, there are detailed plans in place to minimise the impact this pandemic has on all kinds of health services. Were acknowledged as being global leaders in our preparations.
But even so, Im afraid I cant guarantee there wont be local cases where staff illness or short term pressures mean that some women will not have a home birth. What I can guarantee is that we will do everything we can to keep those instances to a minimum wherever possible, we need the NHS to function as normal during the pandemic.
TallulahToo: Swine flu not only a particular hazard to pregnant mums but also to the under 5's. Why then does the government not advocate closing of school nurseries when a case is found?
TallulahToo, thanks for your question. We originally had a policy of closing schools and nurseries when we were in the containment phase of our response to swine flu; that was when we were trying to stop the spread of swine flu for as long as possible so we had time to study the disease and make significant progress towards developing a vaccine. No one could stop the spread indefinitely and, following advice from scientific experts, we reached the conclusion that it wouldnt be right to close nurseries or schools every time a child or a member of staff fell ill with Swine Flu.
But we have said that nurseries and schools could close if local circumstances required it for instance, if a number of staff all fell ill with Swine Flu. Weve also asked nurseries to be particularly hot on cleaning hard surfaces, which can harbour the virus, and isolating children who show symptoms.
At the moment, Swine Flu is proving to be mild for most people, including the under 5s, so we do need to take a proportionate response. However, we are monitoring the situation closely and will make any changes to our position as and when we need to.
thegrammerpolice: I believe that there is vast over-diagnosis of Swine Flu going on in hot spot areas. Children who have the slightest temperature and any two other symptoms are diagnosed with it and handed Tamiflu which many of them probably don't need. Surely this means the figures are over-estimates of the true spread of the disease? I'd like to know what proportion of swabbed suspected cases have actually tested positive for SF (I believe that small numbers are still being swabbed) and what proportion actually had other illnesses.
Grammerpolice, thanks. Youre right to say that the figures we publish every week are an estimate. The reality is that at the moment there are thousands of suspected cases every day. That is why we stopped the policy of swabbing everyone who may have swine flu.
Instead, the Health Protection Agency swabs a small number of patients as a sample, and then we use this along with the number of cases reported by GPs to produce an overall estimate. They do this every year with seasonal flu so have experience in giving us a good picture of how the virus is spreading across the country.
studentmummy: Hello and welcome Mr Burnham - Can you tell me why under threes do not make it onto Professor Salisburys priority list for the vaccination program in the autumn. I completely fail to comprehend the reason for this given that under-fives are the highest risk group in terms of being the most affected category, possessing highest proportional number of hospitalisations and highest projected mortality rates? According to Salisburys priority list, under threes come at the very end of the queue together with the rest of the population instead of amongst other children (three and over) who are somewhat near the top of the list. Is there an explanation for this? If so it might need disseminating to the parental population to help us make informed choices.
Frasersmum123: How will you insure that those who are at most risk will get the Vaccine? Will it be the case that you will have to prove hom asthmatic you are for example, or will it be a blanket vaccination for everyone that has a condition that puts them in the 'at risk' category?
BrightShinySun: Hi, sorry am I am late to this discussion. Just two simple questions really..
1. Are the under 5's (as they seem to be hit the hardest when they do contract SF) going to be priority when the vacination does arrive?
2. Bearing in mind it does not seem to be affecting the elderly as hard as the young why is there still talk of them being priority (no offence to the elderly of course) would it not make more sense to prioritise the 15-50(ish) yr olds that make up most of the country workforce and basically keep the country moving?
Thank you all for these questions on vaccinations, which Ill respond to together. And I'm afraid the honest answer is that we havent yet reached a decision on who is going to receive the vaccine first. The list that studentmummy refers to was not in any order and was simply a list of possible groups that had been identified to assist the NHS with its planning.
There will be limited supplies of the vaccine at first, and prioritising vaccinations is going to be a very tough call. However, we are discussing this with scientific experts and we'll make a decision, using the most up-to-date evidence about the severity and spread of the disease, once we've got a clearer idea of exactly how much vaccine will be available in the months ahead.
There is not enough experience of swine flu in children under the age of 5 in the UK yet. Other countries have not yet included young children as an at risk group but we have decided to take a precautionary approach and consider children under 5 as being at increased risk until further information makes this clearer. If a child under 5 has flu like symptoms you should contact the National Pandemic Flu Service.
studentmummy: Mr Burnham - The underlying causes theme seems to be one of the most dominant discussion threads here. If these details were released it would be helpful on a number of levels.
One - to help individuals assess their own relative degree of risk with regard to swine flu and promptness of treatment.
Two - it would help dispel rumours that the underlying causes is all a government cover up story to avert panic.
There seems to be real concern that almost anyone could be made retrospectively to fit into an underlying causes scenario and I am not altogether convinced by the tonsillitis story by the way!!
Studentmummy, thanks for this. Im afraid patient confidentiality means we cant give out details of specific underlying conditions that people who have died with swine flu have suffered from.
What I can say is that we have to put swine flu into some perspective. For the vast majority of people it is a mild illness, but in some cases the symptoms can be more severe, and in rare cases it can be fatal.
We do know that people with serious health problems such as heart disease, a recent history of serious asthma, and compromised immune systems (eg HIV patients, or those going through chemotherapy) and children under one are at greater risk. They should contact their GP and take Tamiflu as soon as they get Swine Flu symptoms.
Of course, pregnancy can also weaken your immune system, so its important that pregnant women with swine flu also talk to their doctor or midwife who will be able to advise whether they need to take Relenza.
HEALTH SERVICES GENERALLY
1dilemma: Would anyone like to ask him why it is so hard to get an appointment? I am currently proofreading my complaint letter to the chief exec because I was refused a 24 week scan (I admit I turned up 15 mins late but I was kept waiting over an hour for my 12 week scan and tube delays aren't my fault) I was disconnected from the GP 4 times this morning in an attempt to get my next antenatal appointment and I have pretty much given up trying to get my kids their routine jabs I am fed up of being told there are no appointments left and I have to phone back between 8.45 and 8.50 in 3.5 weeks time on any day except one with a y in it!
JimmyMcNulty: Why can I not get an appointment to see a GP at my local practice (except for WEEKS in advance) except by ringing up at 8am on the dot for an 'emergency' appointment on the day? This was the same at my last GP practice as well before we moved area and I'm told it's so that they hit targets. Are you looking at fixing this?
1dilemma, JimmyMcNulty Im really sorry to hear about your experiences.
Ive made it very clear to local health authorities that everyone should be able to see their GP at a time that fits around their lives. That doesnt just mean accessing appointments at short notice, but also being able to book them in advance.
The latest figures suggest that about three-quarters of those who wanted to book ahead for an appointment with a GP said they could do so. This is an improvement on the past, but its still not good enough.
I want to aim for a situation where all GPs can offer patients an appointment within the next two days, and allow them to book further ahead. If this isnt happening in your area, you should take this up with your local Primary Care Trust, who are responsible for overseeing GP services.
CMOTdibbler: When Alan Johnston came to visit us, he promised that there would be a review of miscarriage and pregnancy loss services, having heard the heartbreaking stories here of how women were mistreated by the NHS (I'm sure Carrie and Justine will be glad to link you to the Miscarriage code of practice threads). I know you are a bit busy at the moment smile but could you let us know the status of this?
Thanks CMOTdibbler. Yes it is a busy time! But Im still very keen to pick up where Alan left off because I know the NHS can do a lot better in helping women deal with the physical and psychological effects of miscarriage.
Since Alans appearance on Mumsnet last year, weve been working very closely with the Royal College of Obstetricians and Gynaecologists (RCOG) and the Royal College of Midwives (RCM), and there has been some progress.
Weve put money into RCOGs new Standards for Gynaecology, which now sets out clear standards on how the NHS should help patients who have experienced miscarriage, ectopic pregnancy and recurrent miscarriages.
Last August, we also published advice on how the NHS needs to improve facilities for families suffering pregnancy loss at such a traumatic time, hospitals should do everything they can to ensure women can have their loved ones around them, and thats where things like overnight stay rooms become very important.
I think it is encouraging that 97% of maternity services now have an Early Pregnancy Assessment Unit to manage problems in early pregnancy, such as vaginal bleeding and abdominal pain, and to provide ongoing advice and support.
But Im under no illusion theres more to do and over the coming months, well be working with the Royal College of General Practitioners to improve the role that GPs can play in pregnancy care, and this should include bereavement counselling and building long term relationships with families who suffer the loss of a pregnancy.
herbietea: Why are those of us in England still having to pay for prescriptions when the rest of the UK don't?
Herbietea, thanks for your question. We want all NHS services to be affordable and accessible and that includes prescriptions.
From April this year, cancer patients became eligible for free prescriptions, and we are currently looking into extending this exemption for people with long term conditions were expecting to make a decision on this in the autumn.
And help is already available for people who need extensive or frequent prescriptions. If you need more than 4 prescription items in any three month period or more than 14 items during a period of 12 months then its worth getting a Pre Payment Certificate. This means you can then get as many prescribed items as you need for £2.00 per week and the cost can be spread by direct debit.
Herbietea: is it only English women's cervixs that show changes between 20-25? It must be as Scotland and Wales pay for the smears to be done during this time.
On cervical screening, Im afraid we have taken a different view to our counterparts in the devolved administrations.
Last year, we asked an independent panel of experts to review the pros and cons of offering cervical screening in women under 25.
They unanimously concluded that the screening age should not be lowered. Treating women for abnormal cervical cell changes can increase premature birth. Cervical cancer is very rare among women under 25 and they are over three times more likely to produce false positives so it is the committees advice that screening at this age causes more harm than good.
This is a view thats shared internationally. The World Health Organisation has recommended that screening starts at 25 since 2005. France, Belgium and Italy also begin screening at this age while the Netherlands start at 30.
elkiedee: What do you think the government could do to improve support within the NHS for those women who want to breastfeed but give up much earlier than they expected or planned to? Could someone ask about breastfeeding in public and protecting the right of all women to feed their babies/young children in public (and not just up to 6 months either). Can't quite put the words together properly, sorry!
Elkiedee, thanks for taking part in the discussion. I agree with you that women should get all the advice and support they need to encourage them to breastfeed. There is clear evidence that breastfeeding your baby does have health benefits.
In terms of what were doing, the Government has put a lot of money behind the Baby Friendly Initiative. This is helping maternity units and other community settings like Sure Start Childrens Centres to provide help to mothers to start breastfeeding, and continued support in the community to sustain breastfeeding for longer.
I also agree with your point about protecting mothers rights to breastfeed in public. Theres already strong protection for mums under the Sex Discrimination Act, which makes it unlawful to treat someone less favourably because she is breastfeeding and this is the case whatever the age of her baby.
So a woman should have complete confidence that it is unlawful for a café owner or restauranteur, for example, to ask them to leave the premises because they are breastfeeding.
grendle: Why has all formula advertising including follow-on formula not yet been banned? These products are used and needed by lots of people, but they don't need to be advertised. Impartial information on formula and bottle feeding would be better than marketing.
Grendle, there is a review already underway to look at whether we need to take further action on the way infant formula and follow-on formula is presented and advertised. It will also explore whether babies under six months are being fed follow on formula, and if so why.
This report is due at the end of this year, and well take a decision once weve looked at the evidence. So rest assured, this is something thats on our radar!
Sorry I missed it and actually feel glad that he came on at all. Maybe just the fact that he did is progress in itself.
But can anyone tell me if he actually answered my question about closing nurseries to avoid cross infection in the under 5's?
I know it was one of the ones on the list but didn't see the answer.
Grendle - no, they don't. But I think it's a human nature thing to fret more about what you put in writing compared with what you say, even though it's totally irrational in the case of broadcast interviews because what they say will end up being transcribed!
Message withdrawn at poster's request.
And I think most of us have ct him some slack . Good to hear there are guidelines.
I wonder if interviewers such as john Humphries and Jeremy Paxman cut politicians slack when they make last minute bids for live interviews where every word the politician says will be quotable just as with text on here? Or is it the politician and their officials' job to ensure they are equipped to handle fast-paced questions on topical issues at short notice <ponders> ?
There are guidelines which are usually sent in advance. It is up to the chattees whether they bother looking at them, let alone actually following them. There have been cases where the chattee clearly didn't bother and had a very bad time as a result. Naming no names. Mr Burnham, nevertheless, was a very last minute booking and could be cut some slack due to that.
Sorry to have missed the chat and shame none of my questions got answered <shrugs>.
I think the issues of expectation during a webchat are a difficult balance. I agree to a certain extent with Leningrad that there is a limit to what we can expect, as not all questions on any topic can be readily answered and not all chatees are used to the format. However, if you look at the speed of responses and the questions that were answered, most could be predicted in advance (so he should have been thoroughly briefed on the standard responses), so I don't think it's unreasonable to have expected a bit more ground to be covered. Given he had a typist and it was going v slowly, tbh the typos and paricularly incorrect use of words/terms is shocking and gives a poor impression. If he was typing rapidly himself I'm sure we'd all be more forgiving .
I do hope that his private secretary will print off the whole thread and put it into his box so he can properly read all the issues raised, including those not about swine flu. Maybe someone should email them a copy of all the unanswered questions so that the officials can get the answers together more easily for us?
Should/do we have guidelines for chatees? e.g. I would suggest:
1. Make sure you read the thread in advance of the chat (or get your advisers to do it) and prepare answers to as many of the questions already sitting there as you can. People will expect answers to these and doing the prep means once the discussion starts it can move faster, reducing people's frustration.
2. During the chat, try to respond to questions using people's usernames as it gives a more personal impression in a fast moving thread.
3. Try not to leave pauses of longer than a few minutes between your posts, as people get impatient (another bonus of having thought up a few answers in advance).
4. Commit to answering the remainder of the questions within a set timeframe after the chat (actually, this one might not apply for some 'fun' chatees, e.g. authors etc, but definitiely for politicians/Govt ministers). Some questions are tough to answer, but in this case any of us could simply write to our MP and get them to ask it, which would lead to a reply from one of the health ministers, which could then be posted on here anyway, so you can't really get out of it.
5. If something really tricky comes up, then offering to follow it up personally through a meeting or whatever goes down really well (see the recent Waitrose chat). It diffuses the issue in the live situation, or can be done shortly afterwards. If you do promise to do something, however, giving a timeframe is helpful and you must do it and report back -thinking of the AJ and miscarriage issue here.
I agree it was really good to get him on, and people are brave to take on a MN grilling . Thanks to Justine et al for continuing to get interesting victims participants.
Kathy - well I imagine the families are not thinking about the public aspect of this at all. And the hospitals are just following their procedures, which is that you don't release information to the press about people's medical history to protect confidentiality.
Sorry, had to dash before the end of the webchat yesterday.
Just wanted to say that I think it's amazing we had him on at all, given how busy he must be at the moment - thank Justine et al for organising it!
Given that this was presumably a snatched hour out of a manic day, and was meant mainly to respond to fears about swine flu and the conflicting advice, amongst pregnant women and parents of under 5s, I think he did pretty well.
If we haven't scared him off completely (!), maybe he'd like to come back sometime when the current crisis has died down and chat to us about the other questions?!?
I can see that HIV can be very sensitive and given it is all about compromising the immune system I am sure it will have accounted for a significant number of the deaths. However surely in most of the other cases the relatives aren't going to mind having info released?
<reads through entire thread for the first time>
God, he won't be back then, you'll have scared the hell out of him!
Riven - so sorry he didn't answer your wheelchair question - Mrs B - perhaps you can point it out? No civilised country should view a child's pressure sores as a requirement.
The typist must have been someone off work experience - "underlining health issues"? It's "underlying", for heavens sake...
Agree for some of the questions in advance, it would have been an easy thing for them to have prepared answers.
But I disagree with others about how much we can be told about people's underlying health issues. He was as clear as he could be. Patient confidentiality means you can't just go saying "Mr xxxx has died but he was HIV+"
Message withdrawn at poster's request.
I've been watching Andy Burnham on BBC Breakfast and GMTV over the last couple of days. His posts were very much (to the sentence) the same as he has been saying on television and I thought that little account was given of the questions that were asked here.
I really feel that it was considered by Andy Burnham's people that he should come on here and calm down the hysterical Mumsnet mothers.
I don't think this was thought through, at all.
I also feel that he is really struggling in his job. Ben Shepherd managed to make him look utterly panicked on Monday. I am very uncomfortable with a Health Secretary whom Ben Shepherd can make nervous, on questions on a current pandemic.
It was a joke, really, about Andy B. Although am sure he's v nice and attractive, Mrs B.
<digs hole deeper and goes to bed>
Pah, I thought the picture in the speedos would put me off.
<looks around anxiously for Mrs Burnham>
Could we have a Daniel Craig webchat since you're here Justine? Has he not written a children's book or produced his own line of nappies we could pretend to talk about?
Well of course some of the questions (mine for instance) were wanting statistics which it turns out aren't available - am a bit shocked they're not collecting statistics on how many pregnant women with swine flu miscarry, but if they don't exist it's not his fault he couldn't give them.
For goodness sake woman - control yourself - his wife's a Mumsnetter! (Unless you're his wife?)
What about the picture? In the speedos? they don't have to be actual speedos. They could be M & S speedo-alikes.
He did answer individual questions, honest - he just didn't preface them all with the individuals' names as AJ and others have done - that was partly because of some overlap of questions and partly because of lack of preparation time for this chat (it was v last minute) plus slow speed of typist. I think he genuinely wanted to cover as much ground as he could (and in the end did answer most of our swine flu questions) but I think as you know the subject of swine flu is super-duper sensitive and one wrong move would be pounced on, so he and his medical person were being cautious. I don't think he wanted to be evasive but it did mean he was a a bit slower than some.
He also confirmed that his wife's been nagging him to come on MN for ages - so thanks for that Mrs B!
His team are promising more answers next week.
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