probably, but the structure of the service has a big impact here, in that any errors in nhs wide processes impacts everything, which doesn't happen the same in a decentralized structure such as those found on the continent.
Patients dying needlessly
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probably, but the structure of the service has a big impact here, in that any errors in nhs wide processes impacts everything, which doesn't happen the same in a decentralized structure such as those found on the continent.
So in a succinct manner please explain how we should improve the NHS, starting with what the NHS fails on and then how we improve on this. We can ignore the issue of cost, timescale, political inconveniences at this point, as this is purely a paper exercise.
Limit yourself to 5-10 main points for the sake of argument.
The main point is to separate access to healthcare (which requires government intervention) from provision of healthcare, which does not.
in countries such as France, Germany and the various Nordic countries, this is the approach taken, which serves to empower the patient and to put the patient at the centre of care, as opposed to the top down, managed provision approach of the nhs where the customer is largely a cost causing inconvenience.
Provision should be open to any capable provider, and the patient must be in control of their care choices.
Because monopolies are inherently inefficient and destined to fail the end user as the nhs already does?
As for high cost provision, given that access is assured, this shouldn't be too much of a problem unless the state gets its sums wrong when it comes to the cost. note I am not proposing to get rid of universal healthcare access.
Given the high barriers to entry of the healthcare market how do you limit the effect of oligopolies as have appeared in the train and water/electricity markets? How do you limit under provision in the areas of healthcare that are very expensive or relatively poor outcomes?
One more; given the rarity of many medical conditions how do you provide patient choice when there are so few patients to allow multiple centres of expertise?
One more; given the rarity of many medical conditions how do you provide patient choice when there are so few patients to allow multiple centres of expertise?
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While I'm composing a full reply, I'd like you to answer questions around how you will address the poor outcomes of the nhs.
please note that increasing funding won't work, as it has already been tried so we have empirical data to back that one up.
Easy; big old campaign to low expectations (small increase in funding to cover this please, few million, not much). Medicine doesn't have all the answers and if people expect it we are just setting the NHS up for failure. We should continue to attempt to eliminate problems as we come to understand them but we must ensure that the public do not expect the earth from medicine when we cannot deliver. If people like it how the rest of the world does it then they are welcome to move there. Not the answer that people want but the best medicine doesn't taste very nice.
Yes, he is another one that talks the talk but despite being adequately qualified won't get off his butt to make a difference just bitches about something he quite clearly doesn't understand.
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Increasing funding has worked and there are many outcome measures to prove that (waiting lists, cancer treatment outcomes, infection control).
The problem is that with improved care you will have a less healthy and older population who will need more resources, you will start treating diseases with more and more expensive drugs for which you did not have any option years ago.
Haven't we talked about how a tu quoque fallacy is not a valid argument before?
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I hear stories like a midwife dropped a baby on its head and nearly electrocuted a woman who was giving birth. It also heard that on another occasion, Warwick held her face just six inches from a pregnant woman and bellowed ‘push!’.
http://www.dailymail.co.uk/news/art...her-birthing-pool-plugging-monitor-mains.html
'Paramedic slapped woman patient across the face and called her a 'silly *****' for faking injury'.
http://www.dailymail.co.uk/news/art...her-birthing-pool-plugging-monitor-mains.html
'Paramedic slapped woman patient across the face and called her a 'silly *****' for faking injury'.
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to be fair she was a silly bitch.
Yes we have and I still have a dim view of people who see problems, have it in their power to change them and do diddly-squat, and then even worse belittle the people who do make an effort.
You are going to have to be more specific than that. Where is it that I have belittled anybody? Anyway I'm still not sure u were referring to me because when I asked you said yes followed by he to me? It has not been my intention to belittle anybody who cannot be argued to be incompetent given some of the examples we have been seeing.
Edit: I am receiving and responding on my phone at the moment and so am only vaguely aware if I am making any sense at the moment.
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Caporegime
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I don't think you've made any sense at any point in this thread. I don't get what point you're making. Some Doctors aren't very good? Some bad things happen?
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I'll give you a clue. You see that chap called Dolph - you know the one whose post I quoted. Well cunningly enough as it was his post I quoted then I was replying to him.