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The systems are...
A+E waiting times.
- Thread starter sityeuropa
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The systems are...
Soldato
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We might need to educate people, but I find it hard to believe that anyone in this day and age doesn't know that shovelling high sugar content foods is bad for them. Coke washed down with more coke, a bit of BPM, some boost, and a healthy portion of crisps and chocolate bars.
How do you start to educate such diets?
How do you start to educate such diets?
Slippery slope. If that is considered self inflicted and therefore self funded then where do you draw the line?
Breathing difficulties - well, you smoke or you chose to work down a pit so it is your fault
Heart attack - you've eaten poorly or have put your self in high stress environments so it is your own fault
Strokes - you should have sorted out your high blood pressure earlier
Pregnancy emergency - it was your choice to have a baby
Broken limb - you should have been more careful on the stairs
RTC - you should have looked where you were going
and on and on and on....
Once you impose a charge for one thing, it is impossible to not charge it for other things and you end up with the benefits mob having the state pay for the treatment and those who pay their own way not calling for help if they can't afford it. You would also end up with masses of elderly people suffering in silence as they couldn't afford the care (even if they were having a serious non chargeable event)
Education alone doesn't work. We are spending vast amounts of money trying to educate people, and undoing it by spending vast amounts of money mitigating, compensating and rewarding poor choices.
Only by stopping rewarding, mitigating and compensating bad choices can we start to see the benefits of educating people to make good choices.
People have listed them above and in the other thread you are posting in???
Minstadave has done so, so has Hikari and Xordium (although he is a little more draconian
) all of whom are professionals in medical fields iirc.
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If the population continues to grow, I see semi-privatisation as the only option.
The single biggest problems facing the NHS are inertia and sacred cow treatment. What is needed is a ground up assessment of what the NHS does, how it does it and so on.
As soon as you start discussing anything other than more publicly provided services though, the howls start and nothing gets done.
As soon as you start discussing anything other than more publicly provided services though, the howls start and nothing gets done.
You would be surprised just how little a lot of people know...especially when it comes to processed foods and the amounts of sugars in them...you'll be surprised how many people don't realise carbohydrate is sugar, or the difference between simple and complex carbs or how portions can be controlled, or how the body can adapt to higher calorie intake making carbs addictive and so on....
People will drink diet coke, not understanding that artificial sweeteners can trick your body (or rather don't) into craving more sugar to replace the sugar it thinks it's getting by drinking diet soda as while the sweetner activates the system, there are no calories to deactivate it so to speak...therefore people who drink large amounts of diet sodas overeat.
The same with chocolate, most people wouldn't realise that a healthy portion of chocolate is only about 4-6 squares a day, or the actual calorie content of the foods they eat....
I'm not sure that I see a semi private service as necessary, although I do see some potential benefits to a co-payment system, but it would need to have exemptions from this also IMO.
I think the big debate in the future needs to be regarding wants and needs. People want all sorts of access 24/7 without any waits. Unfortunately this just isn't feasible with current funding. There is a massive shortage of lots of clinicians in various parts of the service. There is an enormous retirement bomb about to explode especially in senior nurses in primary care and in GPs, and I am sure in other areas too. The shortage of staff and the underfunding and the undermining in the press etc has also given a perfect storm of recruitment failure at the same time. There is currently no realistic chance for any of the parties to fulfil their pledges of 5-8000 extra GPs over the next 5 years and I expect things to get worse before they have a chance to get better
I think the big debate in the future needs to be regarding wants and needs. People want all sorts of access 24/7 without any waits. Unfortunately this just isn't feasible with current funding. There is a massive shortage of lots of clinicians in various parts of the service. There is an enormous retirement bomb about to explode especially in senior nurses in primary care and in GPs, and I am sure in other areas too. The shortage of staff and the underfunding and the undermining in the press etc has also given a perfect storm of recruitment failure at the same time. There is currently no realistic chance for any of the parties to fulfil their pledges of 5-8000 extra GPs over the next 5 years and I expect things to get worse before they have a chance to get better
The emergency cases get wheeled in round to back, the stubbed toes and finger cuts get to wait in the front until they are done.
Caporegime
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You have to do it over generations, parents have got to be encouraged to feed their kids, schools have got to be shovelling vegetables into kids and teaching kids to prepare and cook proper meals, high sugar foods need to be removed from sale and healthy foods should be subsidised. Sadly I ften they strongest drive is money, so taxing high calory foodstuffs and subsidising meat/veg/fruit seems pretty sensible to me.
I see kids that just solely eat fried chicken because "it's the only thing they like". It's pathetic.
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Soldato
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I quite agree with a sugar tax, then the profits used for whatever. The massive amounts of diabetic clinics we shall need in the future.
I also think the age on cigarettes should be increase by one every two years, so we eventually remove smoking. While at the same time slowly losing the tax we generate from it.
Long term policy however is something which governments do not seem to care about.
We need a 25/30 year health plan, not biased by politicians. They set a future funding budget, and the system generated is defined by such an amount, anything above or outside of it is funded privately, or by charities or insurances. I doubt we could generate such a study currently. A full look at everything, and then the politicians from whoever is in government at the time have to implement it. Then at least the people of society know what their healthcare is going to provide from 2020-2050, and what it will not provide.
This should involve and include public health drives, as they should be integral to such a system. No Sir you are 30 stone, and have done nothing to hep yourself, we won't be consider hip ops or the meds you need until you bother you ass to start the correction.
You can't do it now, but you can in 2025 when he's had 10 years of warning towards such a goal.
If he doesn't like it, he can apply to Blobsters.com the charity for fatties who need stuff because they decided to be superfat ad do nothing against about it. I am picking on fat as it is an easy example, but the same holds true for diabetics who do nothing to control sugar intake, and COPD who continue to smoke 80 a day.
I also think the age on cigarettes should be increase by one every two years, so we eventually remove smoking. While at the same time slowly losing the tax we generate from it.
Long term policy however is something which governments do not seem to care about.
We need a 25/30 year health plan, not biased by politicians. They set a future funding budget, and the system generated is defined by such an amount, anything above or outside of it is funded privately, or by charities or insurances. I doubt we could generate such a study currently. A full look at everything, and then the politicians from whoever is in government at the time have to implement it. Then at least the people of society know what their healthcare is going to provide from 2020-2050, and what it will not provide.
This should involve and include public health drives, as they should be integral to such a system. No Sir you are 30 stone, and have done nothing to hep yourself, we won't be consider hip ops or the meds you need until you bother you ass to start the correction.
You can't do it now, but you can in 2025 when he's had 10 years of warning towards such a goal.
If he doesn't like it, he can apply to Blobsters.com the charity for fatties who need stuff because they decided to be superfat ad do nothing against about it. I am picking on fat as it is an easy example, but the same holds true for diabetics who do nothing to control sugar intake, and COPD who continue to smoke 80 a day.
One of my daughters didn't like vegetables all that much when she was young just never really took to them. The answer was I put them on her plate every day and encouraged her. Six months later strangely enough she not only ate them but asked for them. There would have been an easier answer to it all of course and just give her what she wanted but the simple fact it kids don't know what they want - hell I've not sorted that out yet and I am over 40. I suspect most parents take the easy answer.
I will counterbalance that though and say what food education they have in school is pretty poor. The woefully ignore that a child's needs are drastically different from an adults in their explanations and also they develop a fat phobic approach. And then we wonder why eating disorders are increasing. An awful lot of presentations tracing back to this time where kids with tendencies towards such behaviour are given the very legitimate reasons by a figure of authority for negative behaviour. That kind of help people can do well without.
This is the thing really. I find it amusing on here if I say something about the Tories mismanaging things I inevitably get some retard say well Labour wouldn't do it any better. When I used to say stuff about Labour I get some retard say the Tories wouldn't do it any better. Yes, we know they won't really fix it although all the metrics do indicate that the NHS was better under Labour than the Tories. That's not indicative of a solution though.
What we actually need is a realistic long-term plan for the health of the population and then the NHS is removed as far from political oversight as possible to meet the objectives across whoever is in power. In my experience it is the constant restructuring that is killing the system more than anything else.
Soldato
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The waiting time in A&E are stupid,..what gets me..if a little kid comes in they're straight through to see someone ahead of everyone whose waiting (which i understand its a kid and that's good) but in this case,If the kid can go straight through and see someone why do we have to wait 4 hours.
I cut my ankle quite deep a few years back when a broken dinner plate decided to stab me..don't ask.
But i should have gone to A&E for stitches,No way was i going there to wait for 4+ hours..i just bandaged it up lol..all is good now though.
I cut my ankle quite deep a few years back when a broken dinner plate decided to stab me..don't ask.
But i should have gone to A&E for stitches,No way was i going there to wait for 4+ hours..i just bandaged it up lol..all is good now though.
IMO the only time service users should have any charge in the NHS is for wasting time. Just making a dent in missed GP appointments would go some way to straightening the whole system if it's to be believed that people go to A&E because they can't get a timely appointment at their GP.
The same should apply for any missed appointments without due warning. I'd say to include your people who obviously shouldn't have gone to A&E but there are situations it's not appropriate to turn people away (although the system of having a non-emergency department to route people to, mentioned above, seems a very sensible one)
The same should apply for any missed appointments without due warning. I'd say to include your people who obviously shouldn't have gone to A&E but there are situations it's not appropriate to turn people away (although the system of having a non-emergency department to route people to, mentioned above, seems a very sensible one)
Pre-booked consultant appointments should suffer from next to no delays, because they're not subject to the unknown that is walk-ins to A&E. You may find that you have a shockingly short appointment, my last initial appointment was less than 2 minutes actually with the consultant, admittedly it was just a formality for referring me for an MRI in that case, but he definitely wasn't dawdling.
Addressing accessibility and convenience for one - its far easier to get hold of cheap junk food and as a gross generalisation less effort required to prepare it.
People have listed them above and in the other thread you are posting in???
Minstadave has done so, so has Hikari and Xordium (although he is a little more draconian
I don't think this will ever get better. Politicians never, ever listen to or take advice from the people that have tens of years of experience in their field.
Politicians know all but know nothing. Hence how everything in the country is a complete mess. I also don't think the majority of the public will ever wake up because the people buy the platitudes. Every 5 years it is groundhog day, only it gets a lot worse.
Politicians are all about saving the publics money for their own pet projects. Nothing more.