NHS Fail

No1newts

No1newts

No1newts

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https://www.google.co.uk/amp/www.bbc.co.uk/news/amp/36854557?client=safari#

So as a "punishment" for completely ******* up their budgets and not being able to do the basics of a management role, they are now to also fail at their patient targets as well. Wow, I wish my employer was so forgiving, you **** it up? Ah don't worry we'll make it easier so you don't next time :rolleyes:

This may be a watershed moment and it really feels although the government are now allowing the NHS to fail so it gets so bad they can just remove it.

A better solution would be managing the thing properly, God forbid though :(
 
This is exactly what we feared years ago, that the quality of service will start being reduced in order to save cash. Rather than fund the system to the levels of other developed countries.
 
It's abysmal that they think this is a solution. I can't think of a business that would do such a thing where failure is essentially rewarded. We need an NHS but a fundamental problem of it is that there is no consequence for them screwing up, they need some form of real accountable management system in place to try and rein it in. The fear is you go private, even management only that they cut the system but I would think wth a clear set of targets heavily bonus related for a management company it may be doable.

NHS management are just shielded from the real world and seem to never suffer for their actions, at least that's how it looks fro the outside.
 
I dont see why you are defending fining financially pressed trusts. The fines which means taking away funds which make them more likely to get fined.
 
To be fair, a lot of hospitals have been forced into this position. They are over budget because they are treating more people than ever (ie doing more work). They are not going to turn away a sick person because they are over budget. They are not going to tell a woman she should give birth a couple of months from now when they have more budget to deal with her.

In the cases of waiting, despite denials it would make any difference, two of my local A&E departments have been closed, so all patients now have to go to the one hospital in the area with an A&E, and it's no surprise they can't cope.

If you deny hospitals resources, it's no surprise the waiting lists get longer. Relaxing the targets is just a way for the government to divert attention from the fact they they are failing to keep the NHS running adequately.
 
Not a peep about changing ways of working and re evaluating pay and conditions to ensure efficient use of cash?

This is the problem with the public sector, there is incentive to screw the end user as a means to get more money, and no incentive to actually manage the cost of delivering through service.
 
Dolph said:
Not a peep about changing ways of working and re evaluating pay and conditions to ensure efficient use of cash?

This is the problem with the public sector, there is incentive to screw the end user as a means to get more money, and no incentive to actually manage the cost of delivering through service.
Click to expand...

You mean like every government and NHS reorganisation has been doing for the last 30 years?

Every politician claims they can save the NHS because they will magically be able to save a load of money by employing a load of consultants to reorganise things (at great cost), yet somehow it never happens. Maybe it's because we're treating more people than ever with expensive and sophisticated treatments.
 
Shock as incompetent public sector workers get away with it again.
As has been said before on these forums some public sector workers are utterly inept. The trouble is where they would be sacked in the private sector, they're not. They remain in their job with their guaranteed annual rise.
It's a crap system, badly managed from the very top.
 
muon said:
I dont see why you are defending fining financially pressed trusts. The fines which means taking away funds which make them more likely to get fined.
Click to expand...

I agree to one extent in that you are only exacerbating a problem by fining them but at least there is a stick there, now they can quite simply do what they want free of charge.

Steampunk said:
To be fair, a lot of hospitals have been forced into this position. They are over budget because they are treating more people than ever (ie doing more work). They are not going to turn away a sick person because they are over budget. They are not going to tell a woman she should give birth a couple of months from now when they have more budget to deal with her.

In the cases of waiting, despite denials it would make any difference, two of my local A&E departments have been closed, so all patients now have to go to the one hospital in the area with an A&E, and it's no surprise they can't cope.

If you deny hospitals resources, it's no surprise the waiting lists get longer. Relaxing the targets is just a way for the government to divert attention from the fact they they are failing to keep the NHS running adequately.
Click to expand...

I agree the whole NHS is/has been a shambles for more than a decade under successive governments but as I said above this feels like a pretty seminal moment in that rather than even pretending to give a **** they've essentially chucked in the towel and said "just go and fail" as that's essentially what they've done regardless of how you dress it up. Let's say this gets them back in budget (which it won't) is an 8 hour wait for treatment an acceptable compromise? Is missing out on cancer treatment ok if they allow it to happen?

They've basically just given up the ghost and just left it to die on all fronts now.

Dolph said:
Not a peep about changing ways of working and re evaluating pay and conditions to ensure efficient use of cash?

This is the problem with the public sector, there is incentive to screw the end user as a means to get more money, and no incentive to actually manage the cost of delivering through service.
Click to expand...

Indeed. There is no thinking outside the box, no thought to improve the service, to modifying it/missing it up to be more efficient, if a business is failing it fixes it or it knows it dies. The NHS doesn't have the axe over its head so it has no reason to reform or get better, it just sits screaming for more money whilst stumbling along in the same tired rut forever.

There needs to be some way to incentive it to improve but it's an extremely fine balance as you potentially end up privately owned.
 
Steampunk said:
You mean like every government and NHS reorganisation has been doing for the last 30 years?

Every politician claims they can save the NHS because they will magically be able to save a load of money by employing a load of consultants to reorganise things (at great cost), yet somehow it never happens. Maybe it's because we're treating more people than ever with expensive and sophisticated treatments.
Click to expand...

Keep telling yourself that, it's easy to believe from inside the bubble I guess.

Meanwhile, those of us with exposure to modern working practices, embracing of modern technology and so on will keep hoping the nhs at least considers moving into the current century.

Note, I'm not talking about treatments etc, but the actual business practices.
 
Dolph said:
Not a peep about changing ways of working and re evaluating pay and conditions to ensure efficient use of cash?

This is the problem with the public sector, there is incentive to screw the end user as a means to get more money, and no incentive to actually manage the cost of delivering through service.
Click to expand...

You mean the pay that has been frozen.
You mean the changing methods of working to use cheaper and less skilled staff to do the same job.

You're a broken record. May not be that bad if you knew what you were on about but you don't.
 
Its not about cash.


How much is trident ??? And then they say they cannot afford to provide superior health care.

I think you will find its more important to have submarines than health. Are you folks serious. Come on get behind the gubberment on this.
 
Xordium said:
You mean the pay that has been frozen.
You mean the changing methods of working to use cheaper and less skilled staff to do the same job.

You're a broken record. May not be that bad if you knew what you were on about but you don't.
Click to expand...

Pay hasn't been frozen. They aren't receiving inflationary payrises but they still increase in their bands. That's an annual payrise nomatter how crap you are.
 
Makes me laugh all this manage it properly business. I would love to give all the muppets who come out with that stuff 5 grand a year wage - tell them to take care of their family, pay for overpriced rented accommodation, and sort everything else and then constantly tell them "manage your budget" and see how they take it.

Because that is essentially what is happening here. It's a funding shortfall that causes this not mismanagement.

I've seen more mismanagement in private health care in this country than the public.

Dis86 said:
but they still increase in their bands.
Click to expand...

Might want to check if that is actually occurring before stating it to be the case.
 
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