NHS=Negligent Health Service

cheesefest · 13 Jun 2022 at 12:11

Trifid said:
Does the location of the incident change things? I.e. if someone fell and hit their head in the street? I can't imagine anyone frail doing to well on a cold concrete floor for even a hour.

Earlier this year, a child fell out from a trolley at work (please don’t let your child sit in the main trolley area) after she stood up. Fell head first which split her head and threw up minutes later. Paramedics came in ten minutes. Probably due to the throwing up.

GreatAuk · 13 Jun 2022 at 12:50

cheesefest said:
Earlier this year, a child fell out from a trolley at work (please don’t let your child sit in the main trolley area) after she stood up. Fell head first which split her head and threw up minutes later. Paramedics came in ten minutes. Probably due to the throwing up.

I think kids normally get bumped up the priority list whatever's happened. One explanation would be it's because they can be a bit delicate and start deteriorating very quickly without much warning. Another explanation is that their parents are a lot more likely to kick up a massive fuss if they're left bleeding on the floor for hours like OAPs are.

Vomiting like that is also a classic indicator for concussion though, so possible that anyone would have got seen relatively fast if that had just happened.

cheesefest · 13 Jun 2022 at 17:27

GreatAuk said:
I think kids normally get bumped up the priority list whatever's happened. One explanation would be it's because they can be a bit delicate and start deteriorating very quickly without much warning. Another explanation is that their parents are a lot more likely to kick up a massive fuss if they're left bleeding on the floor for hours like OAPs are.

Vomiting like that is also a classic indicator for concussion though, so possible that anyone would have got seen relatively fast if that had just happened.

Probably right there. It’s more of the concussion imo. When I have seen kids in trolleys now (not in the seat) I say to the parent(s) - want to waste your day at A&E? Take your child out of the trolley

SexyGreyFox · 13 Jun 2022 at 17:34

Taken around 16:35, all waiting to be triaged, when I turned around another 2 were driving on.

Minstadave · 13 Jun 2022 at 17:36

I genuinely have no idea how we'll get through the winter. Our trust is equally being battered currently.

McBain · 13 Jun 2022 at 17:37

Does anyones GP actually answer the phone anymore? Good luck getting an appointment, not surprised people are just going to A+E.

The NHS has been a joke for many years, don't worry though that extra 1.5% NI we're all paying to 'clear the backlog' is definitely turning things round.

Dis86 · 13 Jun 2022 at 17:38

McBain said:
Does anyones GP actually answer the phone anymore? Good luck getting an appointment, not surprised people are just going to A+E.

Nope. Mine are terrible and basically tell you to go to a and e. But then they're still working from home...or are part time.

Ali195 · 13 Jun 2022 at 17:44

One wonders which is worse, pulling down rear seats of car, placing tarp inside then having your bloody injured loved one sit inside whilst you speed off to hospital. Or waiti x number of hours at home for ambulance.

One risks further injury whilst other may also if left.

SexyGreyFox · 13 Jun 2022 at 17:47

McBain said:
Does anyones GP actually answer the phone anymore? Good luck getting an appointment, not surprised people are just going to A+E.

The NHS has been a joke for many years, don't worry though that extra 1.5% NI we're all paying to 'clear the backlog' is definitely turning things round.

I've had 2x face to face GP appointments in 3 weeks.
Also don't get the GPs surgery confused with the NHS, most GP surgeries are privately run.

Are GP surgeries run by the NHS?
GP surgeries are not part of the NHS in the way hospitals are. Most surgeries are still small businesses. In most cases the doctors own or rent their premises, they employ and pay their own staff and have all the usual responsibilities of running a business in addition to their work as doctors.

McBain · 13 Jun 2022 at 17:51

SexyGreyFox said:
I've had 2x face to face GP appointments in 3 weeks.
Also don't get the GPs surgery confused with the NHS, most GP surgeries are privately run.

Are GP surgeries run by the NHS?
GP surgeries are not part of the NHS in the way hospitals are. Most surgeries are still small businesses. In most cases the doctors own or rent their premises, they employ and pay their own staff and have all the usual responsibilities of running a business in addition to their work as doctors.

OK let me clarify, GPs AND the NHS are a joke.

Mrwong · 13 Jun 2022 at 17:56

Ali195 said:
One wonders which is worse, pulling down rear seats of car, placing tarp inside then having your bloody injured loved one sit inside whilst you speed off to hospital. Or waiti x number of hours at home for ambulance.

One risks further injury whilst other may also if left.

They do not want to admit the problem, the reduction in number of hospitals, the outsourcing to private companies, and the very poor communication between both. We used to have 6 times as many hospital in the 1960s. The NHS had so much land but late 80s onwards have been selling them off to private investors and yes, at at a discount rate, you could say the land was stolen from the people of this country.

Dis86 · 13 Jun 2022 at 18:04

SexyGreyFox said:
I've had 2x face to face GP appointments in 3 weeks.
Also don't get the GPs surgery confused with the NHS, most GP surgeries are privately run.

Are GP surgeries run by the NHS?
GP surgeries are not part of the NHS in the way hospitals are. Most surgeries are still small businesses. In most cases the doctors own or rent their premises, they employ and pay their own staff and have all the usual responsibilities of running a business in addition to their work as doctors.

I'll give you a stunning example of how badly the idea was thought out. Rothbury, a town close to me had a GPs surgery. The building, owned by the NHS was signed over to the GPs when they formed their business.

The GPs then sold the building on for a rather tidy sum and relocated to the hospital in the town!

Every practice I know has a practice manager or director who runs the business aspect, not the Drs.

Raumarik · 13 Jun 2022 at 18:10

Doctors shouldn't be running the business, they are doctors.

If you have half a dozen plumbers in a company you will find it's not a plumber who's running the day today as they can earn more by being a plumber. Same thing happens for GPs. They pay less for a manager to take care of most of the compliance stuff. Very rare to see a GP run their own practice without a manager in place.

Mrwong · 13 Jun 2022 at 18:20

McBain said:
OK let me clarify, GPs AND the NHS are a joke.

The NHS is not negligent because of the doctors but from the overwhelming numbers funneled to less and less hospitals. There were half million beds in the 60s we have 110k bed now, yet the population has grown, yet we have fewer beds now.

Werewolf · 13 Jun 2022 at 18:27

Raumarik said:
Doctors shouldn't be running the business, they are doctors.

If you have half a dozen plumbers in a company you will find it's not a plumber who's running the day today as they can earn more by being a plumber. Same thing happens for GPs. They pay less for a manager to take care of most of the compliance stuff. Very rare to see a GP run their own practice without a manager in place.

IIRC most GP's employ both a business manager and an office manager to do what they can.
Unfortunately that doesn't help with things like the paperwork only a doctor can legally do, or that we've got a chronic shortage of doctors due to things like the costs involved in getting trained to do it, the level of work they're expected to do (leading to high burn out rates early), and the fact that we've basically said "you're not welcome" to a large number of the GP's that came here from abroad.

One of the things I've noticed my practice is doing now, is that they've moved medicine reviews primarily over to the Pharmacist at least for certain types of long term medication, then booking you an appointment with a GP if there is anything that needs changing/looking at.
I'm guessing that's potentially saving them at least a couple of days of GP's time per week given the size of the practice.

SexyGreyFox · 13 Jun 2022 at 18:35

Dis86 said:
Every practice I know has a practice manager or director who runs the business aspect, not the Drs.

I'll agree with that, I just did a quick copy and paste.

Even our A&E has GPs in a room and off the top of my head they come under the banner of UCC GP (Urgent Care Centre).
Quite often patients will put a claim in but it was the UCC GPs who made the mistake.

heeeed · 13 Jun 2022 at 21:10

Dis86 said:
Nope. Mine are terrible and basically tell you to go to a and e. But then they're still working from home...or are part time.

And yet as a GP I don’t recognise that at all. I’ve only worked from home when I had covid myself, and I never took a day off during that time. I arrive at 8 am and I leave at 7.30-8, 4 days a week. I’m not twiddling my thumbs bored all day. It’s constant. The system is very broken and there are not even close to enough of vast swathes of health professionals.

It’s very easy to assume that if one area is struggling that it’s the fault of downstream. It just isn’t true. Eventually a GP practice has to say go to A+E or WIC as they have no slots, but do you really think they just aren’t doing anything all day? If I’m leaving at 8 how many more patients as squeezed in extras is reasonable? Should I work until 9? Is 10 ok? I surely don’t need to unwind before bed ready for the following day so maybe 11? And just go to bed when I get home.

Dis86 · 13 Jun 2022 at 21:17

heeeed said:
And yet as a GP I don’t recognise that at all. I’ve only worked from home when I had covid myself, and I never took a day off during that time. I arrive at 8 am and I leave at 7.30-8, 4 days a week. I’m not twiddling my thumbs bored all day. It’s constant. The system is very broken and there are not even close to enough of vast swathes of health professionals.

It’s very easy to assume that if one area is struggling that it’s the fault of downstream. It just isn’t true. Eventually a GP practice has to say go to A+E or WIC as they have no slots, but do you really think they just aren’t doing anything all day? If I’m leaving at 8 how many more patients as squeezed in extras is reasonable? Should I work until 9? Is 10 ok? I surely don’t need to unwind before bed ready for the following day so maybe 11? And just go to bed when I get home.

My personal gp works Mondays and Fridays. That's it. If I want to see a gp during the other 3 days of the week I am being told it can only be via phonecall. On the last call I had I could clearly hear her kids playing in the background and she apologised as their TV was too loud.

heeeed · 13 Jun 2022 at 21:26

Dis86 said:
I'll give you a stunning example of how badly the idea was thought out. Rothbury, a town close to me had a GPs surgery. The building, owned by the NHS was signed over to the GPs when they formed their business.

The GPs then sold the building on for a rather tidy sum and relocated to the hospital in the town!

Every practice I know has a practice manager or director who runs the business aspect, not the Drs.

I have some knowledge of rothbury surgery having done a registrar job there 20 years ago. The surgery was in converted housing over 2 stories and totally inadequate for modern practice. It was never owned by the NHS or signed over to the doctors, it had always been owned by the partnership. They had started the process of designing the new hospital when I was there and it looks like it took a good few years after that before finished. It was the doctors who started that recognising their current building was not up to the job. When they moved into up to date building then they pay rent and service charges to be there. The old building was always theirs to do with what they wanted so if they sold prime plot right in centre of a pretty town I’m sure it will have made them money, but it was their asset to with what they wanted. The branch surgery in longframlington also had never been owned by the NHS but was built by the partners again.

heeeed · 13 Jun 2022 at 21:32

Dis86 said:
My personal gp works Mondays and Fridays. That's it. If I want to see a gp during the other 3 days of the week I am being told it can only be via phonecall. On the last call I had I could clearly hear her kids playing in the background and she apologised as their TV was too loud.

Do you think she wants to be working like that? She’s probably got an unwell child and having to work from home. Nobody wants to do any job like that from home with children at same it’s nigh on impossible, but I suspect she’s attempting the possible to try limit the disruption of service overall. Doctors are human and have families and lives you know, they aren’t indentured slaves for their population