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The great 2022 expectation reset.
NHS=Negligent Health Service
- Thread starter 1664kronenbourg
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The great 2022 expectation reset.
I expect to pay low taxes, live an unhealthy lifestyle, not turn up to GP appointments if I forget or can't be bothered and receive world class healthcare. I don't think thats unreasonable.
No~one in their 70s should have parents living? You suggesting that everyone should die at 70.
If she is your mother or grandmother your family should bring her to live with them.
Caporegime
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Why do you say that?
Caporegime
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This is sadly the truth. The NHS cannot cope with the combination of the COVID backlog, the chronic health problems caused by 2 years of neglect, winter pressures and the general inability of the population to do anything remotely sensible at times.
It won't just take investment but a decade of training/recruitment/adequate pay/improved working conditions to get things functional again.
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Dunno what you're on about. The British public are sensible and considerate.
If you are 70 and your parents are also 70 there is something going a bit wong. Most peoples parents would be into their 90s by the time they are in their 70s. Certainly going forwards.
GP practices are private entities and quite often owned by large businesses that are trying to extract as much profit from them as possible. The NHS pays them and there is a contract between the two but GPs are not NHS salaried. As its a private business, they run it as such therefore any savings or cutbacks they can make or their side are often made and to hell with the patient care/experience. Share some of your staff over two practices and you can get rid of a few salaries off your books and keep pulling down the same money with less overheads etc.
Caporegime
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Whilst the current system of primary care is odd with a private company/conglomerate I think its a fallacy to say GPs are "nothing to do with the NHS".
The doctors and nurses are trained by the NHS, providing NHS care and working on a model NHS contract. Yes there's a private company/entity in the chain but that's just the latest hairbrained government scheme to drive efficiency/cost saving.
GPs are essentially NHS salaried (there's two model contracts iirc and some leeway for the Practice Management companies to change pay/conditions - GMS and PMS I think the schemes are) and they are enrolled in the NHS pension scheme.
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Yeah, nothing to do with the NHS isn't right but I think you are perhaps going too far the other way. As far as I understand it, the contract the practices have with the NHS aren't related to anything really apart from delivering certain services. How you do that and what you pay and who you pay is up to you. What it does mean is that GP practices are unlikely to do anything that doesn't financially benefit them and are under no pressure to do so.
As far as pensions go, the fact that the NHS doesn't actually employ them directly and yet still contributes to their pension pots is a bit of a strange one.
Soldato
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No my dad, aged 74, shouldn’t have to sort out his mother 95, next month. Should enjoy his retirement not worrying about the problems with his mother.
Soldato
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None of the nearest relatives’ homes are suitable for my grandmother to live in. They don’t have a spare bedroom etc
What a cold way to look at things.
Soldato
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What?
Because its not fit for purpose, unfortunately Labour (mostly) introduced a huge number of useless manager roles into the NHS who are obviously all Unionised and impossible to remove now.
It needs to be run with the efficency of a private business, if you placed the NHS in private hands with a carving knife for the fat and the same budget I'd wager it would be utterly transformed within 5 years and health outcomes (and front line wages) would increase dramatically. Make staff pay for their own insurance as well, if they make a mistake then they should pay for it, not the tax payer.
Caporegime
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Circle tried this at Hinchingbrooke and it was a disaster ending in it being handed back to the NHS.
I don't understand how staff paying for their own insurance fixes anything? It would just end up being more expensive as you'd have to pay them more and you'd have insurance companies profits to pay too. Most professionals have their own insurance on top of Crown Indemnity anyway. Risk is institutional not individual in complex health systems, most mistakes are complex events rather than due to a single person, cheaper and quicker for the NHS to bear the risk than spend years in court fighting between individual insurers over who is bearing what cost.
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Caporegime
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I don't think I'm going too far the other way (my wife's a GP but I don't pay much attention to this side of things).
Whilst the GPs are run by private companies they all provide a very similar clinical service laid about by the NHS contract/CCGs and these are really extensive in their terms/benchmarking/financial incentives etc.
NHS England » GP Contract
The GP contract hub page provides information, guidance and links to further resources to support the implementation of changes to the 2024/25 GP Contract that will apply in England. Standard contract documentation August 2024 Standard general medical services contract – August 2024 Standard...
www.england.nhs.uk
GP funding and contracts explained
This explainer sets out how general practices are contracted and paid in England, looking at the services they are contracted to deliver, and the different streams of funding they receive.
The main leeway they have is not clinical services but more the admin/logistical side. The partners/conglomerates/companies running the practices do bare greater financial risk/reward but that's been the case for many years.
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Soldato
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Bit disingenuous with the circle example, the Hospital had already failed under the NHS, was going to close, they had to take on all the debts of the hospital too.
Well.. just redoing my USA based health insurance etc for next time. 347 dollars per two weeks. My company will pay at least 3 times that amount into it. So we are talking at least 1388 per pay check or $3007 per month that gets paid for health care. (751 per month by me). And this is considered very good.
This doesn't even cover co-pays or the additional charges for operations etc that can be thousands you pay per year.
Be THANKFUL you have the NHS, and seek for it's improvement, not its removal.
This doesn't even cover co-pays or the additional charges for operations etc that can be thousands you pay per year.
Be THANKFUL you have the NHS, and seek for it's improvement, not its removal.
Could just do it like other countries with non profit insurance companies...
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What part are you privatising? Acutes, they'll just prioritise profitable specialties and procedures at the expense of anything complex or high risk.
Integrated care services? Where's the incentive to put prevention first, it doesn't make business sense to reduce your market by improving population health.
We need at least a generation of good mental health services and support to help reduce behavioural risk, while supplying adequate care to our current population; which would take significant investment.