NHS=Negligent Health Service

Dis86 said:
So why the hell are receptionists doing it? As far as I'm aware they're generally not medically qualified.
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Because demand is so high these days that some information to see if a suitable alternative pathway to care is appropriate. Receptions will have received training for a degree of triage and signposting. The average practice simply cannot see daily as many people as ring up. There is a limit to how many people someone can see in a day safely.

You can swallow the daily fail narrative that all GPs are part time, sitting on piles of gold and playing golf in their lunchtime, or you can understand as a realist that peoples wants cannot currently met with the resource and manpower available
 
heeeed said:
Because demand is so high these days that some information to see if a suitable alternative pathway to care is appropriate. Receptions will have received training for a degree of triage and signposting. The average practice simply cannot see daily as many people as ring up. There is a limit to how many people someone can see in a day safely.

You can swallow the daily fail narrative that all GPs are part time, sitting on piles of gold and playing golf in their lunchtime, or you can understand as a realist that peoples wants cannot currently met with the resource and manpower available
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Sadly that training seems to be lacking in Rilot's example where she requested him to look at his own optic nerve...
 
I agree it’s not perfect, and he clearly understood his condition and may well be right in his thoughts as the cause here. There is no perfect system though and to throw the baby out with the bath water when something isn’t perfect doesn’t help the situation
 
heeeed said:
I agree it’s not perfect, and he clearly understood his condition and may well be right in his thoughts as the cause here. There is no perfect system though and to throw the baby out with the bath water when something isn’t perfect doesn’t help the situation
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I agree he may well be right, often people have good understanding and knowledge of their own conditions, however given the potential seriousness (if I remember correctly the swelling can result in permanent nerve damage) I'd like to think that this is something that warrants a GP's time.
 
adidan said:
Oh was something done about it? What happened to the ones sold to the US Health insurer through it's subsidiary Operose?
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A quick glance at that suggests to me that it was another company that probably ran practices as what’s called APMS contracts which they will have got through procurement when other practices handed back their contracts. That company was then bought out. APMS contracts are different than the usual GMS and less common now PMS variants which are the traditional partner model practices and that is what I had meant (and makes up the lion share of practices). They may have different rules on sale that I’m unaware of, but you can’t buy a GMS contract. The only thing sellable would be assets like a building.

My own partnership took over another practice and it cost us a lot in legal costs and staff time etc but none of the previous partnership gained money from that, in fact it cost them also in legal fees etc but as they were struggling they preferred to take the personal hit than continue with the significant liabilities of a practice that had the potential to go under and they were burnt out. The liabilities of redundancy for a large number of professional staff is quite high
 
heeeed said:
A quick glance at that suggests to me that it was another company that probably ran practices as what’s called APMS contracts which they will have got through procurement when other practices handed back their contracts. That company was then bought out. APMS contracts are different than the usual GMS and less common now PMS variants which are the traditional partner model practices and that is what I had meant (and makes up the lion share of practices). They may have different rules on sale that I’m unaware of, but you can’t buy a GMS contract. The only thing sellable would be assets like a building.

My own partnership took over another practice and it cost us a lot in legal costs and staff time etc but none of the previous partnership gained money from that, in fact it cost them also in legal fees etc but as they were struggling they preferred to take the personal hit than continue with the significant liabilities of a practice that had the potential to go under and they were burnt out. The liabilities of redundancy for a large number of professional staff is quite high
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it was more the judicial review that I half remembered from a while back concerning this:

https://www.theguardian.com/business/2022/feb/01/us-healthcare-giants-takeover-of-uk-gp-practices-lands-in-high-court

From what I can tell the Judicial review was dismissed and the sale went ahead. It sounds like the practices themselves were sold rather than assets.

I don't have personal knowledge like your detailed response (thank you btw) and can only rely on news regarding this. The whole setup seems most intricate, disparate and complex.
 
My Aunty who I spoke about in the thread earlier was told today, she has 4-8 months/ 2 years with chemo.

This was after all the problems trying to get them to see her initially and them refusing her at the A&E.

She was given the all clear a few months ago, but the whole process there were problems and lack of care from nurses. Her stoma was going to be removed next month…she was going to go back to normal.. as she feels better…but.. now this.

The worst part is that the Dr just brought her in and matter of factly just told her, no empathy no alternatives suggested, just said it’s spread, her daughter ran out crying and he just said, I suppose the appointment is over now, I am dead serious.

How the **** do I know they have actually considered all the options, this is the NHS we’re talking about now it’s gotten to the point I can’t trust them, I can get better treatment in other countries these days. How can we trust that they have looked at other options? The entire process was as mess from the beginning..

I’m legit so worn down, between this and my moms lack of treatment by the GPs/A&E I’m just done with this country.

I just can’t trust the institution anymore they’ve become so unreliable and untrustworthy, the Dr who told my Aunty was horrible…I’ve been in a similar situation before in the past and it was never like this..he just didn’t seem to care or explore anything, it’s like they’ve just written her off, she’s only early 40s..

I honestly just give up.
 
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I think it's all down to the area you are in. I needed a review yesterday, phoned the doctor at 1 pm for the afternoon appointments, call was answered in 10 minutes, doctor rang at 2.30. This has been the exact same for the 4 months since I was discharged from hospital.

Again the NSH staff at the LGI were perfect, I was there 6 days. Not one single bad experience. Sitting in A&E is not nice though, hopefully its my last visit for a very long time!
 
Mom got asked to do a blood test due to the ongoing saga of **** ups. She had done the test yesterday after which they asked her to repeat due to some tests they forgot to include. This is literally the reason given in the text.

I called the clinic and the receptionist tried to tell me after looking at her file that she needs to “stop eating or consuming sugar, as that’s why the bloods need doing again due to them being abnormal”. The totally not a dr(her own admission) trying to interpret test results.

Nooo, it’s nothing to do with her being prescribed the wrong medication which spiked her sugar at all is it.. /s.

She was trying to fob me off as usual, I pushed and the dr will call my mom tomorrow to explain the results and to help book another test.

We tried booking ourselves and the wait time is over a month…. Kinda pointless when the person who needs the test doesn’t even have enough energy to lift an iPhone. She could be dead by the time they react.

Like my aunty will be…


I can go pretty much anywhere else in the world and get better more reliable on demand treatment now, might cost money but atleast you might live with pro active treatment. Our NHS is utterly broken from the GPS to the A&Es .
 
Steven Rimmington said:
I think it's all down to the area you are in. I needed a review yesterday, phoned the doctor at 1 pm for the afternoon appointments, call was answered in 10 minutes, doctor rang at 2.30. This has been the exact same for the 4 months since I was discharged from hospital.

Again the NSH staff at the LGI were perfect, I was there 6 days. Not one single bad experience. Sitting in A&E is not nice though, hopefully its my last visit for a very long time!
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I'd be dead now if I didn't use to work in the NHS (left recently). GPs missed symptoms for over 30 years, just so happened a clinician say my symptom occur on a teams call.

It's not just a postcode lottery, it's just pure daft luck sometimes.
 
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explicit4u said:
i wouldn’t be here if it wasn’t for the NHS and an excellent GP. It doesn’t need scrapping it needs the budget it deserves and much better management on all levels. I say that as someone who works for them.
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This is what I'd like to see, investment in good quality basic care/facilities and staff to match service needs, clear boundaries about limitations on what the NHS can provide, streamlining services so there's less waiting, break down the primary care/secondary care conflict. Less focus on "customer service/bending to he who shouts loudest" and more focus on care.

The explosion of middle managers, nurses promoted out of nursing roles, pointless nurse specialists sitting in Band 8 posts and mostly semding emails, and cheap pseudo-doctors is making a mess.
 
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explicit4u said:
i wouldn’t be here if it wasn’t for the NHS and an excellent GP. It doesn’t need scrapping it needs the budget it deserves and much better management on all levels. I say that as someone who works for them.
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I agree.

The mindset in the UK is all wrong. The people have to realise that they aren't paying enough tax, there have to be limits on what they can have for the amount that's paid, and the NHS has to start treating the patients like they are the customers.

It's typical, though, of politicians. They are incapable of organising anything.
 
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