NHS Woes

I work in pre hospital care and I don't think its a simple as some here are making it out to be.

We need significantly more resources than we currently have to manage the workload we are being asked to manage, but its not as simple as simply giving us more ambulances, we need more A&E availibily (which in turns means a requirement for more speciality beds), more GP appointments, better out of hour non emergency care provision, lower waiting times for outpatient treatment. All of which would prevent chronic or non emergency conditions becoming acute. And most importantly a much better mental health provision, perhaps with associated improvements in social welfare to reduce mental health problems.

We need better education to reduce well meaning but inappropriate 999 calls/a&e attendances, we need to somehow put an end to the belief that we live in a society where your be sued if you don't call 999 at the slightest hint of an accident you witnessed when acting in some kind of formal capacity. We need society to take back control of their own health, and to be responsible for those around them.

The thing is that these things are incredibly complicated, more money would help, butt lets not assume its that simple, and lets not just throw it at the headline grabbing bits of our NHS. For example, bed blocking could be much eased if we invested in patient transport and made social care easier to arrange.

I think crucially the NHS needs to be honest about what it can and can't do, and let the public decide it that's acceptable or not. If you're happy with what you're getting then vote to keep it, if you want better, vote for someone who is telling you that we'll need to pay for it, and we'll need to commit to change. We can't keep having more for the same money though, nor can we have the same for less money.

The problem is, the media keeps saying that we're the 5th richest country in the world, which is misleading. China is a 'richer' country than us but it still has people living in huts and no NHS. GDP per capita is a more realistic measurement and we're 24th on that list, Ireland is 7th and you need to pay 50 euros to see the GP over there.
 
I know this is subjective but a 73 year old falling down stairs and sustaining a cut to the head that's bleeding quite heavily, seems pretty urgent to me. I guess you'd have to be in a similar situation with a family member to appreciate the level of anxiety we felt.
Aye, I can appreciate your anxiety, even small cuts to the head can bleed quite heavily which is pretty scary to see. However, if it's nothing too serious, on a typical Saturday night you'd be better off getting a taxi as waiting hours for an ambulance is to be expected.

I think crucially the NHS needs to be honest about what it can and can't do, and let the public decide it that's acceptable or not. If you're happy with what you're getting then vote to keep it, if you want better, vote for someone who is telling you that we'll need to pay for it, and we'll need to commit to change. We can't keep having more for the same money though, nor can we have the same for less money.
 
Aye, I can appreciate your anxiety, even small cuts to the head can bleed quite heavily which is pretty scary to see. However, if it's nothing too serious, on a typical Saturday night you'd be better off getting a taxi as waiting hours for an ambulance is to be expected.
I cut my head years ago and the taxi wouldn't take me as they didn't want blood in their car. Had to walk 30minutes to the hospital to get stitches :(.


They do a damn great job on the whole but from personal experience they all seem short staffed and overworked :(.
 
I'm in hospital right now with my 7 week old

Doctors Thursday,
hospital scan today,
operation tomorrow morning

It's incredible how kind and genuine everyone has been so far and how quickly we are getting help even though everyone is so busy and probably over worked and under paid
 
Aye, I can appreciate your anxiety, even small cuts to the head can bleed quite heavily which is pretty scary to see. However, if it's nothing too serious, on a typical Saturday night you'd be better off getting a taxi as waiting hours for an ambulance is to be expected.

We would have done but the operator said not to move her, she was actually blocking the front door so the ambulance crew had to go round the back.
 
The problem is, the media keeps saying that we're the 5th richest country in the world, which is misleading. China is a 'richer' country than us but it still has people living in huts and no NHS. GDP per capita is a more realistic measurement and we're 24th on that list, Ireland is 7th and you need to pay 50 euros to see the GP over there.

Yes I keep saying the same thing. But politicians don't want admit we are only the 24th most well off country. Probably lower since those figures were made before the currency devaluation.

We need to realise we are not rich at all in the context of a first world developed country.
 
I was in a hospital ward a few weeks back visiting my nan, who, was sat there chatting with 2 other ladies, both whom were unable to go home due to no care being in place. They were both sick of being in hospital and wanted to leave, but they wouldn't discharge them because SS wanted carers in place before they went back.

I always wondered why we dont build some sort of super hotel as a buffer for such cases, so soon as they are able to leave the hospital, the beds are freed up.
 
Having experienced part of the US health system, whilst you (or your employer) certainly pay dearly for it, the quality of the health care that is offered here is certainly very good. American dentistry is leagues ahead (but eye-wateringly expensive).
 
I was in a hospital ward a few weeks back visiting my nan, who, was sat there chatting with 2 other ladies, both whom were unable to go home due to no care being in place. They were both sick of being in hospital and wanted to leave, but they wouldn't discharge them because SS wanted carers in place before they went back.

I always wondered why we dont build some sort of super hotel as a buffer for such cases, so soon as they are able to leave the hospital, the beds are freed up.

Because that would involve spending money now to save money in the future and hardly any large organisation (whether private business, public service or government) is any good at doing that.
 
I was in a hospital ward a few weeks back visiting my nan, who, was sat there chatting with 2 other ladies, both whom were unable to go home due to no care being in place. They were both sick of being in hospital and wanted to leave, but they wouldn't discharge them because SS wanted carers in place before they went back.

I always wondered why we dont build some sort of super hotel as a buffer for such cases, so soon as they are able to leave the hospital, the beds are freed up.

Like I said earlier, we have 250 patients a day Ready To Discharge but no place to go.
 
As others have said, you've just had a bad experience - it's great that your mother in law is ok though.

I personally think that Joe public is also a huge factor these days - people who aren't adult enough to drink responsibly are one of the biggest drains on the NHS! Then you also have the hypochondriacs and internet experts who will take up hours of NHS time for the most trivial issues, that anyone with half a brain would be able to sort at home.

You only have to watch one of these 999 type shows to see how frustrating things are, and how much strain is being put into the NHS and other emergency services - not to mention the millions spent trying to educate Joe public on how to use the services... You see the posters all around hospitals and adverts on TV, so the really is no excuse.

I'm not daft enough to believe that fixing how most people think of and use the NHS, as the be all and end all fix; but it really is frustrating to see the sheer number of people in A&E of a Saturday night, completely rat-arsed and being abusive to staff.

There's a lot of bad in the NHS I'm sure (too many chiefs and not enough Indians for example), but there's also a great deal of good, and some amazing people who care - but often get held back.
 
I personally think that Joe public is also a huge factor these days - people who aren't adult enough to drink responsibly are one of the biggest drains on the NHS!

We are well in profit from alcohol after paying for every problem caused by alcohol.

So i did a quick google and some calculations...

If i buy a 500ml bottle of henery westons cider (500ml 8.2%) from sainsburys @ £1.90, they have to pay £1.78 in VAT and Duty.

If i buy a bottle of standard russian vodka (40% 700ml) for £12 from tesco, they have to pay £10.45 in VAT and Duty....

I feel as if it is wrong, so if someone else would double check...

Apparently that cider is available from waitrose @ £1.60, meaning they are paying £1.72 in VAT and duty....

https://www.gov.uk/tax-on-shopping/alcohol-tobacco
 
I personally think that Joe public is also a huge factor these days - people who aren't adult enough to drink responsibly are one of the biggest drains on the NHS! Then you also have the hypochondriacs and internet experts who will take up hours of NHS time for the most trivial issues, that anyone with half a brain would be able to sort at home.


All you are seeing is the front door to A&E. This doesn't account for the high demand on medical imaging (MRI and CT), the cancer wait times increasing, the lack of surgical and ward beds, the lack of nurses. The current NHS budget is unsustainable.
 
All you are seeing is the front door to A&E. This doesn't account for the high demand on medical imaging (MRI and CT), the cancer wait times increasing, the lack of surgical and ward beds, the lack of nurses. The current NHS budget is unsustainable.
It's about time HMG and particularly the Secretary of state took responsibility for their decisions and guidance over the NHS. Time to stop blaming the workers and managers for doing an impossible job under impossible conditions laid down by a misguided group of politicians with ulteria motives.
Andi.
 
Until the demand side is regulated, I wouldn’t drop another penny into the supply side.

Free at the point of use.... if there was a small charge to see your gp or go to hospital it would reduce a lot of the frivolous and non urgent demand the nhs has to then resolve. This would then free up resources and the public would more readily add more funding.

The amount of people involved in front of house and triage to filter the urgent from not just goes to show how many non urgent cases there must be in your typical a&e.

No amount of resource will ever be enough for a free service, and things which are free are rarely valued; rather taken for granted.
 
There is already a small charge It's call National Insurance. Sadly like the road fund license it has been abused by governments over many years.
We don't have a health service that can deliver care, it has been broken down into bits such that each bit can and does deny responsibility. A&E is the catch all that takes most of the flack. Ambulance and Police take the rest.
Andi.
 
The amount of people involved in front of house and triage to filter the urgent from not just goes to show how many non urgent cases there must be in your typical a&e.

Recently I've had 3 Clinical Negligence cases where the patients are blaming A&E so I decided to go down and ask questions because I couldn't see any patient journey after A&E.
We now have a GP that is inside A&E but not connected to the Trust so basically Triage refer to this GP.
I now know what to look for on the system and send the Solicitor to claim off the SSOTP.
And as I said earlier, we setup another department called AEC where the walking unwounded go.
 
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