Associate
- Joined
- 22 Sep 2007
- Posts
- 2,185
- Location
- Abingdon
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.
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