Save the NHS!

OldCoals said:
I would argue that problem doesn't stem from doctors but multiple levels of management.

Any doctor I have spoken too, they just want to get on doing what they do best, treating patients.
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I would certainly never advocate leaving the current management and support areas as they are, massively overstaffed and wasteful
 
The NHS is nearly finished. Massively under resourced and in debt. Queues to get into A&E, ambulances taking too long to come out due to them having nowhere to offload patients. This is in wales mind, but quite shocking to see it first hand and to hear about it from people working in it. I feel sorry for the staff too, they are working hard to prop it up. I would rather the system in the states, at least you can get the treatment you need. Even private healthcare here cant solve all of the problems.
 
http://www.mirror.co.uk/news/uk-news/tory-who-led-botched-nhs-6670341

Our old friend Andrew Lansley, sorry - that's Lord Andrew Lansley to us plebs now, is in the news again. Despite being responsible for the hated and putatively botched NHS reforms, he's been given a job - presumably as a cushy NED as it's part-time and paid - at a US management consultancy specializing in private healthcare. Please join me in wishing Lord Andrew every success in his new position :rolleyes:
 
ReltonBFD said:
Hows your migrant family going ?
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Very well thanks.

My eldest is very into science and I can't buy him enough books on the subject he reads them so fast - can't wait to take him to watch Star Wars. My middle child is now coming on leaps an bounds at school now he's found a nice peer group and my youngest keeps getting star of the week, despite the fact she's the youngest in the class.
 
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Since when has the Nhs been free, NI and tax pay for it. Blame the fatties, druggies, alchies, hypocondractics, quangos and incompetent managers. I say bring in some Americans to run the Nhs, so much mismanagement, waste and low moral.
 
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jsmoke said:
Since when has the Nhs been free, NI and tax pay for it. Blame the fatties, druggies, alchies, hypocondractics, quangos and incompetent managers. I say bring in some Americans to run the Nhs, so much mismanagement, waste and low moral.
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It's well known that the NHS is more efficient and better quality than the US private healthcare system. Please.. do some research.

It's people like you that governments nutjobs and corporate lobby groups pander to.

If you want to live in a country where a serious illness will leave you in financial debt for the rest of your life, I'll happily pay for your plane ticket.
 
jsmoke said:
Since when has the Nhs been free, NI and tax pay for it. Blame the fatties, druggies, alchies, hypocondractics, quangos and incompetent managers. I say bring in some Americans to run the Nhs, so much mismanagement, waste and low moral.
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National Insurance contributions help to build your entitlement to certain state benefits, such as the State Pension and Maternity Allowance. You begin paying National Insurance once you earn more than £155 a week (this is the figure for the 2015-16 tax year).
 
Dimple said:
National Insurance contributions help to build your entitlement to certain state benefits, such as the State Pension and Maternity Allowance. You begin paying National Insurance once you earn more than £155 a week (this is the figure for the 2015-16 tax year).
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Entitlement?

And NI also partially funds the NHS.
 
A major problem facing the NHS is the policy to keep elderly people in their own homes rather than nursing homes.
A patient who would have gone to residential care ten years ago, now returns home, falls and goes back into hospital, goes home again, falls and repeat.
The policy of maintaining people in their own home has been completely unsuccessfully as services have not been bolstered in the community. Largest care packages are often maximum for times daily which is simply not enough for a confused frail elderly person who becomes dehydrated with the knock on effect of urine infections and constipation which are conditions that fill hospital wards.
Some patients will have at least three admissions a year and simply go round and round the system until the last fall causes a fracture which may take the person finally off their feet and then still home is the destination even if families say they can't cope any more.
The whole thing is a disaster as far as care of the elderly is concerned.
 
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Do those who have no issues with the proposed contract does this look safe to you?
 
I don't know who dreamt up that rota, looks dire, and I've worked some bad rotas in my time.

It also has exactly the same weekend cover as the old contract would - which I thought the new contract was meant to change.
 
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That rota looks awful, up here they do 4 days/nights on 4 off. Although the 4 nights off are often taken up with 'filling in' as they are short staffed all the time.
 
Looks like some of the A&E rotas that I've seen. Totally soul destroying. The rapid cycling between days and nights completely ruins you physically and emotionally. If you're on a "regular job" attached to a firm with inpatients that sort of rota means that the patients don't have any continuity of care with a different junior every day, but also there is no opportunity for training and you couldn't attend a regular weekly session. If only one in 3 weeks a trainee could attend, the trainees would be taken away by the deaneries.

Hey, at least when the rota gaps go unfilled locum pay will be capped to make things cheaper!
 
Minstadave said:
Who wil work locums in A&E for pocket money rates though? I like the government optimism on that one.
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I do too, it might finally cripple the service so they have to actually deal with the issue, this rota would be fine, if instead of 5 docs they had 7 or 8.
Overall hours and idiocy could be cut, but it starts now, by recruiting and training a 33-50% increase in doctors, and we start seeing the effects in 5 years, not any sooner.

Madness.
The overall NHS needs re-organised.

Hopsitals need an attached out of hours, which effectively runs as a 24 hour GP surgery, with a waiting time of up to 24 hours.
If you come into A&E and don't need the services you are triaged down the corridor to the GP services, where you wait for a very long time, as you should have bothered to go to your GP in the first place.

They should have an attached mental health unit, where admission is possible at any hour of the day, so you get treatment or admission or meds for your mental health issues immediately.

An attached minor injuries unit, which deals with all it can.

Then leaves A&E to deal with actual accidents and emergencies, and admission to the 'available' medical and surgical wards.

When a minister comes out and suggests this sort of system, rather than plugging holes with locums in our crumbling services, and dashing agency nurses all round the shop to no great effect, then I might actually get behind the schemes.

That would be investment for the future. On a massive level, but it is no different from building a bridge, or a road or a railway, if you plan it ahead for fifteen or thirty years of delivery, then just bloody do it, and write the cost off as an investment.
Hell, pay for some of it with a sugar tax :P
 
Hikari Kisugi said:
Hopsitals need an attached out of hours, which effectively runs as a 24 hour GP surgery, with a waiting time of up to 24 hours.
If you come into A&E and don't need the services you are triaged down the corridor to the GP services, where you wait for a very long time, as you should have bothered to go to your GP in the first place.


An attached minor injuries unit, which deals with all it can.
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These already exist. I do am ooh shift every weekend
 
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