The NHS

Discussion in 'Off-Topic Discussion' started by pete, Jan 3, 2018.

  1. pete

    pete Growing a bit of this and a bit of that....

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    We keep hearing the NHS is struggling, and I dont doubt it is.
    But to be honest I cant remember a time when it hasn't.
    We just get it more dramatised these days.Media love this kind of thing.
    Cant remember when there hasn't been very long queues for ops.

    A&E are struggling mostly because GPs are not pulling their weight.
    My one is very hit and miss.

    Do you think there would ever be an amount of money that could be thrown at the NHS that would make it operate as intended, so that we get a first class service?
    They were actually stating on the news this morning that patients are in danger due to not enough resources.

    More and more the NHS is being expected to take on more.
    Even suggested this morning that people addicted to gaming should be able to get treatment from the NHS.
    Yeah, I'd treat them, a large mallet applied to the head.:biggrin:
     
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    • Fat Controller

      Fat Controller 'Cuddly' Scottish Admin! Staff Member

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      I think that there are a number of factors at play, all coming together to create a perfect storm. You are right that some (not all) GP's are not helping things, however for the vast majority of them, it isn't their fault - each surgery has more and more patients on their books, yet no increase in the number of doctors to actually see the people; the net result there is that you struggle to actually get an appointment, and when you do you are in and out with only a quick guess made as to what your diagnosis is.

      My current GP, is a very small practice (it is essentially a converted house), and when we joined about a year ago, we were part of an influx of around 3000 patients who were coming because our surgery was being closed - the reason it closed was very simple, the local NHS authority didn't renew the contract for the surgery, presumably to save money. It was a large surgery that opened from early morning to late in the evening, seven days a week, and now all of those patients have been dispersed to other, smaller, surgeries.

      Add to this the closure of various A&E departments (again, thanks to Tory cuts) and the remaining A&E departments have had to take up all of those patients; same goes for hospital wards etc - loads of cuts/closures, whilst demand is ever increasing as our population expands.

      Then, you have the social care problem - if those how are in need of social care can't get that care (be it at home or in a home), then they are delayed from leaving hospital..... this reduces bed availability even more.

      Stick on that people have been encouraged to take up cycling to work, instead of getting a bus or taking the car, and I would say that it is inevitable that there will be more accidents, and therefore more people needing attention in hospital.

      And then you get to the things that should never be done on the NHS - all these transgender operations for a starter for ten. If someone wants to change sex, that is up to them, and I have no issue with them doing so; I DO have an issue with taxpayers footing the bill for their strapadicktome or whatever.

      The Tories have wanted the NHS to be privatised for decades, and have essentially already privatised great swathes of it through the back door - - now, we are paying for a company to produce a profit for its shareholders, as well as paying for the actual costs of the care; how can that possibly save money?
       
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      • pete

        pete Growing a bit of this and a bit of that....

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        We have had a massive green field site near me taken to build what amounts to a private hospital.
        I go past there quite often but rarely see any traffic going along the lengthy drive way to the place.
        For years now they have had for sale signs up, tying the get someone interested in the rest of the site, I really dont see what the place was built for or why?

        I know this is not NHS but I think the NHS can use the place if they pay.
        I know of people that have been sent there by their GPs.

        Paying for your treatment- Self Pay

        In my mind the place is a blot on the landscape that is totally under used.

        I cant help thinking that maybe the NHS should go down the road of just buying places at private hospitals for general everyday problems and just run A&E and other services that cant be farmed out.
         
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        • Fat Controller

          Fat Controller 'Cuddly' Scottish Admin! Staff Member

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          That would fly in the face of the very principles of the NHS for me though @pete - we would only end up paying more and more, as we would be paying for all the cost overheads PLUS a profit margin for the operating company. I am not convinced that it would make things any better either - the railways aren't exactly up to scratch after all?
           
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          • KFF

            KFF Total Gardener

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            I'd like to make a couple of points regarding my local NHS......

            We had a brand new hospital built around late 90's early 2000's - - - clised after a year by Labour.

            The majority of the doctors at my surgery have reduced the days they work from 5 to 2 a week and yet have kept their full wage. Now i may be jumping the gun here a bit but doesn't this mean they've effectively given themselves a 100% pay rise for doing less hours.

            And, what about this tv advert for nurses...... Earn £26,000 a year and pay no tax.

            I think basically what I'm saying is I'm fed up with hearing the NHS hasn't got the money. In my opinion it has money but hasn't got the management it needs to stop the frivolous spending.
             
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            • pete

              pete Growing a bit of this and a bit of that....

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              But there you go, that is what goes wrong when something is denationalised, nobody keeps a check on the people providing the service.Off- Wat, Off -Gen, off whatever, none of them worth a light.

              Railways are rubbish, yes, but it has been underfunded for 50yrs, so who pays?
              I never use the trains, so should I have to pay for them?

              It's the same old story, can you provide a service for a fair price? Usually no, unless you get government funding.

              If the NHS used private hospitals more, they could free up space for the poor gamer that needs his head examined, or fertility treatment.
              Lets face it half the time they appear to be paying stupid prices to agencies for nurses anyway.
               
            • Gail_68

              Gail_68 Guest

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              I have many opinions on this but it gets me angry:mute:...while our NHS is going down the tubes and they haven't got enough money all the time to found in to the hospitals but it's funny it can be funded worldwide :whistle:
               
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              • JWK

                JWK Gardener Staff Member

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                It must be a postcode lottery as I have nothing but praise for the GPs around here. I've had a couple of telephone appointments recently which to my mind is a great way of efficiently using the GP's time (and mine) - he rings me up at a convenient time. I know that won't work if there is a need to take blood pressure or whatever but it works well if it's something straightforward.

                I think a lot of problems with the NHS being swamped are people abusing the system, e.g. last time I went for a blood test I got there with 10 minutes to spare and was expecting to see the nurse practically on time - but then a guy appears at the desk making a big fuss - he was late and just missed his appointment, but he wouldn't leave it at that - he was demanding to see the manager and causing everyone else to wait much longer than normal. He wouldn't except it was his fault and demanded that he should be seen. Luckily there are some good old fashioned doctors there who dealt with him, but he still caused disruption.

                This is not a new thing either, my dear old mother was a nurse in A&E, I'm going back a few years now but she had to deal with all sorts of idiots ranging from the aggressive drunks with self inflicted stupor to the saturday afternoon rugby babies who had nothing worse than a twisted ankle but thought they were dying.
                 
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                • Scrungee

                  Scrungee Well known for it

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                  Taking your own BP readings at home over a few days with your own (£10ish) monitor will normally provide a more accurate picture than a single reading at their surgery, in congunction with taking your own machine to the surgery when you visit and checking the callibration of yours by taking BP readings from both their and your machines.
                   
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                  • noisette47

                    noisette47 Total Gardener

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                    Having the government throwing even more money at the NHS isn't the solution. The money has been misused for decades, being diverted to top-heavy, greedy, corrupt, ineffective management rather than actual health-care professionals and resources. Combine that with a change in attitude towards the actual care given (nursing and doctoring used to be a vocation, remember that?) and it's no wonder that the whole thing is slowly imploding. The French two-tier system is in trouble too, which is even worse given the amount that people pay into it, whether state or private or a mixture. Newly-qualified doctors won't accept jobs outside the big cities, leaving rural areas deserted. They're on commission from the big pharmaceutical companies as a matter of course...it's all a long, long way from the principles of the Hippocratic oath. The big advantage here, though, is the speed with which things are dealt. That's reassuring...it can mean the difference between life and death.
                     
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                    • Jiffy

                      Jiffy The Match is on Fire

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                      And it don't help with a unheathy nation and people who need treatment for a scratch
                       
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                      • JWK

                        JWK Gardener Staff Member

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                        That was what I was trying to say above Jiffy, you have summed it up perfectly.

                        We also have much higher expectations compared to the old days when you "just got on with it".

                        Also health care and medicines have improved to the extent that people with illnesses that would have been fatal a few years ago are kept 'going' a lot longer.

                        I agree with that too, but as I was trying to say above, health care professionals are sometimes treated with utter disrespect (and worse) by a minority so nurses etc have to be very careful what they say and keep everyone at arms length until they can trust them. It's our PC and lawyer4us society, no authority figure can say anything or restrain anyone who behaves badly.

                        The few times I've been to A&E recently there are always a couple of police cars outside and several police officers shepherding a single drunk idiot. It's not just the nursing staff it's such a waste of police time too.
                         
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                        • noisette47

                          noisette47 Total Gardener

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                          I'm sure you're right, John, and it's certainly not a job I'd do for any money, but there has been a radical shift from the 'caring' side of the profession to it being a job like any other. A dear friend in UK who was a nurse for her entire working life told me years ago that mostly, all the youngsters coming into nursing were interested in was rapid promotion away from the 'dirty' end of the job, and the money. That certainly is the case with the GPs and interns here. Nothing as trivial as patient care is allowed to interfere with their evenings, weekends, holidays and celebrations. I know that for a fact having spent a New Year's Eve and night trying to alleviate the distress of my mother during her final hours. All 14 of them :sad:.
                           
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                          • JWK

                            JWK Gardener Staff Member

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                            Sorry to hear that noisette - you have my sincere condolences.
                             
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                            • noisette47

                              noisette47 Total Gardener

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                              Thanks, John..that's sweet of you. The poor old girl is well out of it (Alzheimer's) but it certainly could have been handled better and no doubt would have been if it hadn't been a holiday. Where do you get a balance between the medical profession having a life like everyone else and the sacrifices required if a decent service is to be maintained? Tricky one.....
                              But in answer to @pete's original question, more money isn't the solution. Streamlining /losing dead, bureaucratic weight and redistributing the existing funds, tackling fraud and petty theft, and bringing back efficient, in-house services would all be more effective.
                               
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                                Last edited: Jan 4, 2018
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