Cable Forum - Crisis in the NHS

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Re: Nhs appalling crisis

Can everyone please TRY to be polite and INOFFENSIVE or even better don't post in the thread OR put people on ignore if you don't like their opinions

Re: Nhs appalling crisis

I thought we already had a current NHS in crisis thread?

Oh yes here it is.

http://www.cableforum.co.uk/board/sh...php?t=33704264

Re: Crisis in the NHS

What stereotyping generalising.....:rolleyes:

Re: Crisis in the NHS

Quote:

Originally Posted by MarieOHMarie (Post 35886137)

I'm sorry but studys show in some areas 2 and 3 generations of families that have never worked take more from the NHS than they contribute.

Studys also show immigrant families paying far more in contributions than they take out.

Citation/link, please, regarding your first assertion... :)

Re: Crisis in the NHS

Mod comment - bye bye...

Re: Crisis in the NHS

Most objective (non rabid) analysts agree that the NHS has enough money. The last twenty or so years have seen more and more money thrown at the NHS with, to put it mildly, disappointing results.
There are quite a few pilot studies dotted about the country demonstrating that good/best practice (which is not currently being practiced by vast swathes of the NHS) and innovative approaches to healthcare (ditto), can deliver massive increases in patient outcomes and massively reduce costs.
Link

Re: Crisis in the NHS

More than 600 health quango chiefs on six-figure salaries amid NHS cash crisis

Quote:

......a doubling in the number earning more than the Prime Minister in just three years, new figures show.

Many of the highest earners have made repeated demands on the Government to increase NHS funding as it battles against its worst financial deficit in history.

But figures uncovered by the Telegraph, show that the nine main health quangos are now employing 628 officials on salaries of at least £100,000.
They include 93 taking home more than Theresa May’s £149,440 salary - up from 48 at their predecessor bodies three years earlier.

Among the highest paid is the NHS deputy medical director, earning around £225,000 a year.

:dozey:

Re: Crisis in the NHS

http://www.bbc.co.uk/news/health-39217595

Quote:

Hunt demands NHS hits target for A&E care

That's alright then, if Jeremy 'demands' it, the magic pixies will make it happen. Sorted, well done the Boy Wonder.
https://www.cableforum.co.uk/images/...2017/03/11.jpg

Re: Crisis in the NHS

Quote:

Originally Posted by Ramrod (Post 35888967)

More than 600 health quango chiefs on six-figure salaries amid NHS cash crisis
:dozey:

I personally don't have a problem with someone who runs an organisation (like a Health Trust) with tens of thousands of staff, budgets of many billions, treating over a million patients a year (like my local Health Trust) being paid a reasonable salary.

Should they do it for love? Would anyone?

Re: Crisis in the NHS

On an associated point, where is Dr Lauren Phillips? I do hope she's ok.

Re: Crisis in the NHS

Quote:

Originally Posted by Rowcoy (Post 35884089)

With regard to the other points pharmacists already have more power than most people realise with regard to issuing medication, it is a myth that you need a prescription to get a prescription medicine. As long as you have already been prescribed that medicine by a doctor previously and it is reasonable that you would require that medicine on a long term basis a pharmacist can provide you with an emergency supply if you are unable to obtain a prescription from a doctor.

Why limit it to emergency issuing as ultimately it still means the GP has to issue another prescription, although in my case my tablets now get delivered and the prescription is automated and sent to the chemist, so they have some kind of backend system already that helps, but I think they can go further by removing the need of prescriptions from GPs altogether on some drugs.

Quote:

Originally Posted by Rowcoy (Post 35884089)

X-Rays in a GP surgery is something I like; however until we move to an alternative funding system I don't think it would be practical for every surgery to absorb the capital cost of the equipment plus the provision of qualified radiographers of which there is already a big shortage of.

Glad you agree and yes there would be an initial cost of capital outlay on equipment, regarding the staff to operate the equipment, well my dentist were able to X ray my teeth in their surgery.

Quote:

Originally Posted by Rowcoy (Post 35884089)

In principle 7 day GP working is a great idea; however the big issue at the moment with this is there simply are not enough GPs in this country to make it work. There is also a growing body of evidence that suggests that when weekend appointments are available they are not always used. Personally I would prefer increased numbers of GPs working during the week when we do know that demand is massively out stripping the supply, hence why surgeries appointments are all fully booked within 5-10 minutes of opening!

We have the GPs they just unwilling to work the longer hours. To provide more GP access during the week needs more GPs, to add weekend visits does not.

Quote:

Originally Posted by Rowcoy (Post 35884089)

How do you propose stopping GPs from doing private work? As far as I am aware the vast majority are not Technically employed by the NHS they are employed by their surgery which is an independent provider and is paid a sum per patient that is registered at that surgery.

This is hard I agree, I dont know the exact legal issues they have right now so hard to say, but they could do either of the following, not without problems, of course, would likely be protests etc.

1 - Reform the system so GPs are employed directly - very unlikely to happen
2 - Change the contracts with the GP surgeries so that they are not allowed to employ doctors who do other paid work.
3 - Make the amount each surgery is paid dependent on number of opening hours, this would indirectly encourage these surgeries to have their GPs put in the hours.

Quote:

Originally Posted by Rowcoy (Post 35884089)

As far as I am aware a lot of GPs already offer telephone consultations and some even use video conferencing for this as well. It is also already possible to email the surgery I am registered at with non urgent queries.

Problem is it is not universal, its a lottery, stuff like this should be made a nationwide NHS policy and forced up on the surgeries. Telephone consultations do have smaller slots at my surgery meaning they fit in more patients but are still less efficient than email. My surgery has no email or video conferencing service for the record.

Re: Crisis in the NHS

quote from the leader of locum doctors association, I find it disgusting, but shows how a big part of the problems is greed from doctors.

Quote:

LDA chair Shehnaz Somjee said: "They could have five to six job offers in a day and they'll choose the best.

"They don't have to work if they don't want to because it's a loss to work at the capped rate.

"It's not the locum's fault. If (the NHS) wants to maintain the same system then tough.

"Patients will either suffer or they'll have to pay more."

Article it came from here. http://news.sky.com/story/hospitals-...onths-10810203

Re: Crisis in the NHS

Quote:

Originally Posted by Rowcoy (Post 35884089)

Weekend appointments in surgeries may be available but surgeries are reluctant to publicise this for fear that there will be a huge take-up on this. If you are employed full time, evenings or weekends are the best times for you to go to the surgery.

Re: Crisis in the NHS

Quote:

Originally Posted by OLD BOY (Post 35891348)

Weekend appointments in surgeries may be available but surgeries are reluctant to publicise this for fear that there will be a huge take-up on this. If you are employed full time, evenings or weekends are the best times for you to go to the surgery.

Not available in our surgery currently as we have had a shortage of GP's for over a year despite advertising and this is only going to get worse as 3 GP'S are leaving at the end of March after handing in their notice's.