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Mr K 19-08-2017 13:19

Re: Crisis in the NHS
 
http://www.telegraph.co.uk/news/2017...ephen-hawking/
Quote:

Jeremy Hunt has taken on famous scientist Stephen Hawking, firing off tweets defending himself against the professor's earlier criticism

Mr Hunt has been mocked and questioned by social media users, who said he is "trying to school the world's most famous scientist on numbers and evidence."
.
Oh dear, maybe Jeremy should just keep quiet sometimes and have a cold shower in his new £44k bathroom...

1andrew1 22-08-2017 21:38

Re: Crisis in the NHS
 
An issue I hope David Davis is engaged on
Quote:

Brexit ‘can help solve nursing shortage’
Ireland should poach European Union doctors and nurses working in the UK who are worried about Brexit, Fianna Fáil has said.
The HSE has had a chronic staff shortage in recent years and the Irish Nurses and Midwives Organisation (INMO) estimates there are around 3,500 fewer nurses now than in 2009.
Billy Kelleher, the Fianna Fáil health spokesman, said that the HSE should target medical professionals from EU countries that may have to relocate as a result of Britain leaving the union. “The fact of the matter is clear: the HSE has a severe shortage of doctors and nurses working in our hospitals and in our communities,” he said.
“There are approximately 135,000 EU nationals working in the UK’s NHS. While not everyone would consider moving to Ireland, there are potentially enough doctors and nurses willing to move that could have a dramatic impact on our capacity shortages.
“Many of these professionals may not have the right to stay working there post-Brexit, and there may be some who choose not to stay working in a non-EU country. For those who do not want to return to their home countries, Ireland is an ideal alternative.”
https://www.thetimes.co.uk/edition/i...tage-sg9ntfkhd

Julian 22-08-2017 23:03

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35913191)
https://www.theguardian.com/science/...y_to_clipboard
It's something we all know, and just seem to accept, but good for Prof. Hawking. Wonder what he thinks to the £44,000 bathroom Jeremy Hunt ordered for his office ?
http://www.independent.co.uk/news/uk...-a7891846.html

Not sure why his opinion is any more relevant than any other dozy old git down the pub.....

Mick 02-01-2018 19:31

Re: Crisis in the NHS
 
BREAKING: ALL Hospitals Accident and Emergency dept. in England have been placed in emergency measures.

Quote:

Extreme pressure on A&E departments is having a massive knock-on effect in hospitals in England, with emergency measures in place.

Hospitals in England are being advised to cancel all elective operations and in-patient treatments until the end of January in response to extreme pressure on A&E departments over the Christmas and New Year period.

With many hospitals running at close to full capacity, NHS England's National Emergency Pressures Panel (NEPP) has also said hospitals will not be penalised if patients are admitted to mixed-sex wards.
https://news.sky.com/story/hospitals...ssure-11193433

Damien 02-01-2018 19:32

Re: Crisis in the NHS
 
All operations and in-patient treatments cancelled until the end of the month across England? :shocked:

Mick 02-01-2018 19:36

Re: Crisis in the NHS
 
My Family has been the victim of the consequences of the above measures.

Earlier on.... My one year old nephew stopped breathing this afternoon, his mum (My sister) had to essentially give him a gentle kiss of life and he started breathing again, she called an Ambulance to be told, they are extremely busy. She did not want to have him driven down in case he stopped breathing again and he was in traffic, the Ambulance has arrived as of 7pm, some 2 hours, 40 minutes later since they were first rang.

How on Earth can this be happening in the 21st Century?

It pains me to see this happening and it hurts more when it's your own flesh and blood. :(

Damien 02-01-2018 19:53

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mick (Post 35930755)
My Family has been the victim of the consequences of the above measures.

Earlier on.... My one year old nephew stopped breathing this afternoon, his mum (My sister) had to essentially give him a gentle kiss of life and he started breathing again, she called an Ambulance to be told, they are extremely busy. She did not want to have him driven down in case he stopped breathing again and he was in traffic, the Ambulance has arrived as of 7pm, some 2 hours, 40 minutes later since they were first rang.

How on Earth can this be happening in the 21st Century?

It pains me to see this happening and it hurts more when it's your own flesh and blood. :(

Sorry that is happening to your nephew Mick. :(

denphone 02-01-2018 20:00

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mick (Post 35930752)
BREAKING: ALL Hospitals Accident and Emergency dept. in England have been placed in emergency measures.



https://news.sky.com/story/hospitals...ssure-11193433

l cannot say l am surprised like many by that.

---------- Post added at 20:00 ---------- Previous post was at 19:57 ----------

Quote:

Originally Posted by Mick (Post 35930755)
My Family has been the victim of the consequences of the above measures.

Earlier on.... My one year old nephew stopped breathing this afternoon, his mum (My sister) had to essentially give him a gentle kiss of life and he started breathing again, she called an Ambulance to be told, they are extremely busy. She did not want to have him driven down in case he stopped breathing again and he was in traffic, the Ambulance has arrived as of 7pm, some 2 hours, 40 minutes later since they were first rang.

How on Earth can this be happening in the 21st Century?

It pains me to see this happening and it hurts more when it's your own flesh and blood. :(

So sorry to hear about your nephew Mick as l hope and pray that he will be alright.

1andrew1 02-01-2018 20:02

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mick (Post 35930755)
My Family has been the victim of the consequences of the above measures.

Earlier on.... My one year old nephew stopped breathing this afternoon, his mum (My sister) had to essentially give him a gentle kiss of life and he started breathing again, she called an Ambulance to be told, they are extremely busy. She did not want to have him driven down in case he stopped breathing again and he was in traffic, the Ambulance has arrived as of 7pm, some 2 hours, 40 minutes later since they were first rang.

How on Earth can this be happening in the 21st Century?

It pains me to see this happening and it hurts more when it's your own flesh and blood. :(

Very sorry to read this Mick. At least he's now in the best possible hands and I wish him a speedy recovery.

TheDaddy 02-01-2018 20:06

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mick (Post 35930755)
My Family has been the victim of the consequences of the above measures.

Earlier on.... My one year old nephew stopped breathing this afternoon, his mum (My sister) had to essentially give him a gentle kiss of life and he started breathing again, she called an Ambulance to be told, they are extremely busy. She did not want to have him driven down in case he stopped breathing again and he was in traffic, the Ambulance has arrived as of 7pm, some 2 hours, 40 minutes later since they were first rang.

How on Earth can this be happening in the 21st Century?

It pains me to see this happening and it hurts more when it's your own flesh and blood. :(

Private ambulance crews are on strike where I live, they get paid 7.80 per hour and my pal who is all but a paramedic is only on 10 per hour, the company has been bought out but successive foreign companies who just keep cutting, the horror stories I've heard about the conditions and the standards of crews such conditions attract is truly shocking. All the best to your nephew Mick terrible for his mum to have to sit there panicking for so long to on top of that to

Mr K 02-01-2018 20:30

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mick (Post 35930755)
My Family has been the victim of the consequences of the above measures.

Earlier on.... My one year old nephew stopped breathing this afternoon, his mum (My sister) had to essentially give him a gentle kiss of life and he started breathing again, she called an Ambulance to be told, they are extremely busy. She did not want to have him driven down in case he stopped breathing again and he was in traffic, the Ambulance has arrived as of 7pm, some 2 hours, 40 minutes later since they were first rang.

How on Earth can this be happening in the 21st Century?

It pains me to see this happening and it hurts more when it's your own flesh and blood. :(

It's a shambles Mick and I hope your nephew gets better soon.

This has been coming for a long time, the NHS has been relying on luck. It's wake up time for the general public, if you want an NHS you're going to have to pay more tax. It's a message the Tory party won't give as they are quite happy to see it fail, and cut taxes for the rich. Even if they have private health care many don't realise they'll get transferred back to the NHS if they are seriously ill (sometimes having to endure life threatening transfers between hospitals).

Hugh 02-01-2018 20:33

Re: Crisis in the NHS
 
Quote:

Originally Posted by Damien (Post 35930753)
All operations and in-patient treatments cancelled until the end of the month across England? :shocked:

No, only non-urgent ones.

http://www.bbc.co.uk/news/health-42541412
Quote:

NHS England's National Emergency Pressures Panel, which met for the second time on Tuesday, said it had extended the deadline for deferral of all non-urgent inpatient elective care - such as hip or knee replacements - to 31 January, to free up capacity for the sickest of patients.

But it said cancer operations and time-critical procedures should go ahead as planned.

NHS England also gave hospitals the green light to put patients in mixed sex wards.
Mick, sorry to hear about your nephew - hope he is on the road to recovery. You feel so helpless when young children are unwell.

Damien 02-01-2018 20:53

Re: Crisis in the NHS
 
Quote:

Originally Posted by Hugh (Post 35930764)
No, only non-urgent ones.

http://www.bbc.co.uk/news/health-42541412
.

Makes more sense. I did think it would be major, breaking, headline news otherwise. Still bad of course.

Hugh 02-01-2018 21:03

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35930763)
It's a shambles Mick and I hope your nephew gets better soon.

This has been coming for a long time, the NHS has been relying on luck. It's wake up time for the general public, if you want an NHS you're going to have to pay more tax. It's a message the Tory party won't give as they are quite happy to see it fail, and cut taxes for the rich. Even if they have private health care many don't realise they'll get transferred back to the NHS if they are seriously ill (sometimes having to endure life threatening transfers between hospitals).

I have no problem paying more tax for a better service, but why is the the default position? Why not consider the German or French models, which work well, and the funding comes from multiple sources, including taxation?

Something needs to be done, but just to roll out the old shibboleths stops progress - we need to think differently, with a growing aging population.

Mr K 02-01-2018 21:15

Re: Crisis in the NHS
 
Quote:

Originally Posted by Hugh (Post 35930771)
I have no problem paying more tax for a better service, but why is the the default position? Why not consider the German or French models, which work well, and the funding comes from multiple sources, including taxation?

Even if it isn't tax people are going to have to pay one way or another, which they don't seem to be prepared to do (despite what they may say in opinion polls).

There are many questionable areas the Govt. has been giving away money e.g. cutting personal allowances, cutting the top tax rate. It may be politically popular, but we're now paying the price. The latest wonder plan is a £2bn taxpayer bailout of Virgin East Coast, isn't privatisation wonderful ? (for Mr Branson it is anyway, who is rapidly also expanding into healthcare...)

Ramrod 02-01-2018 23:25

Re: Crisis in the NHS
 
The NHS has been a badly managed and badly staffed shambles since at least the mid 90's. The recent 'cuts to it's funding' that some people bang on about are imo a red herring deflecting from the way it's been run and staffed for the last three decades. It wasn't fit for purpose back then and nothing has changed since.

nomadking 02-01-2018 23:32

Re: Crisis in the NHS
 
The problem is that they can never predict when exactly any increase in demand is going to occur. Impossible to plan ahead for. the alternative to cancelled ops, is to not plan any ops over the winter months. More money won't solve anything as there's supposed to be a staff shortage.

1andrew1 03-01-2018 00:02

Re: Crisis in the NHS
 
Quote:

Originally Posted by nomadking (Post 35930787)
The problem is that they can never predict when exactly any increase in demand is going to occur. Impossible to plan ahead for. the alternative to cancelled ops, is to not plan any ops over the winter months. More money won't solve anything as there's supposed to be a staff shortage.

More money would enable salaries to be increased which would enable the vacancies to be filled as the roles would be more attractive.

nomadking 03-01-2018 00:14

Re: Crisis in the NHS
 
Quote:

Originally Posted by 1andrew1 (Post 35930788)
More money would enable salaries to be increased which would enable the vacancies to be filled as the roles would be more attractive.

So what other higher paid jobs are these people doing?

Are these mythical staff going to sit around most of the year waiting for when, or if, a peak in demand occurs?

1andrew1 03-01-2018 00:24

Re: Crisis in the NHS
 
Quote:

Originally Posted by nomadking (Post 35930789)
So what other higher paid jobs are these people doing?

A range of other roles. Once salaries and conditions favour the NHS then those positions will be filled. It's a case of supply and demand.

---------- Post added at 00:24 ---------- Previous post was at 00:21 ----------

Quote:

Originally Posted by nomadking (Post 35930789)
Are these mythical staff going to sit around most of the year waiting for when, or if, a peak in demand occurs?

Mythical? What on earth do you mean by that?
Regarding the second point, we're talking about filling vacancies not employing people for the sake of it.

nomadking 03-01-2018 00:36

Re: Crisis in the NHS
 
There is a lack of medical staff generally throughout the Western world. Most countries have to import staff. Pay has little to do with it and nothing to do with a peak in demand which unpredictable in its timing.

1andrew1 03-01-2018 00:42

Re: Crisis in the NHS
 
Quote:

Originally Posted by nomadking (Post 35930794)
There is a lack of medical staff generally throughout the Western world. Most countries have to import staff. Pay has little to do with it and nothing to do with a peak in demand which unpredictable in its timing.

If you want people, you give them the best pay and conditions that you can afford. If you have to compete internationally for talent then you have to be prepared to pay accordingly for it. Paying staff poor wages as others have described in this post won't attract or retain staff.
We're talking here about filling all the unfilled vacancies through making roles more attractive, not about Winter time demand projections.

denphone 03-01-2018 05:21

Re: Crisis in the NHS
 
Quote:

Originally Posted by Hugh (Post 35930771)
I have no problem paying more tax for a better service, but why is the the default position? Why not consider the German or French models, which work well, and the funding comes from multiple sources, including taxation?

Something needs to be done, but just to roll out the old shibboleths stops progress - we need to think differently, with a growing aging population.

l agree but can you see our politicians from whatever political persuasion thinking differently with their set ideological dogma?.

TheDaddy 03-01-2018 09:08

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35930763)
It's a shambles Mick and I hope your nephew gets better soon.

This has been coming for a long time, the NHS has been relying on luck. It's wake up time for the general public, if you want an NHS you're going to have to pay more tax. It's a message the Tory party won't give as they are quite happy to see it fail, and cut taxes for the rich. Even if they have private health care many don't realise they'll get transferred back to the NHS if they are seriously ill (sometimes having to endure life threatening transfers between hospitals).

I've a suggestion I'm going to stick on the side of a bus

we send the BBC 71 million per week let's spend that on the NHS instead

Mr K 03-01-2018 09:19

Re: Crisis in the NHS
 
Quote:

Originally Posted by nomadking (Post 35930787)
The problem is that they can never predict when exactly any increase in demand is going to occur. Impossible to plan ahead for. the alternative to cancelled ops, is to not plan any ops over the winter months. More money won't solve anything as there's supposed to be a staff shortage.

It can be predicted and this crisis was predicted. The Flu was going to be bad this year, forecast months ago, coupled with the Xmas break, cold weather, staff shortages and ageing population, it really isn't rocket science. We just haven't invested enough or employed and trained enough staff in the NHS. Poor management maybe a factor, but it's being used as a smokescreen to try and get away from the fact we're not paying or valuing the NHS or it's staff enough.

On top of that we've got a govt. who have an agenda to run the NHS down. Jeremy Hunt is very quiet, probably waiting for this promotion to Deputy PM having achieved all his objectives no doubt.
https://www.cableforum.co.uk/images/...size=375%2c250

tweetiepooh 03-01-2018 11:45

Re: Crisis in the NHS
 
Quote:

Originally Posted by TheDaddy (Post 35930813)
I've a suggestion I'm going to stick on the side of a bus

we send the BBC 71 million per week let's spend that on the NHS instead

That'll buy 2 boxes of plasters and a box to put them in.

The NHS needs to be more efficient but if you try they'll pay a fortune on efficiency experts and on monitoring how efficient they are.

Hugh 03-01-2018 13:35

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35930814)
It can be predicted and this crisis was predicted. The Flu was going to be bad this year, forecast months ago, coupled with the Xmas break, cold weather, staff shortages and ageing population, it really isn't rocket science. We just haven't invested enough or employed and trained enough staff in the NHS. Poor management maybe a factor, but it's being used as a smokescreen to try and get away from the fact we're not paying or valuing the NHS or it's staff enough.

On top of that we've got a govt. who have an agenda to run the NHS down. Jeremy Hunt is very quiet, probably waiting for this promotion to Deputy PM having achieved all his objectives no doubt.
https://www.cableforum.co.uk/images/...size=375%2c250

So why don't we try a different model, like the French or German ones?

Because people will scream "privatisation", when in fact, the models are a mixture of public, private not-for-profit, and private. As long as the service is free at the point of use, which was the original NHS maxim, who cares how it is delivered.

Anything but the USA model, which is the biggest cause of bankruptcy for that country.

papa smurf 03-01-2018 14:08

Re: Crisis in the NHS
 
Quote:

Originally Posted by Hugh (Post 35930825)
So why don't we try a different model, like the French or German ones?

Because people will scream "privatisation", when in fact, the models are a mixture of public, private not-for-profit, and private. As long as the service is free at the point of use, which was the original NHS maxim, who cares how it is delivered.

Anything but the USA model, which is the biggest cause of bankruptcy for that country.

I think your right , we can't go on like this it's just not working .

pip08456 03-01-2018 14:35

Re: Crisis in the NHS
 
Quote:

Originally Posted by Hugh (Post 35930825)
So why don't we try a different model, like the French or German ones?

Because people will scream "privatisation", when in fact, the models are a mixture of public, private not-for-profit, and private. As long as the service is free at the point of use, which was the original NHS maxim, who cares how it is delivered.

Anything but the USA model, which is the biggest cause of bankruptcy for that country.

The NHS needs rebuilding from the ground up. It would be a mammoth task for any Government to take on and probaibly encounter massive resistance.

Osem 03-01-2018 14:37

Re: Crisis in the NHS
 
Quote:

Originally Posted by pip08456 (Post 35930827)
The NHS needs rebuilding from the ground up. It would be a mammoth task for any Government to take on and probaibly encounter massive resistance.

... and those are precisely the reasons it'll probably never happen sadly.

Mr K 03-01-2018 18:30

Re: Crisis in the NHS
 
Whatever, the Govt. have had 8 years to do something. They've done nothing except impose real term cuts in the face of increasing demand; what did they (and those that voted for them) think the result would be?

nomadking 03-01-2018 18:42

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35930814)
It can be predicted and this crisis was predicted. The Flu was going to be bad this year, forecast months ago, coupled with the Xmas break, cold weather, staff shortages and ageing population, it really isn't rocket science. We just haven't invested enough or employed and trained enough staff in the NHS. Poor management maybe a factor, but it's being used as a smokescreen to try and get away from the fact we're not paying or valuing the NHS or it's staff enough.

On top of that we've got a govt. who have an agenda to run the NHS down. Jeremy Hunt is very quiet, probably waiting for this promotion to Deputy PM having achieved all his objectives no doubt.
https://www.cableforum.co.uk/images/...size=375%2c250

Any timing can NEVER be accurately predicted. Do you cancel non-essential operations, just in case?

Similar problems happened BEFORE 2010, and are also happening in Scotland and Wales.

Hugh 03-01-2018 19:00

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35930860)
Whatever, the Govt. have had 8 years to do something. They've done nothing except impose real term cuts in the face of increasing demand; what did they (and those that voted for them) think the result would be?

And that’s why we will never progress - people don’t want to solve problems, they just want to blame and score points.

Difficult to have a cogent and reasonable discourse when a post begins with "Whatever" - what are you, 15 years old? :(

nomadking 03-01-2018 19:25

Re: Crisis in the NHS
 
They do things so much better across the EU, don't they?:rolleyes:
Last year.
Quote:

French hospitals are at breaking point due to a particularly virulent strain of flu that has spread across the country. Here's what you need to know about what's going on. So just how bad is the flu epidemic?
It’s bad enough for France’s Health Minister Marisol Touraine (see pic below) to call on hospitals across the country to delay non-urgent operations in order to free up hospital beds for patients suffering from flu.
Quote:

Cold weather, a flu epidemic and overcrowding are among the causes that have plunged hospitals in several European countries into a care crisis.
Quote:

Even high-tax Sweden is in the grip of a debate over staff shortages while flu is stretching Germany to breaking point and has triggered emergency measures in France to keep services going.
Quote:

Karolinska University Hospital in Solna and Huddinge have been in crisis mode since Thursday morning due to overcrowding sparked by a sudden increase in patients seeking emergency care.
Quote:

A recent report on Swedish television about the state of the country's healthcare system has shocked the population. For years hospitals have been suffering from nursing staff shortages, beds have been left unoccupied and patients face long waiting times for operations. And according to the report the problems have taken on life-threatening proportions in many areas.
2011 report.
Quote:

On paper, Germany fares well in terms of ratios of doctors
and nurses to population, with densities above the EU
average. Despite this high coverage, recent estimates
suggest that approximately 17,000 full-time physicians were
lacking in 2010; this shortage will rise to 56,000 in 2020
and 166,000 in 2030.
2009
Quote:

A staffing crisis is looming in Swiss hospitals, with 70 per cent reporting serious problems in recruiting medical and care personnel.

TheDaddy 03-01-2018 19:45

Re: Crisis in the NHS
 
Quote:

Originally Posted by Hugh (Post 35930825)
So why don't we try a different model, like the French or German ones?

Because people will scream "privatisation", when in fact, the models are a mixture of public, private not-for-profit, and private. As long as the service is free at the point of use, which was the original NHS maxim, who cares how it is delivered.

Anything but the USA model, which is the biggest cause of bankruptcy for that country.

Who are we inviting to help us, who are advising us, not the French or Germans but Americans so whose system will we end up adopting and having seen how bad the private sector has been for the ambulance service I don't think it's a good idea to further involve them tbh

Mr K 03-01-2018 20:07

Re: Crisis in the NHS
 
Quote:

Originally Posted by Hugh (Post 35930864)
And that’s why we will never progress - people don’t want to solve problems, they just want to blame and score points.

Difficult to have a cogent and reasonable discourse when a post begins with "Whatever" - what are you, 15 years old? :(

Slightly older Hugh.... ;)

The 'whatever' was frustration at the Govt. having done nothing, even if was part privatisation or the German/French system. They have just let the NHS rot, as they and their families don't use it. Do something/'whatever', not nothing except make cuts.

You say you'd be happy to pay more tax? Try putting forward a motion at the next Tory conference, good luck ! If it's not increasing the wealth of those there they won't be interested.

---------- Post added at 20:07 ---------- Previous post was at 19:46 ----------

Jeremy has said 'sorry' anyway, so that's all sorted then.... :rolleyes:
http://www.bbc.co.uk/news/health-42552267

Mick 03-01-2018 20:57

Re: Crisis in the NHS
 
My Nephew is much improved but docs were flummoxed as to what caused him to stop breathing, they said it's possible it could have been his temperature and his white blood cell count was high. They warned it could happen again, so that's not a good thing to be told.

They kept him in overnight but after being taken in the Ambulance at 7pm, they did not get seen till about 11.30pm last night. Utter shambles.

denphone 03-01-2018 21:02

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mick (Post 35930888)
My Nephew is much improved but docs were flummoxed as to what caused him to stop breathing, they said it's possible it could have been his temperature and his white blood cell count was high. They warned it could happen again, so that's not a good thing to be told.

.

l am glad he is much improved Mick as usually a high white blood cell count isn't a specific disease, but it can indicate another problem, such as infection, stress, inflammation, trauma, allergy, or certain diseases. That's why a high white blood cell count usually requires further investigation.

ianch99 03-01-2018 21:03

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mick (Post 35930888)
My Nephew is much improved but docs were flummoxed as to what caused him to stop breathing, they said it's possible it could have been his temperature and his white blood cell count was high. They warned it could happen again, so that's not a good thing to be told.

They kept him in overnight but after being taken in the Ambulance at 7pm, they did not get seen till about 11.30pm last night. Utter shambles.

Glad to hear he is on the mend .. good news indeed.

denphone 03-01-2018 21:08

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mick (Post 35930888)
They kept him in overnight but after being taken in the Ambulance at 7pm, they did not get seen till about 11.30pm last night. Utter shambles.

Sadly even going back under the previous administration that was happening sometimes as l was up there several times and waited quite a few hours each time so nothing has changed or improved much Mick under the current administration so as Hugh says perhaps we need to rethink the future gong forward of the NHS as its obviously to many the NHS as it stands is failing big time.

Hugh 03-01-2018 21:24

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35930875)
Slightly older Hugh.... ;)

The 'whatever' was frustration at the Govt. having done nothing, even if was part privatisation or the German/French system. They have just let the NHS rot, as they and their families don't use it. Do something/'whatever', not nothing except make cuts.

You say you'd be happy to pay more tax? Try putting forward a motion at the next Tory conference, good luck ! If it's not increasing the wealth of those there they won't be interested.

---------- Post added at 20:07 ---------- Previous post was at 19:46 ----------

Jeremy has said 'sorry' anyway, so that's all sorted then.... :rolleyes:
http://www.bbc.co.uk/news/health-42552267

Once again you focused on half of my statement, overlooking the second part of the statement about alternative approaches.

btw, last Tax Year, as I contracted half the year and was Permie the rest, I paid quite a lot in PAYE and NI, so you can see I have no issue paying tax (I could have drastically reduced my Tax and NI bill by setting up as a Limited Company, but chose not to). Also, I haven’t been to a Party Conference in over 20 years.

How much extra tax would you personally be willing to pay?

1andrew1 03-01-2018 21:50

Re: Crisis in the NHS
 
Quote:

Originally Posted by Hugh (Post 35930895)
Once again you focused on half of my statement, overlooking the second part of the statement about alternative approaches.

btw, last Tax Year, as I contracted half the year and was Permie the rest, I paid quite a lot in PAYE and NI, so you can see I have no issue paying tax (I could have drastically reduced my Tax and NI bill by setting up as a Limited Company, but chose not to). Also, I haven’t been to a Party Conference in over 20 years.

How much extra tax would you personally be willing to pay?

What alternative approaches are there? The current set-up is generally free at the point of delivery (bar prescriptions, car-parking/travel to hospitals) and with services funded by tax, NI, land sales, car-parking, shop rents etc. It is delivered by a combination of private and public sector staff.

Are we talking about a system of insurance instead or maybe something that incentivises good healthly lifestyles?

---------- Post added at 21:50 ---------- Previous post was at 21:47 ----------

Quote:

Originally Posted by Mick (Post 35930888)
My Nephew is much improved but docs were flummoxed as to what caused him to stop breathing, they said it's possible it could have been his temperature and his white blood cell count was high. They warned it could happen again, so that's not a good thing to be told.

They kept him in overnight but after being taken in the Ambulance at 7pm, they did not get seen till about 11.30pm last night. Utter shambles.

Good news he's home and much improved but a double trauma for everyone involved.

heero_yuy 04-01-2018 09:03

Re: Crisis in the NHS
 
Quote:

Originally Posted by denphone (Post 35930892)
Sadly even going back under the previous administration that was happening sometimes as l was up there several times and waited quite a few hours each time so nothing has changed or improved much Mick under the current administration so as Hugh says perhaps we need to rethink the future gong forward of the NHS as its obviously to many the NHS as it stands is failing big time.

The problem IMHO: The NHS is based on a 1948 model of society where the elderly were generally looked after by their own families in their own houses even when quite ill.

Most people were proficient in first aid and didn't go running to their doctor or A&E when they split a fingernail.

Also the treatments that were provided were pretty basic by todays standards and much less expensive to implement.

Today the snowflakes can't look after themselves and any slight problem is a major illness to be dealt with a the flick of a button for instant gratification like any other problem that they encounter.

Families don't look after their own and expect the state to pick up the tab however expensive that may be.

The NHS has to continue to be reformed and made fit for purpose but the other elements surrounding it have to alse be taken into account. Just playing party politics with it and assuming that somehow it was in some kind of golden age under either party in the past is just to be very naïve.

As illustrated in Nomadking's post the problems are not unique to the NHS but Europe wide.

There needs to be a serious discussion about how much treatment the NHS will provide free at the point of delivery. Obviously A&E but what about elective proceedures such as breast operations and IVF?

Maggy 04-01-2018 09:11

Re: Crisis in the NHS
 
Breast operations? I hope you are not including breast cancer treatment.After all a woman who has to lose a breast as a consequence may not have the wherewithal to pay for reconstructive surgery.

Damien 04-01-2018 09:21

Re: Crisis in the NHS
 
Quote:

Originally Posted by Hugh (Post 35930825)
So why don't we try a different model, like the French or German ones?

Because people will scream "privatisation", when in fact, the models are a mixture of public, private not-for-profit, and private. As long as the service is free at the point of use, which was the original NHS maxim, who cares how it is delivered.

I largely agree with you. Especially how people will shout privatisation so no progress will ever be made. I think the whole debate around nationalisation vs privatisation cripples this country as people dogmatically insist on either one or the other irrespective of circumstance. A problem which doesn't exist on the continent who are a lot more pragmatic about this kind of thing.

One point about the French model though is not it's not quite free at the point of use. You do have to pay upfront for some minor things and then later get reimbursed depending on various forms of public and private insurance you can get.

As important as free at the point of use to me is the ease of use. Anything that gets into paperwork, reimbursements and so on I think should be avoided. As well as the cost of the America system the stress of getting the correct paperwork, taxes and coverage in addition to becoming sick must be horrible.

---------- Post added at 09:21 ---------- Previous post was at 09:12 ----------

Quote:

Originally Posted by heero_yuy (Post 35930934)
Today the snowflakes can't look after themselves and any slight problem is a major illness to be dealt with a the flick of a button for instant gratification like any other problem that they encounter.?

Is this really the issue?

It seems the biggest burdens on the NHS are an aging population, obesity and alcohol. In 1948 there were fewer old people relative to the population and fewer treatments available. I am not sure the problem with the NHS is snowflakes using it for minor conditions.

heero_yuy 04-01-2018 09:45

Re: Crisis in the NHS
 
Quote:

Originally Posted by Maggy J (Post 35930935)
Breast operations? I hope you are not including breast cancer treatment.After all a woman who has to lose a breast as a consequence may not have the wherewithal to pay for reconstructive surgery.

I did say elective. Reconstruction after cancer certainly should be done in the NHS but then we get this:

Quote:

FERTILITY experts say the NHS must freeze eggs from gender-swap teen girls so they can have kids in the future.

The demand is included in new guidelines to hospital medics from the British Fertility Society.

The guidance says the procedure “should be performed as soon as possible” during the sex change process.

It costs around £5,000 to harvest the eggs and a further £300 annually for storage.
Source

No wonder money is short. :rolleyes:

Osem 04-01-2018 11:28

Re: Crisis in the NHS
 
The NHS is having to cope with far more people with far more complicated problems for far longer than has ever been the case. It's also having to deal with the problems caused by short sighted cuts in social care but let's not pretend that serious problems have only ever happened under one colour of government. The amount of money being spent on PFI is staggering and could far better have been spent sorting out the fundamental issues. It's ironic that many people seem to be complaining about the NHS whilst at the same time demanding ever more from it by way of all sorts of services never originally envisaged, going to GP's when they don't really need to and abusing our A&E's/ambulance services with the most trivial complaints... :spin:

---------- Post added at 11:28 ---------- Previous post was at 11:24 ----------

Quote:

Originally Posted by Damien (Post 35930936)
I largely agree with you. Especially how people will shout privatisation so no progress will ever be made. I think the whole debate around nationalisation vs privatisation cripples this country as people dogmatically insist on either one or the other irrespective of circumstance. A problem which doesn't exist on the continent who are a lot more pragmatic about this kind of thing.

One point about the French model though is not it's not quite free at the point of use. You do have to pay upfront for some minor things and then later get reimbursed depending on various forms of public and private insurance you can get.

As important as free at the point of use to me is the ease of use. Anything that gets into paperwork, reimbursements and so on I think should be avoided. As well as the cost of the America system the stress of getting the correct paperwork, taxes and coverage in addition to becoming sick must be horrible.

---------- Post added at 09:21 ---------- Previous post was at 09:12 ----------



Is this really the issue?

It seems the biggest burdens on the NHS are an aging population, obesity and alcohol. In 1948 there were fewer old people relative to the population and fewer treatments available. I am not sure the problem with the NHS is snowflakes using it for minor conditions.

It's not THE problem because there are many but it is a significant problem as anyone who works in a GP surgery or A&E will tell you.

So what we have is a perfect storm a rapidly growing population which will inevitably result in an ever increasing amount of elderly to care for and keep alive at all costs even when they want to be allowed to die... :shrug:

heero_yuy 04-01-2018 11:44

Re: Crisis in the NHS
 
This piece by orthopaedic surgeon Michael Wilkinson helps define the problems and offers some possible solutions. Well worth a read.

(Yes, I know it's in the Sun but don't shoot the messenger)

Hugh 04-01-2018 12:13

Re: Crisis in the NHS
 
Quote:

Originally Posted by heero_yuy (Post 35930944)
This piece by orthopaedic surgeon Michael Wilkinson helps define the problems and offers some possible solutions. Well worth a read.

(Yes, I know it's in the Sun but don't shoot the messenger)

I would support something like this - it’s what my son does at the moment, as he is on a Working Tourist Visa in Oz.
Quote:

I’m particularly fond of the Australian system. It’s a mix of state and private care and, largely, it works.

There is universal provision through Medicare. If you earn above a certain amount you then pay a Medicare supplement or have health insurance.

If you have health insurance, that is tax deductible because you are not making a claim upon the state.

Damien 04-01-2018 13:32

Re: Crisis in the NHS
 
Quote:

Originally Posted by Osem (Post 35930942)
It's not THE problem because there are many but it is a significant problem as anyone who works in a GP surgery or A&E will tell you.

So what we have is a perfect storm a rapidly growing population which will inevitably result in an ever increasing amount of elderly to care for and keep alive at all costs even when they want to be allowed to die... :shrug:

I think certainly in A&E and GPs it could be a problem but just in terms of cost and pressure elsewhere on the system I doubt it accounts for much. A&E seems to have a lot of issues that arise from binge drinking.

As for the idea of allowing people to die that's a whole other interesting topic that could go on for a while....:D

nomadking 04-01-2018 14:01

Re: Crisis in the NHS
 
The card idea is nonsense. All the health tourists have to do is see a GP and a NHS number is issued. Same would go for a card of any sort. Also they would easily fake them or simply borrow somebody else's.

Mr K 04-01-2018 14:22

Re: Crisis in the NHS
 
Quote:

Originally Posted by Damien (Post 35930936)

It seems the biggest burdens on the NHS are an ageing population, obesity and alcohol. In 1948 there were fewer old people relative to the population and fewer treatments available. I am not sure the problem with the NHS is snowflakes using it for minor conditions.

Actually life expectancy is now plateauing.
http://www.independent.co.uk/voices/...-a8131526.html
Quote:

On 16 November, an article in the British Medical Journal Open concluded that severe public spending cuts in the UK were associated with 120,000 deaths between 2010 and 2017.
Buried deep in a note towards the end of a recent bulletin published by the British Government’s statistical agency was a startling revelation. On average, people in the UK are now projected to live shorter lives than previously thought.

In their projections, published in October 2017, statisticians at the Office for National Statistics (ONS) estimated that by 2041, life expectancy for women would be 86.2 years and 83.4 years for men. In both cases, that’s almost a whole year less than had been projected just two years earlier. And the statisticians said life expectancy would only continue to creep upwards in future.

As a result, and looking further ahead, a further one million earlier deaths are now projected to happen across the UK in the next 40 years by 2058. This number was not highlighted in the report. But it jumped out at us when we analysed the tables of projections published alongside it.

It means that the 110 years of steadily improving life expectancy in the UK are now officially over. The implications of this are huge and the reasons the statistics were revised is a tragedy on an enormous scale...

...And then, after 2011, under the Conservative-led Governments of David Cameron and Theresa May, nothing. No improvement. Life expectancy flat-lined.
I have been in and out of hospital with my elderly mother, who is in failing health with heart failure, several times over the last few months. They've never admitted her although I'm sure they should have done as more than once I've had to bring her back next day, or paramedics have had to take her back in. Getting her in and out of the house is a major exercise and very risky given she can hardly walk. There are basically no beds and if you've got anyone at home, they just send you home - false economy giving we have call the ambulance out several times - not for minor things, collapsing and not being able to breathe... It's an impossible situation for the NHS and anyone that needs it at the moment (and my hospital is supposedly one of the best performing trusts in the country !)

Mick 04-01-2018 15:02

Re: Crisis in the NHS
 
NHS chiefs needs to stop playing with numbers and Statistics. These are real peoples lives. Theresa May and Hunt trying to play down the issues, won’t wash, not when real people are suffering. LBC was discussing how a woman lost her son after waiting over 14 hours to receive treatment.

This is negligence and negligence is a form of physical and psychological abuse.

denphone 04-01-2018 17:49

Re: Crisis in the NHS
 
Ambulance A&E delays hit 1 in 8.

http://www.bbc.co.uk/news/health-42560312

Damien 04-01-2018 18:51

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mick (Post 35930993)
NHS chiefs needs to stop playing with numbers and Statistics. These are real peoples lives. Theresa May and Hunt trying to play down the issues, won’t wash, not when real people are suffering. LBC was discussing how a woman lost her son after waiting over 14 hours to receive treatment.

This is negligence and negligence is a form of physical and psychological abuse.

I think he very least they can do is reverse cuts to social care to free up some beds/resources that have overflown into the NHS. Either way it's going to take time.

alanbjames 04-01-2018 19:06

Re: Crisis in the NHS
 
I was taken into hospital in October and spent almost 3hrs in the back of an Ambulance before being offloaded.

1andrew1 04-01-2018 19:33

Re: Crisis in the NHS
 
Quote:

Originally Posted by Damien (Post 35931007)
I think he very least they can do is reverse cuts to social care to free up some beds/resources that have overflown into the NHS. Either way it's going to take time.

In the short term, the Government needs to increase spending on social care and the NHS. This will almost certainly have to be through increased borrowing or taxation. It is unlikely to be at the expense of projects like HS2, Brexit and Hinckley Point.

papa smurf 04-01-2018 22:20

Re: Crisis in the NHS
 
Quote:

Originally Posted by 1andrew1 (Post 35931017)
In the short term, the Government needs to increase spending on social care and the NHS. This will almost certainly have to be through increased borrowing or taxation. It is unlikely to be at the expense of projects like HS2, Brexit and Hinckley Point.

£13.3bn. spent on foreign aid in 2016 can't find figure for last year but why not use this to support our country's needs

Mr K 04-01-2018 22:31

Re: Crisis in the NHS
 
Quote:

Originally Posted by papa smurf (Post 35931063)
£13.3bn. spent on foreign aid in 2016 can't find figure for last year but why not use this to support our country's needs

0.7% of our national income Smurf. A small price to pay, and in our interests, to try and stop the rest of the World imploding. It wouldn't rescue the NHS.

However £350m a week (£18.2bn a year) from the EU would go further. Saw on the side of a bus , so it must be true....

papa smurf 04-01-2018 22:34

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35931065)
0.7% of our national income Smurf. A small price to pay, and in our interests, to try and stop the rest of the World imploding. It wouldn't rescue the NHS.

However £350m a week (£18.2bn a year) from the EU would go further. Saw on the side of a bus , so it must be true....

i would rather spend the money on our citizens but if they don't matter to you why moan about the NHS you need to put that brexit hiss'y fit to bed we haven't left yet .

1andrew1 04-01-2018 22:35

Re: Crisis in the NHS
 
Quote:

Originally Posted by papa smurf (Post 35931063)
£13.3bn. spent on foreign aid in 2016 can't find figure for last year but why not use this to support our country's needs

Presumably because the Government thinks it's in the UK interests to do this.
But no reason that all spending shouldn't be re-examined in light of this Winter's problems.
But looks like there are severe pressures elsewhere with a £20bn black hole in the MoD's budget.

Gavin78 04-01-2018 23:53

Re: Crisis in the NHS
 
Because the foreign aid is supposed to go towards education, better medical suppplies, training teachers and DR's and to help rid the spread of viruses that we got rid of a long time ago.

---------- Post added at 23:53 ---------- Previous post was at 23:50 ----------

There as been an email going around at the min.

Registered Nurses only



Dear Colleagues,



We have vacant shifts up to and including the night shift of 14th January 2018 within:

· Abdominal Medicine and Surgery

· Emergency and Speciality Medicine



These shifts qualify for a financial bonus if they form a minimum of 22.5 hours worked in addition to your contracted hours, between the night shift of 29th December 2017 up to and including the night shift of 14th January 2018.

£200 bonus providing 22.5hrs have been met inc your contracted hours.

So it's really bad at the min where I am

OLD BOY 05-01-2018 09:58

Re: Crisis in the NHS
 
Quote:

Originally Posted by 1andrew1 (Post 35931017)
In the short term, the Government needs to increase spending on social care and the NHS. This will almost certainly have to be through increased borrowing or taxation. It is unlikely to be at the expense of projects like HS2, Brexit and Hinckley Point.

You can't just keep chucking shedloads of money into the NHS. We need a thorough investigation into the way this organisation works, including how better use of technology, less waste, improving home care services, more use of volunteers and adopting ideas from the best health care services operating abroad could make it more efficient. We also need to look again at what the NHS provides free at the point of delivery. Visitors to this country should be charged and to assist the process, they should be required to have health insurance before passing border control.

As a temporary measure, perhaps the NHS should arrange for more operations to be carried out abroad to reduce the backlog.

I think the reckless waste of taxpayer's money should cease. Nobody would seriously run a business the way the NHS is run. The whole thing should be decentralised, with hospitals, surgeries, etc running independently of government bureaucracy.

It is essential that we take the politics out of this. You cannot manage the NHS from the House of Commons, and 'weaponising' the NHS is a disgusting concept. This is about people's lives, not politicians and their egos.

1andrew1 05-01-2018 10:53

Re: Crisis in the NHS
 
Quote:

Originally Posted by OLD BOY (Post 35931100)
You can't just keep chucking shedloads of money into the NHS. We need a thorough investigation into the way this organisation works, including how better use of technology, less waste, improving home care services, more use of volunteers and adopting ideas from the best health care services operating abroad could make it more efficient. We also need to look again at what the NHS provides free at the point of delivery. Visitors to this country should be charged and to assist the process, they should be required to have health insurance before passing border control.

As a temporary measure, perhaps the NHS should arrange for more operations to be carried out abroad to reduce the backlog.

I think the reckless waste of taxpayer's money should cease. Nobody would seriously run a business the way the NHS is run. The whole thing should be decentralised, with hospitals, surgeries, etc running independently of government bureaucracy.

It is essential that we take the politics out of this. You cannot manage the NHS from the House of Commons, and 'weaponising' the NHS is a disgusting concept. This is about people's lives, not politicians and their egos.

That's why I said as a short-term measure, we need to spend more money on social care and the NHS.
I don't know what you mean by the weaponise jargon but it's an important issue that comes up at every election so shouldn't be off limits in discussions and elections. You will never get the politics out of tax-payee/NI-funded organisations unless you're in a country like North Korea.
The NHS is quite a decentralised organisation. Local hospitals are independent trusts and GPs surgeries, dispensing pharmacists and opticians are all independently run. Some say this is part of the problem with different systems from one NHS provider to the next.

Gavin78 05-01-2018 18:13

Re: Crisis in the NHS
 
Quote:

Originally Posted by 1andrew1 (Post 35931103)
That's why I said as a short-term measure, we need to spend more money on social care and the NHS.
I don't know what you mean by the weaponise jargon but it's an important issue that comes up at every election so shouldn't be off limits in discussions and elections. You will never get the politics out of tax-payee/NI-funded organisations unless you're in a country like North Korea.
The NHS is quite a decentralised organisation. Local hospitals are independent trusts and GPs surgeries, dispensing pharmacists and opticians are all independently run. Some say this is part of the problem with different systems from one NHS provider to the next.

thats changing though so all these systems are starting to talk to each other so even though they are a different organisation you can access their information.

1andrew1 05-01-2018 23:47

Re: Crisis in the NHS
 
Quote:

Originally Posted by Gavin78 (Post 35931152)
thats changing though so all these systems are starting to talk to each other so even though they are a different organisation you can access their information.

That sounds like a step in the right direction. Still unsure why after 20 years + of email, so many GPs surgeries and pharmacists are so dependent on fax machines!

Gavin78 07-01-2018 13:51

Re: Crisis in the NHS
 
Quote:

Originally Posted by 1andrew1 (Post 35931205)
That sounds like a step in the right direction. Still unsure why after 20 years + of email, so many GPs surgeries and pharmacists are so dependent on fax machines!

Because a lot of documentation is still hand written, some has to be like nursing notes, some drugs need to be recorded hand written.

All that may change though with the roll out of tablets across the trusts. They haven't hit our ward yet probably just the inpatient ones.

They are trying to cut down on paper work as all this needs to be inputted off site. I was told the mounds of paper work alone just from the back care advisors that do my key training that there is a small wharehouse full of paper work about 100,000 folders going back 25 years that is all still waiting to be inputted into digital format and they are getting through it slowly.

pip08456 07-01-2018 14:46

Re: Crisis in the NHS
 
And of course scanners haven't existed all that long.

Taf 07-01-2018 16:30

Re: Crisis in the NHS
 
Hospital managers have learned that they cause "mayhem" by pushing departments to book procedures for the winter, knowing full well that they will have to be cancelled and cause a kickback against the government.

Damien 07-01-2018 17:17

Re: Crisis in the NHS
 
Quote:

Originally Posted by Taf (Post 35931415)
Hospital managers have learned that they cause "mayhem" by pushing departments to book procedures for the winter, knowing full well that they will have to be cancelled and cause a kickback against the government.

The problem with the idea of not scheduling operations for the winter is that this is a 3 to 4 month period where the crisis can hit. Whilst they might have to explore this you can't have a quarter of the year written off for operations especially when for at least half of that time you will likely have the capacity to perform the operations.

As for the idea it's some sort of callous conspiracy from hospitals is there any evidence there is an abnormally high amount of operations booked for January?

---------- Post added at 17:17 ---------- Previous post was at 17:12 ----------

Quote:

Originally Posted by OLD BOY (Post 35931100)
It is essential that we take the politics out of this. You cannot manage the NHS from the House of Commons, and 'weaponising' the NHS is a disgusting concept. This is about people's lives, not politicians and their egos.

Ultimately it's the politicians who are responsible for the running of the National Health Service. It's typically those who do not want to be held political responsible that urge something isn't politicised. In the end it is a political issue.

I think for a start it's would be easier to take the politics out of this if there were political consensus on how to reform the NHS. You can have a cross-party committee and I think there is a good argument for that but I can't imagine them coming to an agreement.

Taf 07-01-2018 18:38

Re: Crisis in the NHS
 
Quote:

Originally Posted by Damien (Post 35931419)
is there any evidence there is an abnormally high amount of operations booked for January?

Our local NHS Trust said they would "taper off" scheduled procedures (that would require time on a ward) prior to the winter influx of (flu) patients, only "returning to normal operations" once beds started to be cleared. Day surgeries were not affected, neither were out-patient appointments.

That was for the winter of 2016/2017, and it was successful.

No sign of this policy this winter though.

A big stumbling block that is causing bed-blocking is the lack of council services available to support recovering patients in their own homes. And that is just down to budget management and "austerity".

Gavin78 07-01-2018 22:23

Re: Crisis in the NHS
 
Quote:

Originally Posted by Taf (Post 35931432)
Our local NHS Trust said they would "taper off" scheduled procedures (that would require time on a ward) prior to the winter influx of (flu) patients, only "returning to normal operations" once beds started to be cleared. Day surgeries were not affected, neither were out-patient appointments.

That was for the winter of 2016/2017, and it was successful.

No sign of this policy this winter though.

A big stumbling block that is causing bed-blocking is the lack of council services available to support recovering patients in their own homes. And that is just down to budget management and "austerity".


Bed blocking is a issue for our department as well, some are on kick beds but again everything is slow to put in motion for outside services often left for the wards themselves to sort out causing hours of lost man hours chasing round just to get a healthy patient off the wards

tweetiepooh 09-01-2018 11:25

Re: Crisis in the NHS
 
Home care and relying on council/social services is a societal issue as well as political. At one time families were more closely cohesive so when care was needed the family would provide it. Now the family is more dispersed and so isn't always as available to provide that role. Yes there is always the need for more specialist cover in some cases.

But there are only finite resources that need to be managed. But that management isn't always very good and as resources shrink but cost increase managers appoint more managers to help manage the shortfall creating more shortfall.

My grandmother used to say that hospitals need to return staff positions like matron to "rule" the wards, someone with experience that could apply common sense rather than the risk adverse "silliness" that can cause so many difficulties.

OLD BOY 09-01-2018 18:54

Re: Crisis in the NHS
 
Quote:

Originally Posted by Damien (Post 35931419)

Ultimately it's the politicians who are responsible for the running of the National Health Service. It's typically those who do not want to be held political responsible that urge something isn't politicised. In the end it is a political issue.

I think for a start it's would be easier to take the politics out of this if there were political consensus on how to reform the NHS. You can have a cross-party committee and I think there is a good argument for that but I can't imagine them coming to an agreement.

I'm sorry, but politicians should definitely not be running the NHS. They can set the funding arrangements, standards and principles, but the day to day running and management of the organisation should be left to managers.

denphone 10-01-2018 05:49

Re: Crisis in the NHS
 
Typical of our politicians never giving a straight truthful answer to simple straight questions.:(

https://www.standard.co.uk/news/poli...-a3733866.html

nomadking 10-01-2018 08:08

Re: Crisis in the NHS
 
Perhaps we should follow Scotland?
Quote:

The latest weekly figures show that just 78% of patients across Scotland were either admitted, transferred or discharged within the four-hour target time of 95% - that is the lowest since weekly figures began in February 2015.
Or perhaps not.

France?
Quote:

France has declared an epidemic as it battles its own subtype of influenza, which is different from the bug sweeping across the UK.
...
While Britain has been hit hard by the flu, the situation is even worse in France.
According to FranceInfo, nearly 11,500 people visited hospital or A&E with flue-like symptoms in the last week of 2017.
Switzerland?
Quote:

Switzerland is in the grip of a flu epidemic after the number of cases of the viral infection increased in all parts of the country in the week before Christmas.
The problems occur EVERYWHERE that the different flu viruses are active.

Mr K 10-01-2018 13:43

Re: Crisis in the NHS
 
Quote:

Originally Posted by nomadking (Post 35931791)
The problems occur EVERYWHERE that the different flu viruses are active.

I don't think there are many first world countries having to delay cancer treatment because of a lack of staff.

Quote:

A leading NHS hospital is delaying chemotherapy for cancer patients and those who are terminally ill face cuts to their treatment because of a chronic shortage of specialist nurses, according to a leaked memo.
https://www.thetimes.co.uk/edition/n...taff-t6nswqm5b

Mr K 11-01-2018 17:00

Re: Crisis in the NHS
 
Quote:

Patients are dying in hospital corridors as safety is compromised by "intolerable" conditions, doctors say.

The warning has been made in a letter to the prime minister signed by 68 senior A&E doctors, spelling out the danger patients are facing this winter.

It comes as reports have emerged of people being left for hours on trolleys in corridors and stuck in ambulances.

And hospital bosses said they had run out of beds as they battle with "very high" rates of flu.

Official figures show the number of hospital admissions from flu has risen by more than 50% in the past week in England, although Public Health England officials said the levels were certainly not "unprecedented".

Instead, hospital bosses have blamed the bed shortages on a lack of money and staff.

Last week, there was a point when 133 out of 137 hospital trusts in England had an unsafe number of patients on their wards, NHS records show.
http://www.bbc.co.uk/news/health-42572116

This is getting horrendous if people can't even die with dignity. The govt. seem to be using flu as the excuse, but a bad flu winter was predicted months ago. What extra provision was made ?

denphone 11-01-2018 17:20

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35932027)
http://www.bbc.co.uk/news/health-42572116

This is getting horrendous if people can't even die with dignity. The govt. seem to be using flu as the excuse, but a bad flu winter was predicted months ago. What extra provision was made ?

Absolutely unacceptable no matter what ones politics is as the big flashing warning signs had been there for a long while.

nomadking 11-01-2018 17:39

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35931830)
I don't think there are many first world countries having to delay cancer treatment because of a lack of staff.

https://www.thetimes.co.uk/edition/n...taff-t6nswqm5b

I have highlighted instances around the world where there are medical staff shortages. That is likely to cover ALL areas, so it's likely they DO have similar delays.

Quote:

How does NHS treatment for cancer patients measure up to that in France, where overall survival rates are higher?
That was from 2007, after 10 years of a Labour Government with their post-2000 splurge on spending.

Mr Banana 11-01-2018 18:19

Re: Crisis in the NHS
 
My daughters a Nurse in Edinburgh, she reckons 4 out of 10 of the people she sees, leave without needing any treatment. Think we are a large part of the problem.

heero_yuy 11-01-2018 18:30

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr Banana (Post 35932031)
My daughters a Nurse in Edinburgh, she reckons 4 out of 10 of the people she sees, leave without needing any treatment. Think we are a large part of the problem.

Generation snowflake: A sneeze and it's ebola, tiny cough and straight to the GP demanding antibiotics, smallest cut and it's tetanus.

Whatever happened to first aid and common sense?

No wonder the NHS is collapsing under the strain of non-illness.

Mr K 11-01-2018 18:37

Re: Crisis in the NHS
 
Quote:

Originally Posted by heero_yuy (Post 35932032)
Generation snowflake: A sneeze and it's ebola, tiny cough and straight to the GP demanding antibiotics, smallest cut and it's tetanus.

Whatever happened to first aid and common sense?

No wonder the NHS is collapsing under the strain of non-illness.

yes, they must be snowflakes if they are dying in corridors. As for waiting for cancer treatment, they should have more patience I guess.

heero_yuy 11-01-2018 18:39

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35932034)
yes, they must be snowflakes if they are dying in corridors. As for waiting for cancer treatment, they should have more patience I guess.

Point. Missed. :rolleyes:

If the NHS wasn't overwhelmed by snowflakes then the desperately ill would get the treatment that they need.

Mr K 11-01-2018 18:41

Re: Crisis in the NHS
 
Quote:

Originally Posted by heero_yuy (Post 35932036)
Point. Missed. :rolleyes:

If the NHS wasn't overwhelmed by snowflakes then the desperately ill would get the treatment that they need.

A&E does not represent the whole of the NHS. It's you that's missed the point.

OLD BOY 11-01-2018 18:42

Re: Crisis in the NHS
 
Quote:

Originally Posted by heero_yuy (Post 35932032)
Generation snowflake: A sneeze and it's ebola, tiny cough and straight to the GP demanding antibiotics, smallest cut and it's tetanus.

Whatever happened to first aid and common sense?

No wonder the NHS is collapsing under the strain of non-illness.

Which is why there should be an upfront charge applied to time wasters.

dilli-theclaw 11-01-2018 18:48

Re: Crisis in the NHS
 
It does seem odd when I get admitted for having a lump on my knee! Seems a bit excessive to me.

denphone 11-01-2018 18:48

Re: Crisis in the NHS
 
Quote:

Originally Posted by OLD BOY (Post 35932038)
Which is why there should be an upfront charge applied to time wasters.

And how would they decide if they are timewasters or not? as its not as simple as ABC especially if some get sent packing only to come back with a serious illness that was not diagnosed and picked up when they were there the last time.

heero_yuy 11-01-2018 18:52

Re: Crisis in the NHS
 
Quote:

Originally Posted by dilli-theclaw (Post 35932043)
It does seem odd when I get admitted for having a lump on my knee! Seems a bit excessive to me.

But you have mitigating circumstances.

I'm talking about the huge base load of non problems that people used to be able to deal with themselves. This just overloads the NHS unnecessarily.

Just throwing ever spiraling amounts of money at it is not the solution.

Mr K 11-01-2018 18:58

Re: Crisis in the NHS
 
Quote:

Originally Posted by heero_yuy (Post 35932047)
Just throwing ever spiraling amounts of money at it is not the solution.

Jeremy Hunt thinks that's the solution, although it has taken him a while to come up with that genius idea.

https://www.theguardian.com/politics...-winter-crisis
Quote:

Jeremy Hunt has acknowledged the NHS will need “significantly more funding” over the next decade, as he faced calls from Labour to quit for losing the confidence of doctors, patients and the prime minister.

Mr Banana 11-01-2018 19:08

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35932037)
A&E does not represent the whole of the NHS. It's you that's missed the point.

No but when there is a crisis, ward nurses get taken off normal duties to go and work in A&E, that’s one Of the reasons ops get cancelled

Mr K 11-01-2018 19:11

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr Banana (Post 35932051)
No but when there is a crisis, ward nurses get taken off normal duties to go and work in A&E, that’s the problem and why ops get cancelled.

there are over 100,000 vacancies in the NHS; it just might be a factor.
https://inews.co.uk/news/uk/health-s...overtime-free/

Tell you what's a good idea, indicate to any remaining EU staff that they are not welcome any longer.. Or make student nurses take out loans for their own training...

Mr Banana 11-01-2018 19:19

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35932053)
there are over 100,000 vacancies in the NHS; it just might be a factor.
https://inews.co.uk/news/uk/health-s...overtime-free/

Tell you what's a good idea, indicate to any remaining EU staff that they are not welcome any longer.. Or make student nurses take out loans for their own training...

I agree its wrong to have students paying for their training. On your other point, if we didn't go running to hospital with every sniff, would we need 100,000 extra staff?

Mr K 11-01-2018 19:24

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr Banana (Post 35932059)
I agree its wrong to have students paying for their training. On your other point, if we didn't go running to hospital with every sniff, would we need 100,000 extra staff?

Trying to deflect blame to the public, is letting the govt off the hook.

(I have no time for A&E time wasters believe me. I have been in a cubicle with my son been told he has a very serious illness with a couple of drunks in the next cubicle).

Mr Banana 11-01-2018 19:30

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35932061)
Trying to deflect blame to the public, is letting the govt off the hook.

(I have no time for A&E time wasters believe me. I have been in a cubicle with my son been told he has a very serious illness with a couple of drunks in the next cubicle).

Its not deflecting, i'm saying we are part of the problem. The government are also part of the problem just like the Labour party have been part of the problem in years gone by.

Mr K 11-01-2018 19:41

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr Banana (Post 35932063)
Its not deflecting, i'm saying we are part of the problem. The government are also part of the problem just like the Labour party have been part of the problem in years gone by.

Possibly we are part of the problem, we keep getting older, and keep voting in parties on the basis of low taxes. We do need to get real if want a Health Service.

heero_yuy 12-01-2018 09:13

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35932067)
Possibly we are part of the problem, we keep getting older, and keep voting in parties on the basis of low taxes. We do need to get real if want a Health Service.

13 years of Labour with >100 new stealth taxes and yet the NHS didn't get any better?

OLD BOY 12-01-2018 11:19

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr Banana (Post 35932059)

I agree its wrong to have students paying for their training. On your other point, if we didn't go running to hospital with every sniff, would we need 100,000 extra staff?

Why? I had to pay for mine!!

Maggy 12-01-2018 11:37

Re: Crisis in the NHS
 
Quote:

Originally Posted by OLD BOY (Post 35932142)
Why? I had to pay for mine!!

I didn't.

denphone 12-01-2018 11:44

Re: Crisis in the NHS
 
Nor did any of our family and friends who worked or are still working for the NHS.


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