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Re: Crisis in the NHS
http://www.telegraph.co.uk/news/2017...ephen-hawking/
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An issue I hope David Davis is engaged on
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BREAKING: ALL Hospitals Accident and Emergency dept. in England have been placed in emergency measures.
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All operations and in-patient treatments cancelled until the end of the month across England? :shocked:
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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. :( |
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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). |
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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. |
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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...) |
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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.
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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.
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Are these mythical staff going to sit around most of the year waiting for when, or if, a peak in demand occurs? |
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Regarding the second point, we're talking about filling vacancies not employing people for the sake of it. |
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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.
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We're talking here about filling all the unfilled vacancies through making roles more attractive, not about Winter time demand projections. |
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we send the BBC 71 million per week let's spend that on the NHS instead |
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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 |
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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. |
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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. |
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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?
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Similar problems happened BEFORE 2010, and are also happening in Scotland and Wales. |
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Difficult to have a cogent and reasonable discourse when a post begins with "Whatever" - what are you, 15 years old? :( |
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They do things so much better across the EU, don't they?:rolleyes:
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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 |
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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. |
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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? |
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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:
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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? |
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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.
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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:
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. |
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No wonder money is short. :rolleyes: |
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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:
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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: |
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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) |
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As for the idea of allowing people to die that's a whole other interesting topic that could go on for a while....:D |
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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.
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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. |
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I was taken into hospital in October and spent almost 3hrs in the back of an Ambulance before being offloaded.
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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.... |
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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. |
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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 |
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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. |
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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. |
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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. |
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And of course scanners haven't existed all that long.
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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.
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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:
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. |
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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". |
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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 |
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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. |
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Typical of our politicians never giving a straight truthful answer to simple straight questions.:(
https://www.standard.co.uk/news/poli...-a3733866.html |
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Perhaps we should follow Scotland?
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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 ? |
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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.
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Whatever happened to first aid and common sense? No wonder the NHS is collapsing under the strain of non-illness. |
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If the NHS wasn't overwhelmed by snowflakes then the desperately ill would get the treatment that they need. |
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It does seem odd when I get admitted for having a lump on my knee! Seems a bit excessive to me.
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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. |
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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... |
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(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). |
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Nor did any of our family and friends who worked or are still working for the NHS.
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