Re: Millions to be affected by NHS plan to ration 34 everyday tests and treatments
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Re: Millions to be affected by NHS plan to ration 34 everyday tests and treatments
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There are plenty of inefficiences in the NHS, and anyone who has visited a hospital on a few occasions can see that. Huge paper files being carted about, hospitals in one area unable to communicate or access your papers from your surgery if it's in a different area, trolleys with nothing on them being pushed in one direction, then another, with no obvious purpose - the list is endless. We can do better than this. |
Re: Millions to be affected by NHS plan to ration 34 everyday tests and treatments
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We can do better I’m sure, which brings us back to the 2 trillion of debt accumulated from 40 years of neo-liberal capitalist failure. We lose £40bn a year in interest payments alone. Roughly one third of NHS expenditure in England. Politicians have to be honest. Pay a few extra pence in tax, pay $321 a month in private heath insurance. Those are the options. |
Re: Millions to be affected by NHS plan to ration 34 everyday tests and treatments
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For comparison, I have worked on migrating the data from current systems and implementing an SAP ERP system in a University, which covered Finance, HR, and Education (about half the systems in use in the University at that time, but the rest had to integrate with the S4/HANA) - that took 3 years and about £30 million. The NHS, with multiple times the complexity and organisational change required (you don’t just implement IT systems, you have to analyse the business processes required to support and drive the business forward, amend the systems to reflect the business processes, then redesign and train colleagues to be able to use the systems whilst doing their day jobs), would take decades and 10s of billions of pounds - we don’t plan or invest that long term in this country. There are in England: 207 clinical commissioning groups 135 acute non-specialist trusts (including 84 foundation trusts) 17 acute specialist trusts (including 16 foundation trusts) 54 mental health trusts (including 42 foundation trusts) 35 community providers (11 NHS trusts, 6 foundation trusts, 17 social enterprises and 1 limited company) 10 ambulance trusts (including 5 foundation trusts) 7,454 GP practices 853 for-profit and not-for-profit independent sector organisations, providing care to NHS patients from 7,331 locations How do you gain agreement with all these groups on a standard way of doing things? tl:dr - it’s not that simple or easy |
Re: Millions to be affected by NHS plan to ration 34 everyday tests and treatments
The fun thing is they'll probably have to something at some point, even if it's transitioning in a new system for new generations of patients whilst the rest of us use older systems.
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Re: Millions to be affected by NHS plan to ration 34 everyday tests and treatments
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I’m just going off the article but it seems from those examples to be completely rational. |
Re: Millions to be affected by NHS plan to ration 34 everyday tests and treatments
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Re: Millions to be affected by NHS plan to ration 34 everyday tests and treatments
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Re: Millions to be affected by NHS plan to ration 34 everyday tests and treatments
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As far as the NHS is concerned, I would remind you that the Conservatives stripped a huge layer of management out of the NHS after they came to power in 2010 and nobody seems to have noticed! We have a way to go yet. Problems are not resolved just by throwing money at them and the measure of a well-run service is not how heavily they are sponsored by the State. ---------- Post added at 09:41 ---------- Previous post was at 09:34 ---------- Quote:
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Re: Millions to be affected by NHS plan to ration 34 everyday tests and treatments
Most systems are setup to protect the system whether that is private or public. Those running in ensure that they are looked after first.
So whatever and however it's funded the admin layers are protected and the front end both patient and practitioner are looked after only as it helps the admin layer. I used to work in NHS IT at a specialist hospital. Was always annoyed that we updated our platforms to meet new requirement and others with big, paid for systems couldn't. Then we hear about how it's so hard to build a NHS network and me thinks that some of the issues need a firm hand rather than technical waffle. The NHS should specify the interface and suppliers/unit comply with that interface e.g. a query looks like this and you provide the answer like this - how you do that is then irrelevant. The problems in other areas are similar, too much interference in the minutia. The NHS supplies standards/targets, units work to those however they want to. Being ridiculous, a national target to deal with farm incidents isn't needed for an inner city hospital but (if not careful) would still be a target needing budget set aside. |
Re: Millions to be affected by NHS plan to ration 34 everyday tests and treatments
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I used to see the clinical systems trainers coming back from training primary care (GP's) on C&B they would be distraught as many GP's surgeries would just completely ignore what they were being told to do or actively refuse to do it. and that was only IF they could get past the practice manager (who generally were incredibly obnoxious individuals who took every opportunity to block progress) There was and to a degree still is a considerable disconnect between primary and secondary care services within the NHS. |
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The clue's in the title - managers manage workloads and budgets, allowing the clinicians to focus on patients. ---------- Post added at 15:15 ---------- Previous post was at 15:02 ---------- CF'ers may find this informative (it's from 8 years ago, and the reporting and funding have got even more complex since then). https://www.kingsfund.org.uk/publica...rs-and-the-nhs Quote:
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Re: Millions to be affected by NHS plan to ration 34 everyday tests and treatments
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Re: Millions to be affected by NHS plan to ration 34 everyday tests and treatments
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Re: Millions to be affected by NHS plan to ration 34 everyday tests and treatments
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