The NHS reform discussion thread

Originally Posted by Alan Fry

Fancy buying shares in NHS plc?

If i was a private contractor would love some.

[Alan Fry]

Originally Posted by richard1960

If i was a private contractor would love some.

Is you company called Richard Healthcare?

[Chrysalis]

Originally Posted by richard1960

The only problem i could see with that being there are surgeries were i live and neighbouring areas where the surgery is fit to bursting and they simply could not take in other patients from neighbouring postcode areas.

That is a likely outcome yes.

However budgets could follow the patients so the good areas with extra patients would get more budget to cope.

Originally Posted by Chrysalis

That is a likely outcome yes.

However budgets could follow the patients so the good areas with extra patients would get more budget to cope.

Yes thats one possibilty do not know what its like where you live but the surgeries around here would need to be larger as the more successful ones would need to take on more GPs to cope.

I for instance would like to change my surgery but the one i would like to register with could not physically cope with any extra pateints in their current building, even with extra funding following the patient .

But where it is possible i think it is a very good idea in principle .

Originally Posted by Alan Fry

Please can you be Heath Secretary!

---------- Post added at 10:41 ---------- Previous post was at 10:36 ----------



Why should health workers face a wage cut?

As for Competition, take the USA for example and I would rather have one good heathcar provider, rather than many bad ones!

Until I see the rich selling they cars, yachts, planes and other luxury good, I am not convinced that we are in "straitened times"

Also I 100% disagree with PFI and we should pay all the debts relating to it and ban its use!

Strange you don't mention the German or the Australian models, which seem to work quite well....

[Chrysalis]

Originally Posted by richard1960

Yes thats one possibilty do not know what its like where you live but the surgeries around here would need to be larger as the more successful ones would need to take on more GPs to cope.

I for instance would like to change my surgery but the one i would like to register with could not physically cope with any extra pateints in their current building, even with extra funding following the patient .

But where it is possible i think it is a very good idea in principle .

yeah its one of those things that seems a good idea but could of course blow up.

its very possible that cities which are overwhelmed and masses of patients moving to better served areas may simply move a problem and previous good areas become swamped and decline. However I do feel patients should have choice as the alternative is paying to move which I feel is wrong.

[Alan Fry]

Originally Posted by Hugh

Strange you don't mention the German or the Australian models, which seem to work quite well....

Can you explain these models?

[mertle]

Now Royal college of paediatrics called for the bill to be scrapped.

http://www.bbc.co.uk/news/health-17142643

I cant see how cameron and his fellow cronies can force this through. I dont think anybody in illusion things need changing but proposals not good for NHS or patients.

The longer cameron pesist with his head strung atitude pigheadedness the worse his political future is dead duck.

I think if he pesists bankbenchers will start to panick on there future try bail a damage limitation kick his sorry ass out of no10.

Originally Posted by mertle

Now Royal college of paediatrics called for the bill to be scrapped.

http://www.bbc.co.uk/news/health-17142643

I cant see how cameron and his fellow cronies can force this through. I dont think anybody in illusion things need changing but proposals not good for NHS or patients.

The longer cameron pesist with his head strung atitude pigheadedness the worse his political future is dead duck.

I think if he pesists bankbenchers will start to panick on there future try bail a damage limitation kick his sorry ass out of no10.

He can carry on because public sector reform is the purview of government, not trade unions. For all their vaunted titles, that's what these Royal Colleges and Associations are. They are trade unions acting in the interests of their members.

They have a voice in this process; they do not have a veto.

[Alan Fry]

But will worry if Lib Dems and Tories MP's turn against the bill! Already the Lib Dems are not keen!

Originally Posted by Chrysalis

One thing that should go is locking patients to their postcode.

eg. all the GPs in my inner city area are of low standard but in areas outside of the city council they are of much higher quality but because of where I live I cant use them. If patients were given freedom to go where they like for healthcare then there is competition within the nhs but still kept as a public provided service.

Is this what you mean?

If you read what the reforms are all about then you will find that freedom of choice is one of the changes

10.5 Patient choice will be strengthened. Patients have the right to choose a GP. To make it easier for patients to exercise informed choice, a much wider range of information will be published about each GP practice including: list size; accessibility; and performance against standards in national service frameworks. Figures will also be published on the number of patients each practice removes from their list.

you may this informative

Originally Posted by Alan Fry

Can you explain these models?

Or you could look them up.....

Oz

Deutschland

10 seconds of effort.

[Chrysalis]

Originally Posted by martyh

If you read what the reforms are all about then you will find that freedom of choice is one of the changes





you may this informative

sadly there is a load more change as well tho.

Originally Posted by Chrysalis

sadly there is a load more change as well tho.

Why sadly ? .Too many people are unhappy with the NHS in it's current form ,my wife has been waiting 18 months because of continual cancelations,i tried to make an appointment with my gp a few months back ,trouble is they don't make appointments any more you phone up(between 8-9am) and see if any doctor is available that day if not you have to phone the next day and so on ,it's pathetic ,the whole nhs needs tearing down and rebuilding

[mertle]

Originally Posted by martyh

Why sadly ? .Too many people are unhappy with the NHS in it's current form ,my wife has been waiting 18 months because of continual cancelations,i tried to make an appointment with my gp a few months back ,trouble is they don't make appointments any more you phone up(between 8-9am) and see if any doctor is available that day if not you have to phone the next day and so on ,it's pathetic ,the whole nhs needs tearing down and rebuilding

Hospitals I cant say but did few years back wait over 2 years for MRI ended up being sent to private mobile one. I had few cancellation too.

Our GP if you want appointment that day then yes phone 8-9am to check if free appointment ie cancellation. To be honest not unusual.

You can turn up if its serious and the reception will squeeze you in done it myself cut my self to the tendons it did not bleed got rushed into se doc they glued it. You can turn up book appointment I do it all the time prefere in person so get card to remember it.. Our doc also credits special for certain patients who get priority if they need to see him. they dont need to phone up just turn up get see doc after he seen patient.

We had the same system lots patients complained they dropped it for more flexible system which more patient friendly.

Hope you get it changed