Crisis in the NHS

[OLD BOY]

Originally Posted by Arthurgray50@blu

Sorry to say this but the NHS has been in decline for many years. Due to cuts. And it is only the brilliant staff at our hospitals that they are kept running

Approx 12 months ago we got advised that our regular surgery was merging with another. As the local authority wanted to make surgreris work better.

So we were moved to another surgery that has in the region of 13.000 patients. Our surgery had 14.000 and had four GPs.

My wife had an appointment the other day. When she arrived, she had two ailments. But there is a sign at the surgery that states ' One ailment at one appointment only' so had to return two days later.

Only Ten minutes appointments are allowed. This is totally ridiculous.

The NHS needs urgent funding. And it needs to come from the Government and NOT by increase of tax.

Yes, l would agree to paying extra tax - but only if it covered everything. And not just the NHS

All staff in NHS need our deepest respect

You are funny, Arthur! Government money comes from taxation!

[pip08456]

Leave the poor lad alone OB, its not his fault he's clueless. He does give us a laugh with every post so just enjoy the humour.

[1andrew1]

Originally Posted by OLD BOY

You are funny, Arthur! Government money comes from taxation!

i took it to mean redirecting Government spending on other areas like defence, foreign aid, transport etc to the NHS instead.

[OLD BOY]

Originally Posted by 1andrew1

i took it to mean redirecting Government spending on other areas like defence, foreign aid, transport etc to the NHS instead.

If he did, I cannot see that being a popular move! Although I do think the foreign aid budget needs to be looked at again.

Foreign aid is a popular target for the public but the business it generates is worth many times what we pay out although a good intention is part of it that's not the primary purpose but no government is ever going to call it the foreign bribes for business department. You can throw billions more at the NHS and it will just get swallowed up as all past increases have, until we reform the NHS to better use it's funding more money is utterly pointless.

[denphone]

Lord Lansley, the former Conservative health secretary believes health cuts meant his cancer was missed.

He blamed the Treasury for “wrongly” thwarting a screening programme called Bowelscope that he introduced in 2010. Lord Lansley launched the programme for men from the age of 55 in 2010, while health secretary in David Cameron’s government. It was due to run nationwide by 2016.

https://www.thetimes.co.uk/article/c...ning-68wmbbgqv

As health secretary, the 61-year-old helped launch the “bowelscope” screening programme for people over 54, but governments cuts, a lack of endoscopists and problems with IT systems have hampered the system’s delivery, currently only available to around half of the population, Lansley told the Daily Telegraph.

https://www.theguardian.com/society/...vealing-cancer

[1andrew1]

Originally Posted by denphone

Lord Lansley, the former Conservative health secretary believes health cuts meant his cancer was missed.

https://www.thetimes.co.uk/article/c...ning-68wmbbgqv

https://www.theguardian.com/society/...vealing-cancer

Very sad.

Conversely, great article in today's FT headed "Dorset experiment breaks down NHS silos to improve care". It explains how Dorset (one of ten NHS-designated Integrated Care Systems in England) hopes it will prove part of the solution to sustaining the service’s free-at-the point-of-delivery model.

Dorset was allocated an additional £100m in capital investment by NHS England last year to bring its plans to fruition. But, it is unclear whether the ICS approach can really deliver substantial savings, as opposed to “bending the curve” by limiting future rises in expenditure.
At Poole hospital, staff employed by the health service and local councils work together in a bright, open-plan room to sort out care packages that will allow people to leave the wards. This cross-boundary approach has helped to halve the trust’s “delayed discharge” rate to below the NHS’s target.
Partly as a result, an entire 20-bed ward has been closed. But much of the money released has been reinvested into extra staff, such as consultants and nurse practitioners, rather than being banked as a saving.

https://www.ft.com/content/ee50b4bc-...e-cc62a39d57a0

There is not enough joined up thinking and planning occurring within the hierarchies of the various 'trusts'.

[denphone]

So many plans we had been promised would roll out fully nationally yet many have not even been rolled out to half the country thus so far.

[Gavin78]

Leeds teaching hospitals it currently going through some changes. For those that don't live in Leeds we currently have 3 local hospitals the 2 main ones being St James's (Jimmys) about 2 miles or so on the outskirts of the city centre which is a pretty big hospital and then in the centre its self is the Leeds general infirmary (LGI) which is just as big as jimmys about 6 miles from the 2 others is Seacroft Hospital which has more or less been knocked down for housing and has no A&E facilities and is mainly being used as a small outpatients now as there is no inpatient facilities anymore.

I work there which has a 46 bedded renal unit biggest in the UK covering 92 patients a day over 2 areas on the site there is also a big IVF day unit on site and prosthetic as well as a blood bank storage facility.

The land at Seacroft is no longer owned by the NHS and the remaining buildings that are active are on loan from the land owners (5 year lease I think). 2 years ago they put the Leeds Renal services out for tender. this covers a large area as well with smaller satellite units around Leeds that cover around 24/28 patients a day (Pontefract, Huddersfield, Halifax, Dewsbury and Beeston) Not inc St James's renal unit as that would be staying they said were breaking even on cost for the Renal Services £25m a year and felt that a private company could better manage it.

However after some debate and little info to us minion staff nobody wanted it and we are currently in Limbo once the Lease on the land runs out in about 2/3 years.

We later found out by the trust saving that 25m it would give them Foundation status needed to control their own finances.

Just recently though I our local MP has got onboard because they are now going to privatise the facilitates services instead (porters, housekeepers etc) this will give them the Foundation Status they need.

However the Unions are onboard because they said once any Trust gets that Status then it means they dont need to go to central Gov to ask permission to make changes in their own trusts areas so they can basically sell off what they want and change what they want to manage their own Money.

The Gov seem to think Hospitals can better manage services this way when in control of their own finances as long as they can maintain the targets set for Foundation status. but my local union rep says this is a really bad idea and can mean big changes for us all.

[1andrew1]

Looks like Theresa May is the root cause of some of the lack of doctors.

‘Completely and utterly crazy’: Doctors and MPs hit out at Theresa May for stopping foreign doctors from working in NHS
Doctors and MPs have lashed out at Theresa May after it emerged that she vetoed Cabinet pleas for more doctors from overseas to fill empty NHS posts.
At least three government departments lobbied for a relaxation of visa rules to let in desperately needed doctors, the Evening Standard revealed on Tuesday.
Health Secretary Jeremy Hunt and former Home Secretary Amber Rudd are understood to be among those urging No 10 to lift the quota for special cases such as NHS doctors.
Mrs May has “absolutely refused to budge”, according to a Whitehall source.

https://www.standard.co.uk/news/poli...-a3828626.html

[nomadking]

Originally Posted by 1andrew1

Looks like Theresa May is the root cause of some of the lack of doctors.


https://www.standard.co.uk/news/poli...-a3828626.html

Around 400 (mostly junior) doctors isn't going to make much of a dent in 100,000 vacancies. They were able to apply again for the next quota period.

The lack of medical staff is a WORLDWIDE problem.

[Mr K]

Originally Posted by nomadking

Around 400 (mostly junior) doctors isn't going to make much of a dent in 100,000 vacancies. They were able to apply again for the next quota period.

The lack of medical staff is a WORLDWIDE problem.

This is just one example, there will be many more. We haven't trained of invested enough in medical professionals, hence our desperate need for overseas staff. We expect them to take out massive loans so they can care for us, a lack of takers is no surprise !

I guess those Doctors will be off to Germany, don't blame them, they were mad to consider the UK in the first place.

[devilincarnate]

Breast scan error 'shortened up to 270 lives' - Hunt - http://www.bbc.co.uk/news/health-43973652

[nomadking]

Originally Posted by Mr K

This is just one example, there will be many more. We haven't trained of invested enough in medical professionals, hence our desperate need for overseas staff. We expect them to take out massive loans so they can care for us, a lack of takers is no surprise !

I guess those Doctors will be off to Germany, don't blame them, they were mad to consider the UK in the first place.

Our need? Just about every 1st world country has the same problems. Nothing whatsoever to do with student loans.