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Post by Deleted on Jan 13, 2017 10:11:14 GMT
We are constantly being told that the NHS is in crisis, and that it needs more money, but is it the truth that the NHS now receives more funding than it has ever done? Isn't it about time that the truth be told, in that the problem is because of the way the funds are currently spent that is causing the problems? Below is just a single job advert from last week. This is for an 'assistant director', which implies that there is probably a 'director' earning even more money in the chain of command! If this is replicated across the NHS Trusts, then how much money is wasted on these non-jobs?
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Post by baggins on Jan 13, 2017 11:17:39 GMT
Wait till we start spending that £350 mil per week we'll save from leaving the EU as promised.
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Post by inee on Jan 13, 2017 11:38:42 GMT
The problem is the nhs is top heavy with managers, and also the fookin idiots who use a&e like their own personal gp surgery. Rather than wait for an appointment with their own doctor, people who use a&e need urgent reeducation via a £500 bill .(not those genuinely ill just those who have a cold or other trivial illness, a lot of chemist will give advise on common stuff and recommend whether they can treat or if a gp needs to be seen.
The people who are bleeding the nhs dry is not the government as there isnt a limitless pot of gold but those impatient idiots who are to stupid to realise you cant see your gp instantly. Most Gp's offer a sit and wait appointment, but oh no idiots still won't go to their surgeries and wait for a couple of hours to be seen ,but will hhappily sit in an a&e dept for a lot longer , DUH
On a personal level a while back i was ill for a few days and had no choice but to call out a doctor, he turnt up and advise i get to hospital as i could barely walk let alone drive ,he booked an ambulance to get me to the surgical ward at about 10pm, as it was a friday the ambulance didn't get to me till 3am , i was taken straight to the ward and treated.
Did i throw my toys out of my pram because of the wait etc, nope i was and am grateful that i received treatment that was top notch and free.
But one thing i noticed on the news the other days i apparently Bristol is one of the worst places in the uk for undiagnosed and spreading aids, as the nhs in bristol is not carrying out the testing it's supposed to. The water take i saw during the early hours on the news was a test scrolling across the screen saying that the uk is failing the syrian refugees who have been tortured or abused, well tough Dam sh** join the queue as the uk is failing it's own who have been abused ,they should be a priority over anyone else.
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Post by baggins on Jan 13, 2017 12:13:03 GMT
Part of the problem is we don't pay our junior Doctors or Nurses enough so they leave for pastures new, abroad mainly, leaving us with a shortfall. We then take on agency workers at 3 times the salary. Well done.
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Post by Deleted on Jan 13, 2017 12:14:51 GMT
The problem is the nhs is top heavy with managers, and also the fookin idiots who use a&e like their own personal gp surgery. Rather than wait for an appointment with their own doctor, people who use a&e need urgent reeducation via a £500 bill .(not those genuinely ill just those who have a cold or other trivial illness, a lot of chemist will give advise on common stuff and recommend whether they can treat or if a gp needs to be seen. The people who are bleeding the nhs dry is not the government as there isnt a limitless pot of gold but those impatient idiots who are to stupid to realise you cant see your gp instantly. Most Gp's offer a sit and wait appointment, but oh no idiots still won't go to their surgeries and wait for a couple of hours to be seen ,but will hhappily sit in an a&e dept for a lot longer , DUH On a personal level a while back i was ill for a few days and had no choice but to call out a doctor, he turnt up and advise i get to hospital as i could barely walk let alone drive ,he booked an ambulance to get me to the surgical ward at about 10pm, as it was a friday the ambulance didn't get to me till 3am , i was taken straight to the ward and treated. Did i throw my toys out of my pram because of the wait etc, nope i was and am grateful that i received treatment that was top notch and free. But one thing i noticed on the news the other days i apparently Bristol is one of the worst places in the uk for undiagnosed and spreading aids, as the nhs in bristol is not carrying out the testing it's supposed to. The p**s take i saw during the early hours on the news was a test scrolling across the screen saying that the uk is failing the syrian refugees who have been tortured or abused, well tough f**king sh** join the queue as the uk is failing it's own who have been abused ,they should be a priority over anyone else. I did read a statistic this week that said visits to A&E have risen by 9 million since 2000. It's the Elephant in the Room, but it has to be said.......just where have these extra people come from? Answers on a postcard please, but I think we all know the answer to the question. I realise that many people go straight to A&E for minor treatment without first visiting the GP, but I get the impression that GP's themselves are overstretched........Should we be changing the name from National Health Service to International Health Service?
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Post by Deleted on Jan 13, 2017 12:17:16 GMT
Part of the problem is we don't pay our junior Doctors or Nurses enough so they leave for pastures new, abroad mainly, leaving us with a shortfall. We then take on agency workers at 3 times the salary. Well done. I think you'll find that their pay is not as bad as it is portrayed. Plus, there are a record number of Doctor's & Nurses now working for the NHS.
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Post by baggins on Jan 13, 2017 12:19:08 GMT
Part of the problem is we don't pay our junior Doctors or Nurses enough so they leave for pastures new, abroad mainly, leaving us with a shortfall. We then take on agency workers at 3 times the salary. Well done. I think you'll find that their pay is not as bad as it is portrayed. Plus, there are a record number of Doctor's & Nurses now working for the NHS. Pay versus hours? Not that great. They may well be more but they're agency and costing us a fortune!
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Post by Deleted on Jan 13, 2017 12:29:30 GMT
You use Agency workers to provide shortfalls in staffing......ie. workers off sick etc.
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Post by baggins on Jan 13, 2017 12:41:56 GMT
You use Agency workers to provide shortfalls in staffing......ie. workers off sick etc. They're not off sick, they're just off. Somewhere else.
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stuart1974
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Post by stuart1974 on Jan 13, 2017 22:34:36 GMT
The problem is the nhs is top heavy with managers, and also the fookin idiots who use a&e like their own personal gp surgery. Rather than wait for an appointment with their own doctor, people who use a&e need urgent reeducation via a £500 bill .(not those genuinely ill just those who have a cold or other trivial illness, a lot of chemist will give advise on common stuff and recommend whether they can treat or if a gp needs to be seen. The people who are bleeding the nhs dry is not the government as there isnt a limitless pot of gold but those impatient idiots who are to stupid to realise you cant see your gp instantly. Most Gp's offer a sit and wait appointment, but oh no idiots still won't go to their surgeries and wait for a couple of hours to be seen ,but will hhappily sit in an a&e dept for a lot longer , DUH On a personal level a while back i was ill for a few days and had no choice but to call out a doctor, he turnt up and advise i get to hospital as i could barely walk let alone drive ,he booked an ambulance to get me to the surgical ward at about 10pm, as it was a friday the ambulance didn't get to me till 3am , i was taken straight to the ward and treated. Did i throw my toys out of my pram because of the wait etc, nope i was and am grateful that i received treatment that was top notch and free. But one thing i noticed on the news the other days i apparently Bristol is one of the worst places in the uk for undiagnosed and spreading aids, as the nhs in bristol is not carrying out the testing it's supposed to. The p**s take i saw during the early hours on the news was a test scrolling across the screen saying that the uk is failing the syrian refugees who have been tortured or abused, well tough f**king sh** join the queue as the uk is failing it's own who have been abused ,they should be a priority over anyone else. I agree with a lot of that, the flow of patients in my view has gone from the GP straight to A&E. There are far too many who could be treated with a little specialist assistance outside of hospitals.
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stuart1974
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Post by stuart1974 on Jan 13, 2017 22:55:48 GMT
The problem is the nhs is top heavy with managers, and also the fookin idiots who use a&e like their own personal gp surgery. Rather than wait for an appointment with their own doctor, people who use a&e need urgent reeducation via a £500 bill .(not those genuinely ill just those who have a cold or other trivial illness, a lot of chemist will give advise on common stuff and recommend whether they can treat or if a gp needs to be seen. The people who are bleeding the nhs dry is not the government as there isnt a limitless pot of gold but those impatient idiots who are to stupid to realise you cant see your gp instantly. Most Gp's offer a sit and wait appointment, but oh no idiots still won't go to their surgeries and wait for a couple of hours to be seen ,but will hhappily sit in an a&e dept for a lot longer , DUH On a personal level a while back i was ill for a few days and had no choice but to call out a doctor, he turnt up and advise i get to hospital as i could barely walk let alone drive ,he booked an ambulance to get me to the surgical ward at about 10pm, as it was a friday the ambulance didn't get to me till 3am , i was taken straight to the ward and treated. Did i throw my toys out of my pram because of the wait etc, nope i was and am grateful that i received treatment that was top notch and free. But one thing i noticed on the news the other days i apparently Bristol is one of the worst places in the uk for undiagnosed and spreading aids, as the nhs in bristol is not carrying out the testing it's supposed to. The p**s take i saw during the early hours on the news was a test scrolling across the screen saying that the uk is failing the syrian refugees who have been tortured or abused, well tough f**king sh** join the queue as the uk is failing it's own who have been abused ,they should be a priority over anyone else. I did read a statistic this week that said visits to A&E have risen by 9 million since 2000. It's the Elephant in the Room, but it has to be said.......just where have these extra people come from? Answers on a postcard please, but I think we all know the answer to the question. I realise that many people go straight to A&E for minor treatment without first visiting the GP, but I get the impression that GP's themselves are overstretched........Should we be changing the name from National Health Service to International Health Service? I don't think that number is soley or perhaps even mainly due to immigration, although I would be interested to know how it was calculated. That is roughly 500,000 a year which already has something like 18m annual attendances. GP referrals equate to around 6-8% of cases according to the 2012/13 figures I have seen.
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stuart1974
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Post by stuart1974 on Jan 13, 2017 23:13:48 GMT
What would I do, firstly we need to educate, so I would look to introduce a compulsory Lifeskills GCSE which would include first aid and health care. It would incidentally also include practical skills such as metalwork, cookery, letter writing for job applications and so on.
We also need to remove the politics by setting up the NHS at arms length from the government, similar to the Bank of England or the BBC with a directly elected Chief Executive, either by the general public or by the staff themselves.
The public's view of the NHS is roughly GPs, ambulance/A&E, elective operations. People should be able to get same day GP access. If this isn't possible locally then there should be GPs in A&E (and in pharmacies) who could see the lesser cases once triage is done. They can prescribe too.
The problem though is that there are fewer GPs coming in. I wonder whether a short stint as GP should form part of the career path, especially for the hospital situation I suggested.
All in all, there is no obvious answer nor is there one problem causing the issues. It is far too complicated to say it is older population, lack of GP access, too many managers, "unnecessary" procedures, waste.
It will take tough decisions but it remains something I am both extremely grateful for and proud to have.
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