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A&E patient wait joint-worst on record.
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The answer is obvious. Create new nursing posts that don’t actually require a degree. There are solutions if we look for them and that is one of the more obvious ones. It wouldn’t even cost more money if the non-degree nurses were used only to fill the vacant posts. You don’t have to throw money at a problem to resolve it, you just have to get practical. |
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If they allowed non graduates to come in as nurses, you would solve the problem quite quickly. Graduate nurses turn their noses up at carrying out some of the dirty jobs long associated with nursing. The answers are there if you look for them. Unfortunately, rather than do the job properly, too many politicians think that all they have to do is throw money at it and it will go away. Guess what? It doesn't. ---------- Post added at 14:54 ---------- Previous post was at 14:52 ---------- Quote:
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Better prospects elsewhere for young people and the EU nurses are going to more welcoming countries who appreciate and pay them more. |
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Official NHS report shows the scale of the NHS's deepening staffing shortages.
https://www.theguardian.com/society/...sing-vacancies |
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While I'm aware some companies do this there was an email went round a couple of weeks ago offering staff to take additional annual leave at a monthly cost spread over 12 months.
While this is great if you need the additional time. But considering the staffing levels are at breaking point I'm surprised they went with this. Perhaps £££ signs to increase or save NHS funds is what they are looking for. The problem is like my ward they can't get suitable staff to do the job and just lately the turnover is worse than an agency. We can't even get bank staff from other areas of the trust because the job is specialised so can only give bank/overtime to those that work within the role. |
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Paying more in taxes doesn't solve anything as the Swedes will tell you. Quote:
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https://www.theguardian.com/society/...P=share_btn_fb
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What happened to that old fashioned value of applying clear normal common sense?.
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We recently recruited a nurse, 2 months down the line she's still working on her ward the reason being the current ward she works on is so busy and short of staff the manager wont release the reference needed in order to work on our ward.
HR have had to get involved. |
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She should know that UKIP's a spent force and she can now safely put the NHS before immigration red tape box-ticking. |
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Common sense with civil servants?
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Boris accidentally went into an NHS hospital this week and saw how it was for the plebs. Even he was shocked into telling it how it was, only to get sent to naughty step.... Poor Boris. |
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I think I am right in saying that employers can make a case for employing more people from overseas. It was certainly the case just a few years ago, so maybe the NHS have mucked up. Easier to blame the government, I suppose. |
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My daughter had an appointment to see a Diabetes Opthalmist last November. It was cancelled with a week to go, and moved to February.
Last week a letter arrived to move that to April. 3 days later another letter said that was moved to July. Today that has been postponed by phone to September! ---------- Post added at 17:55 ---------- Previous post was at 16:58 ---------- All the NHS nurses I know have left the NHS and returned as agency nurses at much higher rates of pay and better hours. |
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If there's a rule that says an employer can apply for an exemption but the employer doesn't use it, then the fault lies with the employer. Blame the government if you like, but that makes one look a bit daft, don't you think? |
Re: Crisis in the NHS
Well recently i got to meet my new rheumatologist as my old one an absolutely excellent doctor has retired from the NHS though continues privately and over all the years i have dealt with consultants they always have their preferred medications to treat conditions never before had i had a consultant who stopped a treatment on the grounds of it couldn't be justified financially and other treatments may have to stop as well and offered no alternative. I'm no longer discussing the effect of immigration on the NHS as apparently I'm an ignorant racist which must be true as it was a late teens multi pierced girl telling me at the sametime as wishing my demise would speedup so the young people of this country who were the only one's who had a clue could start fixing everything. It was ironic at the time as i was lamenting at the loss of my asian doctor while stating what a good and honourable man i felt he was.
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Mr K conveniently forgetting there is a WORLD WIDE shortage of nurses as recognised by the W.H.O.
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And this was an issue over a decade ago, probably much worse now. Go figure. |
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No overall it hasn't yes we have gained some fine doctors and nurses but we've also gained a lot of non english speaking elderly with complicated medical conditions. I base my view on my experiences in the Leicestershire area where I've seen doctors and nurses abused and intimidated on a daily basis, a budgetry strain of translators and translation services taking chunks of budget that could have been better used. Immigration is not great across the board in some cases it's beneficial but it is also detrimental in others but in the UK unless your spouting pro ethnic diversity and multiculturalism your shot down as being ignorant and racist.
This debate has to start and it needs to start soon or the future is going to be extremely unpleasant for everyone. |
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Personally i want community cohesion and a healthcare system that isn't riddled with ineffective beaurocrats who generally do nothing more then squander vast sums of money. If the trade off is having one good immigrant doctor\nurse who brings with them two or three drains I'll do without thanks it's time the UK got back to self sufficiency.
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When I started working on my ward it was mostly run by English staff. Out of 60 staff at least 45 of them were English the rest made up of filipino nurses.
11 years later we are down to 55 staff with around 15 staff who are English the rest made up of filipino and EU nurses. Times are changing same with the patients majority were English now it's around 60% to foreign patients |
Re: Crisis in the NHS
http://www.bbc.co.uk/news/health-42871081
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Taking Government Cabinet Members to Court, is unheard of and sets a dangerous precedent, it’s Parliament that should be getting top of Mr Hunt. But there is a weak opposition party in play here, not taking the government to task as it should.
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Oh, thank goodness we have capped immigration. There will be no adverse effects on the NHS. And skilled doctors are not being deterred. Hmm.
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It's no wonder the NHS is in 'crisis'...
LBC Talk show asks: The NHS has been charged £1500 for a £2 pot of moisturiser. Who is to blame here, the overcharging Pharmacy or the NHS for wasting such money? |
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https://www.ft.com/content/0765175e-...a-6027b8a20f23 We'll be easier meat for these companies once we've left the EU. |
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There might be more to it. It doesn't sound like they ordered a pot of nivea though. |
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NHS intensive care units sending patients elsewhere due to lack of beds.
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who agrees with this?
https://www.theguardian.com/society/...iday-in-return NHS staff offered 6.5% pay rise over three years if they forfeit day's holiday |
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Also, last year, over half the staff received pay rises of 3-4% on top of the annual 1% rise. http://www.bbc.co.uk/news/health-42167359 Quote:
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That isn't really a fair argument is it? it has taken me 8 years to work up to the levels to get the pay I am on now which is £18,157. It is a cheap way to employ staff at a lower cost doing the same job for less pay. Most private companies you work for you would have actually gone in at the top pay of 18k rather than starting down at around 15k. It's not a payrise it's what you should be getting paid for doing the job |
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Most private companies don’t start someone at the top of a pay band - what would be the point in having a band, then?
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I can only assume this is to ease payments coming from the Government/public purse. You don't suddenly get 1 million NHS workers all going in at the top banding. Some will leave before they get there other might cut their hours down. Comes in handy for schools where they employ staff on a yearly contract saving money if they need to let them go after the 12 months. |
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Can we disagree without being rude, please?
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https://www.rcn.org.uk/employment-an...scales-2017-18 |
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I suspect - the larger the organisation, the number of bands. |
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He wasn’t the one fighting to keep him and his colleagues in a job when all the funding got cut. |
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Another salient point was that he had been in IT for under 10 years, and I have been progressing for over 35 years... A manager can't succeed without a good team, and you can't have a good team if you treat them like crap. Not sure how you came to your conclusion, though...:erm: |
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I, in turn, worked for a Deputy Vice-Chancellor, who worked for the Vice-Chancellor. We all worked together, but it was/is a hierarchically structured organisation, like most places. |
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Good management (imho) is giving direction, letting people get on with doing their jobs (with appropriate oversight and governance), and selling the teams' efforts and successes to the wider organisation, whilst defending them against nay-sayers. Give people the opportunity to succeed, making sure they understand what is expected of them, whilst being available for them to tell you what you need to know. Micro-management is a productivity and morale-killer, again imho. |
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Seems to be a sensitive area for you, Kursk! |
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Sorry but it was the way I read it. Sounded like you came across as look at me in my job everyone else is worthless. I've worked in jobs in the past 35k a year at management level not so much now but was a personal choice. However while I can appreciate those that work at the top may experience stress at a different level putting in 60hrs work compared to someone doing 37hrs work doesn't necessarily mean that the role they carry doesn't have any stress or they are anymore worthless in what they do be that 10 years or 45 years experience. If anything I encourage those below me to put the effort in to get where I have got to in life. Although I work with a few that have got 30+ years on me in this job they certainly like to make a point of letting everyone know. |
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Some good news.
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And the article does mention the annual increment which means staff often get 3-4% on top of pay rises. So while 1% rise is small add the increment and it's not quite as small as some would make out. This increment is something the government may try to drop.
The article states the reason that it is old fashioned and rewards long service not competence. But long service is not bad in itself. The NHS does need to get rid of the dross but finds it difficult for various reasons and keep the good staff, and keep them in the jobs they are good at not promote them to management or leadership they may not be - need mechanism to pay better and higher for those functions. I think they want to lose the increment because it's an invisible rise. Staff are getting (say 4-5% with increment) but the headlines are NHS staff only get 1%. |
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The Prinicipal Lecturer for the course told me what a brilliant job I'd done on the showreel, and I said I got the team to to it. She actually said that it doesn't matter I wasn't directly involved in the creation, as I had been in charge of the team that had done it, assigned the task to them, and ensured they had the right skills and equipment that they could do the task. I had managed them. I have a different team now, and I feel that my job, as manager, is to do what Hugh said. Sadly, it means I don't get my hands dirty with the technical stuff as much as I did, which is the part I enjoy most, but that seems to be the way things go sometimes. Regarding the pay rise. It is a good thing, but the government will need to stump up the cash to make it happen. Otherwise they are likely to have to cut things like Jobs and services to pay for it. |
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This is an article that was posted the other day somewhere else
https://doctoroxford.com/2018/03/23/...mpression=true Those eye-popping 6.5% to 29% NHS pay rises are a lie – and I can prove it The first rule of navigating the used car lot is that if the deal you’re being offered sounds too good to be true, well – those shiny-looking wheels will be a banger in disguise. And, just as with used car salesmen, so it is, I’m afraid, with government pay deals. You could hardly have missed this week’s eye-popping accounts of unprecedented Department of Health largesse towards hardworking NHS staff. Jeremy Hunt, the Secretary of State for Health, tweeted enthusiastically of a deal, bashed out with no less than 13 trade unions, in which 1.3 million staff would receive a guaranteed pay rise, over the next 3 years, of between 6.5% and 29%: cont in link. |
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Good to see that the Unions representing Doctors have repeatedly lied about their wage increases without any thought of those of the nurses. Especially when the nurse is the one that looks the patient after the doctors patient admittedly under their direction as to what has to be done.
How many nurses are actually on level 6 or 7 of the paygrade graphs in that article posted. BTW look at the earning gains in those graphs! I have to assume from the site address it is for doctors only, don't forget nurses are a very important part of making any of what you do or advise/proscribe is successful. |
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About time they deserve it.
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Interesting move as PM is set to overrule the Treasury and raise NHS spending
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Jeremy Hunt admits NHS spending boost would mean a tax rise.
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An elderly friend of my mother's had a bad fall in the high street broke her leg. Fortunately, the weather was not as bad as it has been. She had to wait four hours for an ambulance to come. If that means a few quid less each month for those of us in work to cough up, at what stage do we become heartless and say let the elderly wait so we can spend it on ourselves? For everyone will become old some time. |
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Just pouring money into this antiquated system, which seems to be stuck in the 1970s, is not good enough. |
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I'm not sure more money is the answer tbh i think how the money is spent is what needs to be closely scrutinised and the number of non front line staff be reduced as those positions most of them 9 to 5 pay significantly better then nurses get. Is it coincidence that as beaurocracy has increased in the NHS quality and service has got worse we have thousands of managers and advisors costing a literal fortune who are not getting results. Have one department in the NHS to purchase everything let the scale of the NHS deliver bulk buying discounts which again would save a fortune.
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But you always need someone to run the efficiency team and to handle transition and they need a team and oversight and so on it goes.
The NHS does need good managers as well as good clinical, technical, service and other staff. Problem has often been promoting good staff to management roles. (I know I've said this before.) So you end up with poor managers working over poor or overworked staff. And too many old boy (or girl) networks, bad contracts with suppliers, too many people in the chain preserving the chain to preserve their interests. More money in would result in more people to ensure it's spent properly costing more money. And while it's hopefully not as bad as it was more common sense won't go amiss either. If you notice a water spill, get some paper towels and wipe it up, doesn't matter if you are a manger, don't fill in a form to get some janitor to come along with the official mop and sign. |
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I would not mind more money going into recruiting more front line staff, but there are still too many managers in the NHS. The whole system needs to be shaken up. As long as there is real reform, then if money is also needed for pump priming and to make it work much better in the long term, you won't get objections from me. I think that's something most people would be prepared to accept. |
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Easter Sunday marks 1 year since my first bout of Pancreatitis came on. Ive had it 5 times since then, hospitalized 3 times and a major life saving operation in November after a psudocyst exploded on my Pancreas ripping it apart and causing Sepsis.
The NHS have been great to me from the cleaning staff right upto the ward sisters, i really cannot complain. I have a CT Scan every 3 months making sure the cyst isnt growing again and i see a consultant every 3 months for the results. |
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Yes, the medical expertise and indeed some other parts of the NHS work very well indeed. The problem is the bits that don't - the administration, the lack of good computer systems with over-reliance on paperwork, parts of the NHS that are not linked to other parts so that your medical information isn't available to the practitioner you are seeing, the top heavy management structure, restricted hours in doctor's surgeries (leading to undue pressure in A&E) - the list goes on and on. This will take time to fix, but fix it we must. |
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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 |
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As for the NHS tax well my main concern for this is that it isn't some kind of stealth tax that turns into privatizing the NHS further down the line and this tax payment becomes a Health payment like they do in America |
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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.
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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.
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