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Osem 12-01-2018 13:24

Re: Crisis in the NHS
 
Quote:

Originally Posted by heero_yuy (Post 35932110)
13 years of Labour with >100 new stealth taxes and yet the NHS didn't get any better?

That'll be the £billions they committed the NHS as a result of PFI - privatisation of the worst kind paying over the odds for everything via lucrative gold plated private contracts which are so lucrative they're traded. Yep, IIRC, over 80% were signed on Labour's watch. Of course we'd all be able to forget about that were it not for the fact that many of these contracts are going to last for decades and costing us vast sums of money which could have been far better spent and actually improved the NHS instead of being a drain on it.

Mr K 12-01-2018 13:27

Re: Crisis in the NHS
 
Quote:

Originally Posted by denphone (Post 35932152)
Nor did any of our family and friends who worked or are still working for the NHS.

It's changed Den. Nurses used to get bursaries, now they have to get student loans like any other student. Given that there is a desperate shortage, it's hardly going to encourage new recruits, graduates have much better prospects and working conditions in other professions. Another Tory masterplan !

denphone 18-01-2018 12:54

Re: Crisis in the NHS
 
A&E patient wait joint-worst on record.

Quote:

Almost 15% of England's A&E patients waited more than four hours to be seen last month - the joint-worst figure on record - as senior doctors warn of patients dying in corridors.
https://news.sky.com/story/nhs-winte...elays-11203206

OLD BOY 18-01-2018 22:07

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35932187)
It's changed Den. Nurses used to get bursaries, now they have to get student loans like any other student. Given that there is a desperate shortage, it's hardly going to encourage new recruits, graduates have much better prospects and working conditions in other professions. Another Tory masterplan !

Funny, that, I thought that the bursary system actually restricted the number of nurses that could be trained.

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.

Mr K 19-01-2018 20:10

Re: Crisis in the NHS
 
Quote:

Originally Posted by OLD BOY (Post 35933073)
Funny, that, I thought that the bursary system actually restricted the number of nurses that could be trained.

Well more are leaving nursing than joining OB, so getting rid of bursaries has backfired. Something they could easily resolve and should do so immediately.

OLD BOY 20-01-2018 14:54

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35933164)
Well more are leaving nursing than joining OB, so getting rid of bursaries has backfired. Something they could easily resolve and should do so immediately.

I think you will find that there are more nurses studying now than when there were bursaries. This is a complete red herring.

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:

Originally Posted by denphone (Post 35932152)
Nor did any of our family and friends who worked or are still working for the NHS.

I wasn't talking about NHS employees specifically. I was drawing attention to the fact that in other industries, you have to pay for your own training. Why should NHS staff be any different?

Mr K 20-01-2018 19:30

Re: Crisis in the NHS
 
Quote:

Originally Posted by OLD BOY (Post 35933245)

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.

Given that some nurses are doing jobs that Drs used to do, running clinics, some performing minor surgery, think you'll find they they do need to be highly trained.Its not Carry on Nursing with bedpans any longer. The problem is that as it's been a female dominated profession, wages are low compared to other graduates, and they are just taken for granted.

Better prospects elsewhere for young people and the EU nurses are going to more welcoming countries who appreciate and pay them more.

denphone 21-01-2018 05:45

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35933271)
Given that some nurses are doing jobs that Drs used to do, running clinics, some performing minor surgery, think you'll find they they do need to be highly trained.Its not Carry on Nursing with bedpans any longer. The problem is that as it's been a female dominated profession, wages are low compared to other graduates, and they are just taken for granted.

Better prospects elsewhere for young people and the EU nurses are going to more welcoming countries who appreciate and pay them more.

Exactly Mr K because if this country does not look after its doctors and nurses then they only have themselves to blame as goodwill and loyalty will only get you so far.

OLD BOY 21-01-2018 11:14

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35933271)
Given that some nurses are doing jobs that Drs used to do, running clinics, some performing minor surgery, think you'll find they they do need to be highly trained.Its not Carry on Nursing with bedpans any longer. The problem is that as it's been a female dominated profession, wages are low compared to other graduates, and they are just taken for granted.

Better prospects elsewhere for young people and the EU nurses are going to more welcoming countries who appreciate and pay them more.

Non graduate nurses could be employed at a lower pay grade, avoiding the more testing duties that you speak of. This would relieve tne graduate nurses of some of their workload so they could spend more time carrying out higher level work.

pip08456 21-01-2018 11:31

Re: Crisis in the NHS
 
Quote:

Originally Posted by OLD BOY (Post 35933307)
Non graduate nurses could be employed at a lower pay grade, avoiding the more testing duties that you speak of. This would relieve tne graduate nurses of some of their workload so they could spend more time carrying out higher level work.

You mean AN's, SEN's and SRN's?

OLD BOY 21-01-2018 19:17

Re: Crisis in the NHS
 
Quote:

Originally Posted by pip08456 (Post 35933308)
You mean AN's, SEN's and SRN's?

I am talking about a different category of nurse, performing all but the most advanced aspects of nursing.

pip08456 21-01-2018 19:59

Re: Crisis in the NHS
 
Quote:

Originally Posted by OLD BOY (Post 35933366)
I am talking about a different category of nurse, performing all but the most advanced aspects of nursing.

Those I've listed then. They are what we used to have on wards before degrees became necessary to be a nurse.

OLD BOY 21-01-2018 20:36

Re: Crisis in the NHS
 
Quote:

Originally Posted by pip08456 (Post 35933371)
Those I've listed then. They are what we used to have on wards before degrees became necessary to be a nurse.

Ah, I see what you mean. From what I can gather, though, SENs and SRNs currently need a degree.

denphone 23-01-2018 16:48

Re: Crisis in the NHS
 
Official NHS report shows the scale of the NHS's deepening staffing shortages.

https://www.theguardian.com/society/...sing-vacancies

Gavin78 23-01-2018 21:41

Re: Crisis in the NHS
 
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.

nomadking 23-01-2018 21:57

Re: Crisis in the NHS
 
Quote:

Originally Posted by denphone (Post 35933581)
Official NHS report shows the scale of the NHS's deepening staffing shortages.

https://www.theguardian.com/society/...sing-vacancies

It not just the NHS that has problems.
Paying more in taxes doesn't solve anything as the Swedes will tell you.
Quote:

“Not even children are spared in this crisis. At Stockholm's new Karolinska Hospital a third of the beds are empty and one in ten of the operations on children has been cancelled this year. ... The acute problem is the shortage of nurses. It is forcing hospitals to leave beds unused. ... Never before has so much money been allocated to the healthcare system, but it is being misused.
...
17 of Sweden's 21 county councils and regions are struggling to recruit enough nurses for the summer period, with hospital staff numbers set to be strained.
The fact that there are unfilled vacancies shows that money for the NHS ISN'T the problem. They must already have the money set aside in their budgets to fill those vacancies.

1andrew1 23-01-2018 22:10

Re: Crisis in the NHS
 
Quote:

Originally Posted by nomadking (Post 35933631)
The fact that there are unfilled vacancies shows that money for the NHS ISN'T the problem. They must already have the money set aside in their budgets to fill those vacancies.

It doesn't. It shows that the money they have set aside is insufficient to retain and attract people to the profession.

nomadking 23-01-2018 22:26

Re: Crisis in the NHS
 
Quote:

Originally Posted by 1andrew1 (Post 35933633)
It doesn't. It shows that the money they have set aside is insufficient to retain and attract people to the profession.

So what higher paying jobs are they going into? The required number of trained staff DO NOT EXIST, here and elsewhere in Europe.

Quote:

Add to that an economic recession and more seniors requiring long-term care, and Europe may be facing a shortage of 1 million health professionals by 2020, according to a European Union Joint Action on Health Workforce Planning estimate.
...
It's actually bad all over: America, too, may have 1.2 million job openings for nurses, due to job growth and replacements, by 2020, according to the U.S. Bureau of Labor Statistics.
...
In other countries, such as Germany, the shortage is particularly acute, and the immigration of health care workers from poorer economies even outside of Europe is becoming part of the solution.
"We expect a tremendous nursing shortage of about 500,000 people by 2030," said Professor Stefan Goerres, managing director of the Institute for Public Health and Health Care Research at the University of Bremen. "Even if the profession were more attractive, there just aren't enough young people due to declining birth rates."

Maggy 24-01-2018 10:47

Re: Crisis in the NHS
 
https://www.theguardian.com/society/...P=share_btn_fb

Quote:

Seniors doctors from overseas who have been appointed to fill key roles in hospitals around the UK are being blocked from taking up their jobs by the Home Office because their NHS salaries are too low under immigration rules.

The Guardian has learned of at least 20 doctors prevented from taking up posts in departments including intensive care in the past two months, causing anger and bewilderment among already stretched doctors.

“It is simply lunatic,” said one consultant involved. “It is important to note that salaries haven’t changed and they are competitive. What’s changed is the Home Office’s threshold for granting visas.”
Don't see this improving the situation.

denphone 24-01-2018 10:54

Re: Crisis in the NHS
 
What happened to that old fashioned value of applying clear normal common sense?.

heero_yuy 24-01-2018 11:26

Re: Crisis in the NHS
 
Quote:

Originally Posted by denphone (Post 35933703)
What happened to that old fashioned value of applying clear normal common sense?.

Red tape and the compensation culture. :(

Gavin78 24-01-2018 11:59

Re: Crisis in the NHS
 
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.

1andrew1 24-01-2018 22:50

Re: Crisis in the NHS
 
Quote:

Originally Posted by Maggy J (Post 35933699)
https://www.theguardian.com/society/...P=share_btn_fb

Don't see this improving the situation.

Theresa May's focus on immigration number-counting at the expense of our hard-pressed NHS is clearly demonstrated by this.

She should know that UKIP's a spent force and she can now safely put the NHS before immigration red tape box-ticking.

denphone 25-01-2018 08:45

Re: Crisis in the NHS
 
Quote:

Originally Posted by 1andrew1 (Post 35933813)
Theresa May's focus on immigration number-counting at the expense of our hard-pressed NHS is clearly demonstrated by this.

She should know that UKIP's a spent force and she can now safely put the NHS before immigration red tape box-ticking.

Add on top of that is that NHS hospitals facing serious shortages of vital equipment as well.

Quote:

Hospitals are suffering serious shortages of vital medical equipment such as ventilators, pumps to administer drugs, and oxygen cylinders during the NHS’s ongoing winter crisis, the Guardian can reveal.
Quote:

Doctors’ and nurses’ leaders voiced alarm at the revelations.
“I’ve heard from several colleagues in acute medicine that their trusts have significant shortages of essential equipment such as bilevel positive airway [BiPaP] ventilators, which are needed in this surge of respiratory illness and IT kit – computers – on extra-capacity wards needed to complete patient records and proceed with [giving] care,” said Dr Nick Scriven, the president of the Society for Acute Medicine.
Advertisement

“I have also heard about a lack of basic items on extra wards such as blood tubes and cannulae, as well as beds, pillows and bedsheets. When staff have to urgently re-open areas [as temporary wards] and there is literally no kit then there is a panic procurement.”
https://www.theguardian.com/society/...ital-equipment

Mr K 25-01-2018 09:43

Re: Crisis in the NHS
 
Quote:

Originally Posted by denphone (Post 35933703)
What happened to that old fashioned value of applying clear normal common sense?.

that disappeared after a certain vote a couple of years ago. The public only have themselves to blame.

tweetiepooh 25-01-2018 10:57

Re: Crisis in the NHS
 
Common sense with civil servants?

Mr K 25-01-2018 11:54

Re: Crisis in the NHS
 
Quote:

Originally Posted by tweetiepooh (Post 35933878)
Common sense with civil servants?

Civil servants are an easy and lazy scapegoat. It's the politicians and the people that vote them in that make the money decisions.

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.

denphone 25-01-2018 12:17

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35933891)
Civil servants are an easy and lazy scapegoat. It's the politicians and the people that vote them in that make the money decisions.

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.

Yep politicians are very good at making sure other scapegoats get the blame when the heat is on as they either quickly do the old quick disappearing act or conveniently go out of the country for a few days until the flak dies down.

OLD BOY 25-01-2018 14:41

Re: Crisis in the NHS
 
Quote:

Originally Posted by 1andrew1 (Post 35933813)
Theresa May's focus on immigration number-counting at the expense of our hard-pressed NHS is clearly demonstrated by this.

She should know that UKIP's a spent force and she can now safely put the NHS before immigration red tape box-ticking.

Yes, well our Theresa is not a one-trick pony, and you are forgetting that a lot of people have expressed concerns about the unsustainable level of immigration.

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.

Taf 25-01-2018 17:55

Re: Crisis in the NHS
 
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.

denphone 25-01-2018 18:26

Re: Crisis in the NHS
 
Quote:

Originally Posted by OLD BOY (Post 35933934)
Yes, well our Theresa is not a one-trick pony, and you are forgetting that a lot of people have expressed concerns about the unsustainable level of immigration.

.

She ain't my Theresa in exactly the same way as he ain't my Jeremy either as both are pretty useless IMO.

---------- Post added at 18:26 ---------- Previous post was at 18:22 ----------

Quote:

Originally Posted by OLD BOY (Post 35933934)
Easier to blame the government, I suppose.

Well they are the incumbents just like any other party that would be in power and as such people are entitled to have a go at them as if any of the other parties were in power so don't tell me that you would not be blaming them for many a thing.

OLD BOY 25-01-2018 19:16

Re: Crisis in the NHS
 
Quote:

Originally Posted by denphone (Post 35933963)
She ain't my Theresa in exactly the same way as he ain't my Jeremy either as both are pretty useless IMO.

---------- Post added at 18:26 ---------- Previous post was at 18:22 ----------



Well they are the incumbents just like any other party that would be in power and as such people are entitled to have a go at them as if any of the other parties were in power so don't tell me that you would not be blaming them for many a thing.

People are not 'entitled' to blame the wrong people, Den.

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?

RizzyKing 25-01-2018 20:31

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.

Mr K 25-01-2018 21:21

Re: Crisis in the NHS
 
Quote:

Originally Posted by RizzyKing (Post 35933987)
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.

So what you're saying is immigration has been beneficial to the NHS? I agree, we'd be stuffed without it.

Mick 25-01-2018 21:58

Re: Crisis in the NHS
 
Mr K conveniently forgetting there is a WORLD WIDE shortage of nurses as recognised by the W.H.O.

They pinpoint specifically....

Quote:

A worldwide shortage of nurses has been acknowledged by the multidisciplinary Global Advisory Group of the World Health Organization. The shortage is caused by an increased demand for nurses, while fewer people are choosing nursing as a profession and the current nurses worldwide are aging.
https://www.ncbi.nlm.nih.gov/pubmed/12817393

And this was an issue over a decade ago, probably much worse now. Go figure.

RizzyKing 25-01-2018 22:00

Re: Crisis in the NHS
 
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.

Mr K 25-01-2018 22:08

Re: Crisis in the NHS
 
Quote:

Originally Posted by RizzyKing (Post 35934013)
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.

We're an ageing population, not enough young people. Nursing, we've decided to make a very unattractive career ( in our wisdom). We need immigrants and they may want to bring their family with them. You decide whether you want healthcare or not.

RizzyKing 25-01-2018 23:31

Re: Crisis in the NHS
 
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.

Gavin78 26-01-2018 00:45

Re: Crisis in the NHS
 
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

Mr K 30-01-2018 11:32

Re: Crisis in the NHS
 
http://www.bbc.co.uk/news/health-42871081

Quote:

Stephen Hawking to take Hunt to court over NHS

A group of campaigners, including Prof Stephen Hawking, has been given permission to challenge a government health policy in the High Court.

They will pursue a judicial review of plans to create accountable care organisations (ACOs) in England.

These are to act as partnership bodies incorporating hospitals, community services and councils.

Campaigners argue it amounts to a form of privatisation, but this is denied by Health Secretary Jeremy Hunt.
Nice one Prof. Hawking ! Go for it !

Mick 30-01-2018 12:15

Re: Crisis in the NHS
 
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.

1andrew1 30-01-2018 22:24

Re: Crisis in the NHS
 
Oh, thank goodness we have capped immigration. There will be no adverse effects on the NHS. And skilled doctors are not being deterred. Hmm.
Quote:

Home Office data show Britain reached the official limit in both December and January, contributing to the National Health Service’s difficulty in recruiting doctors from overseas. The NHS turned away at least 20 doctors from outside the EU during the period, according to NHS trusts and recruiters in England.
The spike in applicants for so-called Tier 2 visas — granted according to a points system that measures a worker’s qualifications — has forced up the threshold for acquiring the work permit. The minimum salary needed to qualify, which used to be £30,000, hit £55,000 in December and £50,000 in January.
The Home Office said the points system gives priority to people filling a number of skills shortages — including a range of medical specialities such as consultant-level applicants in clinical radiology and emergency medicine.
https://www.ft.com/content/f9cea29e-...0-9c0ad2d7c5b5

Damien 30-01-2018 22:31

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mick (Post 35934670)
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.

I believe he is taking the Government to court which wouldn't be unprecedented, indeed the Government isn't above the law either. Pretty important part of our constitution there. ;)

1andrew1 30-01-2018 22:41

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mick (Post 35934670)
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.

Taking the Government to court is precedented last time I checked. And the Government and opposition are both weak. In fact, a Government minister is likely to resign next month with daydreamer Liam Fox's name very much in the frame!

Mick 02-02-2018 14:11

Re: Crisis in the NHS
 
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?

Mr K 02-02-2018 14:16

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mick (Post 35935196)
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?

Well we've got the EU to thank for stopping a company ripping us of for cancer drugs.
https://www.ft.com/content/0765175e-...a-6027b8a20f23

We'll be easier meat for these companies once we've left the EU.

Damien 02-02-2018 14:34

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mick (Post 35935196)
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?

I read the article but it's not entirely clear what happened. The article items a bill was sent for that amount but it doesn't tell us the circumstances, what was ordered, what they actually paid and so on.

Quote:

The owner of the high street chemist Boots charged the NHS as much as £1,500 for single pots of moisturiser that others have sold for less than £2. Boots sent a £1,579 bill to the health service for one 500ml tub of a specially made cream for patients with skin problems in 2016, according to payment records seen by The Times.
and

Quote:

A spokeswoman told The Times the process of making specials ordered at short notice "incurs high overheads, reflected in the final cost, which is set in line with the sector to reflect the bespoke nature of the products.”

There might be more to it. It doesn't sound like they ordered a pot of nivea though.

denphone 07-03-2018 18:11

Re: Crisis in the NHS
 
NHS intensive care units sending patients elsewhere due to lack of beds.

Quote:

Patients whose lives are at risk are being turned away from their local hospitals because of a lack of intensive care beds, doctors who work in those units have revealed.

Four in five intensive care units (ICUs) are having to send patients to other hospitals as a result of chronic bed and staff shortages.
Quote:

Six in 10 (62%) ICUs cannot function normally because they are so short of nurses, according to a survey of ICU consultants by the Faculty of Intensive Care Medicine (FICM), their professional body, which has shared its findings with the Guardian.
https://www.theguardian.com/society/...tage-hospitals

Gavin78 10-03-2018 22:00

Re: Crisis in the NHS
 
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

Mr K 10-03-2018 22:50

Re: Crisis in the NHS
 
Quote:

Originally Posted by Gavin78 (Post 35940236)
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

Well inflation is 2.7%, over 3 years that's 8.1%. So it's potentially a pay cut and loss of a days holiday, doesn't seem like a great deal to me, particularly when they've already lost so much through the pay cap since 2010.

Hugh 11-03-2018 19:37

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35940239)
Well inflation is 2.7%, over 3 years that's 8.1%. So it's potentially a pay cut and loss of a days holiday, doesn't seem like a great deal to me, particularly when they've already lost so much through the pay cap since 2010.

And in 2014 it was 1.5%, 2015 0%, 2016 0.7%.

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:

These are in-the-job pay rises that staff receive for career progression. Last year, half of staff received rises worth between 3% and 4% on top of the 1% annual pay rise.
I used to get this argument from colleagues, when there was a pay freeze where I worked, but the annual increments (for those who weren't top of the scale, which was about 75% of them) were worth 3-4%.

Gavin78 11-03-2018 21:12

Re: Crisis in the NHS
 
Quote:

Originally Posted by Hugh (Post 35940299)
And in 2014 it was 1.5%, 2015 0%, 2016 0.7%.

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

I used to get this argument from colleagues, when there was a pay freeze where I worked, but the annual increments (for those who weren't top of the scale, which was about 75% of them) were worth 3-4%.


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

Hugh 11-03-2018 22:21

Re: Crisis in the NHS
 
Most private companies don’t start someone at the top of a pay band - what would be the point in having a band, then?

Gavin78 12-03-2018 00:47

Re: Crisis in the NHS
 
Quote:

Originally Posted by Hugh (Post 35940309)
Most private companies don’t start someone at the top of a pay band - what would be the point in having a band, then?

Because it's normally public sector services that have a payband not private. You may get a few but most offer a set rate when employed by them the rest comes through promotion.

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.

1andrew1 12-03-2018 07:46

Re: Crisis in the NHS
 
Quote:

Originally Posted by Gavin78 (Post 35940313)
Because it's normally public sector services that have a payband not private. You may get a few but most offer a set rate when employed by them the rest comes through promotion.

I've worked in the private, public, staff-owned and non-profit sectors in a range of roles. All have had pay bands.

Hugh 12-03-2018 09:46

Re: Crisis in the NHS
 
Quote:

Originally Posted by 1andrew1 (Post 35940330)
I've worked in the private, public, staff-owned and non-profit sectors in a range of roles. All have had pay bands.

Yup, me too.

Pierre 12-03-2018 13:57

Re: Crisis in the NHS
 
Quote:

Originally Posted by Gavin78 (Post 35940313)
Because it's normally public sector services that have a payband not private

that's bollocks.

Hugh 12-03-2018 19:58

Re: Crisis in the NHS
 
Can we disagree without being rude, please?

Gavin78 12-03-2018 20:03

Re: Crisis in the NHS
 
Quote:

Originally Posted by Pierre (Post 35940389)
that's bollocks.

I've worked in the private sector the areas I worked in never had pay bands and a lot don't I guess it depends on the company. but I've never seen a private company with 8 or more pay bands?

1andrew1 12-03-2018 20:27

Re: Crisis in the NHS
 
Quote:

Originally Posted by Gavin78 (Post 35940427)
I've worked in the private sector the areas I worked in never had pay bands and a lot don't I guess it depends on the company. but I've never seen a private company with 8 or more pay bands?

I think most organisations over a certain size will have grades, the key determinant will be size not ownership although I guess public sector organisations tend not to be fewer than 20 staff.

Hugh 12-03-2018 20:56

Re: Crisis in the NHS
 
Quote:

Originally Posted by Gavin78 (Post 35940427)
I've worked in the private sector the areas I worked in never had pay bands and a lot don't I guess it depends on the company. but I've never seen a private company with 8 or more pay bands?

I doubt very much that the employee in Band 2 (15-18k) is doing the same job as employees in band 9 (79-100k).

https://www.rcn.org.uk/employment-an...scales-2017-18

1andrew1 12-03-2018 21:16

Re: Crisis in the NHS
 
Quote:

Originally Posted by Hugh (Post 35940444)
I doubt very much that the employee in Band 2 (15-18k) is doing the same job as employees in band 9 (79-100k).

https://www.rcn.org.uk/employment-an...scales-2017-18

Agreed.
I suspect - the larger the organisation, the number of bands.

Mr K 12-03-2018 21:33

Re: Crisis in the NHS
 
Quote:

Originally Posted by Hugh (Post 35940444)
I doubt very much that the employee in Band 2 (15-18k) is doing the same job as employees in band 9 (79-100k).

https://www.rcn.org.uk/employment-an...scales-2017-18

the one in Band 2 probably works a lot harder and has more stress ! Such is life...

Hugh 12-03-2018 21:56

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35940456)
the one in Band 2 probably works a lot harder and has more stress ! Such is life...

Yes, I had that comment made to me when I was an IT Director at a University by a Programmer (Grade 6, pay band 33-38k) who worked a 37 hour week, compared to my 60 hour week...

He wasn’t the one fighting to keep him and his colleagues in a job when all the funding got cut.

Gavin78 14-03-2018 01:22

Re: Crisis in the NHS
 
Quote:

Originally Posted by Hugh (Post 35940461)
Yes, I had that comment made to me when I was an IT Director at a University by a Programmer (Grade 6, pay band 33-38k) who worked a 37 hour week, compared to my 60 hour week...

He wasn’t the one fighting to keep him and his colleagues in a job when all the funding got cut.

So basically you just think everyone is a piece of crap below you then that the work they do is worth nothing for the pay they get because of the level you have worked at?

TheDaddy 14-03-2018 07:16

Re: Crisis in the NHS
 
Quote:

Originally Posted by Gavin78 (Post 35940576)
So basically you just think everyone is a piece of crap below you then that the work they do is worth nothing for the pay they get because of the level you have worked at?

How on earth did you conclude that from what Hugh said, I took it that the programmer assumed his job was harder and more stressful without knowing Hugh did nearly double his hours, part of which was devoted to keeping the blissfully unaware programmer in a job.

Hugh 14-03-2018 14:04

Re: Crisis in the NHS
 
Quote:

Originally Posted by Gavin78 (Post 35940576)
So basically you just think everyone is a piece of crap below you then that the work they do is worth nothing for the pay they get because of the level you have worked at?

Erm, no - I think that everyone who works for me deserves a decent wage (for a decent day's work), and that part of my role was to keep them in a job (by putting together a future work plan and budgets to support that work plan) and help them do a good job by supporting them, helping them develop, and providing direction. I thought I had success when one of my colleagues was promoted internally, or went somewhere else for a higher paying / career progressing job.

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:

Kursk 14-03-2018 14:26

Re: Crisis in the NHS
 
Quote:

Originally Posted by Hugh (Post 35940665)
Erm, no - I think that everyone who works for me deserves a decent wage (for a decent day's work), and that part of my role was to keep them in a job (by putting together a future work plan and budgets to support that work plan) and help them do a good job by supporting them, helping them develop, and providing direction. I thought I had success when one of my colleagues was promoted internally, or went somewhere else for a higher paying / career progressing job.

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:

Possibly because whilst you're saying very laudable and altruistic things you include the revealing "everyone who works for me" ;).

Hugh 14-03-2018 14:29

Re: Crisis in the NHS
 
Quote:

Originally Posted by Kursk (Post 35940672)
Possibly because whilst you're saying very laudable and altruistic things you include the revealing "everyone who works for me" ;).

Well, they did - I was head of the department; people worked with, and for, me - the two things are complementary, not exclusive.

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.

Kursk 14-03-2018 14:47

Re: Crisis in the NHS
 
Quote:

Originally Posted by Hugh (Post 35940673)
Well, they did - I was head of the department; people worked with, and for, me - the two things are complementary, not exclusive.

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.

We have differing views on management. Saying people work for you sounds to me like they are busy squirreling beneath your omnipotent gaze.

Hugh 14-03-2018 14:55

Re: Crisis in the NHS
 
Quote:

Originally Posted by Kursk (Post 35940680)
We have differing views on management. Saying people work for you sounds to me like they are busy squirreling beneath your omnipotent gaze.

God, no!

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.

OLD BOY 14-03-2018 18:31

Re: Crisis in the NHS
 
Quote:

Originally Posted by Kursk (Post 35940680)
We have differing views on management. Saying people work for you sounds to me like they are busy squirreling beneath your omnipotent gaze.

Hugh means they reported to him and he was responsible for them.

Seems to be a sensitive area for you, Kursk!

Kursk 15-03-2018 00:14

Re: Crisis in the NHS
 
Quote:

Originally Posted by Hugh (Post 35940683)
God, no!

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.

Clarified, thanks. Sorry, I was teasing a bit :).

Quote:

Originally Posted by OLD BOY (Post 35940701)
Hugh means they reported to him and he was responsible for them.

Seems to be a sensitive area for you, Kursk!

Valuing others regardless of pay grade is I'm sure a sensitivity for all people who work together. I'm no autocrat.

Gavin78 15-03-2018 11:53

Re: Crisis in the NHS
 
Quote:

Originally Posted by Hugh (Post 35940665)
Erm, no - I think that everyone who works for me deserves a decent wage (for a decent day's work), and that part of my role was to keep them in a job (by putting together a future work plan and budgets to support that work plan) and help them do a good job by supporting them, helping them develop, and providing direction. I thought I had success when one of my colleagues was promoted internally, or went somewhere else for a higher paying / career progressing job.

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:


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.

1andrew1 21-03-2018 07:13

Re: Crisis in the NHS
 
Some good news.
Quote:

More than a million staff, including nurses, porters and paramedics, could expect average increases of about 6%, after years of a tight spending settlement.

The idea is that the lowest paid will get the biggest hikes, with those on the lowest wages receiving the most significant rises, for example a porter's salary could rise from £15,000 to £19,000.

And contrary to recent suggestions, the unions and the government won't force staff to give up a day's holiday in return for bigger pay rises.
http://www.bbc.co.uk/news/uk-politics-43476340

tweetiepooh 21-03-2018 09:52

Re: Crisis in the NHS
 
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%.

Stuart 21-03-2018 12:02

Re: Crisis in the NHS
 
Quote:

Originally Posted by Hugh (Post 35940683)
God, no!

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.

While I am still considered a technician at work, I am actually a manager. I remember a few years back one of my first important projects was to get a few members of my team to compile a showreel for the students of one of our digital media courses. Sadly I no longer work with that team, as they transferred to a different campus, but the showreel is still used.

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.

denphone 21-03-2018 13:05

Re: Crisis in the NHS
 
Quote:

Originally Posted by 1andrew1 (Post 35941360)

About time too IMO.

Gavin78 25-03-2018 14:15

Re: Crisis in the NHS
 
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.

pip08456 25-03-2018 15:02

Re: Crisis in the NHS
 
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.

alanbjames 25-03-2018 15:27

Re: Crisis in the NHS
 
About time they deserve it.

1andrew1 25-03-2018 18:19

Re: Crisis in the NHS
 
Interesting move as PM is set to overrule the Treasury and raise NHS spending
Quote:

Theresa May is planning to plough billions of extra pounds a year into health spending as part of a “birthday present” to mark the 70th anniversary of the NHS.
Senior government sources say the prime minister will overrule the Treasury and boost spending to tackle growing waiting times and neutralise Labour’s political trump card.
The announcement, scheduled for July, is expected to lead to up to £4bn extra annually for the health service over the next 10 years. A special NHS tax is “still on the table”, a cabinet source said.
The new money will kick in from next spring, as Britain leaves the European Union, allowing ministers to argue that the government has begun to fulfil the pledge of Vote Leave...
https://www.thetimes.co.uk/edition/n...-nhs-8m92t89hd

denphone 25-03-2018 19:22

Re: Crisis in the NHS
 
Jeremy Hunt admits NHS spending boost would mean a tax rise.

Quote:

Health secretary Jeremy Hunt has conceded he believes taxes may have to rise to pay for a boost in NHS spending.
Quote:

A growing number of Conservative MPs have been raising the issue of the underfunding of healthcare – particularly the social care system – and some have suggested a dedicated “NHS tax”.
https://www.theguardian.com/politics...-mean-tax-rise

OLD BOY 26-03-2018 07:59

Re: Crisis in the NHS
 
Quote:

Originally Posted by denphone (Post 35941806)
Jeremy Hunt admits NHS spending boost would mean a tax rise.





https://www.theguardian.com/politics...-mean-tax-rise

Unfortunately, yes. We are still searching for that money tree... :tiptoe:

denphone 26-03-2018 16:48

Re: Crisis in the NHS
 
Quote:

Originally Posted by OLD BOY (Post 35941821)
Unfortunately, yes. We are still searching for that money tree... :tiptoe:

What the same money tree that props up HMG..;)

OLD BOY 26-03-2018 18:37

Re: Crisis in the NHS
 
Quote:

Originally Posted by denphone (Post 35941858)
What the same money tree that props up HMG..;)

That's right. Our wallets and purses. More Government spending means less money for you and me in the end.

1andrew1 26-03-2018 23:02

Re: Crisis in the NHS
 
Quote:

Originally Posted by OLD BOY (Post 35941868)
That's right. Our wallets and purses. More Government spending means less money for you and me in the end.

If it means our loved ones have an ambulance in a reasonable period of time then some of us will dip into our wallets.
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.

OLD BOY 27-03-2018 09:11

Re: Crisis in the NHS
 
Quote:

Originally Posted by 1andrew1 (Post 35941892)
If it means our loved ones have an ambulance in a reasonable period of time then some of us will dip into our wallets.
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.

I think that all of us want a more efficient health service, Andrew. The NHS need to move into the current century and make better use of computer systems for a start. However, the whole structure is creaking and badly needs an overhaul and practices need to be made more efficient.

Just pouring money into this antiquated system, which seems to be stuck in the 1970s, is not good enough.

RizzyKing 28-03-2018 00:25

Re: Crisis in the NHS
 
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.

tweetiepooh 28-03-2018 10:49

Re: Crisis in the NHS
 
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.

OLD BOY 28-03-2018 11:33

Re: Crisis in the NHS
 
Quote:

Originally Posted by tweetiepooh (Post 35941970)
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.

I agree with your second paragraph.

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.

alanbjames 30-03-2018 03:23

Re: Crisis in the NHS
 
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.

OLD BOY 30-03-2018 08:25

Re: Crisis in the NHS
 
Quote:

Originally Posted by alanbjames (Post 35942127)
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.

Glad to hear you are better now, Alan.

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.

Arthurgray50@blu 30-03-2018 22:03

Re: Crisis in the NHS
 
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

Gavin78 01-04-2018 12:49

Re: Crisis in the NHS
 
Quote:

Originally Posted by Arthurgray50@blu (Post 35942206)
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

I think the 10 minute appointments are enough to be honest and they do often go over them depending on the situation but most symptoms can be diagnosed within 5 mins of going in. Most GP's tell you on the doors or the new flash boards that depending on the nature of the the problem some appointments can go over the 10mins.

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

OLD BOY 01-04-2018 20:40

Re: Crisis in the NHS
 
Quote:

Originally Posted by Arthurgray50@blu (Post 35942206)
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 01-04-2018 20:45

Re: Crisis in the NHS
 
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 02-04-2018 09:59

Re: Crisis in the NHS
 
Quote:

Originally Posted by OLD BOY (Post 35942310)
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 02-04-2018 11:29

Re: Crisis in the NHS
 
Quote:

Originally Posted by 1andrew1 (Post 35942339)
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.

RizzyKing 03-04-2018 03:00

Re: Crisis in the NHS
 
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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