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Crisis in the NHS
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Old 15-01-2017, 12:54   #121
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Re: Crisis in the NHS

Some interesting statistics.

http://www.nhsconfed.org/resources/k...ics-on-the-nhs

Quote:
NHS activity

The NHS deals with over 1 million patients every 36 hours.

In 2015/16 there were 40 per cent more operations ('procedures and interventions' as defined by Hospital Episode Statistics, excluding diagnostic testing) completed by the NHS compared to 2005/06, with an increase from 7.215m to 10.119m.

There were 16.252m total hospital admissions in 2015/16, 28 per cent more than a decade earlier (12.679m).

The total annual attendances at Accident & Emergency departments was 22.923m in 2015/16, 22 per cent higher than a decade earlier (18.759m).

The proportion of patients seen within 4 hours at A&E departments in 2015/16 was 87.9 per cent in major (type 1 units) and 91.9 per cent overall.
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Old 15-01-2017, 13:28   #122
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Re: Crisis in the NHS

One of the problems, with A & E more specifically, is because it's free people take the piddle.

I bet you could cut down on people wasting time with minor issues if there was some kind of charge for attending A & E with a non-emergency issue.
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Old 15-01-2017, 15:42   #123
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Re: Crisis in the NHS

Quote:
Originally Posted by Pierre View Post
One of the problems, with A & E more specifically, is because it's free people take the piddle.

I bet you could cut down on people wasting time with minor issues if there was some kind of charge for attending A & E with a non-emergency issue.
Yeah that's something that's being pressed upon up here. Recent one was, ''We're going to inform people what you shouldn't be coming to A&E for''

Surely that can't be the first time they've used that campaign It evidently doesn't make enough of a dent to really change anything.
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Old 15-01-2017, 16:00   #124
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Re: Crisis in the NHS

Any sort of charge is going to discriminate against the poor. You could exempt those entitled to free prescriptions. However here's bound to be cases of people not exempt but hard up, not going because of that pain in the chest, and it turns out to be serious.

I'm all in favour of fining/prosecuting drunks wasting A&E's time. I was in a A&E cubicle once with my son who had just been diagnosed with a potentially life threatening illness (fortunately he's fine). There were drunks either side of us carrying on, could have cheerfully killed them.
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Old 15-01-2017, 16:36   #125
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Re: Crisis in the NHS

Quote:
Originally Posted by Mr K View Post
Any sort of charge is going to discriminate against the poor. You could exempt those entitled to free prescriptions. However here's bound to be cases of people not exempt but hard up, not going because of that pain in the chest, and it turns out to be serious.

I'm all in favour of fining/prosecuting drunks wasting A&E's time. I was in a A&E cubicle once with my son who had just been diagnosed with a potentially life threatening illness (fortunately he's fine). There were drunks either side of us carrying on, could have cheerfully killed them.
That's the whole of Wales exempt then.

How do you know any change will impact the poor? Do you know something we don't or are you just coming out with your normal drivel?
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Old 15-01-2017, 16:57   #126
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Re: Crisis in the NHS

Quote:
Originally Posted by pip08456 View Post
That's the whole of Wales exempt then.

How do you know any change will impact the poor? Do you know something we don't or are you just coming out with your normal drivel?
Try and think it through bud, there must be some brain cells there somewhere...
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Old 15-01-2017, 17:08   #127
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Re: Crisis in the NHS

Quote:
Voters believe the NHS is better off under the Tories than Jeremy Corbyn and Labour, an opinion poll suggests.
Don't forget the NHS in Wales is controlled by Labour, and is in a heck of state too.

Leadership and admin within each Trust appears to be the constant that screws things up no matter what flavour government we have.
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Old 15-01-2017, 17:10   #128
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Re: Crisis in the NHS

Don't forget Mr K wants labour in control of NHS England too.
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Old 15-01-2017, 17:11   #129
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Re: Crisis in the NHS

Quote:
Originally Posted by Mr K View Post
Any sort of charge is going to discriminate against the poor.
No, it's going to discriminate against the stupid.

Quote:
not going because of that pain in the chest, and it turns out to be serious.
If you have pain in your chest you go to the GP. If you're having a heart attack you go to A&E, you should be able to tell the difference.

Quote:
I'm all in favour of fining/prosecuting drunks wasting A&E's time.
agreed, even if they're poor working class drunks, that are drunk through no fault of their own?
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Old 15-01-2017, 17:19   #130
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Re: Crisis in the NHS

Quote:
Originally Posted by pip08456 View Post
Don't forget Mr K wants labour in control of NHS England too.
Where did I say that? I just want it properly funded.

---------- Post added at 16:19 ---------- Previous post was at 16:17 ----------

Quote:
Originally Posted by Pierre View Post
If you have pain in your chest you go to the GP. If you're having a heart attack you go to A&E, you should be able to tell the difference.
I'm glad you've got wonderful powers of self diagnosis but not everyone has.
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Old 15-01-2017, 18:09   #131
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Re: Crisis in the NHS

Quote:
Originally Posted by Pierre View Post
If you have pain in your chest you go to the GP. If you're having a heart attack you go to A&E, you should be able to tell the difference.
Pain in your chest is a symptom of having a heart attack or just pain in your chest. You can also have pain in your chest which is symptomatic of a heart condition without being a heart attack and yet still serious such as Angina.

The advice is that any of these symptoms should be treated as a medical emergency because people aren't great and knowing the difference. Especially if you're older, unfit or have a history of heart problems.
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Old 15-01-2017, 18:18   #132
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Re: Crisis in the NHS

Quote:
Originally Posted by Pierre View Post

If you have pain in your chest you go to the GP. If you're having a heart attack you go to A&E, you should be able to tell the difference.
What about the heart attack that starts with a pain in the chest.

A&E should always be free for everyone .People should be able to get urgent medical treatment without fear of getting a big bill ever ,that is one of the founding principles of the NHS.The only real arguments are how do we fund it and how do we get such a huge organisation to use the money we give them effectively without getting used up in admin costs and managerial wages
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Old 15-01-2017, 18:18   #133
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Re: Crisis in the NHS

Seems to me that triage at A&E needs to be more aggressive and those turning up with grazes, split fingernails or paper cuts, yes they do, need to be sent on their way to the nearest pharmacy.

They call it triage but it's not the military kind. Three streams: Those who will get better without treatment, those who will die anyway even if treated and those who will get better with treatment. Only the last get attention on the battlefield.
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Old 15-01-2017, 18:53   #134
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Re: Crisis in the NHS

Quote:
Originally Posted by martyh View Post
What about the heart attack that starts with a pain in the chest.
Indeed its hard to tell the difference between a heart attack and severe Heartburn as most of the ordinary Joe Public would not know the difference

http://www.mayoclinic.org/diseases-c...d/art-20046483
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Old 15-01-2017, 19:17   #135
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Re: Crisis in the NHS

At our local hospital non urgent cases arriving in A&E are directed to an on site GP service in the same place but I'm certain 99% of those people will say they've been treated in A&E.

I'm wondering if this is common and whether or not the waiting times for each dept. are recorded separately because the non-urgent stuff clearly has no bearing on waiting times for the actual A&E section dealing with the serious stuff.
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