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Crisis in the NHS
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Old 17-01-2017, 20:41   #166
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Re: Crisis in the NHS

I'd like to have a look at their 'expenses'.
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Old 17-01-2017, 20:52   #167
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Re: Crisis in the NHS

Running costs are 4%
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Old 18-01-2017, 10:46   #168
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Re: Crisis in the NHS

If you started funding it with lottery proceeds where would it end ? An education lottery? A transport lottery? Just ends up being another tax, which would be paid by those that can least afford it and like a gamble. The National Lottery is increasingly funding things which should be covered by general taxation. Make it simple and increase income tax/vat, and say what its for, then we don't need to worry about operator profits etc. There already is a national lottery of sorts anyway - called Premium Bonds, nobody in the private sector creaming off profits from that
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Old 19-01-2017, 11:04   #169
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Re: Crisis in the NHS

It really doesn't matter how much money you put into the NHS it would never be enough. There would always be someone, somewhere who fell through the net because of some reason or another.

The NHS does need to be run better but how? If the people who do the running are also the ones "profiting" from any mechanism put in place how is it ever going to work.

Sometimes though things are the wrong way round with suppliers controlling things. The NHS network is a case in mind. I worked on a hospital patient system for years. It was getting more complex and we were starting to integrate with some clinical data (scan images) and this was in the old MSDOS days. But there was a set of manuals on the shelf that detailed different data items and what values to use. So gender you have 1=male, 2=female, 3=neonate...8=not given, 9=unknown. We used the supplied manuals to write our system so when we needed to send data for central processing (anonymised for stats purposes) we were OK.
Problem - a US supplied lab system was bought and we had to integrate to it but it didn't understand the idea of "a patient". It knew about "an inpatient" and "an outpatient" but not simply the person who could be either (or in our hospital both at same time). We did the work and it was fine, we didn't need the data back at that time.

The issue is that different health suppliers have bought different platforms and these don't talk the same "language". Diagnostic and general coding can be different ICD, Read, proprietary. But that really shouldn't be a problem. The system can use what ever but the interface to the NHS network needs to speak NHS data. So query arrives in NHS speak, the system then needs to translate, do work, translate the answer to NHS speak back to the requester. The NHS dictates how data is formatted and transmitted. It just seems the vendors are trying to make the NHS a polyglot and do all the work.

I'm sure there are other projects with such control issues. All not helped by not having good managers because you've promoted your best clinical and technical staff who may not be good managers leaving less good staff (who could make excellent managers) left to do the actual work.
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Old 19-01-2017, 19:34   #170
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Re: Crisis in the NHS

To true tweetie...
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Old 19-01-2017, 20:45   #171
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Re: Crisis in the NHS

Everyone has known for a while the biggest problem in the NHS was mismanagement the trouble is every time we employ people to solve the problem they end up being just the same. An organisational reform is needed but also needs to be both better implemented and sold to the public so the "privatising the NHS" brigade doesn't get all hot and bothered. It's ridiculous an organisation with the size and buying power is getting such lousy deals on purchases and imo price gouged by certain sectors.

Personnel need to be better organised and managed then they are now as there are usually plenty of staff but badly dispersed. I agree that more money isn't the answer as there will never be a right amount as long as the organisation is so badly mismanaged.
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Old 20-01-2017, 15:20   #172
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Re: Crisis in the NHS

Quote:
Consultations with non-English speakers tend to be twice as long because everything has to be spelt out slowly or repeated through others. As a result, there is less time available for other patients.

This is now a major issue in our increasingly multi-cultural society, especially in urban areas where migrant communities have been encouraged — in the name of celebrating diversity — to hang on to the tongue of their native lands.

On the patient list at my own practice in the heart of Lancashire, I would estimate that close to three-quarters of people live in a household in which English is not the first language.

Of these, around a quarter — most of them older Asian women — don’t speak any English.
http://www.dailymail.co.uk/debate/ar...pling-NHS.html
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