lancs blue
Player Valuation: £35m
Vindaloo again
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Messymascot's faith in humanity and ginger safe haven
- Thread starter messymascot
- Start date
lancs blue
Player Valuation: £35m
Is it controversial to say the nhs needs scrapping
Designed in 1948 and is creaking at seams
Quality of care is poor and its not the staffs fault
I remember when hospitals brought business managers in. One hospital I know of had a guy from bae come in
Designed in 1948 and is creaking at seams
Quality of care is poor and its not the staffs fault
I remember when hospitals brought business managers in. One hospital I know of had a guy from bae come in
lancs blue
Player Valuation: £35m
Will need to sell alot of copies mate
No it doesn't need scraping.
It needs restructuring and proper funding.
Scraping the NHS would be an absolute disaster. So of us might be able to afford private medical insurance. Others might think that with the cost of living crisis they have other priorities and for the vast , vast amount of people the thought of being able to afford PMI is a pipe dream .
I won't please you with the reply but I am an inverted snob ,I love plain and simple as much or even more than hifalutin food so I thought it was of course "special" but give me a Spag bol anytime .Sorry it tsted salty and raw as you might expect and with that gamey ,earthy taste . Nice but not my favourite .
lancs blue
Player Valuation: £35m
I agree with you but so much money is wasted it's not fit for purpose
The amount of nhs tourists not paying is abysmal
The NHS has always been the preverbial political hot potato
I remember during covid they sent supplies of ppe to China only to buy inappropriate kit from Turkey- one of the tories mates
About time the country had a frank and open discussion - will never happen though
I see your point but the health system here is light years ahead and we have to pay a nominal fee for treatment .As I posted last week I waited a couple of hours for emergency dental care and that was because of my travelling time .I get seen by my doctor whenever I need although in peak times i might wait a few weeks for mundane tests . I think they should look at the way it works here .
The idea of proper funding or restructuring is pie in the sky the way politics work in the UK ,who is going to suggest it and the costs just to lose the next election ?
how do people on low wages and benefits get on in your system?
roydo
in memoriam - 1965-2024
Its arse and elbow from my experience.
These are both true and are a tiny example of what I mean. A few days after Nikki had died, in hospital, her phone pinged with a text from said hospital asking her to "Rate your stay".
I informed the NHS (she had worked for them) she had passed, and they invited me to claim some pension stuff. Will get round to it. But, the other week, a letter addressed to her informed her that some pension reforms meant she had "more options" when taking her pension.
Multiply that by millions of patients, heaven only knows how many trusts, and you can get the picture. Too big.
Without wanting to sound insensitive, this is far from the NHS's major problems, especially financially. The real issue is chronic waste through its structure.
The level of inefficiency through the trust system is mind-blowing, and that's before even thinking of the inefficiencies once you get into each and every trust.
Each requires management staff to run procurement and whatnot; they each have to sort their own deals on so many items, including medication.
This causes financial inefficiencies, and that's before considering the bloated numbers of middle managers. It also leads to people not knowing their arse from elbow.
The Royal had a contract for a laundry service for years, and when it ran out they decided to ask about. Only then, they realised Fazakerly had their own operation.
This is THE SAME trust - wasting millions for years and years. So think about how much money will be wasted when you look wider.
Had a decent day on the gee gees today @Barnfred 55 . Shaquille to win and Odyssey at 33/1 ew. My ITV 7 failed at the first hurdle!
roydo
in memoriam - 1965-2024
Again, Nikki related, when she came home, she asked if I could buy some scales so she could chart her weight gain. No problem. Quick trip to Argos and £9.99 later, scales.
She said to me that it was the exact same model she bought for the GP Surgery she worked at. The cost? £89.99 cos they stamped "Medical" on the scales.
Val P
Player Valuation: £8m
Im interested to read the discussions around the NHS having worked in it for nearly 40 years. A society that cannot offer free health care is not one I would want to live in. Is the current NHS fit for purpose? No, but with that we have to define it’s purpose and what it should be doing. I worked in mental health when the big asylums were closing and in principle it was a sound idea. But community care well delivered is never a cheap option, and no matter what anyone says the prime reason for “modernisation “ in the NHS is saving money - it can be dressed up with all the management speak you like but that is and always has been the bottom line.
people are not widgets and it makes running it like a business very challenging. You only have to look at the private companies who have handed their contracts back as they can’t make it pay to see that. They tend to cherry pick the nicely boundaried services and the NHS are left to deal with the multiple pathology presentations with social issues that don’t nicely fit into a diagnostic box. The number of orthopaedic cases I have seen who had joint replacements in private hospitals which went wrong and were then referred into NHS services is huge. Also no emergency care in private so if things go belly up off you go from your comfy bed direct to a and e.
in the latter stages of my career I worked in modernisation quality and governance. An entire industry in itself - some bits essential, others not so much. CQC. - prime example of waste of money - if you go looking for a problem you will find it and indeed if for your organisations survival it is in your interests to do so. Co-ordinating CQC visits, getting all the info they ask for, getting staff to cover etc etc - the cost to a trust is phenomenal. They usually tell you what you already know - that there’s not enough staff and this threatens patient safety - well no [Poor language removed] Sherlock - this is what happens with years of under investment or investment in the wrong things - see above. So many reorganisations to save money - got to the stage where every November I had to reapply for jobs and see colleagues made redundant all in the name of modernisation. Same amount of work still there just less staff.
i was good at my job (just stating a fact here - not bragging) and worked many many more hours than I ever got paid for. In the end it broke me and many others like me who cared so much that it affected our mental health to see what is happening. Hence early retirement. There are lots of sides to this debate, I would say 80% of the people who work in the NHS feel the same.
sorry for the rant - can I still stay in your thread
people are not widgets and it makes running it like a business very challenging. You only have to look at the private companies who have handed their contracts back as they can’t make it pay to see that. They tend to cherry pick the nicely boundaried services and the NHS are left to deal with the multiple pathology presentations with social issues that don’t nicely fit into a diagnostic box. The number of orthopaedic cases I have seen who had joint replacements in private hospitals which went wrong and were then referred into NHS services is huge. Also no emergency care in private so if things go belly up off you go from your comfy bed direct to a and e.
in the latter stages of my career I worked in modernisation quality and governance. An entire industry in itself - some bits essential, others not so much. CQC. - prime example of waste of money - if you go looking for a problem you will find it and indeed if for your organisations survival it is in your interests to do so. Co-ordinating CQC visits, getting all the info they ask for, getting staff to cover etc etc - the cost to a trust is phenomenal. They usually tell you what you already know - that there’s not enough staff and this threatens patient safety - well no [Poor language removed] Sherlock - this is what happens with years of under investment or investment in the wrong things - see above. So many reorganisations to save money - got to the stage where every November I had to reapply for jobs and see colleagues made redundant all in the name of modernisation. Same amount of work still there just less staff.
i was good at my job (just stating a fact here - not bragging) and worked many many more hours than I ever got paid for. In the end it broke me and many others like me who cared so much that it affected our mental health to see what is happening. Hence early retirement. There are lots of sides to this debate, I would say 80% of the people who work in the NHS feel the same.
sorry for the rant - can I still stay in your thread
you certainly can Val , you are already a valued contributorIm interested to read the discussions around the NHS having worked in it for nearly 40 years. A society that cannot offer free health care is not one I would want to live in. Is the current NHS fit for purpose? No, but with that we have to define it’s purpose and what it should be doing. I worked in mental health when the big asylums were closing and in principle it was a sound idea. But community care well delivered is never a cheap option, and no matter what anyone says the prime reason for “modernisation “ in the NHS is saving money - it can be dressed up with all the management speak you like but that is and always has been the bottom line.
people are not widgets and it makes running it like a business very challenging. You only have to look at the private companies who have handed their contracts back as they can’t make it pay to see that. They tend to cherry pick the nicely boundaried services and the NHS are left to deal with the multiple pathology presentations with social issues that don’t nicely fit into a diagnostic box. The number of orthopaedic cases I have seen who had joint replacements in private hospitals which went wrong and were then referred into NHS services is huge. Also no emergency care in private so if things go belly up off you go from your comfy bed direct to a and e.
in the latter stages of my career I worked in modernisation quality and governance. An entire industry in itself - some bits essential, others not so much. CQC. - prime example of waste of money - if you go looking for a problem you will find it and indeed if for your organisations survival it is in your interests to do so. Co-ordinating CQC visits, getting all the info they ask for, getting staff to cover etc etc - the cost to a trust is phenomenal. They usually tell you what you already know - that there’s not enough staff and this threatens patient safety - well no [Poor language removed] Sherlock - this is what happens with years of under investment or investment in the wrong things - see above. So many reorganisations to save money - got to the stage where every November I had to reapply for jobs and see colleagues made redundant all in the name of modernisation. Same amount of work still there just less staff.
i was good at my job (just stating a fact here - not bragging) and worked many many more hours than I ever got paid for. In the end it broke me and many others like me who cared so much that it affected our mental health to see what is happening. Hence early retirement. There are lots of sides to this debate, I would say 80% of the people who work in the NHS feel the same.
sorry for the rant - can I still stay in your thread
Well to my knowledge no one is left behind ,the wages are fair and as most people work -the last figure I saw was 90% of women alone are working , there are of course people on benefits but they are looked after the same as me ,I use the state system .
I did have medical insurance but that was stopped when I reached 65 as my wife paid it and it seems it was a clause in the contract .
There isn't the same drain on resources with unemployed people for whatever reason because the mindset is different about work .
I came from a working class area in Liverpool and knew a lad who was 30 years old and had no sickness but had never worked a day since leaving school .I had a circle of friends and only two of us where actually "employed " the rest did little or worked on the side .That does not happen here .
A cow only has a limited amount of milk to give is the mentality here .