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Messymascot's faith in humanity and ginger safe haven

Val P said:
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 😂
Click to expand...
You are a welcome light in here from day one . We all have our own idea of perfection and the health service was a brilliant idea so, in my mind was the idea of everyone having the same chance in life .Both are almost impossible to achieve , we are brought up generally to want more than we are entitled to and that is simply an impossible situation . When I was a lad we were happy in the main with what we had ,which was nothing .Now we all want more than the next person ,I am not against achievers and doing well but I am against the ones who want it for nothing .
This in no way reflects on any person who is unable to provide for themselves workwise or in sickness .
I think the other issue is the NHS was never economically viable ,it always cost too much to run .Too many middle management doing little and taking a lot . Off to bed to avoid the flack .
 
blue1948 said:
You are a welcome light in here from day one . We all have our own idea of perfection and the health service was a brilliant idea so, in my mind was the idea of everyone having the same chance in life .Both are almost impossible to achieve , we are brought up generally to want more than we are entitled to and that is simply an impossible situation . When I was a lad we were happy in the main with what we had ,which was nothing .Now we all want more than the next person ,I am not against achievers and doing well but I am against the ones who want it for nothing .
This in no way reflects on any person who is unable to provide for themselves workwise or in sickness .
I think the other issue is the NHS was never economically viable ,it always cost too much to run .Too many middle management doing little and taking a lot . Off to bed to avoid the flack .
Click to expand...
Thank you - No flack from me. I can see it’s imperfection. I have worked initially administratively, retrained and worked clinically, went into management, as in those days to advance my career it had to be via the management route - now they have all sorts of extended clinical roles which is great. So I have a pretty rounded view based on experience. I also, thanks to my husband’s health issues over the past 10 years, have what they now called lived experience. Not all good - in fact some seriously crap, but luckily for him I had the understanding of how to press the right buttons to make it better. My heart breaks when I read what others have had to go through - believe me.
i also agree with you about people who want something for nothing - not good. There are also layers of complexity about why that is so I am careful about making sweeping generalisations.
Have a good nights kip 😊
 
blue1948 said:
You are a welcome light in here from day one . We all have our own idea of perfection and the health service was a brilliant idea so, in my mind was the idea of everyone having the same chance in life .Both are almost impossible to achieve , we are brought up generally to want more than we are entitled to and that is simply an impossible situation . When I was a lad we were happy in the main with what we had ,which was nothing .Now we all want more than the next person ,I am not against achievers and doing well but I am against the ones who want it for nothing .
This in no way reflects on any person who is unable to provide for themselves workwise or in sickness .
I think the other issue is the NHS was never economically viable ,it always cost too much to run .Too many middle management doing little and taking a lot . Off to bed to avoid the flack .
Click to expand...
Why you got an ack ack gun in your outside lavatory
 
Val P said:
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 😂
Click to expand...
OMG I’ve just noticed I’ve had bad language removed 😮- time to put my iPad down and concentrate on the bottle of rose I’m three quarters through 🍷😊. Have a good Saturday night everyone 😀
 

lancs blue said:
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
Click to expand...
No mate.

The intentional run down of the NHS to make privatisation seem the natural way forward is Thatcher’s legacy.

We all deserve a Health Service that is there when we need it.
 
Val P said:
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 😂
Click to expand...
Great post Val.

Late to the party but welcome to the Messy cafe.
 

Val P said:
Thank you - No flack from me. I can see it’s imperfection. I have worked initially administratively, retrained and worked clinically, went into management, as in those days to advance my career it had to be via the management route - now they have all sorts of extended clinical roles which is great. So I have a pretty rounded view based on experience. I also, thanks to my husband’s health issues over the past 10 years, have what they now called lived experience. Not all good - in fact some seriously crap, but luckily for him I had the understanding of how to press the right buttons to make it better. My heart breaks when I read what others have had to go through - believe me.
i also agree with you about people who want something for nothing - not good. There are also layers of complexity about why that is so I am careful about making sweeping generalisations.
Have a good nights kip 😊
Click to expand...
The development in mental health treatment and acceptance in general society must be a highlight in your working life Val. It has come a long way.
 
Val P said:
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 😂
Click to expand...

Well said Val….
 

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