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Post by parsley1 on Oct 21, 2024 21:30:25 GMT
I wonder what people make of this political stunt
And if anyone has posted on the site their ideas
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Post by Jan on Oct 22, 2024 7:02:42 GMT
I wonder what people make of this political stunt And if anyone has posted on the site their ideas It is kicking reform into the long grass. It is already clear what people want so why ask. Patients want shorter waiting lists and staff want more money. I'd rather hear Wes Streeting's ideas - he's had long enough to think about them while in opposition, why hasn't he got a reform programme planned and ready to go like they have (sort of) for housebuilding and planning for example ? |
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Post by theglenbucklaird on Oct 22, 2024 8:18:01 GMT
I wonder what people make of this political stunt And if anyone has posted on the site their ideas It is kicking reform into the long grass. It is already clear what people want so why ask. Patients want shorter waiting lists and staff want more money. I'd rather hear Wes Streeting's ideas - he's had long enough to think about them while in opposition, why hasn't he got a reform programme planned and ready to go like they have (sort of) for housebuilding and planning for example ? Not too sure you do want to hear Wes Streeting's ideas |
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Post by Jan on Oct 22, 2024 11:07:05 GMT
It is kicking reform into the long grass. It is already clear what people want so why ask. Patients want shorter waiting lists and staff want more money. I'd rather hear Wes Streeting's ideas - he's had long enough to think about them while in opposition, why hasn't he got a reform programme planned and ready to go like they have (sort of) for housebuilding and planning for example ? Not too sure you do want to hear Wes Streeting's ideas Well as he went when in opposition to look at the Australian and Singaporean health systems maybe I do. |
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Post by parsley1 on Oct 22, 2024 11:23:11 GMT
Not too sure you do want to hear Wes Streeting's ideas Well as he went when in opposition to look at the Australian and Singaporean health systems maybe I do. 26 million And 6 million Population Pointless to compare |
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Post by theglenbucklaird on Oct 22, 2024 12:47:29 GMT
Not too sure you do want to hear Wes Streeting's ideas Well as he went when in opposition to look at the Australian and Singaporean health systems maybe I do. Yep you are probably right |
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Post by duncan on Oct 23, 2024 9:41:57 GMT
Universal free healthcare is unsustainable in the UK without either massive increases in taxation or a fundamental change to the definition of "universal free"
The NHS was not designed for a population of 65 million living off expensive drugs into their 90s, it was built around a population of 50 million who would get a free walking stick and then die cheaply at 61. The costs involved in medicine have evolved dramatically over the last 80 years but sadly the thinking behind the NHS has not.
Successive govts continuing to throw money at it in the hope of claiming "we are spending more than the other lot ever did..." is just a sticking plaster on something that is disease ridden to the marrow.
That no political party over the last 50 years has fully grasped the nettle of the much needed changes is the biggest non reported political scandal of that time in the UK. No one wants to do anything as the mewling quims that vote will get upset and we'd much rather be in power and making a **** of it than in opposition because we actually did something for the greater good.
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Post by lichtie on Oct 23, 2024 10:25:43 GMT
It's not a UK only issue though. Medicare in the US currntly swallows north of $400B (double the whole NHS budget) from the US Treasury. It's an issue about demographics and how to cope with change. (The rest of Europe is in much the same position as well).
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Post by BurlyBeaR on Oct 24, 2024 8:30:02 GMT
They’re really doubling down on the digital stuff aren’t they? Both my surgery and my Mum’s (different cities) have in recent weeks moved to a “you must make first contact via the app” model. Now, I can deal with that for myself but my mum is old and housebound and I cannot get her to understand a smartphone. It is not going to happen. So that means I have to do it for her, which I don’t mind but really? People can’t ring the surgery any more? Ok there’s a small print disclaimer that says, in their usual officious tone, that in extreme exceptional circumstances a call can be made and if deemed appropriate the receptionist will log it for the patient. My mum tried this and the options to press this, that and the other were so complicated she gave up and rang me.
Digital adoption is a generational skill and unfortunately for the NHS we do still have a generation alive who will not adopt it. Bide your time, they won’t be around for much longer so really, while they’re alive can we please try and help not hinder them?
Second rant about GP surgeries. Do you ever encounter any other patients in yours? I don’t, and this has been the case for a few years now. On the rare occasions where it’s necessary to go in person I am literally the only one there. Last week I went for my flu jab. Appointment was 12.15. I turned up early at 1200. Nurse was in the treatment room alone. I registered my presence on the terminal (god forbid we should bother reception) and was immediately called in. I was jabbed and out by 12.04. Assuming her next one was at 12.25 the nurse now has 20 minutes of…. What?
A few months ago I had to go for some tests and was informed that I’d need a double appointment 40 minutes. I was in and out in less than 10. That’s thirty minutes wasted. It just doesn’t chime with the endless calls of “we’re so busy”. I’m not buying it.
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Post by aspieandy on Oct 24, 2024 10:03:30 GMT
Well, this makes me sad. Copied from the website of my GP Surgery:
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Post by BurlyBeaR on Oct 24, 2024 10:25:24 GMT
Oh dear what a load of self serving cobblers.
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Post by ceebee on Oct 24, 2024 10:55:00 GMT
I agree with BurlyBeaR 100%. I am largley supportive of the GPs, nurses etc but in my village (with stable population numbers, no new housing) it is nigh on impossible to get a GP appointment, yet when you do visit the surgery, a space that used to be full of people is now empty. Almost like the Covid days. There are countless people behind the reception screen, all tapping on computers. The radio is on nice and loud, and patients are made to feel like an inconvenience if they dare to ask for assistance. Doctors come out of their rooms to call in patients by name (wasting a few minutes each time, when a buzz through to reception could do the same job). It is mirrored at my dentist's surgery, which is a wholly private practice and yet it is very difficult to see my regular dentist. "He only works three days a week", I get told. "Would you like to see Mr X instead, he's very nice..." So I did a little bit of soft research on this to understand the trends... GPs and dentists are advised to work fewer patient-facing days due to the stress and high risk of their jobs. NHS GP's are often giving two days to NHS work and using the rest of their time for private work, CPD etc. The private work is undertaken at local private hospitals where a standard GP consultation starts at £90 plus the cost of (private) prescription. this equates to £500 an hour - four hours work will pay a private GP £1000 after costs but before tax etc. Private dentists (i.e. non NHS) are encouraged to adopt partnership business models whereby partner dentists do fewer hours/days and instead employ a cheaper non-partner dentist to do the low-value work (check ups, fillings). Mine tries to wrap hygienist services into the dentist's work schedule to reduce having to employ locum hygienists. The longer term aim is to build a network of partner practices before the inevitable "sell off" to a larger group. The bottom line for me is that people working for the NHS should not be allowed to take private work - they should do one or the other, not both. Nurse banks/recruiters should be binned off as this is a huge drain on NHS funds - siphoning cash out of the system by charging exorbitant rates for the same nurse to do the same job if they were employed by the NHS directly. Private dentists should consider whether they are serious about their profession or simply building a business - fronting up as the face of a surgery just to become "invisible" and leaving patients to see cheaper, less experienced dentists is not good practice. Imagine if you were paying top dollar for a lawyer, a partner who has built their reputation for excellence over time, but that same partner kept deferring you to junior members of their team but charging you the partner rate. You wouldn't accept it - it is no different for other professionals. It'll take more than Wes Streeting to fix the broken NHS. It needs a complete overhaul, cultural change, and should probably start charging for some services. |
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Post by SilverFox on Oct 24, 2024 10:56:07 GMT
Second rant about GP surgeries. Do you ever encounter any other patients in yours? I don’t, and this has been the case for a few years now. On the rare occasions where it’s necessary to go in person I am literally the only one there. Last week I went for my flu jab. Appointment was 12.15. I turned up early at 1200. Nurse was in the treatment room alone. I registered my presence on the terminal (god forbid we should bother reception) and was immediately called in. I was jabbed and out by 12.04. Assuming her next one was at 12.25 the nurse now has 20 minutes of…. What? A few months ago I had to go for some tests and was informed that I’d need a double appointment 40 minutes. I was in and out in less than 10. That’s thirty minutes wasted. It just doesn’t chime with the endless calls of “we’re so busy”. I’m not buying it. I had an "appointment" for double flu / covid vaccinations at 14:50, I turned up early in order to fill out the inevitable forms, but no names were called it was just next-in-line called in - one in front of me. I hardly ever go there so they don't know me by sight, name never checked against any list (but obviously vacs were registered on the NHS web). I was jabbed, released, and completed the 7 minute walk home by 14:52. Much better than being delayed, but busy? |
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Post by Someone in a tree on Oct 24, 2024 11:27:52 GMT
Why are GP surgery's offering flu and covid jabs when it can be done at a pharmacy.
As someone who works in social care and has lots of meetings with health professionals in various setting, the red tape that health colleagues endure is epic
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Post by BurlyBeaR on Oct 24, 2024 11:36:55 GMT
I have to go to the GP for flu and a pharmacy for Covid. Logic might suggest getting both together at the same place but that would be too sensible.
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Post by ceebee on Oct 24, 2024 11:46:27 GMT
Also, I get patient services from my GP, Tunbridge Wells Hospital, St Thomas and St Guys, and Kings College Hospital.
I need to use four different apps for the same core purpose, all of which carry around 70% of the same information.
It's these kinds of inefficiencies that drive me mad.
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Post by lichtie on Oct 24, 2024 11:51:09 GMT
Always lots of generally elderly patients when I visit mine. They've also moved to an app, though it's no easier to get on it than it was to get through by phone...
And it's worth remembering that GPs (and dentists) are not on the NHS payroll. WHich also helps explain the vast differences in actual practice between different providers.
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Post by lichtie on Oct 24, 2024 11:51:59 GMT
Also, I get patient services from my GP, Tunbridge Wells Hospital, St Thomas and St Guys, and Kings College Hospital. I need to use four different apps for the same core purpose, all of which carry around 70% of the same information. It's these kinds of inefficiencies that drive me mad. Every attempt to make NHS systems talk to each other has been an expensive fiasco however! |
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