The NHS and its future

National Health Service (Co-Funding and Co-Payment) Bill 2017-19 gets its second reading today. It’s a private members bill, with no detail on what co-funding means. It’s proposer is one Sir Christopher Chope, seconded by Peter Bone. Chope is a lovely man and I am sure he is not up to no good. After all, he steered the poll tax through the commons, voted against; the minimum wage, against pardoning Alan Turing, against companies producing equal pay information and talked of staff in the HOC being ‘servants’. He also called for the minimum wage to be abolished saying it would introduce “more freedom in the job market”. When the Hillsborough debate was starting in 2011, he raised an objection as he believed that a debate on MPs pensions should take precedence. In the expenses scandal he claimed over £135,000 which included nearly £1000 for a repair to a sofa. He has also managed to filibuster, or talk out, bills on; revenge evictions by landlords (funnily enough, he is a landlord), wild animals not being used in circuses and, here is a clue about his bill possibly, restrictions on parking charges for carers. I put this information to suggest that his co-payment bill is unlikely to be good news for anyone lacking ‘in a few quid’. We do already have co-payments in the form of eye test charges and prescription charges. As I have already said, there is no detail on what he is proposing but things like; faster access to treatment, an appointment when you want it, parking at the front of the hospital, paying extra for higher standards of food, paying to see a GP, paying to jump the queue for a consultant appointment, part paying for expensive drugs not available on the NHS? Truth is, I have no idea but, looking at the proposer, it’s unlikely to be ‘good news’. By way of contrast, the bills seconder Peter Bone, believes the NHS should be privatised and is only applicable to ‘Stalinist Russia’.
As it’s a private members bill, I know it would need government support to get anywhere, but you do have to wonder why it is out there? Is it a ‘raise it up the flag pole and see how many salute it’ proposal, a way to test it out if you will? Or, is it two very right wing than nutters with nothing better to do?
Chope objected against making UPSKIRTING a specific criminal offence today.
https://www.standard.co.uk/news/uk/...d-by-objection-from-one-tory-mp-a3864286.html
 
Stop doing sex changes, IVF, boob jobs (unless medically necessary) that would save a few bob, oh and get rid of management
 
Stop doing sex changes, IVF, boob jobs (unless medically necessary) that would save a few bob, oh and get rid of management

Have to say, and this is probably because I don’t have a paternal bone in my body, but I have never got the IVF thing.

Why are we doing this on the NHS. When did it become a right
 
This thread is like reading the comment section in the Daily Mail. Page after page of myth, exaggeration and untruth.


Not one poster has grasped the reason behind the current issues the NHS faces. In two words it is Andrew Lansley. His reorganisation of the NHS was one huge clusterfuck.

I will take the post from Nimrod to start
It is badly run because Lansley reorganised it in such a way the system is now so fucked up its unworkable. Nobody wanted his reforms, they were in no manifesto, so nobody voted for them, he did it anyway because he thought he knew more. He didn't he is a fucking halfwit with the brain of a cactus plant. You now have the situation where a GP controls a budget for an individual, its an ideological standpoint about patient choice. In effect what it means is that say you have to go to hospital for treatment for ulcers you have to get the bandages etc from your GP to take to hospital to have them dressed as the hospital are not permitted to use their own. The GP mindful of his budget requirements will proscribe the cheapest option, that means treatment takes longer, which means more staff time. Its false economy and it means the patient has to run back and forth between his GP, the chemist and the hospital 3 times a week to have a dressing done, rather than just have it done at source. Its fucking madness in a mad bottle with a mad hat on. A specialist will then proscribe you drugs and a GP will call you in and attempt to cut down on what the specialist wanted as it comes out of the GP budget now, not the hospitals. So you your medication is cut which means it takes longer to get better and increases the risk of you having to return to the specialist and then the whole thing starts again. ITS FALSE ECONOMY.

The missed appointments stats are made a big thing of not because more people are missing them, its because there are less appointments. Stats can easily be manipulated to show a rise when in fact fuck all has changed and people will always miss an appointment from time to time because things happen in life. The missed appointments deflect from the lack of them. Try ringing your GP for one. There aren't any because we don't have enough GPs .. It is that fucking simple. As a regular attendee at hospital outpatients I can tell you the problem is overegged. Its the lack of doctors. ITS FALSE ECONOMY.

Procurement is one I hear about a lot. I have been on the end of this waste. Phlebotomists who take your blood now use cheaper tape after taking it. They don't use plasters as they are too expensive. So now they spend far more on tape that is useless and doesn't stick but its cheap. Beancounters look at cost not value. Speak with a phlebotomist and they will tell you. At the end of the scale, an injection I need to function as a human being and type this costs £1000 a go and I have one every fortnight. So £500 per week. If I didn't have the injection I would be permantly in hospital and that costs £3,500 per week. Do the maths. Its not difficult to see which is the cheaper option. I spent two months in hospital waiting for approval for the injection because of cost. It cost over £20,000 to keep me there which would have funded my treatment for 10 months and freed up a hospital bed. Its FALSE ECONOMY.

Staff sickness is higher because there are less staff. Less staff means more work and you can only flog a horse so long before it breaks down. Hire more staff and you get less sickness. If that aint obvious I don't know what the fuck is. Nurses on my ward are doing 13 hour shifts, 13 hours caring for people who may be in danger of death. Its totally fucking insane. Nurses go sick and then because they are short they hire agency staff at 3 times the cost to cover because if they don't people will die.The agency staff will not be familiar with the ward and every ward is different in character. You need continuity of care. They are putting a cost on peoples lives. ITS FALSE ECONOMY


I see immigration mentioned as expected, health tourists blah blah fucking blah. In my combined time of nearly four years in hospital I have come across one person who was not from the UK in hospital. She was in tears and lots of pain. She had come over from Jordan on holiday and the NHS fixed her up emergency wise but they would not do the Op she needed because she didn't have insurance or any money with her. Don't buy the fucking lies you hear. Its all part of the anti immigration rhetoric. Yes we have foreign staff on our wards and foreign doctors too. Because we don't train enough Doctors, nurses etc. ITS FALSE ECONOMY. A young girl trainee nurse on my ward had to give her course up as she couldn't afford it after bursaries were cut. So she was replaced by a nurse from Ghana, a good nurse too but the English girls dream has gone and she is now probably doing fuck all. ITS FALSE ECONOMY.

Outsourcing of cleaning staff is sheer mindless fuckwittery on a scale so imbecilic I struggle to even comprehend the motive behind the thinking. The lads and girls who do it work hard bless them for the minimum wage, but they don't answer to the ward Matron. They answer to their boss. If Matron has a specific task she needs doing she has to get in touch with their boss, who gets in touch with their supervisor who gets in touch with the cleaners who then have to find time in their day to do the task. If it is a bed where somebody has passed away and it needs the full cleaning protocols then that bed could lie empty for a day. Meanwhile some poor fucker needing a bed is on a trolly in A&E waiting. The A&E staff have to look after them until the bed is ready, so the queue in A&E gets bigger because the staff are doing the job that should be done on the ward because the bed aint ready because the matron has no power over the outsourced cleaners. ITS FALSE ECONOMY.


The saddest thing is and anyone with half a brain must realise it is that the NHS is being primed to be sold off to American healthcare companies and Richard fucking Branson. The free at the point of use will be gone and people will wonder why they can no longer get treatment if they are not well off. The idiotic thing is if you have people who cant get treatment because they cant afford it the people who suffer are the people who employ them. The economy suffers and the downward spiral continues but its alright in Tory land as some of there pals have shares in private healthcare companies and they will be fine and they couldn't give two fucks about your health, you arnt important, you are lowlife scum who deserves fuck all out of life.

Im stopping now, as im getting angry. I just hope the country wakes up and sees whats happening to our NHS because in 10 years time we wont have one.
Some good points and some poor ones. The ''health tourism" thing you mention is real, and costs a shit load of money.
 
Stop doing sex changes, IVF, boob jobs (unless medically necessary) that would save a few bob, oh and get rid of management

False economy again Mav.

The costs of not doing these things will outweigh those of doing it. Not just in monetary terms but in human terms too. If a one off Op gives people peace and happiness at a cost of lets say £10k that will be cheaper than the person undergoing a lifetime of visiting Health Psychologists and NHS counsellors, it cuts the risk of depression and other assorted mental health issues. People forget the cost of a nights stay in hospital. They see a one off figure quoted for an op that looks huge, but if you calculate the combined costs of not doing it, then it will outweigh that of the Op. Im not saying cosmetic enhancements should all be free, but you have to take into account psychological damage and the cost of not doing it.
 
Some good points and some poor ones. The ''health tourism" thing you mention is real, and costs a shit load of money.
Medical tourism is a lucrative source of income for the NHS, according to a study that contradicts many of the assumptions behind the government's announcement that it will clamp down on foreigners abusing the health service.

Eighteen hospitals earned £42m in 2010, according to researchers from the London School of Hygiene and Tropical Medicine and York University. Medical tourists spent an estimated £219m on hotels, restaurants, shopping and transport in the UK. There families, companions etc don't stay in hospitals.

The researchers also found that more people leave the UK seeking medical treatment abroad than arrive in this country for care: about 63,000 people from the country travelled to hospitals and clinics abroad in 2010, while considerably fewer, about 52,000 people, were treated here. Most people leave for things like fertility treatment and other procedures not available on the NHS. We also have the ex pat brigade who fly home for NHS treatment. They have helped fund it over the years so they deserve something back.

freedom of information requests to obtain figures from 18 hospitals. Great Ormond Street children's hospital earned £20.7m from foreign patients in 2010-11; Kings earned £7.9m and the Royal Brompton earned £7.4m. Its estimated the NHS spends around £300 million on health tourists, it would cost far more than that to set up a system where health tourists are charged and once they have gone home there is no guarantee you will ever get the money back. The majority of health tourist spending is at A&E which surely no person could ever complain about. As a nation we don't leave people dying on the street because they haven't got a credit card, and I hope to fuck we never become that country either.

Hope that helps mate, so many myths knocking about it annoys me.
 
False economy again Mav.

The costs of not doing these things will outweigh those of doing it. Not just in monetary terms but in human terms too. If a one off Op gives people peace and happiness at a cost of lets say £10k that will be cheaper than the person undergoing a lifetime of visiting Health Psychologists and NHS counsellors, it cuts the risk of depression and other assorted mental health issues. People forget the cost of a nights stay in hospital. They see a one off figure quoted for an op that looks huge, but if you calculate the combined costs of not doing it, then it will outweigh that of the Op. Im not saying cosmetic enhancements should all be free, but you have to take into account psychological damage and the cost of not doing it.
But that’s not what the NHS was set up for, next they will, be saying you need to set up social,housing for them etc etc. IVF can be paid for out your own pocket the same with the other stuff, it seems to me that we either pay extra for the nhs to fund these things or we stop doing them. So what do people want? I’m all for an extra 1p on income tax if it means getting in to see a doctor etc when I want but that money should be used onky for nhs, same as road tax should onky be used for our roads.
 

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