Is she proud of what the tories have done to destroy the nhs ?
Just curious
She wouldn’t say they’ve destroyed it any more or less than Labour did - some good and bad decisions have been made as is always the case - she’d not even say it would be better for them to keep their noses out of the NHS because it needs a boot up the arse ever now any again. I’m sure people will point to meaningless charts and statistics and tell her she’s wrong and how much better it was in xyz year but this is her daily reality…
…She is happy with her pay, but thinks the band 5 nurses should get paid more as the difference between newly qualified and unqualified’s is too close for the extra responsibilities. She likes the nurse apprenticeship to allow people to move from unqualified to qualified and it needs more spaces, lots more and perhaps give more credit to the very experienced unqualified.
She’s pragmatic enough to say the levers a government, any government, can pull are actually far more limited than Joe Public would hope. Capacity, she’d tell you, is the main issue and her trust is one of the PFI hospitals and wasn’t fit for purpose from the day it opened and can’t be extended sufficiently due to the location they built it in. Great idea but very poorly executed.
She’d say that, as they can’t increase capacity, then funding isn’t really the main issue but rather how it is used today with a huge reluctance to change from within her trust and an acceptance of hugely inefficient processes coupled with a bullying culture - these prevent some real improvements for patients. She would point out there are, of course, significant pressure points and the wards/A&E are certainly the visible face of it - they’ve squeezed more beds in to use the space as much as possible - and they are overworked and could do with more staff (aka more money). Her department is the opposite, vastly overstaffed and overfunded.
But she’d also tell you it’s not just about the NHS, it’s about us as well, she would ask why are people from less affluent backgrounds not prioritising their health until it’s often too late, and then pitch up with the hope the NHS can mop up their poor choices. In her current role in breast screening she will tell you there is a marked increase in people going to the mobile screening units in more affluent areas than the less affluent. Throwing more money at the NHS is not going to solve these problems - she’d wonder if perhaps more money elsewhere would. She would tell you what she sees in her current role and the difference in outcomes and costs in early treatment regimes versus late is vast, in screening you can be in for surgery within 2 weeks, home and live your life - leave it then you might well be looking at chemo and worse, certainly a poorer prognosis. Everyone and their dog knows the sooner you catch cancer the better your chances. One of her many stories from COVID was a husband and wife who didn’t have their vaccines and both were in hospital with COVID and begging for the vaccine but having to be told it was too late and there was nothing to be done - they both died, it could have been prevented (obviously not certainly),
they could have prevented it. If you can imagine how people who have dedicated their entire careers to caring for people see this senseless waste of life - when prevention and intervention is readily available.
She would go further and say a big part of the challenges seen on the wards and in A&E is the inability to discharge medically fit people - she was a discharge specialist nurse for a couple of years previously and would always get the right package of care in place (it was often a fight for funding but she’s like a dog with a bone) but once funding was sorted would be told things like that care home that has a space isn’t the closest one or we off on holiday and back in a fortnight we will collect Ethel from “ward X” then - like an acute hospital was a hotel!!! Take responsibility and stop outsourcing your problems to the NHS to solve so it can actually solve acute medical problems. She’d tell people moaning about having to wait 8 hours in A&E to spare a thought for the poor bugger that had to be rushed through. She would say shutting down community hospitals has exacerbated the capacity situation although once they are full, she’d ask, then what? New ideas and trials around renting out spare bedrooms to medically fit patients she thinks these are clever solutions to the ever increasing problem.
She would be able to talk for hours about the good and the bad. Can Labour do better? She’s fairly neutral about it but does think their big plans for clearing the backlog are already happening in her trust and it’s barely touching the sides so is a little skeptical. She will carry on doing her job regardless of who is in power - well actually a new job shortly.
Of course if you asked a Labour voting nurse she or he might well tell you it’s all the tories fault but hopefully you’ve read enough to see it’s nowhere near that simple - if only it was. For all our systems work it requires we all do our bit as wel, be that social security, police, fire, NHS etc etc. no one would deliberately leave a 2 bar fire on next to a pile of newspapers yet we are content to consciously take unnecessary risks with our health.