Happy 75th Birthday

What was wonderful once is falling rapidly into disrepair.

It needs a thorough review by capable and qualified people, to get a grasp on the numerous issues and the funding black hole that exists.

From serving inedible food that ends up in the bin, to the lack of internal communication between departments, it's a joke. My Mum had to go to two different hospitals for her treatment, getting passed between surgeons and oncologists who never seemed to communicate. She would ring one hospital secretary to be told the oncologist was at the other hospital that day, to then ring the other hospital and be told he was actually at his private hospital.

My wife has private healthcare through her work, and largely to ensure I can get regular checks due to the fact cancer has seen my Mum and two of her sisters die in the past 2 years in their 60s. She went for a scan recently and it was an instant result and within 24 hours they had scheduled the follow up meeting to discuss a plan of action moving forwards.

My Mum would have a scan and by the time results would come back she'd be in hospital for something else. It was farcical and it's costing lives sadly.

I hope they can find a way of saving it, but sadly it seems they'd rather privatise elements rather than spend money carrying out a significant review at cost wastage and coming up with better systems to move things forward. In this day and age, still relying on hand written notes is crazy.

At one point my Mum was visited by a nurse who proceeded to carry out a check of her breasts for lumps. The only issue being she was in due to bowel cancer and had survived breast cancer over a decade earlier and had a double mastectomy! Not too sure what they were checking for!
 
I don’t really understand the NHS structure these days. Lots of “trusts” and lots of highly paid Chief Executives and Directors and a bit of a revolving door culture. I’m not sure the various Reforms have delivered any improvements. Any civilised society has to have free-to-use quality healthcare but many Countries do it better than we do now. I can’t get a sniff of an NHS dentist where I live and seeing a GP is incredibly difficult. The NHS has sadly become a bit of cult and it’s difficult to have a grown-up discussion about it. Can only see a slow and further decline I’m afraid.

The salient points you raise there is that the two bits people are having real issues with - GFP's and dentists - work in practises contracted to the NHS rather than being like a nurse at your local hospital who is directly employed by the NHS Trust - its the private run bits that are expensive and unable to provide adequate care/cover
 
I heard a guy on the wireless this morning stating that the % cost of management of the NHS is the smallest in the world. Whether he said that or it was just my ears hearing it . . . . . . !

Its a fact - the manager/worker ratio in the NHS is the smallest and cheapest in the world. Its just people fall for the Tory trope that its the other way around.
 
We need an intelligent and grown up discussion as a country about health and social care and how best to address it. However, in our current political environment I'm not sure we are capable of this.

If you look at the circumstances of the creation of the NHS and the various players who were instrumental, they covered not only Labour but Liberal and Conservative politicians (a number of these players had careers and vested interest in healthcare) who collectively took advantage of the extraordinary times and faced down many objections and challenges and ultimately delivered on a vision which was world leading. The idea of such a coalition existing to deliver a significant renewal now is vanishingly thin.

It is hard to shake the view that the incumbent government's policy is deliberate managed decline and though they might not be in a position to finish the job they will have made big inroads into this by the end of their term. As with so many things, before we can have renewal in our health and care we need a renewal of our politics and political life in general :-(
 
There is a reason almost all staff in the NHS, now including Consultants, are/have been striking.

Not all is well.
 
Apart from some Americans, I don’t know of anyone from a wealthy Country who envies the NHS. UK based Germans that I worked with, had quite a low opinion of it. No other developed Country follows our model as far as I know.

Is it the model or is it simply the level of investment? This is a good read.

 

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