Not worked hard enough and made patients go to A and E. The lazy bastards!
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NHS Crisis
- Thread starter urban genie
- Start date
Not worked hard enough and made patients go to A and E. The lazy bastards!
Paul Lake's Left Knee
Well-Known Member
What are they supposed to have done?
GPs refusing to work Sundays, which means A&E is over loaded. A third of all people in A&E shouldnt really be there.
Paul Lake's Left Knee
Well-Known Member
Not worked hard enough and made patients go to A and E. The lazy bastards!
I think a reduced service on Sundays would be a good starting point, but rather than threaten to punish those that dont offer the service as is currently what the government are doing, the practices that do open Sundays should be rewarded, more carrot than stick approach.
remember arthur mann
Well-Known Member
My surgery took the thirty pieces of silver, now the going has got tough, they've all pissed off, leaving us with a bunch of locums !!
My wife is a manager for a GP surgery and the pressure they are put under by more and more work is to be frank very scary. Trying to get a full time GP these days is almost impossible and they have to rely on locums to fill the void and even they are had to come by these days. The GPS are not the issue here the issue lies firmly at the door of the paymasters who quite simply are not injecting enough into our NHS. For me and I hope I'm wrong it will be gone in less than 5 years at this rate. It's not about the pressure anymore it's about safety of patients and juggling with lives
yeseye
Well-Known Member
Maybe they need to start recouping the hundreds of millions lost every year to health tourists! That would be a good start.
The Silver Surfer
Well-Known Member
- Joined
- 1 Jul 2009
- Messages
- 4,329
Had a typical experience this last week.
Wife wss booked in to have a tooth removed but because she had Addison's disease she needs to be an in patient and observations made before she's allowed to go home. After one cancellation last year she got a new date on the 12th Jan. Got up at 5.30an to be there for 7.30 as requested. Was given a quick blood pressure check and told to wait.
FOUR hours later she's still waiting, when the surgeon asks to speak to her in a side room.
Turns out there are no beds available and she'll have to go home.
She hates operations and worries about them because of her condition so she'd had to really build herself up for it.
It'll probably be 3 months wait for an appointment date which will probably be another 2 months later.
Wet don't blame the staff and we can understand the bed being taken by someone who needs it more but how's it got to this situation where there are no beds to cover emergencies coming in.
Farce.
Wife wss booked in to have a tooth removed but because she had Addison's disease she needs to be an in patient and observations made before she's allowed to go home. After one cancellation last year she got a new date on the 12th Jan. Got up at 5.30an to be there for 7.30 as requested. Was given a quick blood pressure check and told to wait.
FOUR hours later she's still waiting, when the surgeon asks to speak to her in a side room.
Turns out there are no beds available and she'll have to go home.
She hates operations and worries about them because of her condition so she'd had to really build herself up for it.
It'll probably be 3 months wait for an appointment date which will probably be another 2 months later.
Wet don't blame the staff and we can understand the bed being taken by someone who needs it more but how's it got to this situation where there are no beds to cover emergencies coming in.
Farce.
DenisLawBackHeel74
Well-Known Member
- Joined
- 20 Feb 2010
- Messages
- 11,365
But people don't want to travel 50-60 miles for hospital treatment which, if you want to begin real efficiencies, is where you would need to start. Imagine the private sector took over in the north and said the most efficient and sustainable model is four very large hospitals; one in Liverpool, Manchester, Leeds and Newcastle. Everything else will be through the GP or a minor injuries unit. There is no patient transport you'll just have to get yourself there if you need a hospital appointment. Would you support that?
On to your BUPA fallacy. The NHS hospitals are funded through a mechanism called National Tariff which is, in essence, a price list for doing things. It was brought in so competion (which you seem to want) couldn't be based on price. By it's very nature it is an average price. If the price is £5000 to replace a knee, some patients will cost £3000 and others might cost £7000 based on how complex they were and whether they had other stuff wrong with them. But, the amount paid would be right overall. In come BUPA on its white horse and says "we can do some of this to help ease the pressure on the NHS". Brilliant says the NHS but we can only pay you £5000, like we do the NHS. Absolutely fine says BUPA but, we can only treat the patients who are relatively simple because we don't have an Intensive Care Unit (should the patient become really sick, we will transfer them to the local hospital). OK say the politicians because, ideologically, we are so wedded to 'competition' we must encourage this. So BUPA gets all the patients who 'cost' £3000 whilst the local hospital get all the ones that cost £7000 and they both get paid £5000. Oh, and BUPA don't have to train any medical staff, or stay open 24/7 and can employ their surgeons from......... the local hospital (who have to pay for all their on-going training and development). Efficiency is quite easy when your getting paid much more than your costs and you have no responsibilities particularly when compared with the NHS hospital that has just the opposite.
The last bit of that is quite a good analogy. My sister had a private op about 2 years ago that went a bit pear shaped....lo and behold she ended up in the local A&E as Bupa didn't have the expertise to sort it out.....after they fucked up.
I've had a consultation and minor op at Bupa and the specialist was working 3 days at the local hospital for the NHS and two days a week for Bupa. it leads you to consider what he would be doing if the private healthcare sector didn't exist...would we even have the issues we currently have with the NHS waiting lists? This guy clearly gets very well paid as a consultant by the tax payer, does he then really need to 'top this up' with private work that massively reduces his availability to do his 'day job'....
malg
Well-Known Member
Too many fannies nowadays. Fuck me, back in the day you'd have to be at deaths fucking door before going to A&E, but nowadays it's full of cunts with headaches, toothache, sore fucking elbow, students who've taken drugs and alcohol etc, etc. Country is full of wankers with no aversity to pan.