Private vs NHS

The better funded the NHS the better the service. ‘Reforming the NHS’ is usually just code for ‘can we get a better service by spending less money’ and the answer is no. Any reforms that improve the service will cost more money.

The answer is always more money. The NHS is also under managed, but people get outraged at the idea of paying money to administer the NHS properly. People on the whole are very stupid and there is no cure for that.
A better funded NHS might result in a better service but that is only if the reason for the poor service is lack of funding but that isn't always the case. It may well be the reason for long waiting times but that has nothing to do with the actual service.

My mum was seen within 2-3 weeks of her cancer diagnosis, her treatment was just as quick but her experiences after that have been poor. Earlier in the year she unfortunately had a stroke which has meant she needed to learn to walk again, the care has been okay but the administrative side in sorting everything out has been abysmal. We've basically had PALS on speed dial over the last year.

Nothing sums it up more than receiving an appointment letter 2 days after the appointment. The worst part of it recently has come from the jokers who run the local authorities. The shear amount of comical red tape just to arrange her ongoing care is completely mad.

We wouldn't even arrange for a wheelchair ramp for her house because of the shear amount of assessments needed and no doubt risk assessments for the risk assessor, proof from the ward that yes she had a stroke and can't walk etc etc...... So we just bought our own ramp ourselves, it's comical.

You can't blame this all on funding and then call anyone who questions it as stupid, it's just lazy.
 
We wouldn't even arrange for a wheelchair ramp for her house because of the shear amount of assessments needed and no doubt risk assessments for the risk assessor, proof from the ward that yes she had a stroke and can't walk etc etc...... So we just bought our own ramp ourselves, it's comical.

You can't blame this all on funding and then call anyone who questions it as stupid, it's just lazy.

Why do you think you have to jump over hurdles?

Because there isn't enough money to give it to everyone eligible. So they have to place barriers and encourage people to buy their own equipment.

That's how local authorities managing entitlements to extra services work, whether it's access to disability equipment or refurbishments or special education.

Bureaucracies can be a pain in the arse, illogical and inefficient but they are also necessary with a limited pot of money.
 
The only way I would allow Private Healthcare to exist is if it was staffed solely by immigrants. That would be an interesting conundrum for the nutjob right.

I would scrap all tuition fees, loans, housing costs for medical students and nurses on condition they did twenty five years exclusive work for the NHS.

All NHS staff would be given a 20% pay rise and I would make it illegal for Private healthcare companies to pay higher wages than the NHS.

Every private care home would be nationalised and social care would come under the auspices of the NHS.

All outsourcing of services would be banned and taken back in house.

The NHS should be top priority for every government as you need a fit and healthy population to encourage productivity and help grow the economy.

The NHS is changing rapidly and the introduction of new technology will make it a very different service to what it was 10 years ago, but the country has to invest in these new technologies for it to be better for everyone.
 
The only way I would allow Private Healthcare to exist is if it was staffed solely by immigrants. That would be an interesting conundrum for the nutjob right.

I would scrap all tuition fees, loans, housing costs for medical students and nurses on condition they did twenty five years exclusive work for the NHS.

All NHS staff would be given a 20% pay rise and I would make it illegal for Private healthcare companies to pay higher wages than the NHS.

Every private care home would be nationalised and social care would come under the auspices of the NHS.

All outsourcing of services would be banned and taken back in house.

The NHS should be top priority for every government as you need a fit and healthy population to encourage productivity and help grow the economy.

The NHS is changing rapidly and the introduction of new technology will make it a very different service to what it was 10 years ago, but the country has to invest in these new technologies for it to be better for everyone.
Would you be the king?
 
Would you be the king?

p13028_i_h9_aa.jpg
 
The government urgently need to get some experts, and I mean experts - not some fella from their pub, to go and review the NHS. There's plenty of money to be saved if they look at it properly. Waste being the critical one. There's so much waste which means they're essentially throwing money away.
The "waste" line is often trotted out, problem is nobody explains what this waste is.

As a person who has spent over 3 years of my life in hospital, I would struggle to find any sort of waste on my usual ward. In fact its the opposite, it has been stripped to the bare bones and lost 1/3 of it beds. Stays are now shorter because of the pressure put on bed managers to move people out of hospital because there is a lack of beds overall. Staffing is at the bare minimum legal requirement, the cleaning has been outsourced and the ward manager/Matron has no control over them. If she wants cleaners to do a specific task she has to ring the head office of the cleaning company. Sometimes its easier for the nurses to do the cleaning tasks which detracts from the already slender nursing resources. The ward originally was a Dermatology ward, now its been merged with Rheumotology as the Rheum ward was closed down, meaning more pressure on beds and dermatology nurses having to look after rhuemotology patients.

The bed linen on the ward has been drastically reduced and the number of things like pillows, pyjamas, towels has diminished. The linen washing has been outsourced so sheets that were dermatology specific no longer get returned to the ward, which increases the amount of linen needed just when there is less of it. Everyday there used to be a change of bed linen, not anymore.

Phlebotomists now use plaster than do not stick but are cheaper, problem is you use more plasters so you do not save money. The food has been outsourced, it used to be cooked in house at SRFT and was very good, now you are lucky to get the meal you ordered and the portions are smaller. The floor was cleaned and polished every week not its been outsourced and its every two weeks increasing the risk of infection.

Last time I was admitted, i spent 3 days on the acute medical unit because my ward had no beds, that meant 3 days without specialist treatment and an acute medical unit bed being denied to somebody else.

I wish somebody would explain to me where this waste is, because i do not see it.
 
The "waste" line is often trotted out, problem is nobody explains what this waste is.

As a person who has spent over 3 years of my life in hospital, I would struggle to find any sort of waste on my usual ward. In fact its the opposite, it has been stripped to the bare bones and lost 1/3 of it beds. Stays are now shorter because of the pressure put on bed managers to move people out of hospital because there is a lack of beds overall. Staffing is at the bare minimum legal requirement, the cleaning has been outsourced and the ward manager/Matron has no control over them. If she wants cleaners to do a specific task she has to ring the head office of the cleaning company. Sometimes its easier for the nurses to do the cleaning tasks which detracts from the already slender nursing resources. The ward originally was a Dermatology ward, now its been merged with Rheumotology as the Rheum ward was closed down, meaning more pressure on beds and dermatology nurses having to look after rhuemotology patients.

The bed linen on the ward has been drastically reduced and the number of things like pillows, pyjamas, towels has diminished. The linen washing has been outsourced so sheets that were dermatology specific no longer get returned to the ward, which increases the amount of linen needed just when there is less of it. Everyday there used to be a change of bed linen, not anymore.

Phlebotomists now use plaster than do not stick but are cheaper, problem is you use more plasters so you do not save money. The food has been outsourced, it used to be cooked in house at SRFT and was very good, now you are lucky to get the meal you ordered and the portions are smaller. The floor was cleaned and polished every week not its been outsourced and its every two weeks increasing the risk of infection.

Last time I was admitted, i spent 3 days on the acute medical unit because my ward had no beds, that meant 3 days without specialist treatment and an acute medical unit bed being denied to somebody else.

I wish somebody would explain to me where this waste is, because i do not see it.
Everything has been stripped back to the bare bones except for levels of management. I’m a band 8 ANP and have at least 5 levels of non clinical management between me and the ceo. I struggle to see what they all do. They’ve just revamped the management structure in Newcastle at a cost of over £1m only for the ceo to put her notice in unexpectedly. The same ceo that resigned in Cumbria under a cloud and was allowed to take up a more senior role in newcastle. The senior level of management is corrupt to the core. The constant battles between senior consultants and the business side is embarrassing. When I started in the 90’s the ward sister/charge nurse was ‘human resources’ now there’s a whole office block on the city outskirts with over 500 HR staff.
 

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