SOS NHS

I know you in Britain talk a lot about the NHS being run down and sold off.
I know my own sister and brother in law complained about it and yet I saw first hand the treatment she got in your health system, that I had to explain to her, would not have been given to her here.

Our health system is straining almost irreparably.
My wife had a fall down some stairs at a wedding last night.
An ambulance would have taken her to a hospital on the south side of the city, so after first aid administered at the hotel we chose to go by taxi, to our local hospital, which is also a national centre of expertise in most fields.
She had swelling on the back of her head and her left wrist was put in a sling with the fear of a break or bad sprain.

We got to the hospital at 11:00 last night. She didn’t see a doctor until about about 12:30 today and dozed on a chair overnight.
She had an X-ray, blood tests and a CT scan. She is still up there waiting on results.
I left around 1:00 am last night and brought her up breakfast and a change of clothes and toothbrush etc. at around 9:00 am this morning. I left after 2pm today and am going back up to collect her as soon as she texts that she’s done.

She’s been sitting in a&e on an uncomfortable chair for almost 17 hours now.
That is normal over here. Unless you pay to go private.
 
I know you in Britain talk a lot about the NHS being run down and sold off.
I know my own sister and brother in law complained about it and yet I saw first hand the treatment she got in your health system, that I had to explain to her, would not have been given to her here.

Our health system is straining almost irreparably.
My wife had a fall down some stairs at a wedding last night.
An ambulance would have taken her to a hospital on the south side of the city, so after first aid administered at the hotel we chose to go by taxi, to our local hospital, which is also a national centre of expertise in most fields.
She had swelling on the back of her head and her left wrist was put in a sling with the fear of a break or bad sprain.

We got to the hospital at 11:00 last night. She didn’t see a doctor until about about 12:30 today and dozed on a chair overnight.
She had an X-ray, blood tests and a CT scan. She is still up there waiting on results.
I left around 1:00 am last night and brought her up breakfast and a change of clothes and toothbrush etc. at around 9:00 am this morning. I left after 2pm today and am going back up to collect her as soon as she texts that she’s done.

She’s been sitting in a&e on an uncomfortable chair for almost 17 hours now.
That is normal over here. Unless you pay to go private.
That will become the norm here in time. Hope your wife is OK.
 
I know you in Britain talk a lot about the NHS being run down and sold off.
I know my own sister and brother in law complained about it and yet I saw first hand the treatment she got in your health system, that I had to explain to her, would not have been given to her here.

Our health system is straining almost irreparably.
My wife had a fall down some stairs at a wedding last night.
An ambulance would have taken her to a hospital on the south side of the city, so after first aid administered at the hotel we chose to go by taxi, to our local hospital, which is also a national centre of expertise in most fields.
She had swelling on the back of her head and her left wrist was put in a sling with the fear of a break or bad sprain.

We got to the hospital at 11:00 last night. She didn’t see a doctor until about about 12:30 today and dozed on a chair overnight.
She had an X-ray, blood tests and a CT scan. She is still up there waiting on results.
I left around 1:00 am last night and brought her up breakfast and a change of clothes and toothbrush etc. at around 9:00 am this morning. I left after 2pm today and am going back up to collect her as soon as she texts that she’s done.

She’s been sitting in a&e on an uncomfortable chair for almost 17 hours now.
That is normal over here. Unless you pay to go private.

Hey lets not compare how bad things are mate - just sit tight and I hope your Mrs is ok - the time to discuss/argue/rectify is at the ballot box - best wishes and lots of love to you and your Mrs - hope it turns out ok
 
That will become the norm here in time. Hope your wife is OK.

We can’t just sit here and demand the government throws more money at it - it also needs us to use it far more appropriately. Around 20m people attend A&E annually in England - that’s one in every 3 of us has an accident or emergency condition once a year!!! Give over. Unsurprisingly half of these visits result in no treatment or advice and guidance offered only - in other words they almost certainly didn’t need to attend A&E, the cost for this alone to the NHS at least £1bn. It does seem people do use 111 however, 15m calls/enquiries a year resulting in over 3m being advised to seek emergency care - interestingly the data suggests 111 has had a negligible impact on the number of people attending A&E - 111 costs around £1.5bn a year to run which may however offer value for money in terms of patients not seeking a GP appointment (if you can ever get one) so this isn’t to suggest 111 should not exist - but rather maybe we can think of a better way to triage patients here (video consults maybe? Obviously not appropriate for all) and increase the number who access 111 versus directly attending A&E - the objective to keep people away from unnecessarily visiting A&E. Perhaps 111 could be extended to triage for GPS as well.

I see NHS Scotland suggested in a think-tank meeting of charging “wealthy” people for treatment. The Scotland health minister ruled this out - I’m not a fan of the idea as it breaks the very relationship that glues this society together - those than can, contribute, and those that can’t are looked after - but it does show the type of radical ideas being thought of.
 
We can’t just sit here and demand the government throws more money at it - it also needs us to use it far more appropriately. Around 20m people attend A&E annually in England - that’s one in every 3 of us has an accident or emergency condition once a year!!! Give over. Unsurprisingly half of these visits result in no treatment or advice and guidance offered only - in other words they almost certainly didn’t need to attend A&E, the cost for this alone to the NHS at least £1bn. It does seem people do use 111 however, 15m calls/enquiries a year resulting in over 3m being advised to seek emergency care - interestingly the data suggests 111 has had a negligible impact on the number of people attending A&E - 111 costs around £1.5bn a year to run which may however offer value for money in terms of patients not seeking a GP appointment (if you can ever get one) so this isn’t to suggest 111 should not exist - but rather maybe we can think of a better way to triage patients here (video consults maybe? Obviously not appropriate for all) and increase the number who access 111 versus directly attending A&E - the objective to keep people away from unnecessarily visiting A&E. Perhaps 111 could be extended to triage for GPS as well.

I see NHS Scotland suggested in a think-tank meeting of charging “wealthy” people for treatment. The Scotland health minister ruled this out - I’m not a fan of the idea as it breaks the very relationship that glues this society together - those than can, contribute, and those that can’t are looked after - but it does show the type of radical ideas being thought of.

They have allowed it to break at both ends - a lack of recruitment and retention of GP's means that people are funnelled into A&E when most don't need to be there and its clogged up with huge waiting times. There is talk of new walk-in centre's locally to help but they need staffing etc - in the meantime A&E gets clogged.

At the other end when faced with an aging population they have criminally failed to address the care system which means people remain on hospital wards longer than needs be because there is nowhere adequate to discharge them to.

Hospitals are unfortunately the sandwich filling in between two inadequate slices of bread - any new money should not necessarily be focussed on them it needs to be on the ins and outs if you like - make the flow seamless rather than a series of stop start shitty journeys - the last time it was satisfactory was under a Labour administration and you don't have to take my word for that look at the satisfaction survey results at the time - the NHS consumers said so.
 
They have allowed it to break at both ends - a lack of recruitment and retention of GP's means that people are funnelled into A&E when most don't need to be there and its clogged up with huge waiting times. There is talk of new walk-in centre's locally to help but they need staffing etc - in the meantime A&E gets clogged.

At the other end when faced with an aging population they have criminally failed to address the care system which means people remain on hospital wards longer than needs be because there is nowhere adequate to discharge them to.

Hospitals are unfortunately the sandwich filling in between two inadequate slices of bread - any new money should not necessarily be focussed on them it needs to be on the ins and outs if you like - make the flow seamless rather than a series of stop start shitty journeys - the last time it was satisfactory was under a Labour administration and you don't have to take my word for that look at the satisfaction survey results at the time - the NHS consumers said so.

The NHS has problems all over the place mate. Especially on discharge like you highlight, I think I read a couple of days back that only 1 in 5 needs to be in hospital and for the rest it’s finding suitable accommodation away from the hospital.

Mrs MB used to work in discharge and we don’t have enough beds outside of acute care (community hospitals), we don’t have enough staff even if we did. There is then the relentless funding debate between social and nursing care if they need residential type care or even care at home. Our local hospital does virtual wards where you’re monitored at home which is a great idea but is only scratching at the surface for need as it’s only really suitable for a small cohort of patients. Social care - honestly I’m of the opinion, fuck it, if I need looking after in my old age and they want to sell my house to pay for it my kids have two choices, look after me, let me pee in the dishwasher, and inherit the lot or let the state step in and don’t inherit a penny. I honestly couldn’t care any less what happens to it should the time arise…so long as me and Mrs MB are sorted.

The NHS is starved of money in some areas and very wasteful with money in other areas. Overall it does probably need more but until it gets its act in order people will always find reason not to give it more. However in a chicken and egg scenario it needs the cash first, we probably don’t know how much though. Since the day it was created the NHS has been crying out for more money and scaling back what we get for “free” at point of delivery - heck even Bevan had to resign because of it!!
 
They have allowed it to break at both ends - a lack of recruitment and retention of GP's means that people are funnelled into A&E when most don't need to be there and its clogged up with huge waiting times. There is talk of new walk-in centre's locally to help but they need staffing etc - in the meantime A&E gets clogged.

At the other end when faced with an aging population they have criminally failed to address the care system which means people remain on hospital wards longer than needs be because there is nowhere adequate to discharge them to.

Hospitals are unfortunately the sandwich filling in between two inadequate slices of bread - any new money should not necessarily be focussed on them it needs to be on the ins and outs if you like - make the flow seamless rather than a series of stop start shitty journeys - the last time it was satisfactory was under a Labour administration and you don't have to take my word for that look at the satisfaction survey results at the time - the NHS consumers said so.
The NHS doesn't recruit GP's so there is no such thing as retention beyond paying them more on their contracts or helping them in other ways to stay on the list and see people. These people let's not forget are paid £100k+ so I'm not sure what a better retention incentive would be?

The GP system is broken and it's precisely why the whole system is in a mess as it's oriented around money and not patients. For example, the vaccination service will be wrapped up soon and put to the pharmacy/GP arena who will be paid £15-30 per vaccine administered....

So do you reckon the GP will prioritise NHS appointments or will they prioritise £30 a go earners? I can book a blood pressure check or flu jab with the nurse or at the pharmacy tomorrow but why can't I see my GP for a week? It's because my GP is doing something else half the week and everything else can be done quickly because it pays better and so is widely available.

The GP system was vulnerable before COVID and then COVID blew it apart because hundreds of thousands couldn't get appointments and/or couldn't be seen face to face. If you can't see a GP then you go to the next available system which is A&E and urgent care so is it any surprise that they're now falling apart?

Fix the GP system and we fix the NHS. We could nationalise GP's but doing that is another issue because how many GP's flexibly earning £100k+ will accept working 60hrs+ a week on the frozen NHS banding system...?
 

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