The NHS...2025.

DiscoSteve said:
Not just in North Wales - I'm actually working in the Healthcare industry now and you simply would not believe what is going on (and what is NOT going on) behind the scenes. And before anyone says it - throwing money at the problem WILL not solve the NHS - this is not a cash problem, its an efficiency problem, despite the efforts of really good people on the front line, they are utterly compromised by the processes, procedures and systems around them.
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I know about the legacy of the PFI procurement contracts, constantly overpaying for everything. Buying in bulk should mean discounted prices, not paying 3 times the going rate for everything from photocopier paper to furniture. Who agrees to that sort of procurement contract??

It is a bottomless money pit - money just constantly wasted. They need to knock it down and start again from scratch. No chance of that happening because the politicians and their cronies who are behind the companies which are the beneficiaries of the PFI contracts will continue to milk the NHS until there is nothing left.

All done in plain sight.
 
My dad has been in hospital for the last month, got rushed in for a UTI that spread to being a bladder, kidney and heart infection with the latter causing heart failure. He’s likely to be in for a while yet.

Whilst I have a lot of issues with the GP surgery in particular and through my work, a lot of issues with NHS senior management, having been in the ward every day for the last month, just wanted to make two points.

1. I could never be a nurse
2. Whatever they’re paid, they deserve more.

Watching them work has been very humbling, for a lot of reasons that I’m too emotional at the mo to go into deeply!
 
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I thought there was a shortage of nurses in greater Manchester, my niece finished her nurse training about six weeks ago and has got her pin number but she's still not got a placement yet and is being used as a care assistant at various hospitals with no set shift times, she's disillusioned and wondering wether it was worth the training, university etc
 
I was recently in hospital and had the full experience including 24 hour in a bed on the corridor.
A few things really stood out to me,
The people working in hospital are by and large amazing.
They deal with a completely unacceptable level of abuse and disrespect from far too many people.
There are far too many beds and resources being taken up by drug addicts, alcoholics, thugs and agressive time wasting self entitled twats.
 
meltonblue said:
My dad has been in hospital for the last month, got rushed in for a UTI that spread to being a bladder, kidney and heart infection with the latter causing heart failure. He’s likely to be in for a while yet.

Whilst I have a lot of issues with the GP surgery in particular and through my work, a lot of issues with NHS senior management, having been in the ward every day for the last month, just wanted to make two points.

1. I could never be a nurse
2. Whatever they’re paid, they deserve more.

Watching them work has been very humbling, for a lot of reasons that I’m too emotional at the mo to go into deeply!
Click to expand...
Lost count of the number of times I've asked nurses how they just get on with it. Every one of them who've looked after me or other patients on the wards I've been on have been beyond amazing.

I was in for 2 weeks a couple of years ago at the height of the pay issues and demos. Staff would come in to cover so nurses who'd just done a 12 hour shift could stand with their colleagues. And they still got shit in some media quarters for having the nerve to ask for more. What a country we live in.

Heard so much about the times during Covid from them. Made me think even less of the conspiracy nut jobs out there too.
 
mind your car Mr? said:
I thought there was a shortage of nurses in greater Manchester, my niece finished her nurse training about six weeks ago and has got her pin number but she's still not got a placement yet and is being used as a care assistant at various hospitals with no set shift times, she's disillusioned and wondering wether it was worth the training, university etc
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A lot do support work whilst they apply for a qualified band 5, when there was an oversupply last time it could take a year or two.
 
mind your car Mr? said:
I thought there was a shortage of nurses in greater Manchester, my niece finished her nurse training about six weeks ago and has got her pin number but she's still not got a placement yet and is being used as a care assistant at various hospitals with no set shift times, she's disillusioned and wondering wether it was worth the training, university etc
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After 6 weeks she's disillusioned? I sense trouble ahead.
 
And as to prove its not a money problem...
www.bbc.co.uk

NHS gets go-ahead to make thousands of redundancies

The compromise deal would allow the NHS to overspend this year.
www.bbc.co.uk www.bbc.co.uk

BTW - this little snippet is about getting rid of overhead people in NHS England and the ICB's across the country - its NOT about the front line staff.

Its all in the public domain if you know where to look, but in case anyone is interested the NHS Bill is just under £205billion per year 2024/2025 (thats more than 10% of UK GDP) and by 2029 it'll be just shy of £250billion

NHS employ 1.37 million front line staff excluding GP practises (for some bizarre reason they're funded differently)
The staff costs alone soak up nearly £82 billion of that £205 billion.

The rest is everything else that makes the NHS tick - supply chain (drugs, beds, bog roll etc), facilities management (stopping hospitals falling down etc), IT costs, Payments to the Private Sector, Government Organisations (NHS England and DHSC), Legal Bills when people claim, etc etc etc

Scary scary sh*t, and basically out of control with no-one properly calling the shots, in fact the biggests blockers to change are indeed the Consultants who rule their departments with a rod of iron and no-one will challenge them
 
Been in more times than I care to think about. Spent weeks in HDU after after emergency bowel surgery. I've done night shift in factories and could barely remember my name but the staff are running round saving lives.

Spent almost 5 hours overnight in A&E with father in law leaving at 4 this morning. Back there now sitting with him in A&E and staff again doing great job under immense pressure. I include paramedics in my assessment of them doing amazing job
 
mexico1970 said:
After 6 weeks she's disillusioned? I sense trouble ahead.
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Just not what she had in mind, she loved her training working in different departments especially A+E, hopefully she'll get a placement soon
 
Question ;

If the NHS is so brilliant, who dont any (or hardly any) other countries copy the template?

My , and many people i speak to, experiences of the nhs isnt great.

Yes the staff are mostly good, though ive come across many people who shouldnt be in the job.

Has it just grown out of all control?
Is it saveable?
Is throwing more money at it pointless?
 
mind your car Mr? said:
Just not what she had in mind, she loved her training working in different departments especially A+E, hopefully she'll get a placement soon
Click to expand...

We need her and her other workmates, hopefully she'll find her niche and has a fulfilling career.
 
DiscoSteve said:
And as to prove its not a money problem...
www.bbc.co.uk

NHS gets go-ahead to make thousands of redundancies

The compromise deal would allow the NHS to overspend this year.
www.bbc.co.uk www.bbc.co.uk

BTW - this little snippet is about getting rid of overhead people in NHS England and the ICB's across the country - its NOT about the front line staff.

Its all in the public domain if you know where to look, but in case anyone is interested the NHS Bill is just under £205billion per year 2024/2025 (thats more than 10% of UK GDP) and by 2029 it'll be just shy of £250billion

NHS employ 1.37 million front line staff excluding GP practises (for some bizarre reason they're funded differently)
The staff costs alone soak up nearly £82 billion of that £205 billion.

The rest is everything else that makes the NHS tick - supply chain (drugs, beds, bog roll etc), facilities management (stopping hospitals falling down etc), IT costs, Payments to the Private Sector, Government Organisations (NHS England and DHSC), Legal Bills when people claim, etc etc etc

Scary scary sh*t, and basically out of control with no-one properly calling the shots, in fact the biggests blockers to change are indeed the Consultants who rule their departments with a rod of iron and no-one will challenge them
Click to expand...

On a similar level, i listened to a podcast about the BBC today and the vast amounts of money wasted.

4/5 people doing the work of 1. Money just spunked away, and the ending being that people love to spend other peoples money.

Nhs is the same, millions upon millions wasted and the answer only ever being, give us more money.
 
meltonblue said:
My dad has been in hospital for the last month, got rushed in for a UTI that spread to being a bladder, kidney and heart infection with the latter causing heart failure. He’s likely to be in for a while yet.

Whilst I have a lot of issues with the GP surgery in particular and through my work, a lot of issues with NHS senior management, having been in the ward every day for the last month, just wanted to make two points.

1. I could never be a nurse
2. Whatever they’re paid, they deserve more.

Watching them work has been very humbling, for a lot of reasons that I’m too emotional at the mo to go into deeply!
Click to expand...
Hope all goes well with your dad, I had a similar situation with my 92 year old Mum recently who was in hospital for just over a month & 99% of the staff doing the actual work in the hospitals were wonderful but the people in charge of organising things didnt seem to have much idea, I have to many stories of the shit show in administration to go into but as I say all the best.
 
Bluesince1979 said:
Question ;

If the NHS is so brilliant, who dont any (or hardly any) other countries copy the template?

My , and many people i speak to, experiences of the nhs isnt great.

Yes the staff are mostly good, though ive come across many people who shouldnt be in the job.

Has it just grown out of all control?
Is it saveable?
Is throwing more money at it pointless?
Click to expand...
I think if you spoke to people who've been ambulanced in to hospitals after RTCs, strokes, heart attacks, etc. the very vast majority would be full of praise. Its a different ball game to when people show up at A&E or when you're discharged and under the care of GP practices and satellite services that the issues they have start to show.

Its worth saving, though. Couldn't give a shit if its not a template copied by other countries.
 
Busy offering redundancy to clinical staff. The corporate management structure is a gravy train for the boys club network.
 
DiscoSteve said:
I don't think the latest round (announced this week) is clinical staff - they're targeting NHS England (& the department where its going to) and the overhead of ICB's
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MARS schemes. It's either Mutually Agreeable Redundancy Scheme or Mutually Agreeable Resignation Scheme depending on what trust you work for. (The terms on offer vary quite a lot).

The trust I work for had the Resignation scheme (key word change as it means you don't often qualify Redundancy insurances etc.) and the terms were pretty pathetic. There were 600 applications earlier on in the year.

I've heard it wasn't anywhere near enough and round 2 will be on offer early 2026.
 
DiscoSteve said:
And as to prove its not a money problem...
www.bbc.co.uk

NHS gets go-ahead to make thousands of redundancies

The compromise deal would allow the NHS to overspend this year.
www.bbc.co.uk www.bbc.co.uk

BTW - this little snippet is about getting rid of overhead people in NHS England and the ICB's across the country - its NOT about the front line staff.

Its all in the public domain if you know where to look, but in case anyone is interested the NHS Bill is just under £205billion per year 2024/2025 (thats more than 10% of UK GDP) and by 2029 it'll be just shy of £250billion

NHS employ 1.37 million front line staff excluding GP practises (for some bizarre reason they're funded differently)
The staff costs alone soak up nearly £82 billion of that £205 billion.

The rest is everything else that makes the NHS tick - supply chain (drugs, beds, bog roll etc), facilities management (stopping hospitals falling down etc), IT costs, Payments to the Private Sector, Government Organisations (NHS England and DHSC), Legal Bills when people claim, etc etc etc

Scary scary sh*t, and basically out of control with no-one properly calling the shots, in fact the biggests blockers to change are indeed the Consultants who rule their departments with a rod of iron and no-one will challenge them
Click to expand...
Your point about GP practices being funded differently......
Before the NHS was set up all doctors were private and refused to be part of the new NHS. Bevan and the government came to an agreement with them and still to this day they remain private but contracted to the government
 
Blue Mist said:
Your point about GP practices being funded differently......
Before the NHS was set up all doctors were private and refused to be part of the new NHS. Bevan and the government came to an agreement with them and still to this day they remain private but contracted to the government
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interestingly what it does is create a bit of a conflict of interest between the two sides which doesn't always work to the benefit of patients - I wont go into details but in the area I'm working in this is sadly a bit obvious
 
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