The NHS

Except the NHS isn’t pretty shit.

It might be inefficient in areas and need a revamp in certain aspects but it is far from being shit.

I’d go as far as saying it’s the greatest institution in this country and arguably the world.
Ok pretty shit is a bit strong. Pretty average then. It's good at some things but very poor at others. Cancer survival rates are below average and we are something like 15th out of 19 surveyed by the kings fund on infant mortality. The idea of healthcare available to all and free at the point of use is s noble one which everyone here supports, of course.
 
Eh?

1. We don't *sell* anything. Third parties bid for NHS work and we *buy* services from them.
2. WTF are you talking about?

1) Selling was a turn of phrase. The fact that third parties run services is in my eyes a form of NHS having "sold" their services, since they then have to purchase said service back.
2) I'm asking you a simple question, what are the benefits to third parties running services for the NHS?

You might find this useful.

http://www.patients4nhs.org.uk/how-is-the-nhs-being-privatised/
 
1) Selling was a turn of phrase. The fact that third parties run services is in my eyes a form of NHS having "sold" their services, since they then have to purchase said service back.
2) I'm asking you a simple question, what are the benefits to third parties running services for the NHS?

This is not a difficult concept. The NHS does work, sometimes it's work for which it doesn't have the capacity, skills, resources or inclination and it decides it would rather get some other organisation to do it instead. Third parties are free to bid for such work, and are run for the interests of their customers, their employees and their shareholders.

Unless I am mistaken, there isn't an NHS flour mill, meat processing plant or dairy. They buy bread and meat and milk from providers of such. And they might decide to buy cleaning services from a cleaning company instead of doing it themselves. If there is a long waiting list for knee operations, the NHS might pay Spire to do the knee operation. So long as the patient gets his free knee operation, sooner and in nicer surroundings, I doubt he or she minds.

So what is your point? 93% of NHS spending goes on NHS activities BTW, not third parties.
 
This is not a difficult concept. The NHS does work, sometimes it's work for which it doesn't have the capacity, skills, resources or inclination and it decides it would rather get some other organisation to do it instead. Third parties are free to bid for such work, and are run for the interests of their customers, their employees and their shareholders.

Unless I am mistaken, there isn't an NHS flour mill, meat processing plant or dairy. They buy bread and meat and milk from providers of such. And they might decide to buy cleaning services from a cleaning company instead of doing it themselves. If there is a long waiting list for knee operations, the NHS might pay Spire to do the knee operation. So long as the patient gets his free knee operation, sooner and in nicer surroundings, I doubt he or she minds.

So what is your point? 93% of NHS spending goes on NHS activities BTW, not third parties.

It seems a difficult concept to you. The NHS isn’t given autonomy to choose what it farms out, Government policy forces their hand. And private companies exist to make profit so it’s simply economics that medicines and treatments will cost more by a private company than a non profit. Finally, we all pay for the NHS through our taxes (unless you’re a tax dodger) so yes it should matter to us and no it’s not free.
 
It seems a difficult concept to you. The NHS isn’t given autonomy to choose what it farms out, Government policy forces their hand. And private companies exist to make profit so it’s simply economics that medicines and treatments will cost more by a private company than a non profit. Finally, we all pay for the NHS through our taxes (unless you’re a tax dodger) so yes it should matter to us and no it’s not free.

I think you have a overly simplistic and frankly just distorted view of things. Just because company A makes a profit on something, does not mean the NHS could automatically do the same thing for less because it is not for profit. Surely you can see that? Different organisations are run better or worse, more efficiently or less and with more or less competent management, scale of resources, agility, etc. There's all sorts of dynamics which determine whether an organisation can make a profit or not.

If the NHS currently does activity X and it cost the NHS £1,000 to do that activity, and then Company A says they will do that same activity, to the same standards or higher for £900, then who cares whether that company makes a profit or not. In fact I'd argue you *want* company A to be making a profit, because then they can invest more, grow their business, be successful and possibly offer you other services or reduce their costs and prices to you.

There is NOTHING wrong with this. If Company A starts to deliver a shitty service, then they need to have penalties applied and their contract reviewed or terminated. It is no use people who work in the NHS saying "when we outsourced x,y or z, the service went to pot". Fucking do something about it then. How is it outsourcing of certain services is ubiquitous in the commercial sector, and yet you are trying to say it's terrible or impossible for the NHS? What you suggest makes no sense.

Sounds to me like you've been reading too much from the Corbyn-McDonnell handbook: "Why all Companies are Evil and all Profits are Evil".
 
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The nurses question is incredibly misleading. My current line manager is a former NHS manager and his wife is a nurse now.

They have enough applicants but it’s down to poor management. His belief is that they don’t need to import any more and those 5000 that have apparently left due to leaving the EU isn’t as big an issue as made out.

I have absolutely no idea if he’s right or not but for the record he’s a former LibDem voter, who nearly became a candidate for them, who now disagrees with revoke and so is voting Green.

I say this to show he’s not biased, he believes passionately in the health service.
It's boris who says 12,000 nurses are going to be brought in from abroad,they won't be with that deal,he also says he is going to retain i forget how many,they are not new as thay are already here,unless his gives them a pay rise and stops trusts from charging them to park at work they will keep leaving at the same rate,the rest of his new ones are already here 19.000 odd,every which way it's a bald faced lie
There is a lot of poor management in the service,that is what wastes a lot of the money,it's a never ending problem
 
It's boris who says 12,000 nurses are going to be brought in from abroad,they won't be with that deal,he also says he is going to retain i forget how many,they are not new as thay are already here,unless his gives them a pay rise and stops trusts from charging them to park at work they will keep leaving at the same rate,the rest of his new ones are already here 19.000 odd,every which way it's a bald faced lie
There is a lot of poor management in the service,that is what wastes a lot of the money,it's a never ending problem
It isn't a lie Karen. I was confused about this too until I listened to More or Less on the BBC earlier this week, which went into it in some detail.

According to the Kings fund, apparently we have around 280,000 nurses at the moment and the Tories are saying they will increase it to 330,000. By anyone's maths, that is 50,000 more nurses and "More or Less" confirmed there was nothing dodgy in the claim at all, let alone it being a lie.

"We don't think there's anything dodgy about this promise. It means what it seems to mean".
https://www.bbc.co.uk/sounds/play/m000bx15

Over the past 5 years, we have recruited 160,000 nurses into the NHS, but unfortunately we have also lost about 160,000. Over the next 5 years, the Tories wish to increase the first number and reduce the second one. For a net gain of 50,000 more nurses.

Now, you might very reasonably question whether this is achievable, and who knows, you may be right. But the numbers do add up. The Tories are promising 50,000 more nurses: 280,000 rising to 330,000.

I think they explained this spectacularly badly however.
 
It isn't a lie Karen. I was confused about this too until I listened to More or Less on the BBC earlier this week, which went into it in some detail.

According to the Kings fund, apparently we have around 280,000 nurses at the moment and the Tories are saying they will increase it to 330,000. By anyone's maths, that is 50,000 more nurses and "More or Less" confirmed there was nothing dodgy in the claim at all, let alone it being a lie.

"We don't think there's anything dodgy about this promise. It means what it seems to mean".
https://www.bbc.co.uk/sounds/play/m000bx15

Over the past 5 years, we have recruited 160,000 nurses into the NHS, but unfortunately we have also lost about 160,000. Over the next 5 years, the Tories wish to increase the first number and reduce the second one. For a net gain of 50,000 more nurses.

Now, you might very reasonably question whether this is achievable, and who knows, you may be right. But the numbers do add up. The Tories are promising 50,000 more nurses: 280,000 rising to 330,000.

I think they explained this spectacularly badly however.
Boris promises 50,000 new nurses,he has been forced to accept that 19,000 of them are already here so they are not new,the rest he wants to get in will not come here being charged 10,000 quid to do it and the rest was retaining nurses and as i said just leaving things as they are will not stop them leaving, it's a nonsense,i have seen him talk about this several times,it's a sound bite about something the public care about no more no less,it will not happen
 

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