The controlled demolition of the NHS

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Re: UK junior doctors strike

Postby Elessar » Wed Oct 12, 2016 5:29 pm

Meanwhile the government media machine continues to generate ill-feeling towards various parts of the NHS:

http://www.bbc.co.uk/news/health-37605573

The BBC is a perfect vehicle for the Tory government, because it is probably slightly left-leaning, but with the constant threat from the Tories to scrap it, combined with a desire to be seen as impartial, they strive to over-correct their natural left-leaning tendencies and basically do what the government tells them to do.
 
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Re: UK junior doctors strike

Postby JLP » Wed Oct 12, 2016 7:27 pm

The plot thickens?

http://www.bbc.co.uk/news/health-37617114

Where will all the patients go from these failed surgeries? :shock:
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Re: UK junior doctors strike

Postby Elessar » Wed Oct 12, 2016 7:46 pm

JLP wrote:The plot thickens?

http://www.bbc.co.uk/news/health-37617114

Where will all the patients go from these failed surgeries? :shock:



I did actually post that on the last page but yes, it's all part of the plan.
 
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Re: UK junior doctors strike

Postby JLP » Wed Oct 12, 2016 7:51 pm

Elessar wrote:This is how it begins!

http://www.bbc.co.uk/news/health-37617114

Defund GP practices, shut down the struggling ones, increase pressure on those that survive...they don't have to privatise the NHS, they just need to persuade people to go privately of their own volition, and quietly cut 'non-essential' services with the backing of voters who have been persuaded that the NHS can't afford it!

Permission to re-name this thread to reflect that this is a government war on the entire NHS, not just junior doctors?


No problem.
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Re: The controlled demolition of the NHS

Postby JLP » Sun Oct 16, 2016 4:45 pm

No more cash for the NHS says St Theresa. https://www.theguardian.com/politics/20 ... alth-chief
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Re: The controlled demolition of the NHS

Postby Ace » Sun Oct 16, 2016 5:18 pm

JLP wrote:No more cash for the NHS says St Theresa. https://www.theguardian.com/politics/20 ... alth-chief


We had extra money for the NHS just recently. I have no doubt that the NHS does need more funding but it will always need more funding. It always has and always will. If we put in another £20 billion today it will need more in two years time.

We need the debate. The one that no politician, of any political leaning can have. Just because we can do, should we? Should we spend £1m on one person's treatment that might give them a few more months more? If it's my loved ones, yes we should. But........when does this stop. When do we start to accept that there is only so much you can do?

Let's restructure, get the NHS working properly. Get joined up provision. Decide on what takes priority. Work on prevention, rather than cure. Not everyone can have everything. What can we do? How do we do it? Stop the automatic entitlement that everyone feels.

When we've done that, lets look at what the result will cost. Then we can put in more money, knowing that the rules are in place. This will never happen though because a) what politician in their right mind thinks that could get elected with such a manifesto and b) your talking bollocks Ace, we just need more money, listen to those who work in the NHS.
 
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Re: The controlled demolition of the NHS

Postby JLP » Sun Oct 16, 2016 5:33 pm

The NHS is taking up a lot of pressur because of cuts elsewhere. for example, council funding is cut so they have to mae savings. Which might mean fewer social services beds, fewer home helps and so on. Which means beds are blocked because Mrs Smith, who needs a residential home bed cannot have one because there isn't one. S she stays in hospital and that happens in every single hospital in the land. Not once a day, but dozens of times.

So you are right Ace, the system does need changing to make it more efficient.
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Re: The controlled demolition of the NHS

Postby JLP » Tue Oct 18, 2016 5:53 pm

This is what I was talking about the other day, the cuts in social services putting pressure on hospital beds.

http://www.bbc.co.uk/news/uk-england-humber-37679101

If these poor people could have been cared for in the home setting, you would have to ask why they were is residential or nursing homes. It really is very scary and, no doubt, by the time we get old, the situation will be far worse.
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Re: The controlled demolition of the NHS

Postby Elessar » Tue Oct 18, 2016 7:49 pm

JLP wrote:The NHS is taking up a lot of pressur because of cuts elsewhere. for example, council funding is cut so they have to mae savings. Which might mean fewer social services beds, fewer home helps and so on. Which means beds are blocked because Mrs Smith, who needs a residential home bed cannot have one because there isn't one. S she stays in hospital and that happens in every single hospital in the land. Not once a day, but dozens of times.

So you are right Ace, the system does need changing to make it more efficient.


You're absolutely right.

In fact, it's absolutely disgusting!

They appear to give the NHS more money, but by making enormous cuts elsewhere they artificially increase the demands on the NHS by far more than the increased money they pump in, making it look like the NHS is a bottomless pit of budget excess! It's cynical, it's inhumane, and those working inside it can literally see it happening in front of their very eyes.

My nearest hospital is being rebuilt down the road. The new hospital will have entirely single-bed rooms with amazing views of the city. Not sure why that's necessary, and how nurses will be able to keep an eye on 6+ patients if they're all in private rooms, but whatever. More importantly, the hospital is going from 750 beds to 650 beds. And at the moment, it ALWAYS has full 750 bed occupancy. So on paper, millions has been spent on the hospital. In reality, 100 beds have been cut. So money has been pumped in, yet bed pressure will get worse. Who could possibly have anticipated such a problem?! No doubt, the people who made those decisions.
 
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Re: The controlled demolition of the NHS

Postby JLP » Wed Oct 26, 2016 9:36 am

Apparently "negotiations" are now starting with groups about alterations to agenda for change contracts. And bizarrely, Hunt claims morale remains high within the NHS. Fuck knows what he is drinking or smoking but can I have some please.
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Re: The controlled demolition of the NHS

Postby Elessar » Thu Oct 27, 2016 7:58 am

GMC says morale is at an all-time low:

http://www.bbc.co.uk/news/health-37777679
 
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Re: The controlled demolition of the NHS

Postby Spook2 » Mon Nov 28, 2016 8:50 am

From my own experience with the NHS through my nan who is 97, I would say the problem with the NHS is vary bad organisation

she was in hospital in August after a fall

back home with my mum now

Couple of weeks ago, a nurse visits, says

can I see your 'book' - oh you haven't had a certain injection

I will get it sorted - can I take your book

Yes my mother replies

Three days later another nurse turns up following an appointment being made to inject my nan
she asks
where is the book

Your colleague took it away

She phones up - they accept they have it

she leaves without injecting my nan

makes an appointment to come back later

returns and injects my nan and fills the book in

what a joke - what a waste of time and money



here is another one
the following week

to get from bed to wheelchair, my nan uses a 'banana slide'
she has developed a small sore

a visiting carer sees this and books in an appointment for a nurse to visit

The nurse visits

my nan tell her of a sore on her toe (don't forget she is 97 !!!!!!)

she will not look at it until after a doctors referral

we book the doctor in to visit - explaining the issue

He arrives a couple of days later

looks at it for 2 seconds - makes a referral for a nurse to attend

Nurse attends and deals with it

so two visits for a nurse and one for a doctor.
lack of resources - maybe
poor time management -definitely


note
all people involved nice and pleasant
but whoever comes up with these systems is the person who wants sacking - not the politician who is the easy target

I could go on with other examples - but it would only show the same results - bad management.
 
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Re: The controlled demolition of the NHS

Postby Elessar » Mon Nov 28, 2016 11:35 am

On the flip side...a 97 year old is getting free treatment. That's quite good by international standards.
 
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Re: The controlled demolition of the NHS

Postby Spook2 » Mon Nov 28, 2016 1:57 pm

Agreed it is very good

my point though is the time and money being wasted by lack of co-ordination

a private business would go bust if it was run like this

it isn't a bottomless pit, so savings have to be made

I have given two examples, and have many more, of poor management

sort out the management, savings will automatically fall into place
 
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Re: The controlled demolition of the NHS

Postby JLP » Mon Nov 28, 2016 2:51 pm

Spook2 wrote:Agreed it is very good

my point though is the time and money being wasted by lack of co-ordination

a private business would go bust if it was run like this

it isn't a bottomless pit, so savings have to be made

I have given two examples, and have many more, of poor management

sort out the management, savings will automatically fall into place


Trouble is, there are so many tiers of management which adds to the confusion. Back in the day the ward sisters ran their wards. Care was coordinate d and people were cared for. Now there are managers, clinical coordinators and goodness knows who else. I am glad I am out of it now.
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