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NHS, logic?

If you cant get a GP appointment why not go to a drop in centre? I have used them on sweveral occasions taking in staff from work with minor injuries and they were not even that busy. If I ring my GP I always get offered an appt about a week later but if I say I think it needs dealing with quicker than that I am offered either a emergency appt or a call from the triage nurse. The triage nurse once saw me then had me see the Dr right after. The last time I was in severe pain in my ear at 3am I simply drove to my local hospital where they directed me to the out of hours GP who saw me within a few moments of me arriving. Overall then dont think I have had an appt problem for GP's at least.
Well, we have a fantastic Doctor, for instance, couple weeks ago, Shel going upstairs carrying big load of washing, misses last step, bangs her arm quite bad on bannister. Decides its hurting a lot, walks along to our Doctors, no appointment, seen within 15 min, think its fine said Doc, but head up to Hospital get it Xrayed. Thats done and shes home within 2 hours, having been told Xray fine.
Also, we have a cracking NHS dentist, no bother to get seen, not hurried, he rattles on about anything, sometimes in there just chatting for 10 min before / after getting teeth checked.
John & Shel
PS just in case we get loads of Southerners wanting to live up here, remember its always raining, slag heaps dominate the skyline, coal dust fills the air, charvas run riot. In short...Its Grim Up North, best keep away.
Quote by Geordiecpl2001
PS just in case we get loads of Southerners wanting to live up here, remember its always raining, slag heaps dominate the skyline, coal dust fills the air, charvas run riot. In short...Its Grim Up North, best keep away.

lol
You forgot to mention that we have to eat gravy with everything. there are no indoor toilets or hot running water and the Suvverners are unlikey to get passports anyway so yes, best keep away!
Quote by Marya_Northeast

PS just in case we get loads of Southerners wanting to live up here, remember its always raining, slag heaps dominate the skyline, coal dust fills the air, charvas run riot. In short...Its Grim Up North, best keep away.

lol
You forgot to mention that we have to eat gravy with everything. there are no indoor toilets or hot running water and the Suvverners are unlikey to get passports anyway so yes, best keep away!
is washday still a monday??? :lol:
is washday still a monday???

Of course, thats the day you can't drive down the back lanes because of the washing strung out drying.
J & S
yes i think most of the people who handle the calls coming into a doctor's surgery to be nosey buggers.'whats it for?' and 'do you really need to see him today' get up my usually when i flip and tell them to book me in and 'im not telling you whats wrong so you can discuss it over your cup of tea and hello magazine'.Bloody perverts.
I should be examining them!
Talking of NHS logic why the hell do we need so many cheif excutives an boards of directors and secondly why the hell is it called the "NATIONAL HEALTH SERVICE" it realy should be called the "REGIONAL HEALTH SERVICE"
Now I have been a user of this establishment a good few times and have much praise for nurses and doctors till the cows come home but did anyone see Sir Gerry Robinson's tv prog on hospitals?
He basically said they are stuck in the dark ages, basic cleaning standards are victorian and nothing gets done because everybody works independently of each other and doesn't see why they should change if the others don't. More importantly, v basic issues were not addressed such as theatres being empty because right staff at right time 'scheduling' was to hard to organise!
Like I said, praise for the staff but in short, this country is fooked and we are to blame. Fuel prices go through the roof and what do we do, panic buy and spend hrs waiting in line and saying I support it but need to get to work. In America they set fire to the stations! Basic economic theory says you cannot have an efficient and effective 2 tier system of contribution by all and pay as you go and what do we have, NHS and private hospitals, fuel/road tax and toll roads and pay per mile coming v soon. Wake up people!
Chris x
Quote by felixx1416
Talking of NHS logic why the hell do we need so many cheif excutives an boards of directors and secondly why the hell is it called the "NATIONAL HEALTH SERVICE" it realy should be called the "REGIONAL HEALTH SERVICE"

so they can run around in top of the range jags or bmw's.
And it makes them think they are important to the community or special because they makes decisions with the purse strings.
And its these same people who will imput into if frimley park or royal surrey loses its a+e.
Quote by tyracer
Talking of NHS logic why the hell do we need so many cheif excutives an boards of directors and secondly why the hell is it called the "NATIONAL HEALTH SERVICE" it realy should be called the "REGIONAL HEALTH SERVICE"

so they can run around in top of the range jags or bmw's.
And it makes them think they are important to the community or special because they makes decisions with the purse strings.And its these same people who will imput into if frimley park or royal surrey loses its a+e.
Thats the problem most of the cheif exec's get pay 150k + put they dont make decisions they are told what to do.
Quote by alljustfun2001
Like I said, praise for the staff but in short, this country is fooked and we are to blame. Fuel prices go through the roof and what do we do, panic buy and spend hrs waiting in line and saying I support it but need to get to work. In America they set fire to the stations! Basic economic theory says you cannot have an efficient and effective 2 tier system of contribution by all and pay as you go and what do we have, NHS and private hospitals, fuel/road tax and toll roads and pay per mile coming v soon. Wake up people!
Chris x

No, it's far worse than that. We have so many tiers that calling it multi-tiered is a simplistic way of explaining things.
You make hospitals self-governing, then tell them how to govern. You make them self-governing with a budget, then spend half of it making them fill in so much paperwork that the Brazilean forests are being cropped to make the paper. When they over-spend, you make them pay back TWICE what the overspend is, and then penalise them on top of that with a budget drop the next year as a fine for being excessive.
The problem with this country is that we employ FAR TOO MANY public servants who have no known reason for being employed. I am NOT including what I call "essential" public servants....doctors, police, nurses, firepersons or teachers, but those who just sit in seats for 25 years and then retire and work harder doing nothing for the rest of their lives. We employ over 700,000 MORE now than we did in 2000. Yet we get less service, and bled dry for cash to provide it !
As well as that, we get an aggressive system that is forever instigating legislation that, in the guise of lowering crime and terrorism, is removing large chunks of our personal freedom while doing nothing to halt crime.
Quote by JTS
Like I said, praise for the staff but in short, this country is fooked and we are to blame. Fuel prices go through the roof and what do we do, panic buy and spend hrs waiting in line and saying I support it but need to get to work. In America they set fire to the stations! Basic economic theory says you cannot have an efficient and effective 2 tier system of contribution by all and pay as you go and what do we have, NHS and private hospitals, fuel/road tax and toll roads and pay per mile coming v soon. Wake up people!
Chris x

No, it's far worse than that. We have so many tiers that calling it multi-tiered is a simplistic way of explaining things.
You make hospitals self-governing, then tell them how to govern. You make them self-governing with a budget, then spend half of it making them fill in so much paperwork that the Brazilean forests are being cropped to make the paper. When they over-spend, you make them pay back TWICE what the overspend is, and then penalise them on top of that with a budget drop the next year as a fine for being excessive.
The problem with this country is that we employ FAR TOO MANY public servants who have no known reason for being employed. I am NOT including what I call "essential" public servants....doctors, police, nurses, firepersons or teachers, but those who just sit in seats for 25 years and then retire and work harder doing nothing for the rest of their lives. We employ over 700,000 MORE now than we did in 2000. Yet we get less service, and bled dry for cash to provide it !
As well as that, we get an aggressive system that is forever instigating legislation that, in the guise of lowering crime and terrorism, is removing large chunks of our personal freedom while doing nothing to halt crime.
Exactly how can you run a public serivce like a private business they are two different business models
Quote by felixx1416
Exactly how can you run a public serivce like a private business they are two different business models

Really ?
Oh, can you tell the gov that please ?
Of course, you are so right.
A private business has to balance the books.
A public service doesn't even have to balance, it gets supported by everyone.
And it gets so much worse when the public service and the private business are supposed to co-exist within the same organisation.
The answer is to end the health service and establish a private health service that is paid with public money. IE: Free at the point of treatment.
Ahhh. I see that is where it is going ...... just not quite fast enough !
On the subject of hospitals. Last year I was admitted. Apart from the A&E know being the Emergency Department, no doubt the change of name improved the service ten fold, and the AD nurses not believing be when I told them what my wounds were. Apart from that the nurse and doctors were great, I can not praise them enough.
What does seem strange, is that it is not the experienced doctors and nurses running the service. Cleaning is contracted out on a cheap is good basis. Come back matron, we need you.
Quote by JTS

Exactly how can you run a public serivce like a private business they are two different business models

Really ?
Oh, can you tell the gov that please ?
Of course, you are so right.
A private business has to balance the books.
A public service doesn't even have to balance, it gets supported by everyone.
And it gets so much worse when the public service and the private business are supposed to co-exist within the same organisation.
The answer is to end the health service and establish a private health service that is paid with public money. IE: Free at the point of treatment.
Ahhh. I see that is where it is going ...... just not quite fast enough !
Yes JTS i agree we should have a private health service
Quote by
On the subject of hospitals. Last year I was admitted. Apart from the A&E know being the Emergency Department, no doubt the change of name improved the service ten fold, and the AD nurses not believing be when I told them what my wounds were. Apart from that the nurse and doctors were great, I can not praise them enough.
What does seem strange, is that it is not the experienced doctors and nurses running the service. Cleaning is contracted out on a cheap is good basis. Come back matron, we need you.

They are back but the are called 'modern matrons'and they do jack are a waste of money they don't run wards they just balance books etc
At the risk of being simplistic, would it not be an idea to let one NHS Hospital, as an experiment, run itself with a "Works Committee" in charge?
IE, give it the same budget as this year, same targets, but instead of being run by "Managers" let a Committee made up of staff reps from all depts, from cleaners to consultants make the decisions. Any money left over at end of year is split between staff as a bonus, or to hire more staff, or mixture of both. That might encourage everyone to work together.
John
Quote by JTS

Exactly how can you run a public serivce like a private business they are two different business models

Really ?
Oh, can you tell the gov that please ?
Of course, you are so right.
A private business has to balance the books.
A public service doesn't even have to balance, it gets supported by everyone.
And it gets so much worse when the public service and the private business are supposed to co-exist within the same organisation.
The answer is to end the health service and establish a private health service that is paid with public money. IE: Free at the point of treatment.
Ahhh. I see that is where it is going ...... just not quite fast enough !
The NHS does have to balance it's books, that is why we have waiting lists, wards that are empty and drugs that we can not afford.
Quote by JTS
The problem with this country is that we employ FAR TOO MANY public servants who have no known reason for being employed. I am NOT including what I call "essential" public servants....doctors, police, nurses, firepersons or teachers, but those who just sit in seats for 25 years and then retire and work harder doing nothing for the rest of their lives. We employ over 700,000 MORE now than we did in 2000. Yet we get less service, and bled dry for cash to provide it !
As well as that, we get an aggressive system that is forever instigating legislation that, in the guise of lowering crime and terrorism, is removing large chunks of our personal freedom while doing nothing to halt crime.

HEAR HEAR!
I totally agree with you JTS - and DON'T get me started on the ID cards scheme.
Russell
Quote by
The NHS does have to balance it's books, that is why we have waiting lists, wards that are empty and drugs that we can not afford.

Total NHS funding for 2004-2005 was nearly 70 BILLION UK pounds.
Yes, that was 70 thousand million.
The NHS will never balance its books, it will continue to spend more than is given to it, forever.
The inevitable solution is to reduce manpower. The inevitable loss of manpower falls on the medical staff and support staff.
Separation between the government administrators and the medical service providers needs to be absolute.
From MY viewpoint there will never be an efficient service wile it is administered *and* funded by the gov. For whom efficiency is a dirty word.
Quote by JTS

The NHS does have to balance it's books, that is why we have waiting lists, wards that are empty and drugs that we can not afford.

Total NHS funding for 2004-2005 was nearly 70 BILLION UK pounds.
Yes, that was 70 thousand million.
The NHS will never balance its books, it will continue to spend more than is given to it, forever.
The inevitable solution is to reduce manpower. The inevitable loss of manpower falls on the medical staff and support staff.
Separation between the government administrators and the medical service providers needs to be absolute.
From MY viewpoint there will never be an efficient service wile it is administered *and* funded by the gov. For whom efficiency is a dirty word.
The problem with private companies is they take a profit. Every pound taken in profit is one less to be spent on the patient.
Quote by

The NHS does have to balance it's books, that is why we have waiting lists, wards that are empty and drugs that we can not afford.

Total NHS funding for 2004-2005 was nearly 70 BILLION UK pounds.
Yes, that was 70 thousand million.
The NHS will never balance its books, it will continue to spend more than is given to it, forever.
The inevitable solution is to reduce manpower. The inevitable loss of manpower falls on the medical staff and support staff.
Separation between the government administrators and the medical service providers needs to be absolute.
From MY viewpoint there will never be an efficient service wile it is administered *and* funded by the gov. For whom efficiency is a dirty word.
The problem with private companies is they take a profit. Every pound taken in profit is one less to be spent on the patient.
But surely that is better then over employing uncessary managers Cheif exc, director, non-exc directors is any one acutal aware of how much the NHS spends on cheif exc's in one SHA area and how the managment is structerd
Quote by felixx1416

Exactly how can you run a public serivce like a private business they are two different business models

Really ?
Oh, can you tell the gov that please ?
Of course, you are so right.
A private business has to balance the books.
A public service doesn't even have to balance, it gets supported by everyone.
And it gets so much worse when the public service and the private business are supposed to co-exist within the same organisation.
The answer is to end the health service and establish a private health service that is paid with public money. IE: Free at the point of treatment.
Ahhh. I see that is where it is going ...... just not quite fast enough !
Yes JTS i agree we should have a private health service
Don't forget that current private health care providers rely heavily on the NHS. They rely on NHS trained medical staff and almost all diagnostic testing and Pathology services are contracted out to NHS laboratories.
Don't think that Private hospitals are any cleaner than NHS ones either. They certainly do not have any lower rate of hospital aquired infections, such as MRSA and ESBL's.
Les x
Quote by couple_ne2000

Exactly how can you run a public serivce like a private business they are two different business models

Really ?
Oh, can you tell the gov that please ?
Of course, you are so right.
A private business has to balance the books.
A public service doesn't even have to balance, it gets supported by everyone.
And it gets so much worse when the public service and the private business are supposed to co-exist within the same organisation.
The answer is to end the health service and establish a private health service that is paid with public money. IE: Free at the point of treatment.
Ahhh. I see that is where it is going ...... just not quite fast enough !
Yes JTS i agree we should have a private health service
Don't forget that current private health care providers rely heavily on the NHS. They rely on NHS trained medical staff and almost all diagnostic testing and Pathology services are contracted out to NHS laboratories.
Don't think that Private hospitals are any cleaner than NHS ones either. They certainly do not have any lower rate of hospital aquired infections, such as MRSA and ESBL's.
Les x
The NHS do not train staff i was never trained by the NHS, Also all of our Orthopods send there patients to a private clinic for CT scans on there backs because A)its cheaper, B)it get reported on quick and C) It take a half the time to get the appointment
Quote by felixx1416
The NHS do not train staff i was never trained by the NHS, Also all of our Orthopods send there patients to a private clinic for CT scans on there backs because A)its cheaper, B)it get reported on quick and C) It take a half the time to get the appointment

NHS do train staff, I was trained by the NHS......I also attended what is now an NHS University. As an NHS employee I have also been responisible for the delivery of training to Medical Students and Specialist Registrars.
Les x
I obtained my training via University along with other ODPs and Nurses, The only university that was NHS owed was th NHSU which in now defuct cuase nobody was interested, Just because some one get there clinical expirance in an NHS hospital doesn't mean they was trained by the NHS, during my trainment and the same for a lot of other nurses and ODP meant we obtain clinical experiance in a Private hospital as well, in fact two people of my cohort was placed in a Independent hospital for 90% of there course, the only training the NHS hospitals do is Manditary train which the independent do too
Current Nursing degrees are NHS funded (or at least the one which qualify for a Bursary have to be NHS funded, don't know if the are any courses which run where the students don't qualify for a bursary).
In the case of Professionals Supplemenatary to Medicine they must complete on the job training, in an accredited establishment, to obtain State Registration, and be able to practise autonomously. In my field, I have yet to see a training post advertised in a Private Hospital, nor have I met any colleagues who were not NHS trained.
Les x
Quote by couple_ne2000
Current Nursing degrees are NHS funded (or at least the one which qualify for a Bursary have to be NHS funded, don't know if the are any courses which run where the students don't qualify for a bursary).
In the case of Professionals Supplemenatary to Medicine they must complete on the job training, in an accredited establishment, to obtain State Registration, and be able to practise autonomously. In my field, I have yet to see a training post advertised in a Private Hospital, nor have I met any colleagues who were not NHS trained.
Les x

Just because nurses recive a bursary from the NHS doesn't mean they are trained by the NHS, As to the PSM am i right in understanding you are talking about proffesions that are regulated by the HPC.
Quote by Marya_Northeast
the recpetionists ..... grrrrr mad
"what is it for?" - like i'm gonna tell you, you glorified pen-pusher .....

In an ideal world.... but you know as soon as you've left, the bloody receptionist fishes your records out of the filing pile and has a good look just on principle. Cow. :x
Quote by Marya_Northeast
the recpetionists ..... grrrrr mad
"what is it for?" - like i'm gonna tell you, you glorified pen-pusher .....

This is totally how it should be. But you know as soon as you've left, the bloody receptionist fishes your records out of the filing pile and has a good look just on principle. Cow. :x