Unpopular opinion - NHS is useless
Discussion
glazbagun said:
Good stats thread on NHS troubles:
https://twitter.com/StuartHoddinott/status/1718919...
TL:DR is that experienced staff leaving has blunted the impact of new recruits since Covid, so staff are less productive on average, and we've underinvested (compared to OECD average), with the last decade being particularly bad.
Cameron, Osborne, absolute bhttps://twitter.com/StuartHoddinott/status/1718919...
TL:DR is that experienced staff leaving has blunted the impact of new recruits since Covid, so staff are less productive on average, and we've underinvested (compared to OECD average), with the last decade being particularly bad.
ds. Between this an Brexit they ruined the country far more than "Gordon Broon selling the gold" ever did. Twuntweasels the lot of them.glazbagun said:
Good stats thread on NHS troubles:
https://twitter.com/StuartHoddinott/status/1718919...
TL:DR is that experienced staff leaving has blunted the impact of new recruits since Covid, so staff are less productive on average, and we've underinvested (compared to OECD average), with the last decade being particularly bad.
So, in summary, in real terms the budget keeps going up and the staff numbers are up, but the performance is down.https://twitter.com/StuartHoddinott/status/1718919...
TL:DR is that experienced staff leaving has blunted the impact of new recruits since Covid, so staff are less productive on average, and we've underinvested (compared to OECD average), with the last decade being particularly bad.
Megaflow said:
glazbagun said:
Good stats thread on NHS troubles:
https://twitter.com/StuartHoddinott/status/1718919...
TL:DR is that experienced staff leaving has blunted the impact of new recruits since Covid, so staff are less productive on average, and we've underinvested (compared to OECD average), with the last decade being particularly bad.
So, in summary, in real terms the budget keeps going up and the staff numbers are up, but the performance is down.https://twitter.com/StuartHoddinott/status/1718919...
TL:DR is that experienced staff leaving has blunted the impact of new recruits since Covid, so staff are less productive on average, and we've underinvested (compared to OECD average), with the last decade being particularly bad.
My top tip if you need access to A&E is to wait for a local derby football match is in play and then call the ambulance. It'll be with you in an hour instead of an ETA of 9hrs. I kid you not in Manchester last week a relative needed an ambulance - "It'll be with you in 9hrs" at which point they got a lift to the local A&E which resembled a scene from Gaza overspilling out of the door. English did not appear the first language for some attendees and it was quickly sussed being unable to communicate and then throwing yourself on the floor writhing in agony displaying an Oscar winning performance got you immediately prioritised. When the City v Utd match was on a neighbour decided they needed an ambulance (actually they could have taken themselves to A&E or better still waited to see their GP or pharmacist) and one turned up in 40mins.
Megaflow said:
glazbagun said:
Good stats thread on NHS troubles:
https://twitter.com/StuartHoddinott/status/1718919...
TL:DR is that experienced staff leaving has blunted the impact of new recruits since Covid, so staff are less productive on average, and we've underinvested (compared to OECD average), with the last decade being particularly bad.
So, in summary, in real terms the budget keeps going up and the staff numbers are up, but the performance is down.https://twitter.com/StuartHoddinott/status/1718919...
TL:DR is that experienced staff leaving has blunted the impact of new recruits since Covid, so staff are less productive on average, and we've underinvested (compared to OECD average), with the last decade being particularly bad.
NHS is far from perfect or, in some opinions, passable but sniping without context isn't adding to constructive discussion.
The Hypno-Toad said:
Hopefully this won't come across as trivial whining given the seriousness of other peoples conditions but....
I am 56 and have fallen to bits very quickly over the last couple of years. My GP is very good but as far as going up the chain is concerned there really is not a lot he can do.
Pheochromocytoma (see thread running here.) - was supposed to have a check to make sure everything was ok in January, still waiting.
'Floaters' in my right eye. - getting worse, have asked to see the specialist I saw two years ago, three months ago. Nothing.
Hernia - A going away present from COVID. Just been told that I will see a consultant on the NHS in September with a 'probable' operation date in February/March next year. Can not wait that long, so have braced myself for going privately.
So do I think 56 year old single blokes get pushed down the list....
Should be used to it, I get ignored in restaurants all the time.
What about automatic doors? Do they open for you. ?I am 56 and have fallen to bits very quickly over the last couple of years. My GP is very good but as far as going up the chain is concerned there really is not a lot he can do.
Pheochromocytoma (see thread running here.) - was supposed to have a check to make sure everything was ok in January, still waiting.
'Floaters' in my right eye. - getting worse, have asked to see the specialist I saw two years ago, three months ago. Nothing.
Hernia - A going away present from COVID. Just been told that I will see a consultant on the NHS in September with a 'probable' operation date in February/March next year. Can not wait that long, so have braced myself for going privately.
So do I think 56 year old single blokes get pushed down the list....
Should be used to it, I get ignored in restaurants all the time.
Edited by The Hypno-Toad on Tuesday 11th July 13:07
Pit Pony said:
The Hypno-Toad said:
Hopefully this won't come across as trivial whining given the seriousness of other peoples conditions but....
I am 56 and have fallen to bits very quickly over the last couple of years. My GP is very good but as far as going up the chain is concerned there really is not a lot he can do.
Pheochromocytoma (see thread running here.) - was supposed to have a check to make sure everything was ok in January, still waiting.
'Floaters' in my right eye. - getting worse, have asked to see the specialist I saw two years ago, three months ago. Nothing.
Hernia - A going away present from COVID. Just been told that I will see a consultant on the NHS in September with a 'probable' operation date in February/March next year. Can not wait that long, so have braced myself for going privately.
So do I think 56 year old single blokes get pushed down the list....
Should be used to it, I get ignored in restaurants all the time.
What about automatic doors? Do they open for you. ?I am 56 and have fallen to bits very quickly over the last couple of years. My GP is very good but as far as going up the chain is concerned there really is not a lot he can do.
Pheochromocytoma (see thread running here.) - was supposed to have a check to make sure everything was ok in January, still waiting.
'Floaters' in my right eye. - getting worse, have asked to see the specialist I saw two years ago, three months ago. Nothing.
Hernia - A going away present from COVID. Just been told that I will see a consultant on the NHS in September with a 'probable' operation date in February/March next year. Can not wait that long, so have braced myself for going privately.
So do I think 56 year old single blokes get pushed down the list....
Should be used to it, I get ignored in restaurants all the time.
Edited by The Hypno-Toad on Tuesday 11th July 13:07
Red9zero said:
Our local NHS (Bristol / North Somerset) won't even put floaters on a waiting list. I was rushed to the local A&E by our doctor after I mentioned I had floaters, as he thought it may be a detached retina. It wasn't though, just floaters and the doctor who saw me said he had some and even he couldn't get them fixed on the NHS. I ended up going private (through a company policy luckily) as they were getting pretty bad.
There seem to be so many 'little' things like this that just aren't covered by the NHS any more - ear wax removal, ingrowing toenails, etc. just don't get fixed on the NHS.Red9zero said:
Our local NHS (Bristol / North Somerset) won't even put floaters on a waiting list. I was rushed to the local A&E by our doctor after I mentioned I had floaters, as he thought it may be a detached retina. It wasn't though, just floaters and the doctor who saw me said he had some and even he couldn't get them fixed on the NHS. I ended up going private (through a company policy luckily) as they were getting pretty bad.
Can they even be fixed? I've a few I've had for years tgat don't get in the way yet, but it's definitely something I'd like to improve in the future.glazbagun said:
Can they even be fixed? I've a few I've had for years tgat don't get in the way yet, but it's definitely something I'd like to improve in the future.
They can. I can't remember the exact procedure, but I think they inject fluid in them to fill them up (I was told, but I am such a wuss I was trying to blank it out. I even needed IV sedation for every procedure. Not very PH !). It does make you susceptible to cataracts though apparently, which I of course got next, so ended up getting them done and corrective lenses at the same time. Just for balance it's not always usless. I was pretty impressed with a 34 minute turnaround from being dropped off at A&E and calling my wife to come and pick me up this morning. Triage nurse > Reception > upgrade to powerfully built directors waiting area > cute Dr > Xray > back to cute Dr for a ruptued AC joint I inflicted on myself at Badminton. I didn't even have time to extract my NHS number from their app!
I found out some interesting information regarding the junior doctors strikes and how the NHS managed the situation. My wife, a nurse, covered the strike and they paid her more money (£60 Gross per hour).
A couple of her colleagues are married to Consultants who also covered the strikes. They were paid £900 & £800 Gross per hour to cover the strikes. Imagine earning £6-7k per day!!
Crazy in my opinion, must cost the NHS millions.
A couple of her colleagues are married to Consultants who also covered the strikes. They were paid £900 & £800 Gross per hour to cover the strikes. Imagine earning £6-7k per day!!
Crazy in my opinion, must cost the NHS millions.
Pit Pony said:
The Hypno-Toad said:
Hopefully this won't come across as trivial whining given the seriousness of other peoples conditions but....
I am 56 and have fallen to bits very quickly over the last couple of years. My GP is very good but as far as going up the chain is concerned there really is not a lot he can do.
Pheochromocytoma (see thread running here.) - was supposed to have a check to make sure everything was ok in January, still waiting.
'Floaters' in my right eye. - getting worse, have asked to see the specialist I saw two years ago, three months ago. Nothing.
Hernia - A going away present from COVID. Just been told that I will see a consultant on the NHS in September with a 'probable' operation date in February/March next year. Can not wait that long, so have braced myself for going privately.
So do I think 56 year old single blokes get pushed down the list....
Should be used to it, I get ignored in restaurants all the time.
What about automatic doors? Do they open for you. ?I am 56 and have fallen to bits very quickly over the last couple of years. My GP is very good but as far as going up the chain is concerned there really is not a lot he can do.
Pheochromocytoma (see thread running here.) - was supposed to have a check to make sure everything was ok in January, still waiting.
'Floaters' in my right eye. - getting worse, have asked to see the specialist I saw two years ago, three months ago. Nothing.
Hernia - A going away present from COVID. Just been told that I will see a consultant on the NHS in September with a 'probable' operation date in February/March next year. Can not wait that long, so have braced myself for going privately.
So do I think 56 year old single blokes get pushed down the list....
Should be used to it, I get ignored in restaurants all the time.
Edited by The Hypno-Toad on Tuesday 11th July 13:07
VeeReihenmotor6 said:
A couple of her colleagues are married to Consultants who also covered the strikes. They were paid £900 & £800 Gross per hour to cover the strikes. Imagine earning £6-7k per day!!
Those numbers you are quoting are 100% incorrect, pretty much every trust followed the BMA rate card which is publicly available information. During the last strike action, regardless of the BMA rate card, filling rotas was impossible for some areas.
https://www.bma.org.uk/pay-and-contracts/pay/rate-...
gangzoom said:
Those numbers you are quoting are 100% incorrect, pretty much every trust followed the BMA rate card which is publicly available information.
During the last strike action, regardless of the BMA rate card, filling rotas was impossible for some areas.
https://www.bma.org.uk/pay-and-contracts/pay/rate-...
Our Trust and surrounding ones are nowhere near the rate card. I have been told many London hospitals have implemented them for strike coverage.During the last strike action, regardless of the BMA rate card, filling rotas was impossible for some areas.
https://www.bma.org.uk/pay-and-contracts/pay/rate-...
gangzoom said:
VeeReihenmotor6 said:
A couple of her colleagues are married to Consultants who also covered the strikes. They were paid £900 & £800 Gross per hour to cover the strikes. Imagine earning £6-7k per day!!
Those numbers you are quoting are 100% incorrect, pretty much every trust followed the BMA rate card which is publicly available information. During the last strike action, regardless of the BMA rate card, filling rotas was impossible for some areas.
https://www.bma.org.uk/pay-and-contracts/pay/rate-...
VeeReihenmotor6 said:
As you say, "pretty much every trust" ...
£800/hr is many folds higher the BMA rate card. The CFO and People Partner of any trust that signs that off would be in for some very very hard questioning from NHS England. 'Managing' IA has taken up far more of my life than I would ever want to in the last year, I'll bet everything I own no trust is paying the rates you have quote.
gangzoom said:
£800/hr is many folds higher the BMA rate card.
The CFO and People Partner of any trust that signs that off would be in for some very very hard questioning from NHS England. 'Managing' IA has taken up far more of my life than I would ever want to in the last year, I'll bet everything I own no trust is paying the rates you have quote.
What proportion of the total paybill is Bank staff do you know? It was an enormous part of what I tried to manage in the private sector. The CFO and People Partner of any trust that signs that off would be in for some very very hard questioning from NHS England. 'Managing' IA has taken up far more of my life than I would ever want to in the last year, I'll bet everything I own no trust is paying the rates you have quote.
ucb said:
Megaflow said:
glazbagun said:
Good stats thread on NHS troubles:
https://twitter.com/StuartHoddinott/status/1718919...
TL:DR is that experienced staff leaving has blunted the impact of new recruits since Covid, so staff are less productive on average, and we've underinvested (compared to OECD average), with the last decade being particularly bad.
So, in summary, in real terms the budget keeps going up and the staff numbers are up, but the performance is down.https://twitter.com/StuartHoddinott/status/1718919...
TL:DR is that experienced staff leaving has blunted the impact of new recruits since Covid, so staff are less productive on average, and we've underinvested (compared to OECD average), with the last decade being particularly bad.
NHS is far from perfect or, in some opinions, passable but sniping without context isn't adding to constructive discussion.
This is a very interesting read on the subject, please excuse the title!
https://snowdon.substack.com/p/how-to-argue-with-a...
ETA: My wife briefly worked in the NHS, my brother and sister in law still do, and they all agree the biggest problem is not funding, it is the absolute waste of resource through mis management.
Megaflow said:
Apologies for being late to the party with this response. Yes, the population has gone up, but so has their budget and staff levels.
This is a very interesting read on the subject, please excuse the title!
https://snowdon.substack.com/p/how-to-argue-with-a...
ETA: My wife briefly worked in the NHS, my brother and sister in law still do, and they all agree the biggest problem is not funding, it is the absolute waste of resource through mis management.
The cost of drugs has risen exponentially too. In 5 years the cost of drugs for my trust is 2 x 2018 levels. This is a very interesting read on the subject, please excuse the title!
https://snowdon.substack.com/p/how-to-argue-with-a...
ETA: My wife briefly worked in the NHS, my brother and sister in law still do, and they all agree the biggest problem is not funding, it is the absolute waste of resource through mis management.
Wasye and mismanagement is the lazy b
ks trotted out by people who don't have the faintest idea about hospital finances. Budget going up is generally smoke and mirrors from a lying government. The headline figure maybe higher but that does not explain how the local ICS will have £500m less in 24/25 than it did in 23/24. Edited by pavarotti1980 on Sunday 12th November 19:43
Maybe GPs surgeries and cottage hospitals could be used for
minor medical stuff, it's common for people in my area to have
to travel 40 miles to have a graft wound inspected and a change
of dressing, when we have a large hospital 17 miles away, a cottage
hospital and a Health centre with 8 GPs and 5 nurses in the town.
minor medical stuff, it's common for people in my area to have
to travel 40 miles to have a graft wound inspected and a change
of dressing, when we have a large hospital 17 miles away, a cottage
hospital and a Health centre with 8 GPs and 5 nurses in the town.
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