Nurses: The NHS is at breaking point
Discussion
s1962a said:
Also, why is private healthcare taxed as a BIK? surely if someone takes themself out of the NHS system (for the most part) they shouldnt be penalised for it further.
Here in Australia there is something called MediCare which is similar to the NHS.However, people are encouraged to take out private health care and if you earn over a threshold ($160k I think) you have to pay a chunk of extra tax if you dont have private cover. If you do have private health care and it meets a minimum standard, you get a tax refund each year (regardless of your income)
Even if you dont have private cover, you can still elect to go to a private clinic and Medicare will refund you part of the cost. For example if Medicare allow $70 to see your GP but your private GP charges $170, you'll get $70 back (within 3 days, direct to your bank account). This way, if you want to go to a private clinic for a one-off consult you can do so without needing private cover. Medicare likes it if you do that as you're not clogging up the public system.
One other issue I have seen is that poor performance at a lower level has little or no consequences due to the lack of people to replace them, nurses and HCAs can be as lazy and idle as they want as they know they are very unlikely to actually get punished as long as it doesn't cross the line into outright negligence. Other staff members who do care about doing a good job will make up the slack.
Cfnteabag said:
One other issue I have seen is that poor performance at a lower level has little or no consequences due to the lack of people to replace them, nurses and HCAs can be as lazy and idle as they want as they know they are very unlikely to actually get punished as long as it doesn't cross the line into outright negligence. Other staff members who do care about doing a good job will make up the slack.
That is a huge factor where my Mrs works.littlegreenfairy said:
10 months. She seems to be 'growing out of it' but will buy it when she's over 1 year if she needs it. The GP was very quick to diagnose it (5mins in and out) and said she doesn't need to be seen again- just handed a repeat prescription!!
It just amazes me that one pharmacy is getting through nearly 3k of milk a month. Just for that one condition. The sheer cost of prescriptions overall must be staggering.
On the subject of it only being available on prescription - just did a search and you can actually buy lactose free baby formula. Both Aptamil and SMA do lactose free variants that are available to buy without prescription.It just amazes me that one pharmacy is getting through nearly 3k of milk a month. Just for that one condition. The sheer cost of prescriptions overall must be staggering.
Moonhawk said:
littlegreenfairy said:
10 months. She seems to be 'growing out of it' but will buy it when she's over 1 year if she needs it. The GP was very quick to diagnose it (5mins in and out) and said she doesn't need to be seen again- just handed a repeat prescription!!
It just amazes me that one pharmacy is getting through nearly 3k of milk a month. Just for that one condition. The sheer cost of prescriptions overall must be staggering.
On the subject of it only being available on prescription - just did a search and you can actually buy lactose free baby formula. Both Aptamil and SMA do lactose free variants that are available to buy without prescription.It just amazes me that one pharmacy is getting through nearly 3k of milk a month. Just for that one condition. The sheer cost of prescriptions overall must be staggering.
Cfnteabag said:
One other issue I have seen is that poor performance at a lower level has little or no consequences due to the lack of people to replace them, nurses and HCAs can be as lazy and idle as they want as they know they are very unlikely to actually get punished as long as it doesn't cross the line into outright negligence. Other staff members who do care about doing a good job will make up the slack.
Boom. This is factually spot on.Speaking of managers [again] there's been a fall of snow recently, you may have noticed.
About 1" around here, main roads etc are clear.
A number of care worker/nurses had their 6 monthly chat due and appointments were made, they all got in 1 hour [unpaid] early [despite "snow"] to have the 10 minute administrative actions taken, guess what one didn't turn up?
The manager; "snowed in" apparently.
Lions led by Donkeys.
Sylvaforever said:
Boom. This is factually spot on.
Speaking of managers [again] there's been a fall of snow recently, you may have noticed.
About 1" around here, main roads etc are clear.
A number of care worker/nurses had their 6 monthly chat due and appointments were made, they all got in 1 hour [unpaid] early [despite "snow"] to have the 10 minute administrative actions taken, guess what one didn't turn up?
The manager; "snowed in" apparently.
Lions led by Donkeys.
Mum had to do those interview things for a while. One was for a colleague that had been of "sick" for ages. They were advised about a fourth coming interview but the response was that they were going out with their mum that day Speaking of managers [again] there's been a fall of snow recently, you may have noticed.
About 1" around here, main roads etc are clear.
A number of care worker/nurses had their 6 monthly chat due and appointments were made, they all got in 1 hour [unpaid] early [despite "snow"] to have the 10 minute administrative actions taken, guess what one didn't turn up?
The manager; "snowed in" apparently.
Lions led by Donkeys.
They were told to rearrange the day out and get in for the interview. Loads of them would have months off on full pay then make a miraculous recovery just before the sick pay went down after the cut off point. She had many tales of shirking and down right laziness. She always managed to get to work no matter how deep the snow, even though we lived in a countryside, what with dad having a herd of cows and everything. Some of the lazy t
ts would even walk across town. "What if I can't get home?" "You're in a hospital, it is warm has beds and food, you won't die." Dad took her to work on the tractor in 1982 and the winter diesel froze on him on the way home. In '87 it got down to -7c as a daily high. The road was blocked so she could get home after a night shift. She left the car in a snow drift, walked home, told dad and went to bed. Me and dad went out after sorting the cows out, dug the car out and brought it home (Skoda Estelle, not a 19 wheel drive SUV). She managed to get back to work the following night. hifihigh said:
What do you want.
The NHS is the most efficient healthcare system in the western world.
Do you want to privitise it for fun?
How do patient experiences compare between England and Wales?The NHS is the most efficient healthcare system in the western world.
Do you want to privitise it for fun?
How does privatisation compare between England and Wales?
hifihigh said:
If you want to improve care, spend more on it. Bring spending up to the levels of gdp per capita of for example france or germany.
Given a current £40n deficit, where is the money going to come from?hifihigh said:
mebbie so. The first part is easy. We spend less per capita on healthcare than many other first would nations.
If we spent as they do then there would be no (a different) crisis.
Magic money tree?If we spent as they do then there would be no (a different) crisis.
(plus of course the quoted spending doesn't include the full cost of the NHS so it's a misleading comparison!)
hifihigh said:
I hate the phrase magic money tree.
I hate the way people seem to suggest that there is unlimited money to spend on public services, seemingly without understanding the basic constraints.hifihigh said:
If ppl are sick they are not paying taxes.
A high proportion of those using the NHS are not net contributors to the economy.hifihigh said:
I'm not sure why you are trying to say total spending isn't part of nhs.
Where have i said any such thing?hifihigh said:
spending on care should be the same or more as other countries on healthcare.
Affordable spending is a function of income.Cfnteabag said:
One other issue I have seen is that poor performance at a lower level has little or no consequences due to the lack of people to replace them, nurses and HCAs can be as lazy and idle as they want as they know they are very unlikely to actually get punished as long as it doesn't cross the line into outright negligence. Other staff members who do care about doing a good job will make up the slack.
My sister says the same thing. She is a nurse in a stroke unit.So many hoops to jump through in order to report a bad member of staff, and if the member of staff is non white british, the race card comes out straight away.
My sister is a midwife. I have never seen this 'bad member of staff' what.
[quote] what?
[/quote]
[quote]My sister says the same thing. She is a nurse in a stroke unit.
So many hoops to jump through in order to report a bad member of staff, and if the member of staff is non white british, the race card comes out straight away.
[/quote]
[quote] what?
[/quote]
[quote]My sister says the same thing. She is a nurse in a stroke unit.
So many hoops to jump through in order to report a bad member of staff, and if the member of staff is non white british, the race card comes out straight away.
[/quote]
hifihigh said:
What do you want.
The NHS is the most efficient healthcare system in the western world..
Based on what?The NHS is the most efficient healthcare system in the western world..
This article seems to suggest we are around middle of the road in terms of efficiency (second diagram)
https://www.google.co.uk/amp/s/www.bloomberg.com/a...
Gassing Station | News, Politics & Economics | Top of Page | What's New | My Stuff