Waste in the NHS

Author
Discussion

drainbrain

5,637 posts

111 months

Monday 25th September 2017
quotequote all
spaximus said:
The quality of food in hospitals is variable, to say the least.

The PALS groups in hospital do take everything seriously and I did make contact over the food in Barnsley as it was a waste.
And following that 'contact' what changed?

Can I hazard a guess?

Nothing.

Nuclear Skip

8,855 posts

187 months

Monday 25th September 2017
quotequote all
technodup said:
This probably isn't the type of post you thought it was...

I've recently (and for the first time in any meaningful sense) made use of the NHS. Most of this year I've been at GPs, scans, consultants and physios to identify and treat what I now know is a type of arthritis. It's likely that I'll be going onto a drug to be administered by myself with a pen, similar to diabetics. It was when the consultant mentioned it was one of the more expensive ones I had a Google... turns out it's £762/m, or £9k odd per year.
Enbrel or Humira?

968

11,965 posts

248 months

Monday 25th September 2017
quotequote all
greygoose said:
It seems bizarre that someone able to waste so many pixels on here, where no one really cares, would not bother to write to his NHS department and outline savings they could make or improvements in services to benefit himself and others, but hey carry on whining to no effect.
Yeah that just about sums it up really.

V8 Fettler

7,019 posts

132 months

Monday 25th September 2017
quotequote all
The starting point for reducing the cost of materials to the NHS is to compare the prices paid by different NHS trusts for the same materials.

spaximus

4,231 posts

253 months

Monday 25th September 2017
quotequote all
drainbrain said:
spaximus said:
The quality of food in hospitals is variable, to say the least.

The PALS groups in hospital do take everything seriously and I did make contact over the food in Barnsley as it was a waste.
And following that 'contact' what changed?

Can I hazard a guess?

Nothing.
Hard to say as we have not been back but with a wife in finance in the NHS and a daughter who is a Doctor they both say how the PALS group do provide a useful link.

Many patients, especially older ones, do not like to moan and groan directly to a person that is trying to help, even if badly, with this the PALS provides a conduit for trying to address things.

In you case, no doubt you see huge issues and one would agree that there needs to be improvements, but not being knowledgeable about the differing prosthetic sockets, why has the manufacturer of the Martin socket not gone for approval with the NHS? Is it down to the cost difference etc. It is no good moaning at the NHS guy who has no idea but clear instructions as to what they can use.

I would be raising this with my specialist, the chief executive and my MP if it is as you say. Until people do constructively complain nothing will change but going back to the comment about people moaning, many will be happy with what the NHS gives them as it works for them.

I hope you can get the help you need to get out of your wheel chair but as I said the NHS does huge amounts of work very well and effectively but we only ever hear of the waste and bad practice.

rscott

14,761 posts

191 months

Monday 25th September 2017
quotequote all
drainbrain said:
spaximus said:
The quality of food in hospitals is variable, to say the least.

The PALS groups in hospital do take everything seriously and I did make contact over the food in Barnsley as it was a waste.
And following that 'contact' what changed?

Can I hazard a guess?

Nothing.
I've contacted the PALS at 2 different hospitals in the last 10 years. On both occasions they've managed to get my issues sorted within 48 hours. Something I'd not been able to achieve in weeks.

A family member who works in the NHS advised using them as the PALS reports are taken very seriously by management and departments really don't like appearing in those reports.

There's probably no internal process for the staff to report the issues with those meals, so unless a patient does, nothing can happen about it.

technodup

Original Poster:

7,584 posts

130 months

Monday 25th September 2017
quotequote all
spaximus said:
There are thousands of stories of waste in the NHS, but I have never worked anywhere where there is not waste always for private companies. The NHS does a million things well and a few thousand wrong we only concentrate on the things it gets wrong, sadly.
Which is why the OP was not about the NHS wasting money, it was about patients wasting it.

I should have known it would turn into a bash the NHS thread.

rossi1001

111 posts

121 months

Monday 25th September 2017
quotequote all
Nuclear Skip said:
technodup said:
This probably isn't the type of post you thought it was...

I've recently (and for the first time in any meaningful sense) made use of the NHS. Most of this year I've been at GPs, scans, consultants and physios to identify and treat what I now know is a type of arthritis. It's likely that I'll be going onto a drug to be administered by myself with a pen, similar to diabetics. It was when the consultant mentioned it was one of the more expensive ones I had a Google... turns out it's £762/m, or £9k odd per year.
Enbrel or Humira?
Humira changed my life but I am aware of how expensive it is and do feel some what guilty? I know it had to be approved by the trust pharmacy director because my mums her PA and she had to avoid the meeting given the obvious conflict of interest!

To the op push the consultant to get off methotrexate as soon as possible. It barely touched my arthritis symptoms and the side effects are awful. Couple of beers and you'll feel like you've been on an all night bender the next morning!

200Plus Club

10,768 posts

278 months

Monday 25th September 2017
quotequote all
V8 Fettler said:
The starting point for reducing the cost of materials to the NHS is to compare the prices paid by different NHS trusts for the same materials.
The starting point would actually be getting all trusts to order the same stuff from the same suppliers.
400 or so trusts all pushed down the route of being independent and all with their own supplies depts buying from whoever. Yes NHS supplies do get involved in some stuff but the majority of trusts in my experience allow very local purchasing. The new STP partnerships are in theory going to get local trusts to work together to start buying goods and services as one to give larger savings.
Sort of where it was 25-30 years ago, if you Will, before foundation trusts and NHS trusts, before internal competition.
If govts stopped fecking about with endless major changes some of the cost saving measures and working together may actually happen!

technodup

Original Poster:

7,584 posts

130 months

Monday 25th September 2017
quotequote all
rossi1001 said:
Humira changed my life but I am aware of how expensive it is and do feel some what guilty? I know it had to be approved by the trust pharmacy director because my mums her PA and she had to avoid the meeting given the obvious conflict of interest!

To the op push the consultant to get off methotrexate as soon as possible. It barely touched my arthritis symptoms and the side effects are awful. Couple of beers and you'll feel like you've been on an all night bender the next morning!
She first spoke about Adilimumub but I think it's now to be Golimumab.

Can't say I've had any side effects from the methotrexate tbh, although I have been avoiding alcohol even more than usual. It took a while but I feel about 90% now. CRPs still off the chart though. smile

D900SP

458 posts

183 months

Saturday 2nd December 2017
quotequote all
NHS waste? Never, unless you might include the £430 million, 7 year project (and counting) of the rebuilding (on the worst location possible) of the Sussex County Hospital in Brighton. I'm sure it's not the only one.

Not included is the sub contracting ambulance drivers from Essex and the list goes on. And on.

Glad it's not my money.....oh, it is my tax money??


rustyuk

4,581 posts

211 months

Saturday 2nd December 2017
quotequote all
I had an interview for a contract role working for a NHS research and development department that had offices in a big city centre. The interview was held at a hotel next door.

When I arrived I was surprised that an entire floor of the hotel was being used by the staff as additional meeting rooms. Along with the meeting rooms they had also booked breakfast for the staff which consisted of a wide selection of items including a chef making blueberry pancakes to order.

Downward

3,596 posts

103 months

Saturday 2nd December 2017
quotequote all
rustyuk said:
I had an interview for a contract role working for a NHS research and development department that had offices in a big city centre. The interview was held at a hotel next door.

When I arrived I was surprised that an entire floor of the hotel was being used by the staff as additional meeting rooms. Along with the meeting rooms they had also booked breakfast for the staff which consisted of a wide selection of items including a chef making blueberry pancakes to order.
Most likely paid for via charitable funds.