A&E waiting times
Discussion
Baby Shark doo doo doo doo said:
croyde said:
Tankrizzo said:
A huge amount of people don't need to be in A&E. Only the feeble-minded think this is a "simple" underfunding problem.
I was sent up to a Birmingham hospital to film a piece about crowded A&Es and run off their feet doctors. People kept asking me why I was filming and getting angry saying they didn't want to be on telly. This was late afternoon.
Very quickly the place emptied out.
The director then said get shots of the busy doctors and nurses but as everyone had feked off, they were all just sitting around chatting and drinking cups of tea.
So vote for the government that pays me my usual rate for a cameraman and I'll wander down to any A&E dept and watch the waiting times drop
king wasters are clogging it up 
Not allowed to do that any more...
The Surveyor said:
The sooner GP Practices stop being treated as external semi-private companies and are brought back into the NHS the better, it would instantly save a fortune in accounting costs administering all the national tariff payments.
That's the thing that most annoys me about Labour banging on about nasty Tories privatising the NHS. The Labour party set it up originally with GPs running their own businesses within the NHS and then those ridiculous GP contracts were again handed out by the Labour party, its nonsense.Brainpox said:
piquet said:
Trust me MRI scanners do not need to sleep at night and have the weekends off.
You need radiographers to run them though! We (as a trust/radiology dept) want to get MRI running 12hrs a day 7 days a week but there aren't enough rads in the country (or support staff i.e. receptionists, assistants etc) to allow that to happen.Edited by Brainpox on Thursday 16th January 16:31
Edited by Brainpox on Thursday 16th January 16:32
Ean218 said:
The Surveyor said:
The sooner GP Practices stop being treated as external semi-private companies and are brought back into the NHS the better, it would instantly save a fortune in accounting costs administering all the national tariff payments.
That's the thing that most annoys me about Labour banging on about nasty Tories privatising the NHS. The Labour party set it up originally with GPs running their own businesses within the NHS and then those ridiculous GP contracts were again handed out by the Labour party, its nonsense.You'd think that the NHS business model of commissioner / service provider would have been identified as unfit for purpose decades ago but too many people have benefited from it for too long and continue to do so. Neither the Labour nor the Conservative party has a solution (or the balls to seek one) so the NHS continues to be a political football and ultimately patients suffer as a result.
The Mad Monk said:
Brainpox said:
piquet said:
Trust me MRI scanners do not need to sleep at night and have the weekends off.
You need radiographers to run them though! We (as a trust/radiology dept) want to get MRI running 12hrs a day 7 days a week but there aren't enough rads in the country (or support staff i.e. receptionists, assistants etc) to allow that to happen.Edited by Brainpox on Thursday 16th January 16:31
Edited by Brainpox on Thursday 16th January 16:32
Brainpox said:
piquet said:
Trust me MRI scanners do not need to sleep at night and have the weekends off.
You need radiographers to run them though! We (as a trust/radiology dept) want to get MRI running 12hrs a day 7 days a week but there aren't enough rads in the country (or support staff i.e. receptionists, assistants etc) to allow that to happen.I've been seeing my GP for something fairly minor, but ongoing. Treatment so far, based on initial conversation, haven't worked.
So, ring up the GP Reception. Explain why I'd like to see the same doc.
She speaks to him, rings me back, and books for the following week. Go, have a chat, and am told it's time to explore properly - time for full blood workup. Go book an appointment for the following week to have bloods taken, then another the week after with the doc to discuss results/next steps.
My other half, has a different ongoing issue. Referred to private specialist (so damned thankful for my work provided cover that includes pre-existing).
She went today, to be sent straight for MRi in the mobile one. Then she sees the consultant, who having the results in front of her, has booked her in for a (minor) op next weds.
Compare/contrast:
What was the point of the second GP appointment I had? Why not just book me straight in for bloods, and then an actually useful appointment where he's got the results in front of him? Double the "capacity" required, for exactly the same outcome.
For my other half - she expressed surprise at doing the op so fast, it's hardly life threatening. "If we leave it, the condition will get worse, the op will be both longer, more difficult and risky".
Anecdotes, yes - but indicators of something resolved many years ago in other industries recognising the cost of ineffective use of limited capacity, and the hidden costs of "failure demand".
British Leyland operated like the NHS seemingly does today. Disparate "functions" that are unco-ordinated, leading to wasted capacity, tonnes of "rework", increased costs - and crucially poorer outcomes.
In the modern era, someone like VAG or Toyota know how to manage and measure an integrated system far more varied, unpredictable and complex than BL's ever was. Yet it's costs to produce, "inventory" sat between phases (waiting times for hoomans in the NHS), failure rates are all staggeringly improved - as is quality, the "value" of the end result, etc.
A&E being full of drunks and people who shouldn’t be there is not a new phenomenon. That has been happening for decades. Does anyone on here have evidence that this has got worse and is solely responsible for the continual drop in performance?
If time wasters are the problem then why hasn’t the government done something to address that problem? Rather than simply changing the way A&E is assessed so that the problem becomes less visible?
Blaming Labour is just pathetic. Not because they were doing something right but because they haven’t been in power in a decade. What have the Tories done to improve the NHS in that time?
My experience of A&E is overall not that positive. Just recently my 83 year old mother slipped over in ice and broke her arm and shoulder. My sister who was with her really had to fight to get an ambulance (a 80 year old lying on the freezing floor in shock and pain is definitely at risk of dying) then the hospital didn’t even bother giving her a sling and kicked her out telling her to go to her own A&E (down south as my sister lives up north). Her local A&E wouldn’t see her without a referral from a doctor so it took over a week (during which she was in the worst pain in her life - she said giving birth was a breeze in comparison). When she was finally allowed to see the fracture clinic the nurses were horrified that she hadn’t been given a sling (when they did give her a proper sling the pain became bearable).
If time wasters are the problem then why hasn’t the government done something to address that problem? Rather than simply changing the way A&E is assessed so that the problem becomes less visible?
Blaming Labour is just pathetic. Not because they were doing something right but because they haven’t been in power in a decade. What have the Tories done to improve the NHS in that time?
My experience of A&E is overall not that positive. Just recently my 83 year old mother slipped over in ice and broke her arm and shoulder. My sister who was with her really had to fight to get an ambulance (a 80 year old lying on the freezing floor in shock and pain is definitely at risk of dying) then the hospital didn’t even bother giving her a sling and kicked her out telling her to go to her own A&E (down south as my sister lives up north). Her local A&E wouldn’t see her without a referral from a doctor so it took over a week (during which she was in the worst pain in her life - she said giving birth was a breeze in comparison). When she was finally allowed to see the fracture clinic the nurses were horrified that she hadn’t been given a sling (when they did give her a proper sling the pain became bearable).
Sway said:
She went today, to be sent straight for MRi in the mobile one. Then she sees the consultant, who having the results in front of her, has booked her in for a (minor) op next weds.
I had a similar sequence at a private hospital but everything was on different days - first consultation to say I need MRI, then had to wait for the day the mobile scanner was there, then the scan goes somewhere to be read and the results are sent to the consultant, who gave them to me at another appointment. So something like a month went past.Having said that, I tried to start off with the NHS. Quack sent MRI request to hospital. They didn't get it and no-one checked until I started chasing.
catweasle said:
amgmcqueen said:
The bottom line is that when you allow Johnny Foreigner to flood the country for two decades it will have a profound and catastrophic affect on public services.
Nice of you to give more ammo to slasher et al...well done you.I said above - less people through natural selection and decent diet would be a good place to start.
Mothersruin said:
catweasle said:
amgmcqueen said:
The bottom line is that when you allow Johnny Foreigner to flood the country for two decades it will have a profound and catastrophic affect on public services.
Nice of you to give more ammo to slasher et al...well done you.I said above - less people through natural selection and decent diet would be a good place to start.
In the last year figures are available ( 2018) the net migration figure was 278k down from 350k in 2016
It’s fair to say some of that gain could well be U.K. nationals returning to the U.K. as well as non U.K. citizens coming to live in the UK
It’s not racist, sexist, or any other kind of ist or phobic to say it
It’s time there was a grown up conversation not just about hospitals but schools, policing, housing care services etc etc
A growing population demands more resources, you cannot keep putting putting more and more into same pot .. eventually it will overflow
A large town will have a General Hospital, realistically we should be building and opening two new ones every year to cope with the rising population
But we are not
The choice is simple
1. Stop growing the population
Or
2. Provide the public services and infrastructure to meet the demands of the increase in population
( sits back and awaits the explosion )
I recently visited the optical unit at the local A&E. Got some rusty particle lodged in my eye, probably off the back of a truck I was following home on my bike the previous night. I was triaged within 15 minutes and within another half an hour seen by a doctor who removed the particle under local anaesthetic and provided a scrip for antibiotics. Didnt even have to pay for parking, as motorcycles park free. 
A very pleasant overall experience.
A very pleasant overall experience.Earthdweller said:
Mothersruin said:
catweasle said:
amgmcqueen said:
The bottom line is that when you allow Johnny Foreigner to flood the country for two decades it will have a profound and catastrophic affect on public services.
Nice of you to give more ammo to slasher et al...well done you.I said above - less people through natural selection and decent diet would be a good place to start.
In the last year figures are available ( 2018) the net migration figure was 278k down from 350k in 2016
It’s fair to say some of that gain could well be U.K. nationals returning to the U.K. as well as non U.K. citizens coming to live in the UK
It’s not racist, sexist, or any other kind of ist or phobic to say it
It’s time there was a grown up conversation not just about hospitals but schools, policing, housing care services etc etc
A growing population demands more resources, you cannot keep putting putting more and more into same pot .. eventually it will overflow
A large town will have a General Hospital, realistically we should be building and opening two new ones every year to cope with the rising population
But we are not
The choice is simple
1. Stop growing the population
Or
2. Provide the public services and infrastructure to meet the demands of the increase in population
( sits back and awaits the explosion )
Earthdweller said:
Mothersruin said:
catweasle said:
amgmcqueen said:
The bottom line is that when you allow Johnny Foreigner to flood the country for two decades it will have a profound and catastrophic affect on public services.
Nice of you to give more ammo to slasher et al...well done you.I said above - less people through natural selection and decent diet would be a good place to start.
In the last year figures are available ( 2018) the net migration figure was 278k down from 350k in 2016
It’s fair to say some of that gain could well be U.K. nationals returning to the U.K. as well as non U.K. citizens coming to live in the UK
It’s not racist, sexist, or any other kind of ist or phobic to say it
It’s time there was a grown up conversation not just about hospitals but schools, policing, housing care services etc etc
A growing population demands more resources, you cannot keep putting putting more and more into same pot .. eventually it will overflow
A large town will have a General Hospital, realistically we should be building and opening two new ones every year to cope with the rising population
But we are not
The choice is simple
1. Stop growing the population
Or
2. Provide the public services and infrastructure to meet the demands of the increase in population
( sits back and awaits the explosion )
Esceptico said:
Earthdweller said:
Mothersruin said:
catweasle said:
amgmcqueen said:
The bottom line is that when you allow Johnny Foreigner to flood the country for two decades it will have a profound and catastrophic affect on public services.
Nice of you to give more ammo to slasher et al...well done you.I said above - less people through natural selection and decent diet would be a good place to start.
In the last year figures are available ( 2018) the net migration figure was 278k down from 350k in 2016
It’s fair to say some of that gain could well be U.K. nationals returning to the U.K. as well as non U.K. citizens coming to live in the UK
It’s not racist, sexist, or any other kind of ist or phobic to say it
It’s time there was a grown up conversation not just about hospitals but schools, policing, housing care services etc etc
A growing population demands more resources, you cannot keep putting putting more and more into same pot .. eventually it will overflow
A large town will have a General Hospital, realistically we should be building and opening two new ones every year to cope with the rising population
But we are not
The choice is simple
1. Stop growing the population
Or
2. Provide the public services and infrastructure to meet the demands of the increase in population
( sits back and awaits the explosion )
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