The NHS isn't working
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anonymous-user

Original Poster:

83 months

Saturday 5th September 2020
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[redacted]

Louis Balfour

28,176 posts

251 months

Saturday 5th September 2020
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anonymous said:
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You should probably think of the NHS in terms of the Kwik-Fit of medicine.

If you have no other choice, go there. If you can afford it, go private which is probably the equivalent of a franchised dealer.




Getragdogleg

10,211 posts

212 months

Saturday 5th September 2020
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This pandemic is either the worst thing ever and we are only just keeping it contained or it's all been over blown and there is a re alignment of how we are allowed to live gouig on.

I can't get a dentist appointment nor go to my doctors surgery in person but I could pop into town and have a haircut and get a tattoo.

I have waited patiently and observed all the rules but it's a very mixed message now, not just in the UK but internationally.

Something isn't adding up.

The_Doc

6,259 posts

249 months

Saturday 5th September 2020
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anonymous said:
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Yes

Coronavirus is the largest disruption to inpatient and daycase surgery since the creation of the NHS.

Additionally, the evidence shows that if you contract the disease after a 1hr plus operation and you are over 60, you could have a 1 in 5 chance of dying.

If you are interested, have a look at this https://www.boa.ac.uk/resources/boa-statement-on-n...

anonymous-user

Original Poster:

83 months

Saturday 5th September 2020
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Hospitals aren’t a good place to go still
I visited a relative the other day to take in urgent essential supplies. Have to pre book & limited time there.

Just heard that someone on the ward has tested positive so the relative is there for 14 more days, no visitors to the ward now

Wondering if i’ll get a call to self isolate
Although never closer than 5 metres to the person & wearing mask/gloves/disposable gown

The person who had it regularly wheeled themselves out to smokers corner..

Vanden Saab

17,913 posts

103 months

Saturday 5th September 2020
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Louis Balfour said:
anonymous said:
[redacted]
You should probably think of the NHS in terms of the Kwik-Fit of medicine.

If you have no other choice, go there. If you can afford it, go private which is probably the equivalent of a franchised dealer.
The Kwik-Fit analogy is an apt one. Before Covid if you needed a couple of tyres you drove in, sat in the waiting room with a cup of crap coffee, read a magazine and an hour or so later drove out with your new tyres fitted. Now you have to ring up and make an appointment, you cannot sit in the waiting room, the fitters have to clean your car before they get in it then disinfect it before you can pick it up.
Now imagine a place where the most at risk people congregate, especially old people with multiple other illnesses and compare that to a place where generally fit people go to have minor surgery. Our NHS is just not set up to deal with infectious disease which affects different ages differently on a long term basis. That would require smaller hospitals that specialised in different procedures and could keep age groups separate. Big general hospitals are great for economy of scale and dealing with patients with varied illnesses but rubbish at infection control.
It is not the NHS or the staffs fault that they have to impose stringent infection control in a place where doing so makes normal working impossible...

enginebuilder

55 posts

128 months

Saturday 5th September 2020
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It seems to be different from area to area, my wife had her big toe joint fused & plated a year ago, all good & elected to have the other one done,via our GP, this was the start of the year in Feb, nothing done until May when she was contacted by the surgeon that did the first op, she declined due to concerns about Covid, the hospital continually pestered her to have it done as if they were drumming up work, she is now having it done on Sept 23rd, in a private hospital by the same surgeon.

Myself on the other hand had heart issues & taken to hospital via ambulance in June, given blood thinners & beta blockers & a phone appointment for cardio consultant a few weeks later, & was told I require a heart scan etc & heard nothing since, only to be 3 monthly checked for liver function etc due to the medication, the GP has done more to help than the hospital to date.

Sheepshanks

40,990 posts

148 months

Saturday 5th September 2020
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Louis Balfour said:
You should probably think of the NHS in terms of the Kwik-Fit of medicine.

If you have no other choice, go there. If you can afford it, go private which is probably the equivalent of a franchised dealer.
Is private back working? Our local private hospital was taken over by the NHS.

Pit Pony

11,271 posts

150 months

Saturday 5th September 2020
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My recent experience of the NHS is pretty good.

But then they saved my life.

AngryYorkshireman

140 posts

74 months

Saturday 5th September 2020
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anonymous said:
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I think it is the usual NHS lottery. I had an eye appointment at the end of February. They said I needed YAG surgery and would get an appointment within 6 months. Corona hit soon after, I thought - no way I'd be treated this year. They called me mid May and did the op 2 weeks later at beginning of June, I think it was the first week they'd started doing things again - all at NHS hospital though and not private.

I'm mid 40's, Midlands. Wonder if they are doing age profiling to keep older "at risk" people away (I've known a few people catch CV19 - all from hospital/local doctors, one very serious). Hospital was empty when I went.in - I think only me and one other person in the whole morning surgery (would think 10/12 normally).

Also wonder if private hospitals have standby contracts with NHS still from CV19 patients so haven't reconfigured their rooms back to normal maybe?


DocJock

8,722 posts

269 months

Saturday 5th September 2020
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My wife had elective bowel surgery last week in May in the RHCH in Winchester..

Mind you, she was the only patient in an 8 bed ward...

21TonyK

13,291 posts

238 months

Saturday 5th September 2020
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I can only speak from my own experience but between Easter and now I have had 3 sets of x-rays, a CT and MRI, lung function tests, two visits to Ophthalmology for scans and bloods, one visit to Rheumatology and three video consultations with Respiratory and another booked this week and Ophthalmology again later this month.

I appreciate different parts of the country have been affected in different ways but I have experienced absolutely no barriers to treatment, if anything the opposite. My MRI was arranged in under a week at a local private hospital, last MRI I had a few years back took 12 weeks to arrange.

DeWar

906 posts

75 months

Saturday 5th September 2020
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Louis Balfour said:
You should probably think of the NHS in terms of the Kwik-Fit of medicine.

If you have no other choice, go there. If you can afford it, go private which is probably the equivalent of a franchised dealer.
This analogy doesn’t stand up to much scrutiny. Firstly, do Kwik-Fit staff moonlight in franchise dealers? The vast majority of private consultants primarily work in the NHS with some private practice on the side and those that currently don’t have almost certainly had long NHS careers. Beware any private specialist with little or no NHS experience because they will have seen far fewer patients/done fewer surgeries than their NHS employed equivalents.

Secondly, are Kwik-Fit the best place to go if you have a serious problem with your car that needs immediate attention? If you have the misfortune of having a particular type of heart attack for example, you’re going to be taken by NHS ambulance to a world class NHS cardiac unit to have stents fitted. Even private consultants will tell you that if you need elective surgery and you have multiple serious health problems, you’re better off being treated within the NHS.

Thirdly, is Kwik-Fit rated pretty favourably in comparison with similar services in other countries? The NHS does not generally suffer in comparison to the health services of other advanced nations:

https://www.commonwealthfund.org/publications/fund...

The problem with the NHS is waiting times. This is a function of a socialised healthcare model. To the end user, the cost of healthcare is either manifested in an up front payment for treatment or having to wait for non-life threatening care. Things have definitely become gummed up even more due to COVID but I very much doubt this is a problem exclusive to the NHS and socialised health care models.

AngryYorkshireman

140 posts

74 months

Saturday 5th September 2020
quotequote all
Louis Balfour said:
You should probably think of the NHS in terms of the Kwik-Fit of medicine.

If you have no other choice, go there. If you can afford it, go private which is probably the equivalent of a franchised dealer.
If anything the reverse is true. The last place you want to be with anything serious/life threatening is a private hospital. They won't have the staff or the equipment. You'll most likely get carted off to the nearest big NHS hospital.

xjay1337

15,966 posts

147 months

Saturday 5th September 2020
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To repeat what I've said on another Covid thread


I worked in a NHS Trust for nearly 3 weeks as a contractor.
I visited nearly every ward and their main hospital , their satellite hospital, and lots of community hospitals and stand alone units.

What I saw was terrifying.

Main hospital had maybe half of the beds / rooms empty. 75% of patients over 70.

Satellite hospital was maybe 30% capacity? Many areas like dental completely closed.

Most of the communities were completely shut.
One had over half of it decommissioned and was being used simply to store chairs

The other half barely had any patients.

A couple had some patients but a very low % of capacity

The entire trust was a shadow of it's former self that I saw last year.
Usually cheery nurses and doctors were generally more grumpy. Barely No-one smiled. (Not that you could tell) and the whole vibe was completely different to what it was last year.

Further more, this particular trust has not had a Covid patient for 7 weeks. SEVEN WEEKS.

While there I met everyone from a senior radiologist who didn't wear his mask to a very grumpy lady who while I was walking around AN ABANDONED hospital (she had turned up while I was doing my job elsewhere in the building) had a go at me for not wearing a mask , I said , there are no patients or staff at this hospital, it is shut down , do you really expect me to wear a mask while I'm working alone in the opposite side of the building, also you literally just arrived etc.

Louis Balfour

28,176 posts

251 months

Saturday 5th September 2020
quotequote all
Sheepshanks said:
Louis Balfour said:
You should probably think of the NHS in terms of the Kwik-Fit of medicine.

If you have no other choice, go there. If you can afford it, go private which is probably the equivalent of a franchised dealer.
Is private back working? Our local private hospital was taken over by the NHS.
You've got to shop about a bit.

Yes, the NHS has taken over a lot of private hospitals but you can still get things done if needs be. You may have to engage with some nonsensical NICE guidelines on COVID, but otherwise all good.




Dogwatch

6,381 posts

251 months

Saturday 5th September 2020
quotequote all
There is some low level activity going on though. I was called in a couple of months ago for annual blood check (wait on the pavement until rushed in to see the nurse), my SiL had a procedure for her atrial fibrillation and her daughter has just had keyhole surgery to her hip, all in different parts of the country.

The problem with the NHS isn't the urgent stuff it's the struggle to get an appointment for almost anything - even a GP these days.

I predate the NHS and am grateful to it for a lot but it really isn't fit for purpose any more.

anonymous-user

Original Poster:

83 months

Saturday 5th September 2020
quotequote all
xjay1337 said:
To repeat what I've said on another Covid thread


I worked in a NHS Trust for nearly 3 weeks as a contractor.
I visited nearly every ward and their main hospital , their satellite hospital, and lots of community hospitals and stand alone units.

What I saw was terrifying.

Main hospital had maybe half of the beds / rooms empty. 75% of patients over 70.

Satellite hospital was maybe 30% capacity? Many areas like dental completely closed.

Most of the communities were completely shut.
One had over half of it decommissioned and was being used simply to store chairs

The other half barely had any patients.

A couple had some patients but a very low % of capacity

The entire trust was a shadow of it's former self that I saw last year.
Usually cheery nurses and doctors were generally more grumpy. Barely No-one smiled. (Not that you could tell) and the whole vibe was completely different to what it was last year.

Further more, this particular trust has not had a Covid patient for 7 weeks. SEVEN WEEKS.

While there I met everyone from a senior radiologist who didn't wear his mask to a very grumpy lady who while I was walking around AN ABANDONED hospital (she had turned up while I was doing my job elsewhere in the building) had a go at me for not wearing a mask , I said , there are no patients or staff at this hospital, it is shut down , do you really expect me to wear a mask while I'm working alone in the opposite side of the building, also you literally just arrived etc.
Whereas there is a covid case on 4 person ward where my relative has been for 2 weeks
So now all in isolation for 2 weeks from now. The one with Covid has been there for at least 5 days, now removed from ward obviously
If the others got it, won’t be pretty as all have serious issues

Glosphil

4,880 posts

263 months

Saturday 5th September 2020
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anonymous said:
[redacted]
My NHS YAG laser treatment in Cheltenham scheduled for end of March was cancelled. This week I was given another appointment in mid-October.
It is my near vision that is affected - great difficulty reading a book. I can still (just) read a numberplate at 20M, but I suspect that is my brain learning to favour the other eye.

Dave.

7,895 posts

282 months

Saturday 5th September 2020
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anonymous said:
[redacted]
Mate of mine was due to go in for a new knee at the end of March, that got cancelled a week beforehand. Had it done a couple of week ago.