Do non NHS people realise how bad it is at the moment?(690 Posts)
I had to justify to my managers manager why I needed to spend £7 on stationery. Stationery. Some biros, some staples and a box of envelopes.
One of my colleagues chairs broke and she was told to apply to charitable funds to get a new one.
Everything is held together with sticky tape and blu tac (literally and figuratively)
We have four members of admin staff bunched into a desk meant for two, because there is no money to pay IT to put a new port in on their desks.
Waste toner cartridges are on lockdown. If yours is full you should take a scalpel, cut the seal open, empty it and then stick it back together and put it back in the printer. Don't worry about all your printing then being covered in smudgy ink. We're broke ya know.
And some fucking idiot turned up to A&E today...because their arm has been hurting for two months and they are off on holiday tomorrow and could we sort it please.
I'm thinking of starting an anonymous instagram account to get all this crap out.
The minor injuries clinic we used to use would report me to SS because I home schooled Ds.
Apparently HE is a Red Flag
In the end was forced to use A&E instead of minor injuries otherwise I would have SS on the phone for 1/2 hour trying to convince them that HE was well within my rights and he wasn’t being abused or radicalised or whatever else HE parents do with their children.
The call handlers on 111 aren’t healthcare professionals, they’re call centre workers with scripts and flowcharts. First aiders aren’t healthcare professionals either, they’re ordinary people with a little training.
It would need to change its name then. At present it is for ACCIDENTS and emergencies. Maybe there should be different places for both. Not everywhere has minor injuries and walk in GP surgeries either. Also minor injuries don't always include everything.
Fully agree. Round here, when the GP surgery is closed (or they refuse an appointment), A&E is really the only place to go. We have no minor injury unit nor walk in GP provision. My OH passed out at an event and was treated by their first aiders - they instructed us to go to A&E. When you phone 111, the usual advice is to go to A&E. What are people supposed to do when they're told by healthcare professionals to go to A&E because there's nowhere else.?
*A*&E should be for actual emergencies
It would need to change its name then. At present it is for ACCIDENTS and emergencies.
Maybe there should be different places for both.
Not everywhere has minor injuries and walk in GP surgeries either. Also minor injuries don't always include everything. Ours won't see you if it's anything above the shoulders. When it first opened it dint have a x ray machine though does now.
@WolfhoundsofLove A&E should be for actual emergencies.
Despite all that however I should say that I have been incredibly impressed with the NHS service I've received recently. I wouldn't have been seen a great deal quicker for either the A&E attendance, consultant appointment, the tests, the pre-op and the upcoming heart procedure if I'd gone privately. Yes, I could have paid and it saved the NHS money but actually was advised not, on this occasion, to by the hospital doctors themselves.
*The NHS needs to (a) start charging people for missed appointments*
Only if they put proper checks into why!
I have several appointments each year, more so at the moment.
I have had missed appointments on 2 occasions but none of them have been my fault! I wouldn't pay up for them.
One - they simply didn't send a letter at all. They couldn't find any evidence of one on their system when they phoned re missed appointment either.
Two - they cancelled and rearranged an appointment without telling me. I turned up for the original appointment which was now the day after the new one. No letter had been sent and no phone call/phone reminder. It actually cost my own work place - a state funded school- money in getting in cover, etc. And then having to do it again a week or so later. Again, not my fault. No apology either.
Most recently - I received a letter earlier this week giving my two dates - one for pre op and one for a procedure date. The date of the pre op was the day before the letter arrived. Fortunately I had picked up the phone hospital reminder the Friday before and it was school holidays so knew about it and had gone. That could have easily been a missed appointment too.
@CherryPavlova screening is screening.
but if someone has symptoms and repeatedly seeks medical help not to investigate properly is neglectful.
I had a friend who died of breast cancer because apparently it wasn’t a young woman’s disease.
The screening programmes are very carefully worked out to have greatest benefit balanced against risk. It’s not purely financial; there are real risks to over diagnosis.
Bowel cancer is predominantly a disease of ageing and the screening from fifty is calculated to allow early diagnosis for more people.
Whilst tragically some people under fifty die, they are statistically very rare.
Roughly 70 -75% of people survive bowel cancers and that figure is reasonably constant until you reach your eighties (although even then it might not be the actual cause of death).
Very few people are diagnosed under forty five years of age.
Oliversmumsarmy There is a National bowel screening programme.
My husband, Martyn, was misdiagnosed for a year, despite pleading with doctors to investigate for cancer. When he was eventually told he had bowel cancer in 2012, it was already too late for him. He died in October 2014, aged 34....
For a year before he was diagnosed, Martyn had blood in his stools but was told it was from piles and it was normal. In 2011 when his symptoms got worse, he asked several doctors if it could be cancer but they all said they were almost certain it wasn’t. They just didn’t recognise it as a serious risk because he was so young.
I had this conversation with a GP who basically said "if I referred everyone with symptoms of bowel cancer for a colonoscopy it would bankrupt the practice". Which probably goes a long way towards explaining why NHS cancer diagnosis is slower than in comparable European countries
Depends what they mean by symptoms. If everyone with irregular bowels was tested for cancer the NHS would be overrun it’s true.
But actually - how many patients experience irregular bowels + blood in the stools + anaemia + weight loss + pain or mass in the abdomen?
Far fewer. And the fact is 20% of bowel cancer patients are diagnosed as an emergency indicating they could have been diagnosed earlier.
I wonder how many ambulances attended the Amazon warehouse this week
I wonder how many paramedics had to treat heat stroke because employers and public transport are too cheap and too tight to put air conditioning in.
I wonder if it would be financially astute to actually screen for bowel cancer for all those that present with bowel cancer symptoms rather than leaving it till the cancer has developed into a grade 3 or 4 where more invasive and extensive surgery and treatment is needed. Or are they hoping people will die off and so won't be a drain on society any more
I think problems arise when a GP either does not rule out the most serious possibilities quickly or reaches a conclusion (from which they will not usually be budged) on their diagnosis without ruling out other causes. I am constantly horrified by the number of GP's diagnosing IBS in patients experiencing irregular bowel habits or other symptoms of bowel cancer. IBS should never be diagnosed until everything else has been ruled out and yet patients seem to just meekly pop buscopan without so much as a rectal exam, much less a colonoscopy.
I had this conversation with a GP who basically said "if I referred everyone with symptoms of bowel cancer for a colonoscopy it would bankrupt the practice". Which probably goes a long way towards explaining why NHS cancer diagnosis is slower than in comparable European countries.
Yes it probably is a false economy in a lot of cases.
Ps this is also a funding issue. What you really need is to be able to do a raft of tests right at the start but that’s expensive so you have to do the slow process of one test at a time to rule it out
The problem is like when I had slipped discs. The NHS said it couldn't afford £300 for an MRI but then spent thousands on physio and consultant appointments for 7 years trying to put right a hip that didn't have anything wrong with it.
Testing one thing at a time has the added expense of each test will involve a gps appointment and an appointment to have the blood test.
I don't think that when you add up precisely how much it will cost it is cheaper to test things one at a time. Even then if you say what you think is wrong, that is the last thing they test for. Almost like they are trying to prove you wrong.
Ps this is also a funding issue. What you really need is to be able to do a raft of tests right at the start but that’s expensive so you have to do the slow process of one test at a time to rule it out.
To be fair to Oliversmumsarmy
Sometimes you do know what you have and it takes a long time to to get the correct diagnosis. There are some doctors who will seize on a symptom and run with it instead of looking at the whole picture. Other doctors who won’t listen when you have a chronic illness and you know what treatment you need and they won’t listen.
Case in point my DN has asthma. When she has a bad attack she’s ALWAYS needs nebs and steroids. A&E always say oh we’ll just give her nebs this time despite her mums protests and then she ends up really sick and admitted. Why won’t they listen.
No all doctors are equal unfortunately and because GPs are generalists and not specialists it can take a long time to get the correct treatment which is understandably very frustrating. That’s not to say the NHS is shit but diagnosis is hard and they do get it wrong a lot before they get it right.
I knew I had a stomach ulcer but wasn’t diagnosed for 3 years. 3 years in pain, unable to eat, weight dropped to 5.5stone. I knew I had a problem with my back (slipped discs) but I was diagnosed with needing a new hip. 7 years in agony before someone looked at me,
Dp knew he could have bowel cancer, instead he was left till it was too late.
So I am really glad that has entertained you.
Yup, this thread, particularly Oliver’smum is the gift that keeps on giving.
usually I can diagnose myself, I just need to be treated for what I have
Just when I think I've seen the most ridiculous comment of the year... there's always another one on MN
usually I can diagnose myself, I just need to be treated for what I have
I actually don’t know anyone.
Some have thought they had excellent treatment. Then years later it turns out they were misdiagnosed or the treatment did more harm than good.
Usually I can diagnose myself. I just need to be treated for what I have, not tested for loads of other things or treated one symptom at a time
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