How would you fix the NHS?

It’s not irrational . You’re just fucking stupid. Why are GPs not operating to that service standard when all other parts of the NHS are supposed to? BECAUSE GPs ARE NOT PART OF THE NHS.

@helpfulperson well that kind of sums up the stupidity and wastefulness of the NHS doesnt it? Paying more for a temp because you cant afford permanent staff who are probably on a lower wage. And yes i do understand politics/budgets etc having been in management for many years

Often there isn't funding to recruit into a permanent post even if it costs more to use locum staff.

I thought there were loads of job vacancies for doctors/nurses paramedics and that we were trying to recruit people from abroad to fill them as couldnt get British people? I also thought that we were paying lots of people to locum (presumably above the standard pay rates) because we couldnt fill vacancies. Am I wrong? some of the posts here would suggest that i am?

Campaign Against Painful Hysteroscopy has now collated 7500 cases of women undergoing painful hysteroscopies without anasthetic and in some cases told to put up and shut up. One medic even admitted that they would not be attempting the equivilant procedure without GA on a man.

Video
https://x.com/HysteroscopyA/status/1850447745506525290

Oh yes, it would be so much better for workers to have no rights and be wide open to exploitation from the many many unscrupulous shyster employers out these.

Also, 'snouts in the trough'? What planet are you on? Some public sector workers, including those you mention, are having to use food banks at present. These are people performing essential services. For you to suggest they are being greedy for expecting to earn enough to live on is obscene.

I'd love to see how those who like to berate public sector workers over how easy they supposedly have it, would cope without the services they provide.

Also, re the privatisation you mention - are you seriously under the impression that's going well?!

Just wow.

So you want GPs to be operating to a standard that the NHS cannot meet? riiight.

You ve clearly got a huge issue with GPs, somewhat irrationally.

Listen mate I don’t know where you think you’ve been working but it’s clearly not where I am. GP surgeries should be operating to that standard. That they aren’t is the fucking problem. Fuck GPs.

I agree.

When I had DD2 we were transferred up to postnatal ward at 7:15am. They came round to do the newborn checks at 9:30am but didn't do us because I hadn't been up on the ward in time to make the list. So we had to wait until 9:30am the next day.

Complete waste of resources keeping us for the extra 24 hours, meals for me etc - and could we attend the group discharge chat that first afternoon so we were ready to go the next morning right after the check? Of course not, we had to wait for the next afternoon's chat. So that was another meal for me (the next lunch), plus continued regular checks on both of us, coming round with painkillers, taking up the bed etc etc.
There was no suggestion at any point there was anything wrong, if we'd been transferred to the postnatal ward 15 mins earlier we'd have been on the list, and discharged the same day (they should have told me that in labour, I'd have pushed harder 😂). The newborn checks take hardly any time at all. And we took up far more of their time overall over the additional 24 hours.

I'm sure there's some logistical reason, but for the sake of 15 mins we took up an extra 24 hours of resources.

Yes, unemployed. As are nurses, doctors and paramedics. We have enough, we don't employ them once trained. While waiting lists get longer and the NHS struggles with staff shortages. Why ? Because the decisions were made to under fund healthcare in this country. And start out sourcing to private companies. Wonder who owns those.

ha ha the NHS doesn't even operate to those standards & where does it say that GPs are refusing to work to these?

GP practices and NHS are already integrating IT, its happening now.

Problems always comes back to GPs...? so nothing to do with huge waiting lists & lack of beds, lack of equipment and vitally... lack of staff.

Not underpaid UNEMPLOYED

Pfft. Underpaid GPs. 🙄

1,200 GPs are currently unemployed. Driving Ubers and working at Tesco. Because there is no funding for their jobs.

Not sure people really understand what's going on in the NHS. Don't fund qualified staff, people go private. People get used to going private, NHS dies. And some people make a hell of a lot of money from private healthcare.

It's the same with all the heavily unionised trades/professions. They've got the country over a barrel and they know it. Whether it's the doctors, train drivers, teachers, firemen, etc. They're all the same. Snouts in the troughs.

It's why successive governments have tried to privatise, i.e. contract out waste collection to avoid stupidly high pay and pensions to bin men, same with hospital ancillary staff, etc.

The unions WILL ruin this country. They've already ruined our manufacturing industries back in the 70s.

GPs shouldn’t have a choice. Who the fuck do they think they are holding the country to ransom?

Not really true though. It took our GP surgery a few YEARS to finally take my OH seriously when he was presenting regularly with various different ailments after never going near the GP for a couple of decades. He saw a succession of different GPs who basically just fobbed him off, time and time again. Wouldn't even give him blood tests! Finally, he saw a locum who actually listened to him, ordered a special blood test, and then he was finally diagnosed with a rare blood cell cancer. Checking on the internet for the symptoms/signs of this particular cancer, it's bindingly obvious as the conditions he was seeing the succession of GPs for were identical to the symptoms of this cancer. I think GPs are equally poor at taking patients seriously, male or female.

Translation......... come back when your health problems affect your male partner

What is their reasoning?

You may or may not be right. But you’d never get that past the GPs.

However much Labour might cosy up to doctors, they will have to contend with a workforce more protective of their rights and income than any other.

Medicine in the UK is not a selfless vocation and it never has been. And, frankly, why should it be?

I’ve worked directly on the research design and implementation of several key NHS services and the problem always comes back to GPs.
you tell me why GPs should be able to not meet the standard everyone else has to? https://service-manual.nhs.uk/standards-and-technology/service-standard

GP surgeries are private businesses who do not want to comply with NHS data interchange and standards. Which holds the entire NHS back a huge amount. Take away that power by bringing GP services entirely inside rather than entirely outside the NHS.

i said it quite clearly about ten times now.

Not my GP, but a local GP has just announced that they are no longer going to chase referrals for patients, and patients have to contact PALS. Not sure what they are meant to do if they don't have the wherewithall to chase referrals.

Yu sound like you ve had a bad experience and want to "throw the baby out with the bath water..." to quote my dear granny.

NHS run and salaried GPs wont get rid of the bad ones, in fact would make it harder, there has to be a gatekeeper for NHS services, the vast majority of GPs do that exceptionally well.

I was thinking about this some more today and one thing I'd like to get rid of is the postcode lottery. Everyone entitled to the same services across the country (ideally across the UK, but certainly across each home nation). For example, my mum lives on a county boundary and friends over the boundary find it much easier to access their GPs and also get some nursing care at home after they've had an operation. In her area there is nothing and I even needed to get shirty with her surgery to get them to send a nurse out to her to check a dressing.

Post-operative care like that should be standard, not depend on where you live or how stroppy your daughter is!

My mum also had a friend who had an accident in Germany and a nurse was sent to their caravan park every day to check their wound dressing! I can't see that happening in the UK!

Also, MIL had a fall but she was bed-bound afterwards. They wouldn't give her physio because she had dementia and wouldn't remember to do it. I feel like in other countries, someone would come round to the house every day to make sure she did it. Obviously family could as well, but physio needs to be done properly.

It's that sort of care that should be standard and might actually save money in the long run.

I think the biggest issue for the NHS is that it is too short-term-ist.

Like most things, to be fair.