To wonder what's happened to the NHS?

SG?

As indeed we could within the NHS. The point is that if the NHS can't or won't help vulnerable young people, parents need good signposting to safe alternatives. For example, chose a therapost who is x registered, who works with an umbrella organisation, etc. It's hardly rocket science. Young Minds and Mind manage it.

😩 I no longer care

That’s the most ridiculous and baseless conspiracy theory I’ve seen in a very long time. How does that work with Burnham’s ambition to improve healthcare by integrating it with social care and eliminating or regulating the private sector? I keep forgetting it’s the school holidays.

No i am not saying that. I am saying he has further sold out the NHS. Its already been underfunded, but he - imo - has done a deal to make it far worse and private health care more profitable.

I was working for the NHS when the Tories started privatising the service, the difference was felt very quickly. It was as if a lot of the humanity you could appreciate in NHS decisions was overtaken by a desire to manage it a corporate cut throat business.

The privatisation soon appeared to make things more expensive but as we know… the lady party is not one for turning, isn’t it? And don’t start me on Agenda for Change, it crippled a lot of the service.

Presumably because if they made a recommendation and it all went tits up you could sue.

@blossomtoes may I just say that when I had a mentally unwell teenager, the greatest frustratuon was not that suppprt wasn't reasonably readily available, but also that when we said we were able to pay, the response was, "this is the NHS and we can't and don't recommend private providers, even when they work for our team and also do.private work. Google therapists/psychiatrists on the internet and find your own". CAMHS and the GP kicked us between a rock and a hardplace and gave the imoression they wouldn't help because they didn't believe some young people shouldn't be helped because their parents were able to pay. No explanation about clinical etoquette, all rather political. As lay people we were not equipped to trawl through hundreds of therapists and to pick one and that in otself was a safeguarding issue but what did the NHS care.

I remember nurses just ignoring my elderly DParent during a shift change.

I completely agree. The gold standard is that there should always be mental health support available in A&E.

Typical Labour, always the Tory’s fault. It’s laughable now. Labour could be in charge for the next 50 years and they’ll still bang on about those 14 years in charge. Labour will be worse

I do not just deal with MH services I am in constant contact with healthcare services as many MH patients have a number of physical issues too. This is across the board and as for A&E that really is scandalous. To have someone that is mentally unwell/psychotic not seen for hours (and at times not seen at all) is a danger to themselves, staff supporting them (and extremely stressful) and possibly members of the public too this not an unusual situation this happens day in day out in our A&E all over the country

Nurse here
So Sorry for your experience OP
that's just not on
I qualified 25 odd years ago and changes aren't always for the better
Everything has been cut to the bone
All the trusts where I am (northern-ireland) have cut back on bank and agency ...
Great you may think
But the consequence is staff working very short in wards
It's like turkeys voting for Christmas as staff are too scared to whistle blown (a term I hate.. it's not whistle blowing its telling the truth)
So to management it looks like it is working
Even though there are more pressure damage, medication errors, staff sickness...
And the get disciplined for it... big blame culture not a learning culture
Media love to blame agency and bank nurses for driving up costs
But many nurses have had to resign from their substantive posts because of child care ... care of older relatives
It's very hard to get set days .. as it comes back to "needs of service".
Please put in a complaint in writing
Only way changes will be made
As then it has to be addressed
Meanwhile there are ridiculous layers of management who can't make a simple decision without having meeting after meeting.
Northern-ireland... population of 1.9 million... size of Manchester and has 5 HEALTH CARE TRUSTS
FIVE!!!
so thats 5 Co directors... 5...Chief of surgery/ medicine/ nursing etc

Back on the ward in a single room, I was left for over two hours without being asked if I wanted drink and food. I eventually buzzed to ask.

Why didn't you buzz sooner? Did you want a full time nurse just sitting in your room, waiting with you until you needed something. I don't understand why you're compleining you are left alone.

You've got a private room which is more than most people get. you buzz If you need something. I'm not sure what you're on about if im honest regarding your post op care.

We all know mental health services are shamefully under funded @HRTQueen. It’s scandalous.

I am pleased your family have had a good service, and for everyone that does, many do but we should all have at least good service and treatment and we simply are not. We do not need to look at the US or compare to the US its a very different culture and they have a completely different outlook to healthcare to what we do in the UK and in Europe

I work for the NHS having spent many an hour with people who are psychotic and can't even be assessed, dealing with many nhs services day in day out (hours wasted chasing up medication/appointments) I can see how even in the last five years it has deteriorated beyond what should be acceptable for a nation that is ranked what 5/6 wealthiest nation in the world

Its appalling how poor our healthcare system has been reduced too and thankfully people are wising up that we do not need to be thankful, we pay for our service and would should expect much better in all areas of healthcare

Some parts of it are excellent.

100% this

When was the NHS ever "good". I can't remember. I'd rather be treated in SG than there.

I disagree. Parts of it may be an utter shambles, other parts of it - usually the lifesaving parts - most definitely aren’t. As someone closely involved in and observing treatment of life threatening cancer I can testify that when the NHS needs to work it absolutely does. If we lived in the US I’d be a long way down the road to widowhood by now because our money would have run out long ago.

it was rushed through as a political move it was poorly managed and ultimately that is down to Blair and Brown driving the idea that the NHS was worth saving, with huge investments (whatever the costs) and drive changes (some good some not) more private investments that took over services (again some good some not but rarely spoken about) to keep public support, who still hugely believed in the NHS

it wasn't worth saving in the 90's it certainly isn't now its an utter shambles and as much as the Tories have damaged the NHS so have Labour with short sighted plans

the healthcare system should never be a political football but this idea that Labour will save/have saved the NHS is utter nonsense

It was a DoH and Treasury own goal. Several senior civil servants dropped the ball.

The board papers produced by the hospital will be used to evidence where investment is needed to the ICB commissioners and NHSE. The commissioners hold the money and NHSE sets the standards, targets and policies. All should work together to make changes, fund what is needed etc. However, Wes announced that the ICBs and NHSE needed restructuring, again. Too many pesky managers getting in the way. I agree that NHSE needed a review but ICBs have been restructured repeatedly over the past few years and should have been left well alone so that they can actually do their job (as recommended by Lord Darzi's review).
The last year has been spent cutting all ICBs by half and paying out huge redundancy payments - that time and money could have been better spent focusing on delivery of health care. Now we have ICBs covering huge areas with little to no local knowledge that will ensure money is directed to where it is needed, it will simply go to who shouts loudest and things will continue to get worse.

@blossomtoes - absolutely but let's not forget that was an NHS own goal resulting from completely incompetent senior management.