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What’s the point in the NHS?

745 replies

younknow · 25/09/2026 23:20

I fell over at work today. My ankle was immediately black and blue and swollen, so I hobbled off to urgent care in a taxi.

I waited for four hours, I was x-rayed and told there were no breaks and a severe sprain. The doctor told me I’ve likely torn ligaments in my ankle and will be sore for three months.

I asked what sort of follow up would be given and she all but laughed at me, saying that I could get myself a support on Amazon if I wanted. I said I couldn’t even weight bear and she said I could also pick up crutches if needed. She then said I could refer to physio but “ChatGPT would give me a plan”. I asked if I’d be scanned to find out how badly damaged it is and she said there was no chance.

What is the point? Genuinely, what are we paying for when even things like this are being directed to Amazon and A.I?! I can’t believe it.

I remember 15 years ago my mum tore ligaments in her ankle and she was scanned the same day it happened, put in a boot and on crutches for six weeks, had a course of physio and consultations with an orthopaedic surgeon to discuss a plan if it didn’t improve.

What’s going on?!

OP posts:
Thread gallery
5
Loloj · Yesterday 10:34

Idontpostmuch · Yesterday 10:31

Unfortunately it isn't always the case. FIL hip replacement wait was more than a year and that was more than 20 yrs ago.

I don’t doubt that others are waiting longer. My point was that it is not true that you have to be bed-bound to be offered a joint replacement on the NHS.

TheFishFish · Yesterday 10:34

What sort of "scan" are you expecting for a sprained ankle, exactly?

Idontpostmuch · Yesterday 10:34

Passaggressfedup · Yesterday 10:12

@younknow, I can only hope you're not real because nobody can be so ignorant and entitled at the same time.

I had my post on another thread deleted for suggesting not real.

reallyagainplease · Yesterday 10:34

younknow · Yesterday 09:21

Yes and there are issues with their system but it’s a hell of a lot better than our system.

The American system is so much better because op would be one of those people who would get all the scans needed or not, and all the appointments because OP would have insurance and wouldn’t care that someone else wasn’t getting cancer treatment or going medically bankrupt because she would have had all the whistles and bells pulled out for her sprained ankle!!

You had an X-ray- nothing is broken, a sprain is stretched ligaments. Ligaments are left to rectify themselves because they can.
Sorry they didn’t lay down the red carpet for you and give you a pointless boot that cannot be used again or do anything to aid the actual strengthening of you muscles and ligaments because it immobilises them making them not work and extend the issue. If you want crutches that you don’t need, ask on a local fb page, loads of people probably have some that can’t be returned to the hospital because they can’t use them again or go to your local tip and see if they have a bucket full of discarded ones!
Want to do some exercises before physio - Google it, NHS have loads online- ChatGPT could find them for you!
What happened to people doing stuff for themselves before expecting everything to be done for them. You sprained you effing ankle like many people do everyday, most go “ohhh, that’s a bit sore and swollen, well I did go over on my ankle, I’ll put ice on it and see how it is in a few days” before even going to the doctors!

BurnoutGP · Yesterday 10:36

younknow · Yesterday 09:59

The standard for joint replacements now is basically that you’re bed bound by your arthritis, by which point you’re going to be made much much worse by such a large operation! It’s a joke

What absolute rubbish you talk. That is so not true. If you are going to spout daily mail/tik tok rubbish please make sure you evidence it

HoneyChocolate · Yesterday 10:38

im 35 and the NHS has saved my life on more than one occasion, x2 emergency operations being the top two things. Maybe they save money towards more serious things rather than a sprained ankle!

EmeraldShamrock000 · Yesterday 10:39

I don’t know if the UK citizens are eligible for cross border or European private health scheme, where public patients can go private abroad if you are waiting over a year. My Dad had his eyes done, he was fully reimbursed by the HSE.

Howmanycatsistoomany · Yesterday 10:41

Kg5685jgj · Yesterday 06:52

Not sure why given the dire state of the French system.

The French medical system faces severe challenges, including a shortage of healthcare professionals, underfunded hospitals, and growing out-of-pocket costs for patients.
Key Problems in the French Healthcare System

  • Medical Deserts: Roughly 8 million people live in under-served rural and suburban regions where access to general practitioners and specialists is severely limited.
  • Hospital and Staffing Crises: Public hospitals run massive financial deficits, leading to chronic worker burnout, strikes, and severe staff shortages.
  • Financial Barriers and Forgone Care: Up to a quarter of surveyed patients report forgoing necessary care-such as dental or specialist visits
  • due to high co-payments and the requirement to advance payments upfront.
  • Administrative and IT Inefficiencies: Outdated hospital IT systems focus more on billing than patient care, and a lack of integrated digital record sharing between providers leads to communication gaps.
  • Reimbursement Disputes: Recent state budget adjustments and disputes over national health insurance coverage have sparked doctor strikes over rising patient out-of-pocket costs and administrative controls

www.bbc.co.uk/news/world-europe-64216269

Well that's a well balanced article...not!
I live in France and IME the healthcare system is excellent. Not without issues, particularly in the déserts médicaux, but our government is actively implementing measures to address them. Unlike UK governments over the past several decades.

younknow · Yesterday 10:43

BurnoutGP · Yesterday 10:36

What absolute rubbish you talk. That is so not true. If you are going to spout daily mail/tik tok rubbish please make sure you evidence it

I work for an orthopaedic team!!! So yes I think I know what I’m on about.

OP posts:
Itiswhysofew · Yesterday 10:43

Years ago, I went to A&E with a stubbed toe. I thought I'd broken it, it was so painful. I didn't want to go, but my boss made me. It was examined, but wasnt broken, and I was dimsissed with advice to carryon as normal. I was sceptical cos it was so painful, but they were right.

DM has recently had an op carried out privately. So far, there's no improvement. She's due to have the same procedure done via the NHS. She was underwhelmed by the private team, saying that the NHS staff are better. I don't know. I think much of it comes down to who you're dealing with at that particular time and your expectations.

BurnoutGP · Yesterday 10:45

younknow · Yesterday 10:43

I work for an orthopaedic team!!! So yes I think I know what I’m on about.

You really don't. And you're clearly not medical.
I am a GP with 30 years experience. And while some do have lengthy waits I have never know one to wait till they were bed bound or that being a criteria 🙄🙄 if you work for ortho then why the fuck did you think a scan on day 1 of a sprained ankle was in any way appropriate.
I really hope this thread gets back to your trust and you get disciplined your posts are vile for someone working in the NHS....unless you are working privately??!!

EmeraldShamrock000 · Yesterday 10:45

Sunbringer · Yesterday 10:32

Yeah. They haven’t seen my DH who is so crippled by pain he’s been off work 9 months and is housebound. Specialist referral in Feb. No appointment date still. It’s like being told you’ve got a soft landing spot and finding out the landing spot was made of concrete after all.

Even then he’ll most likely be referred to pain management as there isn’t much they can do for crippling pain.
I don’t know your financial situation, mine isn’t great, whenever I need an mri, ct, or consultant, I pay a one off fee usually no more than €250. Your GP can refer you. The consultation will put you up the list for your next step or offer medication to help. I brought DD twice as she has muscular issues.

Goodgriefisthatrue · Yesterday 10:46

Ok I will take the bait - whats your wondrous solution OP?

Because after 34 years of working in the NHS and working harder than ever, seeing more patients than ever, seeing more patients with complex needs than ever (which takes up time) - with less money and actually less staff (if you equate staffing to patient numbers and complexity) - whats your solution??

Because I have just googled sprained ankle and it give a huge amount of good advice and guidance - lots of people/ clinicians are advising self care and on line resources- its the way the NHS is going, as it just can’t cope with the amount of people now coming through its doors.

Pippa12 · Yesterday 10:46

younknow · Yesterday 10:43

I work for an orthopaedic team!!! So yes I think I know what I’m on about.

You’re not medical or in any way closely connected to a orthopod team. You would know all these answers if you were. If you were closely connected, you would have asked (or complained) to your colleagues. Not mumsnet.

I simply don’t believe you.

Kg5685jgj · Yesterday 10:47

Howmanycatsistoomany · Yesterday 10:41

Well that's a well balanced article...not!
I live in France and IME the healthcare system is excellent. Not without issues, particularly in the déserts médicaux, but our government is actively implementing measures to address them. Unlike UK governments over the past several decades.

The UK government is implementing measures to address issues.

AStonedRose · Yesterday 10:49

Dollymylove · Yesterday 10:21

Problem is as with much of the public sector is mismanagement and waste. Too many "suits" wandering around with clipboards doing bugger all. Too much beurocracy.
Too much focus on political correctness. Expectations that female staff have to tolerate changing in rooms with a burly 6 foot 5 "woman" staring menacingly at them.
Trying to get a GP appointment is harder than plaiting custard.
Too many people getting treatment that they have no entitlement too, and being allowed to leave the country without paying the bill.
What government will ever have the balls to sweep away all the nonsense and get a proper service into action, ie: actually treating patients?

Fuck me, you really can shoehorn trans into absolutely anything, can't you?

'Next week - growing your own vegetables - but what about transwomen'?

NiceCupOfChai · Yesterday 10:49

younknow · Yesterday 10:43

I work for an orthopaedic team!!! So yes I think I know what I’m on about.

Yeah right. Then you’d know NICE guidance for a sprain is pretty much what this doctor advised and does not include crutches and a boot. Can’t find NICE specific guidance for ligament damage but all the info I can find emphasises the importance of early mobilisation and weight bearing.

AStonedRose · Yesterday 10:51

Goodgriefisthatrue · Yesterday 10:46

Ok I will take the bait - whats your wondrous solution OP?

Because after 34 years of working in the NHS and working harder than ever, seeing more patients than ever, seeing more patients with complex needs than ever (which takes up time) - with less money and actually less staff (if you equate staffing to patient numbers and complexity) - whats your solution??

Because I have just googled sprained ankle and it give a huge amount of good advice and guidance - lots of people/ clinicians are advising self care and on line resources- its the way the NHS is going, as it just can’t cope with the amount of people now coming through its doors.

Vote Reform, I should imagine...

Goodgriefisthatrue · Yesterday 10:51

younknow · Yesterday 10:43

I work for an orthopaedic team!!! So yes I think I know what I’m on about.

Well then you will have known all the answers to your questions- won’t you…. if not perhaps one of your ‘team’ can help?!

Mycatiscraycray · Yesterday 10:51

Many years ago I nearly died from an ectopic pregnancy. The NHS saved my life. The NHS delivered my two sons. The NHS gave my mum life-lengthening chemotherapy so she had longer to enjoy her grandchildren. Unless you can afford American-style health insurance don’t knock the system especially over a sprained ankle.

XDownwiththissortofthingX · Yesterday 10:51

'Next week - growing your own vegetables - but what about transwomen'?

Male puberty means transwomen have an unfair advantage when turning soil. All implements are designed for male physique, it's an outrage nature insists on pandering to the trans "cult" by persisting with heavy soil. Something something something Mother Nature "captured" by Stonewall.

Passaggressfedup · Yesterday 10:54

Well that's a well balanced article...not!
I live in France and IME the healthcare system is excellent. Not without issues, particularly in the déserts médicaux, but our government is actively implementing measures to address them. Unlike UK governments over the past several decades

Lucky you! My sister who has lived in France for years, married to a French man, is fighting the French system because she can't get free cover for a long term condition that puts her at high risk of cancer, even though someone with the same condition only 50kms away had no problems.

Off course, if she lived back home, none of this would be an issue, she would get all the surveillance scans and treatment without any of these battles. She's been fighting the French administration for 3 years now and is exhausted with it.

JLou08 · Yesterday 10:55

younknow · Yesterday 10:11

Surely if we’re being directed to A.I. for healthcare we shouldn’t be charged so much in tax to pay for a service that’s not fit for use?

If only it was that simple. People need to stop abusing it and do more to look after their own health to bring costs down before we can pay less towards it. I'm not saying it couldn't be better managed but that needs money invested initially for savings in the long term.
More investment is needed in social care, mental health services, housing, health education to prevent and reduce the need for more intensive health care.
Mental health support, especially CAMHS, is reserved for those already severely unwell. Early support would prevent many needing costly inpatient care. Investment in housing would prevent illness (physical and mental) from homeless/damp housing/overcrowding. Bringing social care back in to the public sector and managing it properly would prevent illness and bed blocking as well as saving on costly care from agencies who are making huge profit and cherry picking the simplest packages of care.
This thread would have gone very differently without the title asking what the point of the NHS is. It's obviously got a use and we would be in a worse state without it, but there's definitely a conversation needed about how effective it is and how it can be improved.

Maomee · Yesterday 10:59

Kg5685jgj · Yesterday 09:42

A sprained ankle isn’t urgent .

Well is it before you know it's sprained and may be broken etc. Let's be honest most care is sub par whether urgent or not. You're lucky if you live in a less populated area where they actually provide adequate care

EvieBB · Yesterday 11:03

inerja · 25/09/2026 23:28

Well then pay it! No one is making you use the NHS.

you know what you’re asking for would have been £1000s and there’s nothing they can do for ligaments?!

That's not the point! The point is that things have deteriorated in even the last 10 yrs and they shouldn't have!!