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What’s the point in the NHS?

690 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:
LivingTheDreamish · Yesterday 18:55

But she didn’t send you to ChatGPT for medical advice, just for physio exercises to save a long wait for an actual physio. I’ve had a few similar injuries and what happened to you is par for the course. It will get better on its own. The ankle support and crutches will help you hobble around until then. Take the NHS physio if it’s available but private physios are much better if that is affordable.

Cheeky19863 · Yesterday 18:55

younknow · 25/09/2026 23:27

At least for that £50 I might’ve received proper advice and help!

You did! Stop being a drama queen trying to waste NHS services! Youve sprained your ankle thats all

wordler · Yesterday 18:55

FancyLilacHare · Yesterday 18:53

Everyone always pitches this as a choice between the NHS or the American health system.

There are so many other models which work better than both.

That’s true but the politicians like Farage etc who would like to get rid of the NHS want the USA model because it makes a LOT of money for some people.

borntobequiet · Yesterday 18:58

In the last 12 months I’ve had a cardioversion for my heart, a knee replacement, gynae surgery and a scan of my sinuses (it’s been a bit of a year). Mostly, the service has been very good. It’s cost me hospital parking and a couple of taxi fares. I don’t begrudge the tax I’ve paid to fund this.

Boreded · Yesterday 18:59

younknow · 25/09/2026 23:28

Proper treatment - in other countries a sprain is treated seriously and taken seriously! If you’re suspected to have torn ligaments you get a scan and proper treatment, not told to walk out and go on Amazon if needed. Even 15 years ago it was different!

In other countries you have insurance and hospitals want to collect as much money as possible from them by sending you for unnecessary tests and treatment. Additionally these countries (America obviously) can be extremely litigious so doctors do more tests than might normally be necessary just in case so that they are protected.

The benefit of the NHS is that you don’t have to choose between feeding your children that week or visiting a doctor, you don’t die from something because you could afford treatment, and you don’t have your home repossessed because of medical bills.

Alternatively you can get yourself private medical, often through a workplace for a small additional monthly fee, then you won’t need to complain here about a wait for a physio when all you have is a sprain.

Blushingm · Yesterday 19:00

Getalittle · Yesterday 18:40

Oof. It’s great that some people have had positive experiences and I have too.

But in the last 3 months my mum has had two falls, the second time she was left on the ground for several hours waiting on an ambulance and was shaking and shivering with cold and pain. She had 2 broken bones. She then waited SIX hours in an ambulance before being seen.

The first time was worse as she was in a corridor waiting to be seen.

I seriously worry that if my mum had not had the assistance of passers by offering blankets and warmth etc that she could have experienced hypothermia. I also worry that if it had been something more life threatening that she would have died before being seen. And news reports confirm just that is happening all the time. I’m not surprised at all.

That’s awful. But part of the reason she would be waiting is people like OP who have sprained their ankle but they’re taking up valuable time by demanding all sorts of unnecessary things

QuietComet · Yesterday 19:00

younknow · Yesterday 09:36

And how do they know it’s “low tier” without doing the proper investigations?

If it’s only able to provide emergency care then fine, but make it a private system and stop fobbing peoppe
off.

How do you know they didn't do "proper investigations"?

They diagnosed you and offered advice to help you get better.

You wanted them to waste time and money on unnecessary tests because you didn't feel they looked at your ankle thoroughly enough?

If it looks like a dog, and barks like a dog, chances are it's a dog. No need to do genetic testing to determine if it is, in fact, a dog.

BatsInHibernation · Yesterday 19:06

The point in the NHS is the same as it's always been, equal access, free at the point of use.
Your problem is not with the point of it, but with what you perceive as shoddy service and care.
The nurse you saw likely almost laughed at you because your very-minor-in-comparison medical problem is a drop in their hugely underfunded ocean. If you have ever voted Conservative then you have no right to complain, go and get private medical insurance and continue voting for a party that would like to dismantle it altogether, goodness knows they came close. Yes, I know people don't feel they should pay for the NHS and also have to pay private but you'd need to put up with that for a while if you genuinely believe that privatisation is the answer. If you haven't ever voted to the right and you want an NHS, then yes, I hear you, it is struggling, but it can and would work comprehensively (I believe) with the proper funding and management.

Mumofone545 · Yesterday 19:08

wordler · Yesterday 18:44

You will be shocked at how expensive it will all become if you end up with no NHS and have a private insurance model like the US.

The tiny fraction of money you pay via taxes with not come close to covering it.

First you could choose to have no health insurance so you don’t have a monthly fee. But that means whenever you access health care you pay the full amount. So a GP appointment will be £200-300 each time. An x-ray £2000. An asthma inhaler £300 each.

Or you can choose to buy health insurance. If you choose a low monthly fee of £100-200 you will end up with large deductibles. That means that you will be liable for the first £5000 of treatments each year before the insurance starts paying out.

You can choose to pay for a premium health insurance (£500 a month) where the deductibles are very low so you only pay for the first £250 each year before the insurance company starts paying out.

But wait…the insurance company still doesn’t cover it all. You still pay a co-pay of £20 for a doctor visit, £30 for a specialist and £75 for A&E. Your asthma inhaler will only cost you £30 a month.

Your next battle is checking each time you want to use a doctor, specialist, or health service whether that particular doctor is ‘in network’ with your insurance company - if they are not in network you will have to pay full price.

For example my DH had an operation on his leg. For an in network surgeon the insurance covered it. If we had chosen a not in network doctor it would have been £17,000.

And even then he ended up working with an anesthesiologist who was not in network so we got a huge bill for his part of the operation.

Be very very careful what you wish for.

Well if i am unable to afford it privately well i will be no worse off as we are uanble to get treatment now with nhs but least i would get to keep my national insurance contributions, plus we would just fo to a county hospital where its cheap /free or the free clinics that would be set up to treat the poor

Buffs · Yesterday 19:08

I’m a Brit living in the US and my god I wish I’d appreciated the NHS when I had the privilege of enjoying it. The healthcare system in the US is brutal and terrifying. I spend $5K a month on insurance for my family and every time I need to claim for a procedure I face a Kafkaesque process of trying get it paid for. The evil insurance companies make billions by denying patient’s their treatment. I regularly spend hours on the phone being point blank denied coverage. The price of drugs and treatment here is stratospherically expensive, I take a drug that costs $40K per dose, in the UK it is free but if you paid privately it’s less than $1K. The NHS clearly has it’s faults but it could be much much much worse.

AlexStocks · Yesterday 19:09

Come to America! You can get such service plus medical bankruptcy to boot!

LBFseBrom · Yesterday 19:11

Just be glad you were seen and reassured. There's not much more to be done, your body will heal naturally, just take it easy for a while.

If you were in America you wouldn't have been seen without first showing evidence of insurance or ability to pay.

Crumpelstiltskin · Yesterday 19:12

Boreded · Yesterday 18:59

In other countries you have insurance and hospitals want to collect as much money as possible from them by sending you for unnecessary tests and treatment. Additionally these countries (America obviously) can be extremely litigious so doctors do more tests than might normally be necessary just in case so that they are protected.

The benefit of the NHS is that you don’t have to choose between feeding your children that week or visiting a doctor, you don’t die from something because you could afford treatment, and you don’t have your home repossessed because of medical bills.

Alternatively you can get yourself private medical, often through a workplace for a small additional monthly fee, then you won’t need to complain here about a wait for a physio when all you have is a sprain.

France isn't like that, nor are many European countries. Don't judge every country by US standards.

CuteOrangeElephant · Yesterday 19:14

Idontpostmuch · Yesterday 18:38

@younknow @Dogdilemma01 I'm fairly sure crutches and scan wouldn't cost £1000's. I was in hospital in a European country shortly before we left the EU. Most of it was covered by being an EU citizen but crutches and a splint weren't, so I paid, and then reclaimed from insurance - small amount, from memory less than 100 euros in total. Alrhough the scans and x rays were covered, I saw the amounts on the invoice, and each scan and x ray individually were for modest amounts. A significant amount only because I had several. So I agree that a scan, bandage and crutches wouldn't be all that much.

My daughter's broken hand cost my insurance €680 in total. That is for A&E, xray, two times plaster cast and a specialist doctor checking her over. It cost me 0 as children are added to their parents insurance for free in the Netherlands.

It's just America that has all these crazy charges.

Happysnappydays · Yesterday 19:15

Blushingm · Yesterday 19:00

That’s awful. But part of the reason she would be waiting is people like OP who have sprained their ankle but they’re taking up valuable time by demanding all sorts of unnecessary things

How long do you think the OP asking if she could get a scan and physio actually took?

Piratesrus · Yesterday 19:16

How would a scan change your diagnosis or treatment? You have a sprain, the scan will tell you, you have a sprain. Treatment is look into physio exercises, the treatment wouldn’t change because you have a scan.
this is the problem with people who come in to A&E they expect a magic wand and to feel better instantly. You had an accident, you had diagnostics, you got a diagnosis and treatment. Stop trying to cost the NHS more money.

LostInTheDream · Yesterday 19:18

So you went to minor injuries - it can take a few hours, not always, but sometimes. It is what it is. It feels like you spend a lot of time being triaged between different things. I think an x ray to rule out a break is probably the best it will be.

MRI's are very expensive, try paying for one privately. The NHS seems to avoid doing them as much as possible. Because of the cost I think they tend to direct to physio.

Big waits are not my experience with physio but I think it's luck of the draw. I saw someone quite quickly after a broken finger and my GPs have a physio that comes in a couple of times a week and appointments tend to be quite quick. Appreciate not everyone has this. Some things you are better off paying for if you want speed, sometimes you might not agree with the cost vs risk weigh up (ie, it's quite unlikely this will be a severely torn ligament so we won't spend this much money till we know there is a problem).

AI is quite handy for basic routines and you can see the sources it's pulling from, so will be good in the interim at least.

I would also say, as you get older particularly, you injure yourself and it might not be totally realistic for it to mend so you would never know, and no amount of resource will change that.

OneAmusedOtter · Yesterday 19:19

younknow · 25/09/2026 23:28

Proper treatment - in other countries a sprain is treated seriously and taken seriously! If you’re suspected to have torn ligaments you get a scan and proper treatment, not told to walk out and go on Amazon if needed. Even 15 years ago it was different!

15 years ago I had a nasty sprain to my ankle. I was seen in A&E, had an x-ray. Crutches, and physio appointment. No scan. Doesn't need it. Yes, soft tissue injuries are pants, but you only need a few physio sessions to show you the rehab. Seeing a physio does nothing - it's your commitment to rehab outside of a clinic setting. Ice, elevation, physio - motion is lotion.
You got seen, your got an x-ray and for the princely sum of whatever the car-park cost. If it's not getting better, see your GP for onward referral. You'll get your scan is after a few weeks of standard treatment there's still significant instability and pain hasn't improved. Clinicians have clear treatment pathways based on symptoms not patient preference and almost all sprains will resolve that way. Can you imagine the no of MRI scanners we'd need if every little sprain got a scan so the patient can feel special and not whinge on social media?

JohnBullshit · Yesterday 19:23

HeddaGarbled · 25/09/2026 23:36

Similar scenario but x ray showed fractured metatarsal: boot given, crutches lent and follow-up appointment after 2 weeks. You’ve sprained your ankle. It would be irresponsible and wasteful to give you the stuff you seem to think you’re entitled to.

If the NHS hadn’t been wasting resources in this way 15 years ago, it might not be struggling so much now. It’s good that they’ve become more cost-conscious.

Same for me. As a clumsy child I frequently sprained ankles, and they'd strap me up and send me on my way. When I needed more support and equipment, I got it. This was last year, by the way, not in some fictional golden era.
I've seen private medics give disastrously wrong diagnoses too. The only advantage was that the patients paid to be given the wrong treatment much sooner than they'd have got it had they waited. Wahey.

Coco1379 · Yesterday 19:23

The point is that your visit cost you nothing. In the US you’d have paid +$1000.

CuteOrangeElephant · Yesterday 19:23

LostInTheDream · Yesterday 19:18

So you went to minor injuries - it can take a few hours, not always, but sometimes. It is what it is. It feels like you spend a lot of time being triaged between different things. I think an x ray to rule out a break is probably the best it will be.

MRI's are very expensive, try paying for one privately. The NHS seems to avoid doing them as much as possible. Because of the cost I think they tend to direct to physio.

Big waits are not my experience with physio but I think it's luck of the draw. I saw someone quite quickly after a broken finger and my GPs have a physio that comes in a couple of times a week and appointments tend to be quite quick. Appreciate not everyone has this. Some things you are better off paying for if you want speed, sometimes you might not agree with the cost vs risk weigh up (ie, it's quite unlikely this will be a severely torn ligament so we won't spend this much money till we know there is a problem).

AI is quite handy for basic routines and you can see the sources it's pulling from, so will be good in the interim at least.

I would also say, as you get older particularly, you injure yourself and it might not be totally realistic for it to mend so you would never know, and no amount of resource will change that.

Granted this experience is 10 years old but my husband was told an 11 month wait for an initial physio appointment and that he wouldn't be referred for scans til he had the physio appointment. This was for a back problem that was so severe he couldn't work.

We went private and the doctor said only surgery would fix the issue.

It's such a postcode lottery.

Buffs · Yesterday 19:26

younknow · Yesterday 09:23

An MRI is not £1,500 🤣🤣🤣

I live in the USA and yes an MRI is at least $2K

FoldItIn · Yesterday 19:30

I don't think you will ever get a balanced response on here @younknow . Most of the people on here are so unbelievably lucky that they have never lost anyone due to the incompetence of the NHS. I have, twice. The last time was the most horrific thing my family have gone through and resulted in someone we loved dying in pain, frightened, ignored and with not one shred of dignity.
The first time was equally as traumatic but we needed to try to forget, so attempted to stumble on. We didn't do that the second time.
Same hospital.

I do not know what the answer is but I know change needs to happen. It won't, because some people make alot of money from it running the way it does. They do not want things to change.

Nevermind though eh? Posters on here have been treated well so sod everyone else. Nothing to see, stop complaining. God bless the NHS.

Oh and stop using the USA as an example, it is stupid. There are other, closer countries that do it better than us, what are they doing?

Granville82 · Yesterday 19:31

CleverlyBeery · 25/09/2026 23:27

So the only care it can provide is emergency surgery?

Did you think this is what the poster was trying to say? I certainly didn't read it as that.

OP, it's ridiculous that you were directed to Chat GPT, but that's one employee.

There is quite a large difference between 'the NHS' and 'an NHS employee'.

The things we are paying for are numerous; I'm sure you don't actually want them listing in full - but some things we need to pay for ourselves.

Unfortunately the statistics show worsening health care in the the UK. The UK has the highest avoidable mortality among comparable countries, and more than 60% higher than Japan, Sweden and Australia. Infant mortality is higher than in most peers and roughly double Nordic/Japanese rates.
And on and on. So it's just not one employee, it's systemic and the numbers show it.

LostInTheDream · Yesterday 19:31

CuteOrangeElephant · Yesterday 19:23

Granted this experience is 10 years old but my husband was told an 11 month wait for an initial physio appointment and that he wouldn't be referred for scans til he had the physio appointment. This was for a back problem that was so severe he couldn't work.

We went private and the doctor said only surgery would fix the issue.

It's such a postcode lottery.

It is a postcode lottery. Sometimes even a GP surgery lottery tbh. Mine operates so much better than many other people I know even locally, the physio has come in over the last few years and I do think stuff like that probably eases up the out patient referrals to some degree.

Your husband's experience is insane. All for trying to do basics to ease the pain as much as possible but if you don't know what you're even dealing with how do you know you you won't do yourself more damage 🤯