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What’s the point in the NHS?

670 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:
NullaEffugium · Yesterday 05:40

NHS is great when it is properly funded and staffed. Unfortunately, it’s been cannibalised by successive governments to patch up budget shortfalls elsewhere.

Blinkett · Yesterday 05:58

Reluctantlyonhols · Yesterday 01:55

Private is not really available in the UK for urgent care/emergency stuff. So even if you have BUPA cover, it is pretty useless for many things and you are stuck with the inefficient NHS.

And why should you? I want my taxes to pay for a fully comprehensive healthcare system. If I have a mental health crisis I don’t want to have the stress of paying thousands if I want to be treated. And yet here we are, with mental health services that don’t actually exist.

Blinkett · Yesterday 06:20

EatMoreChocolate44 · Yesterday 01:03

For every bad story you'll hear a few good stories. It's not perfect. It's underfunded and understaffed but we are also so lucky to have free healthcare. American's are paying thousands and those with medical issues such as cancer etc are in serious debt to receive life saving care, those with no health insurance are in trouble. Even to call an ambulance costs hundreds if not thousands of pounds. I know it needs much more investment and recruitment but I'm still v grateful to have it.

We just want a fully comprehensive reasonably priced service like they get in Europe. What so hard to understand? It’s not the NHS or America. Other options do exist.

pattercare · Yesterday 06:33

Reluctantlyonhols · Yesterday 01:55

Private is not really available in the UK for urgent care/emergency stuff. So even if you have BUPA cover, it is pretty useless for many things and you are stuck with the inefficient NHS.

Yes you often just end up with NHS and then BUPA pay you a certain amount for each night in NHS, this happened to DH a couple of times, you can only really use private for pre planned things

Neurodiversitydoctor · Yesterday 06:35

Happyjoe · Yesterday 00:34

What's a scan? You were x-rayed, was that not enough?
And the NHS is skint. Having a 3 year battle to find out why I feel as bad as I do and despite the various degree of crapness so far, I wouldn't want a UK without an NHS. I'd just like a properly funded one, but nobody wants to pay tax. Go figure.

No one wants to pay tax ? Taxation is at a 70 year high. Who exactly do you think should be paying more tax ? We have marginal tax rates of 65% ( 75% if have a student loan) before we even consider the 100k childcare cliff edge. There is no more juice to squeeze.

unsync · Yesterday 06:44

My sibling fell over. They stretched the ligaments in their knee. They had a consultation with their GP and were prescribed a knee brace, a cooling pack to reduce swelling and anti inflamatories. When the swelling went down within a few days, they had twice weekly physio. This treatment cost them nothing. My sibling lives in France. I tell them about my experiences with the NHS and they are horrified.

JWhipple · Yesterday 06:51

younknow · 25/09/2026 23:27

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

You sprained your ankle.
If you'd needed a surgical boot you would have been provided one
If specialist physio was needed you would have been referred

So ai and Amazon would've provided all scans and examinations as well as the doctors years of training, knowledge and experience

Go and elevate your foot and be grateful that's the worst ailment you have to worry about.

And maybe look at your local NHS trust and see the index of services they provide whilst you're sitting there instead of writing goady posts on here.

Kg5685jgj · Yesterday 06:52

unsync · Yesterday 06:44

My sibling fell over. They stretched the ligaments in their knee. They had a consultation with their GP and were prescribed a knee brace, a cooling pack to reduce swelling and anti inflamatories. When the swelling went down within a few days, they had twice weekly physio. This treatment cost them nothing. My sibling lives in France. I tell them about my experiences with the NHS and they are horrified.

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

Kg5685jgj · Yesterday 06:57

JWhipple · Yesterday 06:51

You sprained your ankle.
If you'd needed a surgical boot you would have been provided one
If specialist physio was needed you would have been referred

So ai and Amazon would've provided all scans and examinations as well as the doctors years of training, knowledge and experience

Go and elevate your foot and be grateful that's the worst ailment you have to worry about.

And maybe look at your local NHS trust and see the index of services they provide whilst you're sitting there instead of writing goady posts on here.

Yes to this. My dd dislocated her knee and tore ligaments. She is having specialist physio from her A&E visit and it was very easy to access. A quick search will show you torn ligaments are graded and you don’t need physio for the first grade.

Blinkett · Yesterday 06:59

I’d like it if the NHS was clear about what they were and weren’t prepared to fund. If they just gave up on providing physio (I filled in my self refer 5 weeks ago and have heard nothing!), dentistry, mental health services, hip replacements, etc then we’d all know where we stand, we’d all know we’d be expected to go private and could plan accordingly. Also why is it fair that in some places your taxes get you nhs dentistry and in others it doesn’t?

Ireolu · Yesterday 07:01

I have just seen an 81 yr old american man on SM lugging heavy suitcases to help fund his wife's cancer treatment. He now has a GFM. Shudder to think this may be our future with no NHS.

See your GP, they can do the additional imaging or the referrals if things don't settle. Thats the point of the GP. The point of a&e/UC is to ensure no fracture which they have ensured. DH broke a foot bone 4 weeks ago was also hobbling/did it abroad. Hobbled through the flight. got no xray when he went to urgent care cos they didnt think he needed one..is now much better. No complaints.

myjamisbetterthanyours · Yesterday 07:03

inerja · 25/09/2026 23:24

You paid to see a nurse for free. She would have been at least 50£ without the nhs lol

Can we please stop with the free nonsense?

cityliving99 · Yesterday 07:11

Ireolu · Yesterday 07:01

I have just seen an 81 yr old american man on SM lugging heavy suitcases to help fund his wife's cancer treatment. He now has a GFM. Shudder to think this may be our future with no NHS.

See your GP, they can do the additional imaging or the referrals if things don't settle. Thats the point of the GP. The point of a&e/UC is to ensure no fracture which they have ensured. DH broke a foot bone 4 weeks ago was also hobbling/did it abroad. Hobbled through the flight. got no xray when he went to urgent care cos they didnt think he needed one..is now much better. No complaints.

How do you know he broke it, if he had no X ray?

Dollymylove · Yesterday 07:11

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?!

Assuming OP is one of the dwindling band of people who actually work for a living, she is already paying for it

InnermostSanctum · Yesterday 07:12

We all get crap healthcare and then clap because it's free

Dontlletmedownbruce · Yesterday 07:14

If it were me, I'd have to pay the equivalent of 50 to see a GP or pay about 100 for an injury clinic where I'd get better advice probably. An x ray would be more, maybe another 100, I'm not sure.. so I'd have to make the decision to pay for the x ray or not. Then I'd have to pay GP again for a check up or if I had to ring to get repeat pain prescriptions. If I needed a consultant it would be over 200 for a first consultation, and possibly wait a few weeks or more. Any additional appointments in hospital or clinic would be billed and could run into 1000s for scans etc. Or i could go on a public waiting list and wait a few months to have it free, but live with an injury, so another difficult decision. As it happens i pay for private insurance which would cover some expenses like X rays but I pay 100s annually for this luxury which still wouldn't cover the consultant fee or GP costs. You are unbelievably lucky to live somewhere that just gives you all this, I appreciate it may not be the best service but you'd think differently if you were constantly worrying about medical costs.

Kg5685jgj · Yesterday 07:15

InnermostSanctum · Yesterday 07:12

We all get crap healthcare and then clap because it's free

It’s amazing insurance compared to the USA, France…. I count my blessings for the NHS most weeks.

cityliving99 · Yesterday 07:17

NiceCupOfChai · Yesterday 03:46

In the past year I’ve had, likely in excess of, £150000 of NHS treatment. i haven't had to “push for” or demand any of it. I’m grateful for the system and will use my voting power to protect it.

Is there good evidence for improved outcomes with boot wearing?

Edited

Wow. Hope you are feeling better and now recovering.

Owlbookend · Yesterday 07:18

I had cancer - the NHS treated me - consequently im not dead. Years later & i have continuing treatment & monitoring. Consistent compassionate cutting edge care.
I broke my elbow recently - no cast/bandage as not needed - 1 physio appt to explain exercises & 1 follow up appt & x-ray to check healing. Standard expected care.
Relatives have had heart treatment & eye treatment/surgery recently. All good care & treatment.
You didnt had a great experience. That isnt universal. There are issues, but it is serving a purpose. When someone says 'you have cancer' I can tell you from experience you're very glad it is there.

InnermostSanctum · Yesterday 07:21

Kg5685jgj · Yesterday 07:15

It’s amazing insurance compared to the USA, France…. I count my blessings for the NHS most weeks.

I think France has vastly better healthcare to us

MidnightPatrol · Yesterday 07:22

Pippa12 · 25/09/2026 23:24

My husband suffered a perforated bowel and sepsis in July. The nhs performed life saving surgery for him. He’s led next to me right now when he very nearly wasn’t.

That’s the point of the NHS.

The NHS does seem to have become just this though - a service for emergencies.

I think there’s a bit of an expectation gap, as services have decreased and what’s available in terms of healthcare has increased.

People want a more holistic, end-to-end health service, but they’re only actually getting help in absolute emergencies (basically they’ll stop you dying).

That leaves a lot of people feeling very underwhelmed with the NHS

It’s becoming very normal to pay privately - and for the first time in my life, I’m thinking do I need private health insurance to ensure prompt treatment and proper healthcare. I would still use the NHS for what it’s good at (cancer etc) - but is it going to keep me in the best shape till old age? I don’t think so, sadly

pattercare · Yesterday 07:22

I probably is ok if you have cancer or something like that but if you need a hip replacement or cataracts done then really the only way is to pay and go private or you will be waiting years.

Kg5685jgj · Yesterday 07:23

InnermostSanctum · Yesterday 07:21

I think France has vastly better healthcare to us

No it doesn’t.

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

A nurse walks between two patients' beds in the middle of the emergency room of the Hautepierre hospital, in Strasbourg, eastern France

France's health system under pressure of increasing demands

Some rural and suburban areas have no local doctors, while GPs in cities are working 60-hour weeks.

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

ChocolateCinderToffee · Yesterday 07:25

You can pay to go private and forca sprained ankle you’ll get exactly the same as on the NHS but they’ll spend more time telling you the same as on the NHS and (sucks teeth) it’ll cost you!

I sprained one ankle at least half a dozen times and I don’t remember ever seeing a health professional of any kind about it.

Dandeloosha · Yesterday 07:26

The NHS kept me and my unborn child alive long enough when I developed severe preeclampsia so I could have her safely. It gave me surgery to remove a 17cm fibroid that was causing me incontinence to the extent that I couldn’t go out or into work, and it gave my dad a dignified and pain free death.

Sorry about your ankle though.

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