To be completely fucked off with hospital parking?

[PooDogMillionaire]

DS had a very bad crack to the head last week, I rushed him to A&E and there was nowhere to park... The only place to pull in had big red signs saying I'd be towed if I parked there, meanwhile DS is almost unconscious, pale with a bleeding head .

I've just arrived at the same hospital for my second attempt at my maternity booking in appointment only to find a 7 car long queue for the very expensive car park. Both appointments have been at 9:30 so I haven't had much time to get up here from school run and have now had to cancel both as nowhere to park.

I'm not sure what the solution is but if be scared to go into labour and not be able to find a space!

I saw the numbers and those three doctors were paid about 20% less than the US based doctors.

In that case they are probably paid more than UK doctors so "outsourcing" would probably increase costs for the NHS rather than reduce them.

Draylon I am considered middle management and DH is top tier management. DH is under enormous pressure regarding contracts he signs and their long term implications. He has, more than once, gone back to the table to renegotiate the contract. DH works for a cooperative slaughterhouse group. Margins are slim to none and DH has lost sleep before over how to negotiate with unions to lower their costs so prices can be competitive (he ended up negotiating with the government as well as the union to get to a good outcome for everyone). He also goes back to the table to negotiate sales contracts all the time. As to your second part, top tier management should go back to the table and negotiate. None of the outsourcing contracts paid on a per use basis. It was for a time period (7pm - 7am) and three doctors covered all hospital locations (6 hospitals in total). I've moved on. You are clearly not interested in hearing more about how things should be working at management levels.

Mary The costs of being registered as an American doctor are higher because of the higher insurance paid. The other doctors spoke highly of the skill and knowledge of the doctors doing the overnight shift. There are doctors living around the world who are registered with the GMC. No reason why they can't do certain functions, like reading x-rays, from remote locations.

Mary The costs of being registered as an American doctor are higher because of the higher insurance paid. The other doctors spoke highly of the skill and knowledge of the doctors doing the overnight shift. There are doctors living around the world who are registered with the GMC. No reason why they can't do certain functions, like reading x-rays, from remote locations.

I realise that Want2bSupermum. My point was that doctors in the UK are paid quite a bit less that doctors in the US. The reasons for this are irrelevant. If the outsourced doctors are paid 20% less than doctors in the US they will cost more than NHS doctors i.e. it wouldn't be cost saving to use them, regardless of their skills.

My point is that it isn't irrelevant. As an American registered doctor the liability insurance is astronomical compared to what a Doctor pays who is registered with the GMC to practice in the UK. The difference in pay reflects this. Also the three doctors they hired had all trained at American medical schools and spent time in the US post qualification in training positions.

There are plenty of doctors around the world who are registered with the GMC.

Want2bSupermum How is that relevant to the question of whether the NHS could save money by employing doctors from overseas. The NHS is based in the UK not the US?
As I said if the outsourced doctors are paid 20% less than doctors in the US they will cost more than NHS doctors i.e. it wouldn't be cost saving to use them, regardless of their skills.

Let me spell it out again. If you are registered to practice in the US no matter where you live in the world you must have US based liability insurance which is astronomical compared to what GMC doctors pay. So if these same doctors hired for 20% less than US rates were able to practice in the UK by being registered with the GMC their pay would be significantly less than what they would be paid as an American doctor. After insurance costs their income would be about the same.

The cost of living in other parts of the world is significantly lower than in the UK and other Western countries. That is why wage rates are lower. They will eventually catch up but for now it's a great solution if management force through the expansion of domestic students attending medical school to increase the supply.

There are plenty of GMC registered doctors living around the world. No reason why this shouldn't be looked at, especially if it means trailing spouses can be retained. The different time zone really helps too. Oh and the doctor my dad saw last week was Hungarian, came to the UK 3 years ago, his GP is Indian, came to the UK 10 years ago and his other specialist is from the Philipines. It isn't as if we already don't have foreign doctors living and working in the UK.

I missed being with my grandad when he died as the car park attendant said I could not just dump the car in the 20 minute spot to run in and be with him even though he knew.. Nan was with me too but she missed his final moments too as I couldn't just leave her to find her own way to the ward.

Let me spell it out again. If you are registered to practice in the US no matter where you live in the world you must have US based liability insurance which is astronomical compared to what GMC doctors pay. So if these same doctors hired for 20% less than US rates were able to practice in the UK by being registered with the GMC their pay would be significantly less than what they would be paid as an American doctor. After insurance costs their income would be about the same.

You don't know that it would be the same. You are assuming that they would charge a lot less if they work in the UK rather than the US. That may not be correct considering that if they still did some work for the US they would still have to pay the same high insurance.

I would probably agree with the various parking complainers if I lived where they did. However where I am, my local hospital has been rebuilt as 1.1 billion pound PFI complex, which includes exactly zero provision for parking. Not even for staff. I'm not aware of any public car parks in the vicinity either, other than that belonging to a nearby supermarket. It is presumably expected that no staff-member, patient or visitor will ever travel to the hospital in a private car. (Unless they are being dropped off/picked up by a driver who isn't stopping.)

(I don't have a problem with the lack of parking, just wondering if those who expect more than they have can get their head around my scenario.)

Theoretician. No I can't get my head around it. I have been ill recently and could not possibly travel on public transport. It has also been difficult to get into a taxi because they are mostly saloons whereas my car is an MPV and high up. To get to my local hospital I would have to walk nearly half a mile to the station and get a train to my nearest town (admittedly only 4 minutes on the train). I would then have to get a bus to the hospital from the town station. A 1.7 mile journey would take me well over an hour there and an hour back. I am presently unable to walk that 1.7 miles. I could understand your situation if I still lived in London to be fair, but I don't.

mary as an auditor I see what is paid out to employee doctors and owner doctors as disbursements. I also get to see what the owner doctors are paying for their insurance. We had to ask questions because the employee doctors were making more than the owner doctors. However when you add back the insurance costs the owner doctors made more, which is in line with what we expected.

The liability paid by British doctors is much much lower than US doctors otherwise salaries would be so much higher. The radiology doctors each paid $80k+ a year in insurance and much more if working with nuclear medicine.

I don't know the exact numbers for the UK but they will be significantly lower compared to the US rates considering a non consultant doctor is making up to $120k (£80k).

I thought this was a thread about parking at hospitals...

Haha! It is Larry but others have come on to say we should all be willing to accept waits with zero apology or updates and accept that we should arrive super early for an appointment for the sole purpose of finding a spot to park the car. All sounds highly inefficient and it transpires parking issues are a sign of overcapacity, which I blamed on management for not sorting out a solution to. All in all, clearly a few NHS employees live in a parallel universe. The fact remains that parking at hospitals is unacceptable for those having to attend hospitals. I really feel bad for staff, some of whom have posted that they arrive 40 minutes before a shift start just to park their car. How demotivating.

I was at Alder Hey this week brand new building and I think they have a great parking plan. There is a drop off small car park at the front, a taxi car park, then a large multi storey that you pay on exit. I think its £2 regardless of how long you are there. There is also further parking round the other side for A&E but not sure what that part is like.

I don't know the exact numbers for the UK but they will be significantly lower compared to the US rates considering a non consultant doctor is making up to $120k (£80k).

I agree that the liability insurance paid by British doctors working in the NHS and based at UK is much lower than US but it wouldn't necessarily be as low if they were based overseas. In addition, if they are also registered to practice in the US they will still be paying the high liability insurance where ever they work.

mary there will be plenty of doctors not interested in working for American hospitals from overseas. The licensing requirements are apparently a PITA compared to anywhere else. Also these doctors don't normally work elsewhere. They group in Israel had it in their contract because they were contracted to each work 60 hours a week.