To think its time to reform the NHS

[ScreamingLadySutch]

There was a brilliant post on a dog who is telling H there is something in his abdomen, but I didn't want to derail it.

But someone talked about access to the GP: "Good luck. We get the Spanish Inquisition from the surgery receptionist whenever we try and book appointments. You could tell them you have blood dripping from your arse and they'd still be reluctant to give you an appointment. I'd love to see how they'd respond to "my dog keeps sniffing me"."

• which is why the NHS needs to be reformed. The NHS is a socialist construct. Therefore, the provider 'decides' which supplicating peasant is worthy. That is what socialism does (The State will Decide), and it doesn't work!

If the provider is linked to the consumer, then the whole system gets more responsive. In capitalism, if a service is not provided, the provider doesn't get paid. Its forced altruism.

I don't know why the British treat the NHS like a religion (Do Not Question God!!!). It is complete brainwashing. Reforming the NHS to create this link does not mean privatisation (I was hospitalised in Germany and the whole thing from X-rays to overnight stay cost me Eu37 - and they don't have the NHS structure). Nobody longs for the days when there were waiting lists for telephone lines before BT, do they.

Name a time when it wasn't.

Actually not. Some people have a consultant appointed by the hospital who arrange care and referrals. You can also self refer kids for some therapy's
Yes but they are exceptions the vast majority of referrals to other services come from GPS (rightly or wrongly).

Our politicians could chose, in a moment, to adequately fund the NHS. But instead they chose to fritter away untold billions on nuclear weapons, finance, brexit etc.
100% this the decision to run the NHS into the ground is very much and ideological one not a necessity. If the government wanted they could find the money to sort it out tomorrow. They had no problems affording the bribe to the DUP.

Reading on these threads time and time again it is clear that no one actually knows or understands how the NHS operates unless you are in some form of operations role (I am)

You are the end users so you don’t really know how it all works and why it is so complicated or actually what bits do work brilliantly or any of the reasons why. Always seeing comments about why receptionists are basic triaging patients then on the other thread really complaining about people abusing the system.

@gamerwidow

It is under a huge reform right now which will make a lot of positive changes

You are the end users so you don’t really know how it all works and why it is so complicated or actually what bits do work brilliantly or any of the reasons why.

We are? Are you absolutely sure?

Also, if you really try you could be even more patronising. Good effort though.

The NHS is not underfunded. It is just horrifically mismanaged.

And don't throw out the fact that there are private companies employed by the NHS that are also failing, they're failing because the utter incompetents who fucked up running it then went on to negotiate these contracts.

I obviously didn’t mean everyone I was generalising

It needs to be properly funded and for actual medical people who work with patients to have a much greater say in what the hospitals, staff and patients need.

Nooooo it needs to be a mixture or you get nurses who have worked their way up through the ranks being in charge of massive budgets when they have absolutely no idea or experience of managing a huge budget.

So lovely of you to prove my point.

Oh and stop fucking up then having an inquiry which always just ends with an apology and promises to learn from the outcome when they bloody don't!

The utter incompetence that I have witnessed first hand would shock you but no one is ever held to account.

@ChardonnaysPrettySister

Sorry can’t see that you even have posted on this thread except to make a point of behaving like a troll to me?

Do you have anything constructive to add?

The very title And OP of this thread isn’t even what it is like in reality it’s not underfunded, PP was right it’s mismanaged. Acute hospitals are a hugely wasteful expensive resource and we do have to move away from that model and into a new one.

You generalise, you are patronising and you are rude.

I just pointed all out.

Your contribution was only “ it’s too complicated, you cannot possibly understand it”.

This is why we are in this mess, the NHS is untouchable and it it’s falling apart but we aren’t even allowed to mention.

I work for it and I use it, either way there is a lot to done for it to be a modern health care system.

Calling me a troll is not on.

It’s not falling apart
It is so incredibly frustrating to see this line peddled out again and again
What is this falling apart based on?

In capitalism, if a service is not provided, the provider doesn't get paid.

I think Seaborne ferries took a large dump on that idea.

You don’t think that waiting weeks for a GP appointment or waiting lists months long for a routine treatment is anything but falling apart?

There is a huge reform about to happen. It is envisaged that this will change a lot in primary care
Look up primary care networks, 5 and 10 year plan etc

Without being patronising the issue is that spreading the message that the NHS is falling apart makes people panic and it’s very negative and not entirely true. Anxiety and stress is detrimental to physical health in itself. Social care is really struggling a lot more than the NHS and the NHS has been shouldering the burden of this for a long long time. This is what needs to change

NHS also has been reacting to things once they happen for too long, because they don’t have the resources instead of looking at where things might happen to stop it happening (health prevention)

The NHS is allowing people to live much longer and resources are focused mainly on the most frail/vulnerable members of society. The younger generations now feel like they have no access to medical care but this goes hand in hand with people not having the right resources to access or having them and not using them.

Pharmacists not used as much as they should, social prescribing navigating people away from GP’s who are suffering from loneliness and isolation. GP’s in A&E managing those who shouldn’t be there.

If we can make the NHS a better place for doctors and nurses to work we can try to attract them back in or train more. But as we struggle for these resources (lack of doctors) we need to find new ways of meeting peoples needs

There are new ways
Moving to a US style healthcare system will not magic up more doctors if we don’t have them, it will cause a huge imbalance between the rich and poor in terms of quality - people won’t be better off if they have less money and quality will suffer as insurance companies become the dominator and driver of healthcare

@codenameduchess don't be so bloody stupid. IVF costs upwards of £5k a round privately. It takes on average 3 rounds to achieve a successful pregnancy. You think that anyone without £15k+ in the bank can't afford a child? Don't hide behind silly and clearly untrue statements to justify a cut you think should happen. Own it.

Part of the reason people want things on prescription is that it gives "validity" to their illnesses. When they are applying for Benefits related to health they have to list their "medication".They may want to "prove" that they have to take Paracetamol, Voltarol, E45, Vitamin D, Iron tablets, Calcium, Gaviscon, Piriton, Aspirin, to name only a few that are regularly prescribed when available OTC.

Also don't gastric bands save money in the long run by helping to prevent type 2 diabetes?

How about instead of 'reforming' it we adequately fund it for the first time since its conception

Or we fund just what it was at its inception, illness? Cosmetic surgery for 'self-esteem' shouldn't be funded by the NHS for one.

@codenameduchess

and any elective surgery be made chargeable.

Why? You do realise that elective is just planned in advance - ie not emergency. Is it better to wait until it is an emergency and the surgery possibly more risky?

I've had elective surgery, as has my DM, in both cases it was medically necessary, we'd both ended up in A&E on more than occasion with complications that could have led to emergency surgery being needed, we'd both needed time off work. I suppose we could have carried on until we were at risk of dying or perhaps we should have taken out loans? My friend had an elective caesarian for placenta praevia, should her life have been risked by waiting until it was an emergency if she couldn't afford to pay

I have only one thing to say, VirginCare.

It’s appalling and they have NO understanding of health issues.

Staff are leaving in droves and because the word is out about how bad they are to work for they can not recruit.

It really irks me when people instantly go for IVF. Infertility is a medical condition, or caused by one. If you are a working person who pays has always paid money into the system via the taxes why is your medical condition less worthy? A couple of rounds of IVF for a woman who is otherwise healthy and contributes is nothing compared to the cost of other conditions.