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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Printout of cost to NHS

269 replies

1dontunderstand · 13/11/2022 00:16

I don’t think IBU but here goes:

I think every patient should be given a printout of how much their care has cost the NHS.

Every GP visit
Every vaccine for them or their child
Every midwife/health visitor
Every blood test
Every ambulance or A & E visit

I don’t think people have any idea how much their health care costs

OP posts:
Facecream · 13/11/2022 18:07

@memorial

From NHS Resolution
You started with the insults.
Table 1: Number and Cost of Claims Closed between financial years 2017/18 and 2020/21 where the primary cause or injury is "Sexual Abuse", broken down by year and scheme

ClosedSettled Y ClaimOutcome_FOI Damages Paid

Year of Closure (Settlement Year for PPOs)
No. of Claims
Damages Paid
NHS Legal Costs Paid
Claimant
Legal Costs Total Paid
Paid
2017/18

2018/19
2019/20
2020/21
14

20
6
18

14

407,375
584,070
165,500
650,500
353,663

52,105
92,158
13,565
92,163
63,864

346,928
386,400
74,500
387,124
256,250

806,408
1,062,628
253,565
1,129,788
673,777

CNST DH CL ELS
CNST DH CL
CNST DH CL
CNST DH CL ELSGP
Grand Total
79 2,343,731
502,266 1,633,979
4,479,976

Facecream · 13/11/2022 18:08

@memorial
Snd once more for your well-informed self

Freedom of Information Request# 5468 Data correct as at: 2022-06-30
Table 2: Number and Cost of Claims Closed between financial years 2017/18 and 2020/21 where the primary cause or injury is "Sexual Abuse", broken down by member trust.

Year of Closure (Settlement Year for PPOs)
Damages NHS Legal Claimant
No. of Claims Paid Costs Paid Legal Costs Total Paid
Paid

Trusts with less than 5 claims ( 26 Trusts)
Cambridge University Hospitals NHS Foundation Trust Department of Health
Kent and Medway NHS and Social Care Partnership Trust Grand Total
37
25 12 5 79
891,927
935,750 340,623 175,431
2,343,731
207,674
57,910 198,886 37,796 502,266
758,525
434,925 249,526 191,002
1,633,979
1,858,127
1,428,585 789,035 404,229
4,479,976

JenniferBooth · 13/11/2022 18:08

@memorial i once waited an hour and 15 mins Fine but it was me who got the shit from my employer who asked me where the hell i had been and where else i went to after my appointment She wouldnt believe that it took this long.

Facecream · 13/11/2022 18:09

But yes, of course I am crazy and deluded because people get i in arms on MN about the police. They to do absolutely vile misogynistic shit… but the NHS..
oh no.. of course not.

@memorial - you work in ESNEFT do you?

HunterHearstHelmsley · 13/11/2022 18:15

memorial · 13/11/2022 18:05

Not a whole hour?? Wow. I bet the GP was off playing golf or drinking coffee eh?? Shame on them

Yes, a whole hour. Believe it or not, other people have to get back to work. Other people have patients and service users to see. It's ridiculous to expect someone to not be frustrated at waiting a whole hour. Their time isn't worth more. They're not a special case. Recording it as a DNA is ridiculous when the patient did attend but couldn't wait any longer.

ldontWanna · 13/11/2022 18:19

1dontunderstand · 13/11/2022 00:34

I thought that people would me more mindful and appreciative of the wonderful service they received

  1. If people are ill ,they're ill. No amount of mindfulness will fix that.
  1. That's assuming they do get a wonderful service,some people don't even get awful service, they just don't get any service at all.
memorial · 13/11/2022 18:22

HunterHearstHelmsley · 13/11/2022 18:15

Yes, a whole hour. Believe it or not, other people have to get back to work. Other people have patients and service users to see. It's ridiculous to expect someone to not be frustrated at waiting a whole hour. Their time isn't worth more. They're not a special case. Recording it as a DNA is ridiculous when the patient did attend but couldn't wait any longer.

Gosh I'm so sorry. Next time the coughing child is actually in resp distres and needs oxygen and admission or the chest pain is a heart attack and needs an ECG drugs and admission or the low mood is acutely suicidal and needs a bit more time and referral to crisis (which can take bloody ages) or the old lady walks in having fallen bleeding all over the floor or the abdo pain is an acute abdo needing 999 or or or.
I'll try and remember people need to be seen on time and get to work/appts etc and just ask them to wait their turn quietly.
The absolute self absorption and entitlement of British people has actually become unbelievable. I can assure you in my 20 patient (at least) surgeries more than 1 of those will need more than 10/15mins and that's without the emergencies/nurse/paramedic/pharmacist etc interruptions.
I am so fed up of having to defend and justify myself and being accused of being lazy/uncaring/overpaid etc. No wonder 2 of my colleagues have retired/left and we cannot recruit a single doctor.

memorial · 13/11/2022 18:23

HunterHearstHelmsley · 13/11/2022 18:15

Yes, a whole hour. Believe it or not, other people have to get back to work. Other people have patients and service users to see. It's ridiculous to expect someone to not be frustrated at waiting a whole hour. Their time isn't worth more. They're not a special case. Recording it as a DNA is ridiculous when the patient did attend but couldn't wait any longer.

Gosh I'm so sorry. Next time the coughing child is actually in resp distres and needs oxygen and admission or the chest pain is a heart attack and needs an ECG drugs and admission or the low mood is acutely suicidal and needs a bit more time and referral to crisis (which can take bloody ages) or the old lady walks in having fallen bleeding all over the floor or the abdo pain is an acute abdo needing 999 or or or.
I'll try and remember people need to be seen on time and get to work/appts etc and just ask them to wait their turn quietly.
The absolute self absorption and entitlement of British people has actually become unbelievable. I can assure you in my 20 patient (at least) surgeries more than 1 of those will need more than 10/15mins and that's without the emergencies/nurse/paramedic/pharmacist etc interruptions.
I am so fed up of having to defend and justify myself and being accused of being lazy/uncaring/overpaid etc. No wonder 2 of my colleagues have retired/left and we cannot recruit a single doctor.

Guitarbar · 13/11/2022 18:24

The GP surgery here is very good, but when I went for my smear I got there and after 45 mins of waiting asked if they had an indication of how long it would be. They said ah that nurse is off the other one is trying to fit everyone in but might not. When I said okay can I rebook as I have to get back it was met with lots of sighing- why not phone people or let them know when they book in if someone is off sick and you might not be seen 🤔 if they'd recorded it as a DNA I'd have been annoyed.

memorial · 13/11/2022 18:31

Guitarbar · 13/11/2022 18:24

The GP surgery here is very good, but when I went for my smear I got there and after 45 mins of waiting asked if they had an indication of how long it would be. They said ah that nurse is off the other one is trying to fit everyone in but might not. When I said okay can I rebook as I have to get back it was met with lots of sighing- why not phone people or let them know when they book in if someone is off sick and you might not be seen 🤔 if they'd recorded it as a DNA I'd have been annoyed.

Because they literally will have no where else to book you into. And you cannot imagine how people behave.
I really dont think people understand the current crisis in primary care. Its is very very close to complete collapse.

Facecream · 13/11/2022 18:33

@memorial - well with staff like you, good. About time.

Forever42 · 13/11/2022 18:50

Not a whole hour?? Wow. I bet the GP was off playing golf or drinking coffee eh?? Shame on them

It is reasonable to expect to be seen within an hour. If your appointment was at 1.45 and you had to collect your child from school nearby at 3pm you would expect to have been seen within that time frame.

Forever42 · 13/11/2022 18:52

Or maybe it is no longer realistic to expect to be seen within an hour of your appointment time. In which case surgeries need to be upfront so that patients can plan accordingly.

PinkiOcelot · 13/11/2022 18:54

The NHS may be failing, I’m not disputing that, but the number of people still not attending for appointments is absolutely disgusting. They should definitely be charged for this, then they may not be so keen.
Doubly disgusting because of the current wait for investigations and clinic appointments.

sharkbitebum · 13/11/2022 18:55

Personally I wish the nhs would stop printing out letters tbh. Dh got one the other day that wasn't even relevant anymore because it had taken so long to get the letter to him.

I have tried to get gp appointments but they refuse to see me face to face so I've had three GP appointments since 2019 all over the phone. Hurt myself the other week went to minor injuries unit and they were quite patronising about me coming in, despite me being in pain, I saw a nurse, had an X-ray and then was delayed because they were trying to close the minor injuries unit early without warning and someone was trying to get in because they'd clearly decided to shut 15 mins early and didn't want to help the person behind the door.

With this in mind I'd love to show them a print out of how much tax I pay vs how much treatment I've managed to squeeze out of them.
Oh and also how much I pay in private healthcare because the public healthcare is so appalling now.

Guitarbar · 13/11/2022 18:56

memorial · 13/11/2022 18:31

Because they literally will have no where else to book you into. And you cannot imagine how people behave.
I really dont think people understand the current crisis in primary care. Its is very very close to complete collapse.

So for a routine smear test it's better to not let people know there's likely to be a very lengthy weight ie potentially hours or perhaps not be seen at all rather than let them know and let them make the choice? Seems odd to just not mention it and expect people to hang around indefinitely. I was booked for an appointment the following week, I did say if there isn't anything at the moment to book onto no bother I'd just try again in a few weeks.

ldontWanna · 13/11/2022 18:57

Guitarbar · 13/11/2022 18:24

The GP surgery here is very good, but when I went for my smear I got there and after 45 mins of waiting asked if they had an indication of how long it would be. They said ah that nurse is off the other one is trying to fit everyone in but might not. When I said okay can I rebook as I have to get back it was met with lots of sighing- why not phone people or let them know when they book in if someone is off sick and you might not be seen 🤔 if they'd recorded it as a DNA I'd have been annoyed.

Last year my hospital appt got changed from December to March with no letter or phone call.

This year I have an appt in November(from a referral in June) , again with no letter or information.

Luckily I have the NHS app which I check randomly, otherwise both would've been DNA's through no fault of my own and some clinics are miss one appointment and you're out policy too.

ldontWanna · 13/11/2022 19:00

PinkiOcelot · 13/11/2022 18:54

The NHS may be failing, I’m not disputing that, but the number of people still not attending for appointments is absolutely disgusting. They should definitely be charged for this, then they may not be so keen.
Doubly disgusting because of the current wait for investigations and clinic appointments.

I wonder how many people "miss" appointments because they have no fucking idea they have them in the first place.

JenniferBooth · 13/11/2022 19:01

@memorial none of that explains or justifies how or why someone should be recorded as a DNA when they showed up and showed up on time. Its a bit gaslighty

2greenroses · 13/11/2022 19:41

I have also been recorded as DNA in ridiculous circumstances - contacted at work, told to come immediately the surgery - well I performed miracles to get there from school in under two hours - it wasn't fast enough apparently. Not only were the test results I had come to collect withheld from me, but I also have "DNA" on my records, which has been referred to repeatedly in the years since

XenoBitch · 13/11/2022 19:44

I have the first appointment of the day next week. 8:30am. Will be interesting to see if I am called late, and why? Won't be like a patient before me taking up more time.

nether · 13/11/2022 19:44

TinFoilHatty · 13/11/2022 00:19

Ok. Do you realise the cost of rolling out a national project like this?

They employ loads of comms and PR people - this could be done within existing resources.

Round here, we already get appointment reminder texts which include the cost to the NHS per appointment. This sounds like an expansion of that sort of messaging.

I think it would be a good idea. It probably won't be a game-changer in terms of level of demand, but it's a good reminder that there are costs (not just a value)

ApplePieFry · 13/11/2022 19:59

Facecream · 13/11/2022 18:02

@memorial
Heres the GMC published figures for research done in 2014

Key findings
Types of cases
This diagram shows the types of cases and their incidence.
The majority of cases that resulted in suspension or erasure from the medical register were in relation to an incident in a doctor’s working life, but there were some cases in relation to a doctor’s personal life.
For an incident in one’s personal life to have such consequences, we can infer that it must have been extreme. The most common type of case in relation to a doctor’s personal life was ‘sexual issues’ (9 cases) but there were also cases involving drink driving offences (3 cases), dishonesty (3 cases) and violence (1 case). Cases that were in relation to doctors’ personal lives were more likely to be of a criminal nature (6 out of 16) than cases in relation to doctors’ working lives; and were brought to the fore due to a conviction. The police have a duty to report such incidents to the GMC.
Overall, the most common type of case was dishonesty (48 cases), either in order to obtain or keep employment or in the role of a doctor. Good Medical Practice (2013), states that doctors must ‘be honest and open and act with integrity.’ Thus, dishonest conduct constitutes a serious departure from fundamental tenets of GMP and the standards expected of a doctor. This is taken very seriously by Medical Practitioners Tribunal Service (MPTS) panels.
The second most common type of case was inappropriate relations with both patients and colleagues (24 cases); but most frequently with patients (19 of the cases).
The third most common type of case was clinical issues (19 cases) although there was a further proportion of clinical issues cases that also involved dishonesty and clinical issues together (8 cases), and so we may consider this to be the second most common type of case if we combine the two groups together (which would equate to 27 cases).
A further small proportion of cases were classified as ‘breaking other professional standards’ (4 cases). These cases were varied.

So the majority were nothing to do with sexual misconduct then, so you were wrong.

ApplePieFry · 13/11/2022 20:01

PinkiOcelot · 13/11/2022 18:54

The NHS may be failing, I’m not disputing that, but the number of people still not attending for appointments is absolutely disgusting. They should definitely be charged for this, then they may not be so keen.
Doubly disgusting because of the current wait for investigations and clinic appointments.

This in spades

I went for my whooping cough vaccine last week, my appt was at 15:00, the nurse doing my jab said she was glad to see me, as every other person booked in that day hadn’t bothered to show up. That’s a lot of people

Facecream · 13/11/2022 20:03

@ApplePieFry
In 2014….
But you know, feel free to look at the stats for yourself