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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To think the NHS has already failed.

310 replies

Goingforplatinum · 07/01/2023 11:05

5 hour wait for a cat1 ambulance for a child. Unresponsive patients being taken to hospital by neighbours. 90 hour wait in A&E, unsafe staffing on wards, 7 month wait for coil or implant fitting. The NHS isn't failing. We need to admit its failed

OP posts:
DisneyChops · 07/01/2023 13:09

To be honest I would happily train to work in the NHS, if it didn't look like such a stressful place to work.
I already work in teaching, and that's a shit show too.

MakeMineALarge1 · 07/01/2023 13:13

People using ambulance as it's more convenient and cheaper than a taxi.
Yes this does happen.

MichaelFabricantWig · 07/01/2023 13:15

Yes, it was really worth the shitshow of Covid restrictions to “protect” if. Thanks Tory voters, I hope none of you are daring to complain.

DreamingofGinoclock · 07/01/2023 13:32

CurlyhairedAssassin · 07/01/2023 11:34

The delayed discharges isn’t always because of lack of social care though. Often it’s because of inefficient processes in the system and poor communication. When you have people fit enough to go home to their own houses and families and they are kept hanging around for 6-7 hours waiting for someone to sort their discharge out or their medication or get them booked in for an out patient visit in a few days, it all falls apart. There’s a bed there that’s being taken up that should be available for someone who actually needs it.

I’ve seen it happen so often. Even when I had my children it happened. DS2 was supposed to be one of those 2 or 3 hour discharges (what’re the minimum is). 6 hours I was waiting, perfectly fit and healthy. Baby seemed fine too but hasn’t had his final “sign off”. Therr simply was no-one to discharge us and I was terrified to just walk out in case it flagged us as neglectful parents for “not complying with standard medical checks” etc. So there was another statistic probably “our labour ward is full, we will need to send people to another hospital or keep them at home labouring as long as possible”. But a bed was there!

There is so many little administrative stuff like this that with a bit of thought simple changes could help.

Why not employ a non clinical staff member to carry out discharge management. Getting the papers ready making sure the relevant clinical staff have signed off on forward plans etc!

Also social care as others have mentioned need a major overhaul.

Staff need to be paid more, nurses bursaries for training/ uni need to come back. Then perhaps recruitment to levels needed may actually happen, in turn reliving stressed on staff because of staff shortages. (Granted this will take time to train and recruit).

Short term offer European medical staff visas with full residence and make the administration of this easy (you could require sponsorship of the recruiting hospital / trust)

Simarly overhaul is needed in how GPs are run. Make becoming a GP more attractive, but at the same time make it a 7 day a week service.

WiseUpJanetWeiss · 07/01/2023 13:36

BirmaBrite · 07/01/2023 12:33

Those beds in private hospitals are already staffed though @PerfectYear321 ?

The NHS is struggling with the number of available beds, that is why there is carnage in A&E, they cannot move patients who need admitting onto the wards, because the wards are full.

This does happen in some cases. But private beds are not free...

rainydaysandcake · 07/01/2023 13:40

There are so many patients not been seen or waiting a lot. BUT there are also thousands of patients been treated (including my own child) and patients who receive expensive drugs or life saving surgery.

It's local authorities who are failing to provide social care for patients to move them out of hospitals so more patients can be seen / treated

Eilan50 · 07/01/2023 13:48

Lack of social care is a big problem.
But so is lack of GP access. People with long term conditions are managed by their GP - diabetes, heart and lung conditions etc.
But in some areas it's extremely difficult to access a GP appointment. People try for several days and then give up. So these conditions are not being properly monitored and controlled and they worsen to the point the person ends up in A&E.

The Gov has been being warned for years we were heading towards a national shortage of GPs and have failed to act. It's not something that can be fixed overnight as it takes years to train a fully qualified GP

BirmaBrite · 07/01/2023 13:50

This does happen in some cases. But private beds are not free...

@WiseUpJanetWeiss to be fair nothing is free is it ? I was wondering about the available number of beds in private hospitals that could be utilised as a short term measure and I wasn't suggesting they be provided for free. What do we need ? staffed beds, what does the private sector have ? staffed beds ! The resource is there, we already pay the private sector for residential and domicillary care so why not in this instance, to get the NHS back on an even keel ?

KnittedCardi · 07/01/2023 14:08

PerfectYear321 · 07/01/2023 12:27

I wish people like you torieswould change the record. It's not just about money. We've had like what, 8 so-called Health Secretaries in the last 12 years of Tory rule? How can you begin to tackle any issues when you're only there for 18 months? In that period of time you've only just started to get your head around how the system works. Bear in mind none of these people have any experience in healthcare or the NHS. Maybe start by giving us a serious person in that 'role'?

Health secretaries/Government do no "run" the NHS, the NHS runs the NHS. "The NHS" gets funding from government, it flows down through CCG's, to hospital trusts and GP practices. The CCG's and trusts and GP's decide what to do with that money, so the people making the decisions are indeed those who should know what to do. That was the whole point of localism. The only thing you really blame the government for is not supplying enough money.

NHS Plans drawn up by governments are also always cross party, with lots of input from across the providers/patient groups. Great plans, often not implemented.

crazeekat · 07/01/2023 14:09

This annoys me, the NHS has not failed, and is not a failure. The government and the private sectors they are allowing to charge extortionate prices for equipment has failed the public not the NHS.
Nurses and junior doctors are becoming ill themselves with stress and lack of support. They deserve their pay rise all of them. They have worked and a negative wage for decades also. There is no support whatsoever for nurses, they are angels when all is well and greedmongers when they put their foot down at their conditions. The nhs is a bottomless money pit because it has been abused system for decades, funding the pockets of so called managers and politicians who are supposedly trying to make it better. Bullshit.

I'm not saying it is perfect. There is lots of room for improvement, every trust has its up and downs.
But calling it a failure does not help, does nothing for staff moral reading this who are doing their absolute best every single shift they do to make a difference for their patients. Failure is what the government and their blind supporters want u all to believe.

Zebedee55 · 07/01/2023 14:10

From the GP onwards, it's failing us. But, it's been an inefficient monolith for decades, and it has just gone not a head.

It needs root and branch reform.

Zebedee55 · 07/01/2023 14:11

Zebedee55 · 07/01/2023 14:10

From the GP onwards, it's failing us. But, it's been an inefficient monolith for decades, and it has just gone not a head.

It needs root and branch reform.

'Come to a head'

MarshaBradyo · 07/01/2023 14:11

MichaelFabricantWig · 07/01/2023 13:15

Yes, it was really worth the shitshow of Covid restrictions to “protect” if. Thanks Tory voters, I hope none of you are daring to complain.

Yes, it was really worth the shitshow of Covid restrictions to “protect” if.

Not sure if you were for or against restrictions with this? and if you think Labour wouldn’t have used them even more

harrassedmumto3 · 07/01/2023 14:13

It depends on your luck and where you live. We had a 10 minute wait for an ambulance a few nights ago. The care that this loved one has been given has been excellent (still in hospital).

greybuolding · 07/01/2023 14:23

Goingforplatinum · 07/01/2023 13:04

In no way do I blame staff in any way shape or form. I think all staff, GPs, consultants, doctors, paramedics, nurses, hca's, domestics and everyone that works for the NHS is doing an amazing job, and I really do feel for you with what your dealing with ATM. But can you honestly say hand on heart that it's safe??

The NHS is not that black and white.

The bit I do? Hand on heart, yes, I provide a completely safe service. Patients are seen quickly, I treat them well, I've saved many lives and helped people go on and lead better lives and also die with dignity.

But I'm an AHP running a specialist service trust wide. I'm not the whole NHS.

Please don't tar every service with the same brush.

itsgettingweird · 07/01/2023 14:23

Yes I think he's pretty much failed in parts.

My ds has a neurological condition (degenerative).

Referred to OT by general consultant and adult neurology by specialist consultant.

OT went to peads but he turned 18 and neurologist sent to rehabilitation meds who can do nothing regards his meds etc.

Ds gotten worse. Now needing to use a wheelchair at times.

Told I need to see GP to get referrals done - for past 5 weeks GP have turned off e consults and won't give an appointment for anything that isn't urgent on the day.

This is just primary care level.

MaryMcCarthy · 07/01/2023 14:24

There are at least 17 countries who spend more than the UK, per patient, on their healthcare service. And they don't all necessarily see significantly better health outcomes than we do here. We achieve great things relative to the resources we put in but unfortunately the resources have not kept up with demand because of ideological choices made by our governments.

That doesn't mean the system is broken or the NHS has failed. You wouldn't want to live in a country with a failed health service I can assure you.

Germany spend $7,300 per patient, France spend $6,100, Canada spend $5,900, even Ireland spend around $5,800 pp and of course the crazy USA spend $10,900 pp when everything's taken into account.

The NHS spends $4,300 so the idea we spend too much is absurd.

GPTec1 · 07/01/2023 14:34

Do you mean you just want more funding when you say this
Who pays more in your opinion

Its not about who pays more, its about political choices, hs2 and 10% pension increases for all (who tend to vote Tory) VS better pay for social care and nhs staff (who tend to vote Lab)

This country has had a decade of warnings about the demographic and staff time bomb & did nothing at all. we then had Brexit and now Covid.

I see first hand the devastation CV has on a largely vaxxed workforce, those who say "should have less or no restrictions" should consider what CV would have done to a un vaxxed population and NHS workforce &Delta was more deadly too.

sst1234 · 07/01/2023 14:38

1000 excess deaths a week says so. But somehow it doesn’t make the news like the running tally during the Covid days. Makes you wonder.

GPTec1 · 07/01/2023 14:41

KnittedCardi · 07/01/2023 14:08

Health secretaries/Government do no "run" the NHS, the NHS runs the NHS. "The NHS" gets funding from government, it flows down through CCG's, to hospital trusts and GP practices. The CCG's and trusts and GP's decide what to do with that money, so the people making the decisions are indeed those who should know what to do. That was the whole point of localism. The only thing you really blame the government for is not supplying enough money.

NHS Plans drawn up by governments are also always cross party, with lots of input from across the providers/patient groups. Great plans, often not implemented.

The Govt of the day set the parameters, they set the targets and the estate building program, they set how the NHS is run, staff numbers, training places, tuition fees and which if any reforms take place - yes and also funding.

Govt does not have cross party support on the NHS, any more than they have cross party support on defence, education, council funding et el

You are either misinformed or seeking to pass the buck on who is really to blame for the failure in the NHS.

MarshaBradyo · 07/01/2023 14:42

sst1234 · 07/01/2023 14:38

1000 excess deaths a week says so. But somehow it doesn’t make the news like the running tally during the Covid days. Makes you wonder.

Would you want it to be though? It’s just a way to comply to any restrictions

Allthegoodnamesarechosen · 07/01/2023 14:54

MakeMineALarge1 · 07/01/2023 13:07

We need to change our ways
We need to cut down on alcohol and drugs
We need a healthy lifestyles
We need to change our diet
We need to stop demanding GP appointments for coughs and colds
We need to accept illness and cope rather than demanding GP to sort things
We need to look after our relatives
We need to have frank conversations with regards to resus and end of life planning

You are right.

Eilan50 · 07/01/2023 15:05

sst1234 · 07/01/2023 14:38

1000 excess deaths a week says so. But somehow it doesn’t make the news like the running tally during the Covid days. Makes you wonder.

This^
Why were we given a daily total of covid deaths for 2 years, long after the peaks, but we're not being told how many excess deaths we have daily now.
My guess is because the covid deaths were "the public's fault".
Excess deaths through people unable to access healthcare is not the publics fault Hmm

MarshaBradyo · 07/01/2023 15:07

Eilan50 · 07/01/2023 15:05

This^
Why were we given a daily total of covid deaths for 2 years, long after the peaks, but we're not being told how many excess deaths we have daily now.
My guess is because the covid deaths were "the public's fault".
Excess deaths through people unable to access healthcare is not the publics fault Hmm

It’s because you are not required to change behaviour or comply with any measures.

Daily deaths were for compliance.

Luredbyapomegranate · 07/01/2023 15:08

It’s in crisis. There are some areas that seem to be in total failure.

But I suggest you take yourself to a country without public health provision before you declare it’s failed.

You’d be back in a hurry.

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