No. If anything people bash it much more than is reasonable.
The money is there in many cases though the actual staff aren't available. Why? Because people abuse our nurses, demand more and more from the service and misuse it.
I have worked in the NHS for decades - at one point my average "did not attend" rate was 25 HOURS a month. TWENTY FIVE HOURS of non-attendance. I worked in outpatients so I couldn't just randomly book someone else into those slots. We have wait lists going into years and yet people don't respect or appreciate what is being offered. It is terribly demoralising and I often think "why are you wasting our time?"
There is also a huge issue with bureaucratic BS which doesn't help. We have to document EVERY TINY THING to the point that we spend upward of 60% of our working days on documenting things, in case someone complains.
Then there are so many issues with the way things are joined up. I had a medical complication not long back and went to A&E. I was told I needed to see a specialist and I had to go back to my GP to get a referral to that specialist. A specialist that was literally OVER THE CORRIDOR! I asked why they couldn't just send the referral over themselves but got told that it has to go through the GP because of commissioning. So it was a few weeks for a GP appointment just to ask them to refer on. Then multiple weeks before I got a specialist appointment.
I used to love the job when we could assess and treat complex conditions. It sound be seamless. If I have a problem with a patient I should be able to call another department and say "hey could you pop down at some point and review this case please?" and it just happens. Instead we have to do a formal referral, that gets triaged, then it gets put on a list blah blah blah. It is a never ending shitshow. Back in the "good ol days" we could have a ten minute chat with a colleague from another area and have no hassle. Its now a nightmare because of funding issues.
I always bang on about this but we need a few things here:
- People need to take MUCH more responsibility for their health. I recently got told I was overweight. I know that can lead to diabetes, heart disease etc. What did I do? Lost 8kg by dieting and exercising (and NOT lying to myself about what I am eating).
- Realise all the additional extras chip away at what is offered. Carers assessments? More money directed from clinical care. Equality officers. Same. Satisfaction questionnaires? Ditto. Patient outreach groups. Argh.
- If people DNA appointments there should be a charge. I don't buy that people can't let us know in advance for a huge majority of situations. They are lazy and it isn't okay.
- We need to get away from treatment to prevention. This means taking ownership and active steps to avoid getting ill. For example, I have a friend who works in psychiatry. People arrive having a poor diet, poor sleep hygiene, using alcohol to excess, sitting indoors and not socialising... these should be addressed before they even hit my colleagues office!
There is also a tendency (and it is a BIG issue) of people demanding to get diagnosis when it will not have any benefit for them and/or help for conditions that simply aren't all that severe. I've often had patients say they want an assessment because they are "curious" about whether they have a condition. CURIOUS! No. If you want to get assessed to satiate your curiosity you can pay for it, privately. At £1000 a pop.
I get very passionate about this. The NHS is misused and abused to a massive degree. It was NOT set up as a catch all for every social and health-care ill. Originally it was for actual health issues - now it is a monolith that is expected to take responsibility for everyone's (often poor) life choices.