The NHS (National Health Service) Thread

[Buce]

1 hour ago, Izzy Muzzett said:

I blame it on the morphine and anaesthetic still in my system 

 

But I do wonder if this latest episode has slowed me right down and made me a bit more aware and hopefully more tolerant and understanding towards others and society in general.

 

I’m a big believer in ‘everything happens for a reason’ and that more learning, knowledge and personal growth are hopefully an outcome of all this for me  

 

One of the fundamentals of my philosophy of life is to treat every experience - good or bad - as an opportunity to learn something.

[Izzy]

I'm feeling reflective so thought I'd give a brief summary of my experience of the NHS following my week in hospital if anyone's bothered...

 

I stayed at the John Radcliffe Hospital in Oxford. I've no idea it's ranking or how typical it is of a 'normal' hospital in the UK, but here's what I saw as some positives and maybe some concerns from my viewpoint as a patient...

 

Positives

• The 'checking in' process. I could/should have phoned an ambulance from home but didn't because I think you should only use an ambulance for an emergency. I phoned my stoma/pouch nurse at JRH and she told my wife to phone my GP who e-mailed the hospital immediately to say I was on my way. She drove me there in agony with the kids and took me to the Special Emergency Unit, so no need to go via A&E. I collapsed on an empty bed I saw and they gave me morphine immediately. 
• I'd taken an overnight bag having been through this before so was pretty prepared. Straight away I was taken to a ward with three other guys and put on various drips and drugs. I felt then that I was in good hands and safe.
• All the staff pre and post op were amazing. A rich, diverse mix of age, cultures and ethnicity. I was astounded at their knowledge and level of care - nothing was too much trouble for them. Being nosey and curious I asked them questions about themselves and their jobs and they knew the line and when not to cross it. Special shout out to all the porters/cleaners and support staff who go along quietly keeping the place ticking over - unsung heroes imo.
• The cleanliness of the place was very impressive and the food the others had smelt lovely (I was still nil by mouth). Goodness knows how much the NHS spend on patient food but the quality was far and away better than I think we deserved. A free tea and coffe machine on the go, personal TV, wifi, it felf like a bloody hotel!
• Listening to the nurses 'handover' process and the detail they go through was amazing. They do 12 hour shifts which must be a killer and remember this is on Xmas Eve, Xmas Day, Boxing Day etc. Yes they got more money but I never got the impression any of them were forced to do those hours against their will.
• The camaraderie I could hear in the staff room. They sounded like a team that trusted each other implicitly and had each others' backs. The world of business could learn some lessons on 'high performing teams' here and I'll write a blog for my clients about it one day.
• The decision to operate. My surgeon Kim (I think I called her Jill as I was spaced out ) will always be my angel. I've Googled her since, she's young, dutch, brilliant and gorgeous. She explained the risks and I signed the consent form. She operated on me at midday on Xmas Day for 3 hours and the anesthetists were all lovely old dears like my Mum. I was in good hands.
• Post op they didn't fvck about in getting me to shake a leg and not feel sorry for myself. There was a nurse called John who looked like a WWE wrestler - mid 40's, 18 stone, sleeves of tattoo's, massive beard. When he woke me up and said get yer ass out of bed and in the shower, I did as I was told (that sounds wrong ) They wouldn't let me home too early and I sensed they didn't need the bed space, but they were keen I got on my feet and moving around ASAP.
• Finally, the 'check out' process was smooth. Got the paperwork and was wheel chaired down to the 'transfer lounge' to be collected - felt like I was in an airport 
• There many more positives but my final one is a chat with a newly qualified nurse called Josh. He's 24, fit as a fiddle, half spanish/half english and one of those massive hole earrings which looked painful to me! I asked him what his career goals were with the NHS and he said he wanted to work in A&E "because it's fast paced and that's where the action is" 

Concerns?

• Not too many from a 'bigger picture' point of view. Funny how I heard staff on numerous occasions refer to how 'quiet' the hospital was in terms of patient numbers. Do we as the public suddenly decide it's not worth the hassle of being ill and going to hospital over Xmas but it's O.K. to at other times of year? Maybe just a coincidence...
• A couple of patients were clearly abusing the system and wanted a bed for the night. I overheard some phone conversations in the early hours where they were saying they'd been chucked out of YMCA/hostels/friends etc. so decided to feign illness just to get a bed, food and warmth. At the time I was angry but on reflection there's something clearly wrong with the housing system for some people.
• A few moans and groans from staff but they were more about being asked to do stuff outside their remit. I guess it's human nature some will only to the job they're paid to do while others will go the extra mile.
• The way some patients talked to staff was a disgrace. I was embarrassed at times and if I was fit I'd have challenged them and had a word. But they're in pain and probably don't realise the impact of their words. As patients we can help the system run smoothly by acting with respect and decency too.
• Finally, I didn't want to get political and can't say I saw much evidence of budget cuts or the 'NHS at crisis point' but I might have been lucky with the particular hospital/ward/time of year. When staff were quiet, I noticed them reading books on NHS leadership programes or doing on-line learning modules at 4am in the morning.

So that's it. Sorry to bore the pants off you but I feel better for writing it down 

 

Hats off to our wonderful NHS and all those that sail in her. I believe it's their 70th birthday next year and I'll definitely be joining in the celebrations. We're extremely fortunate to have them in the country......imo 

 

Izzy

Edited 30 December 2017 by Izzy Muzzett

[pleatout]

3 hours ago, Izzy Muzzett said:

Not too many from a 'bigger picture' point of view. Funny how I heard staff on numerous occasions refer to how 'quiet' the hospital was in terms of patient numbers. Do we as the public suddenly decide it's not worth the hassle of being and ill and going to hospital over Xmas but it's O.K. to at other times of year? Maybe just a coincidence...

 

 

Yup, you'd be amazed at the utter stupidity of folk. 

I've worked with the good folk at GP Out of Hours service for a number of years.

 

If you need to ring a doctor at 4 in the morning, do it! There's one sitting twiddling his/her thumbs.  Dont wait until 7am because thats when everyone rings.

Boxing Day is the busiest day of the year.  The numbers of heart attacks that ring in - felt like it yesterday but didnt want to bother anyone!

They used to have a tv on in the background so that they knew when eastenders/corrie/the big match finished because the phones would light up.

 

Nip down to your GPs waiting room.  If it's cold and wet they'll queue out of the door.  Bright and sunny, well they've got better things to do.

 

 

[Guest]

5 hours ago, Izzy Muzzett said:

I'm feeling reflective so thought I'd give a brief summary of my experience of the NHS following my week in hospital if anyone's bothered...

 

I stayed at the John Radcliffe Hospital in Oxford. I've no idea it's ranking or how typical it is of a 'normal' hospital in the UK, but here's what I saw as some positives and maybe some concerns from my viewpoint as a patient...

 

Positives

• The 'checking in' process. I could/should have phoned an ambulance from home but didn't because I think you should only use an ambulance for an emergency. I phoned my stoma/pouch nurse at JRH and she told my wife to phone my GP who e-mailed the hospital immediately to say I was on my way. She drove me there in agony with the kids and took me to the Special Emergency Unit, so no need to go via A&E. I collapsed on an empty bed I saw and they gave me morphine immediately. 
• I'd taken an overnight bag having been through this before so was pretty prepared. Straight away I was taken to a ward with three other guys and put on various drips and drugs. I felt then that I was in good hands and safe.
• All the staff pre and post op were amazing. A rich, diverse mix of age, cultures and ethnicity. I was astounded at their knowledge and level of care - nothing was too much trouble for them. Being nosey and curious I asked them questions about themselves and their jobs and they knew the line and when not to cross it. Special shout out to all the porters/cleaners and support staff who go along quietly keeping the place ticking over - unsung heroes imo.
• The cleanliness of the place was very impressive and the food the others had smelt lovely (I was still nil by mouth). Goodness knows how much the NHS spend on patient food but the quality was far and away better than I think we deserved. A free tea and coffe machine on the go, personal TV, wifi, it felf like a bloody hotel!
• Listening to the nurses 'handover' process and the detail they go through was amazing. They do 12 hour shifts which must be a killer and remember this is on Xmas Eve, Xmas Day, Boxing Day etc. Yes they got more money but I never got the impression any of them were forced to do those hours against their will.
• The camaraderie I could hear in the staff room. They sounded like a team that trusted each other implicitly and had each others' backs. The world of business could learn some lessons on 'high performing teams' here and I'll write a blog for my clients about it one day.
• The decision to operate. My surgeon Kim (I think I called her Jill as I was spaced out ) will always be my angel. I've Googled her since, she's young, dutch, brilliant and gorgeous. She explained the risks and I signed the consent form. She operated on me at midday on Xmas Day for 3 hours and the anesthetists were all lovely old dears like my Mum. I was in good hands.
• Post op they didn't fvck about in getting me to shake a leg and not feel sorry for myself. There was a nurse called John who looked like a WWE wrestler - mid 40's, 18 stone, sleeves of tattoo's, massive beard. When he woke me up and said get yer ass out of bed and in the shower, I did as I was told (that sounds wrong ) They wouldn't let me home too early and I sensed they didn't need the bed space, but they were keen I got on my feet and moving around ASAP.
• Finally, the 'check out' process was smooth. Got the paperwork and was wheel chaired down to the 'transfer lounge' to be collected - felt like I was in an airport 
• There many more positives but my final one is a chat with a newly qualified nurse called Josh. He's 24, fit as a fiddle, half spanish/half english and one of those massive hole earrings which looked painful to me! I asked him what his career goals were with the NHS and he said he wanted to work in A&E "because it's fast paced and that's where the action is" 

Concerns?

• Not too many from a 'bigger picture' point of view. Funny how I heard staff on numerous occasions refer to how 'quiet' the hospital was in terms of patient numbers. Do we as the public suddenly decide it's not worth the hassle of being ill and going to hospital over Xmas but it's O.K. to at other times of year? Maybe just a coincidence...
• A couple of patients were clearly abusing the system and wanted a bed for the night. I overheard some phone conversations in the early hours where they were saying they'd been chucked out of YMCA/hostels/friends etc. so decided to feign illness just to get a bed, food and warmth. At the time I was angry but on reflection there's something clearly wrong with the housing system for some people.
• A few moans and groans from staff but they were more about being asked to do stuff outside their remit. I guess it's human nature some will only to the job they're paid to do while others will go the extra mile.
• The way some patients talked to staff was a disgrace. I was embarrassed at times and if I was fit I'd have challenged them and had a word. But they're in pain and probably don't realise the impact of their words. As patients we can help the system run smoothly by acting with respect and decency too.
• Finally, I didn't want to get political and can't say I saw much evidence of budget cuts or the 'NHS at crisis point' but I might have been lucky with the particular hospital/ward/time of year. When staff were quiet, I noticed them reading books on NHS leadership programes or doing on-line learning modules at 4am in the morning.

So that's it. Sorry to bore the pants off you but I feel better for writing it down 

 

Hats off to our wonderful NHS and all those that sail in her. I believe it's their 70th birthday next year and I'll definitely be joining in the celebrations. We're extremely fortunate to have them in the country......imo 

 

Izzy

Glad it all went well izzy.

 

I don't want to get too political here - there's another thread for that after all - but the little bit I've highlighted I think is important. You seem to have taken a step towards enlightenment. Daily Mail readers would be frothing at the mouth about the abuse of the system but you seem to have had the time to actually think more seriously and understand the underlying issues.

I only wish there was a way to make everybody think more deeply and care about those worse off than themselves.

 

[Guest]

Lack of specialist surgeons ‘putting patients at risk’

The NHS is suffering a severe shortage of interventional radiologists, say senior doctors

 

Interventional radiologists use state-of-the-art imaging devices to pinpoint where in the body medical problems have occurred.Photograph: Anne-Christine Poujoulat/AFP/Getty Images

Denis Campbell

Published:00:04 GMT+00:00 Sun 31 December 2017

 Follow Denis Campbell

 

Patients are dying because of an acute shortage of specialist doctors to perform life-saving surgery on women after childbirth, victims of car crashes and other emergency cases.

An NHS-wide lack of interventional radiologists means that some patients are having to undergo major, life-changing operations – ending up disabled after a stroke or losing a limb as a result of diabetes – simply because they cannot get the minimally invasive help they need, senior doctors have revealed.

They have spoken out to highlight the human cost of the health service’s shortage of specialist radiologists after the government admitted that one in four hospitals cannot provide such care to patients every day of the week because they cannot recruit enough of them.

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Interventional radiologists are doctors who are also known as “image-guided surgeons” and use state-of-the-art imaging devices to pinpoint where in the body medical problems have occurred. They then perform minimally invasive surgery to stop acute bleeding, remove life-threatening blockages such as blood clots and also treat cancers and the potentially fatal infection sepsis. Advances in medicine mean they now perform almost one million procedures a year, NHS figures show.

“There is no doubt that around the country people are dying or coming to serious harm due to the lack of interventional radiology provision in their area, although we can’t explicitly quantify how many people die or suffer because they do not get seen by an interventional radiologist,” Dr Nicola Strickland, president of the Royal College of Radiologists (RCR), told the Observer.

“We know of cases where patients suffering severe bleeding from their kidneys and post-operative bleeding have died because they were unable to reach an interventional radiologist in time.” One patient had an obstruction in their bile duct and had it drained but then developed an aneurysm, a life-threatening weakness in the wall of an artery. But the hospital could not get hold of an interventional radiologist in time and the patient died, said Strickland.

The shortage – a dramatic illustration of the NHS’s staffing crisis – means that some women who suffer a haemorrhage as a result of giving birth are having to undergo a hysterectomy to stop them bleeding to death. “It’s tragic for a young woman who wants more children to lose her womb unnecessarily due to lack of interventional radiology,” said Strickland.

In other cases, patients end up needing to have a colostomy bag fitted after having part of their colon removed, again because the NHS could not provide specialist help. And in others the shortage means that people who have had a stroke end up permanently disabled. “It’s outrageously unfair that if you have had the misfortune to have a thrombotic stroke in a part of the country where there are no neuro-specialist interventional radiologists, or no out-of-hours stroke thrombectomy services, you could end up in a wheelchair with half your body paralysed and possibly not being able to speak,” added Strickland.

“This postcode lottery, where the NHS is unable to offer the 24/7 care by these IR specialists that everyone agrees is crucial to ensure good patient care, means that some patients come to avoidable harm because their urgent health needs are not addressed. This really serious shortage of these specialists across the NHS is having a damagingly negative effect on patient care.”

Her intervention follows health minister Philip Dunne’s recent disclosure, in a parliamentary written answer, that 39 out of 148 hospital trusts in England – 26% – are so short of interventional radiologists that they cannot offer the service to patients across all seven days of the week.

Hospitals have about 44% fewer interventional radiologists than they need. Five years after a government-commissioned review said the NHS in England needed about 735 of the specialists to provide a 24/7 on-call service everywhere, there are just 414 of them, according to RCR figures.

In a recent case, a cyclist who had severe bleeding in his thigh after being hit by a car avoided having to have a leg amputated because an interventional radiologist was able to perform a procedure called coil embolisation.

Dr Trevor Cleveland, an interventional radiologist at the Sheffield Vascular Institute and president of the British Society of Interventional Radiology, said the shortage means that some patients end up being transferred as a medical emergency to another hospital, sometimes as far as 100 miles away, so they can receive specialist help.

However, “inter-hospital transfer of seriously ill patients can be risky and complex”, and many NHS trusts do not have any arrangements in place to ensure a patient who needs interventional radiology is moved quickly to another hospital, he said.

The Department of Health declined to comment on the claims of patients dying and suffering avoidable harm, and insisted that hospitals were obliged to ensure that all units were safely staffed.

A spokesperson said: “There are 29% more clinical radiologists than in 2010, and Health Education England is running an additional 35 clinical radiology training programmes each year from 2017 to 2021.

“We expect trust boards to take responsibility for safe staffing in their hospitals, and support doctors to decide the best course of action for their patients.”

[Wymsey]

Cost of prescriptions is set to rise to £8.80 in April - labelled as 'catastrophic' by the Prescription Charges Coalition.

https://www.mirror.co.uk/money/cost-prescription-rising-april-12091119

[Izzy]

2 minutes ago, Wymeswold fox said:

Cost of prescriptions is set to rise to £8.80 in April - labelled as 'catastrophic' by the Prescription Charges Coalition.

https://www.mirror.co.uk/money/cost-prescription-rising-april-12091119

Crikey, prescriptions are getting very expensive now.

 

I order 4 different meds a month on repeat prescription and have a 'pre payment certificate' that costs me around £11 a month.

 

It saves me about £300 a year and I'd recommend it to anyone who has more than one repeat prescription.

[Rogstanley]

Little girl turned away by her GP for being a few minutes late for an appointment dies later that evening of preventable causes.

 

http://www.bbc.co.uk/news/uk-wales-north-west-wales-43196732

 

The GP has apologised. Will the government follow suit?

[Wymsey]

Pay rises are agreed.

http://www.bbc.co.uk/news/health-43481341

[Guest]

17 minutes ago, Wymeswold fox said:

Pay rises are agreed.

http://www.bbc.co.uk/news/health-43481341

Still have to be voted on by the union memberships. Apparently the unions aren't really sure how people will vote. I'm not in a union so can only give a view as an NHS worker.

 

To me the government's actually in a position of weakness over this issue now. They're not looking good over nurses getting poorer and that know it can't continue. I only raise this as I don't feel that the third year 1% is fair given inflation. Why not 3%, 2%, 2%?

 

Whether I'd vote against is another matter. Just seeing a number bigger than 1 for a change might make me just accept it. If you reject it you're starting down the path towards strikes. I don't know how much willingness to strike there is. The nurses striking would be a political nightmare for the government as the nurses never strike.

[Buce]

4 minutes ago, toddybad said:

Still have to be voted on by the union memberships. Apparently the unions aren't really sure how people will vote. I'm not in a union so can only give a view as an NHS worker.

 

To me the government's actually in a position of weakness over this issue now. They're not looking good over nurses getting poorer and that know it can't continue. I only raise this as I don't feel that the third year 1% is fair given inflation. Why not 3%, 2%, 2%?

 

Whether I'd vote against is another matter. Just seeing a number bigger than 1 for a change might make me just accept it. If you reject it you're starting down the path towards strikes. I don't know how much willingness to strike there is. The nurses striking would be a political nightmare for the government as the nurses never strike.

4

 

But you're happy to accept a settlement that they negotiate?

 

Do you not see the hypocrisy in that?

[Guest]

Just now, Buce said:

 

But you're happy to accept a settlement that they negotiate?

 

Do you not see the hypocrisy in that?

I can't afford the membership mate. It may only be about £15 a month but that's £15 I can put to better use. You may recall I've talked about my money problems previously.

[NorthfieldsFox]

1 hour ago, Wymeswold fox said:

Pay rises are agreed.

http://www.bbc.co.uk/news/health-43481341

Still leaves most staff with a massive pay cut over the last 10 years , nurses are leaving in droves , student numbers are falling (don’t believe the manipulated figures) , Doctors many want to be locums and sickness rates are still sky high and virtually out of control 

[Crinklyfox]

I'm another person grateful to the NHS.

 

A week ago I got a call from my adult son's employer, he wasn't well, couldn't drive, could I pick him up.  He's almost never ill, hasn't been to see a GP since 2006 and hasn't had a day off work since then so I was worried.  I found him with a bandaged hand and a high temperature.  As it was the weekend I went straight to A&E, they saw him in under an hour, inspected his swollen fingers and hand and gave him some intravenous antibiotics, telling me to bring him back the next day.  When I saw him the next day his temperature was just below 40 and his fingers looked more like peeled sausages - straight back to A&E, more antibiotics and then transfer to another hospital with a specialist unit where they put him in isolation and kept pumping in the antibiotics (which didn't seem to be doing a lot).  By this time I was really worried.  Over the next few days they stabilised and maintained him and ran a load of tests until they found the cause of the infection then smashed it with the appropriate drugs.  He recovered quickly after that although his hand looks bad because of all the scabbing where the skin was lost.  They've just discharged him, he has to see his GP and he'll be off work for a couple of weeks but we've got him back.  So thank you NHS, you were brilliant.

[Parafox]

2 hours ago, Crinklyfox said:

I'm another person grateful to the NHS.

 

A week ago I got a call from my adult son's employer, he wasn't well, couldn't drive, could I pick him up.  He's almost never ill, hasn't been to see a GP since 2006 and hasn't had a day off work since then so I was worried.  I found him with a bandaged hand and a high temperature.  As it was the weekend I went straight to A&E, they saw him in under an hour, inspected his swollen fingers and hand and gave him some intravenous antibiotics, telling me to bring him back the next day.  When I saw him the next day his temperature was just below 40 and his fingers looked more like peeled sausages - straight back to A&E, more antibiotics and then transfer to another hospital with a specialist unit where they put him in isolation and kept pumping in the antibiotics (which didn't seem to be doing a lot).  By this time I was really worried.  Over the next few days they stabilised and maintained him and ran a load of tests until they found the cause of the infection then smashed it with the appropriate drugs.  He recovered quickly after that although his hand looks bad because of all the scabbing where the skin was lost.  They've just discharged him, he has to see his GP and he'll be off work for a couple of weeks but we've got him back.  So thank you NHS, you were brilliant.

It sounds like he had sepsis. If you don't mind me asking, what was the cause of the infection?

Edited 17 June 2018 by Parafox

[Crinklyfox]

53 minutes ago, Parafox said:

It sounds like he had sepsis. If you don't mind me asking, what was the cause of the infection?

 

It was a strain of stafilococus aurius (not MRSA).  We never did find the cause but he works in a Nursing Home so that is a possible origin.  I advised the manager as soon as I found out.

[DANGEROUS TIGER]

Looks like income tax is going up to help cover the billions of extra pounds ploughed into the NHS.I, for one do not mind this, and will fully support it.

 

I have been hospitalized eight times since 2005, and have no complaints about any of my stays there. The care from such dedicated staff has been outstanding, including the after care. The food has also been extremely good.

 

Thanks to all you wonderful NHS staff, you do such difficult jobs well.

 

 

[Dr The Singh]

Don't mind putting into the NHS through me paying more taxes, but aslong as the NHS also continue to try to be more efficient and less wasteful.  Otherwise more money in, will be more money wasted

[Guest]

2 hours ago, DANGEROUS TIGER said:

Looks like income tax is going up to help cover the billions of extra pounds ploughed into the NHS.I, for one do not mind this, and will fully support it.

 

I have been hospitalized eight times since 2005, and have no complaints about any of my stays there. The care from such dedicated staff has been outstanding, including the after care. The food has also been extremely good.

 

Thanks to all you wonderful NHS staff, you do such difficult jobs well.

 

 

Not enough money though.£5b a year is required to stand still given the increase in need. The Tories are said to be about to go back on the Lansley reforms but I can tell you they're halfway back already as CCGs are (unofficially) merging already.

 

1 hour ago, Dr The Singh said:

Don't mind putting into the NHS through me paying more taxes, but aslong as the NHS also continue to try to be more efficient and less wasteful.  Otherwise more money in, will be more money wasted

This is right wing rubbish without blaming the right wing party. Any inefficiencies are due to the creation of hundreds of CCGs under this government.  They're all merging to save money anyway. More money is needed to pay the staff properly and to deal with the huge increases in need. Remember that this money is less than is needed to deal with service need growth alone, let alone do anything like build or upgrade hospitals. They're needs to be a real conversation about spending without bs really about waste from a system that's found saving after saving where even the auditors (behind closed doors) say that further savings are affecting services.

[Dr The Singh]

1 hour ago, toddybad said:

Not enough money though.£5b a year is required to stand still given the increase in need. The Tories are said to be about to go back on the Lansley reforms but I can tell you they're halfway back already as CCGs are (unofficially) merging already.

 

This is right wing rubbish without blaming the right wing party. Any inefficiencies are due to the creation of hundreds of CCGs under this government.  They're all merging to save money anyway. More money is needed to pay the staff properly and to deal with the huge increases in need. Remember that this money is less than is needed to deal with service need growth alone, let alone do anything like build or upgrade hospitals. They're needs to be a real conversation about spending without bs really about waste from a system that's found saving after saving where even the auditors (behind closed doors) say that further savings are affecting services.

Umm, I have 6 members of my family that work for the NHS, and they all say the NHS is poorly managed and inefficient.  I also have worked at the NHS many moons ago, and from what I hear nothing much has changed. 

 

My wife was part of the £25 million mental health project for the NHS, and worked with one of the most experienced Clinical Directors on the project, and boy can she tell some facts about the mismanagement, lack of skills and clear damn stupidity at all levels of the NHS.

 

I say you talk bull crap mate, 

[Guest Foxin_mad]

11 hours ago, toddybad said:

Not enough money though.£5b a year is required to stand still given the increase in need. The Tories are said to be about to go back on the Lansley reforms but I can tell you they're halfway back already as CCGs are (unofficially) merging already.

 

This is right wing rubbish without blaming the right wing party. Any inefficiencies are due to the creation of hundreds of CCGs under this government.  They're all merging to save money anyway. More money is needed to pay the staff properly and to deal with the huge increases in need. Remember that this money is less than is needed to deal with service need growth alone, let alone do anything like build or upgrade hospitals. They're needs to be a real conversation about spending without bs really about waste from a system that's found saving after saving where even the auditors (behind closed doors) say that further savings are affecting services.

There are still inefficiencies. Its left wing bullshit and you have your head in the clouds if you believe otherwise.

 

Procurement is a huge problem, management structure is a hug problem, some of the external contracts should be reviewed.

 

The problems with the NHS are not related to one party.

 

 

Edited 19 June 2018 by Foxin_mad

[Kopfkino]

https://www.bbc.co.uk/news/health-46777387

 

It's been given a 'plan'. Some of it looks alright but ultimately without reform it's all just a waste of time

[Kopfkino]

Wait both Toddy and foxin had their accounts deleted, were they the same person?

[Buce]

30 minutes ago, Kopfkino said:

Wait both Toddy and foxin had their accounts deleted, were they the same person?

 

Intriguing. 

 

Were they both Moose, I wonder?

[Izzy]

1 hour ago, Buce said:

 

Intriguing. 

 

Were they both Moose, I wonder?

I don't reckon Toddy was Moose - not sure about Foxin.

 

I always thought Rogstanley was more Moose material myself