NHS - safe in Labours hands?

Posted by: Steve G on 07 June 2005

After two full terms in office and throwing loads of cash at the issue I think Labours blaming all the woes of the health service on the tories is wearing a bit thin. Fortunately (and fingers crossed) I and my family haven't had a great deal of cause to use the NHS however recent experiences haven't looked very encouraging.

My wife is a science teacher and yesterday at school she got a small piece of glass from a microscope slide lodged in her thumb. The school told her that as it was glass she'd have to go to the casualty department at hospital to ensure it was all removed ok. So after school at 3pm or so she headed off to hospital to get it looked at. On arriving there the casualty department was posting an average 4 hour wait time and that turned out to be approximately how long she had to wait for 5 minutes with a doctor.

4 hours average wait at casualty on an average day (from what I've heard 4 hours is about the best that can be exected at that particular hospital) - is that normal elsewhere?

After the doctor had seen her she was told to go home, not to eat anything after midnight and to return to the hospital (not casualty this time) at 8am this morning for the glass to be removed. Well it's 11am now and she's sitting in the ward, taking up a bed (for a bit of glass in her thumb!) and they can't tell her when she'll be seen - or even if she'll be seen today (someone mentioned 11pm tonight as a maybe!). Is that a sign of inefficiency, overwork, underfunding, incompetence or that they really couldn't give a shit?

Where on earth is all this extra funding going because from this limited exerience it's not to front line services? We used this same hospital 13 years ago and 9 years ago when my kids were born and it seemed better run and in better condition then than it does now. At that time there were other hospitals with A&E departments servicing our area but now, as part of the labour led Scottish Executives restructing plans, it's the only one.
Posted on: 17 June 2005 by Steve G
Matthew - experiences like your own are a good example of why employers such as myself pay for private medical insurance. Rather than have a valuable employee either off work or working in a limited capacity for many months while waiting on NHS treatment we can have their problems dealt with and them back working effectively much, much sooner.
Posted on: 17 June 2005 by domfjbrown
News just in: my dad (who's got terminal bone cancer) saw the doc on Tuesday for his checkup, and had an anti-cancer implant on Thursday. I went home on Wednesday night for a family meal, and he looked so ill it was horrific - and I really thought the cancer had overtaken him.

It turns out he's got MRSA. Quite HOW when he was at a GP's, and the last time he was in hospital was months ago, is beyond me, but it just goes to show that seeing the doc is bad for your health.

And we PAY MONEY for this. I just hope he pulls through the MRSA itself, as he needs that like a hole in the head Frown
Posted on: 18 June 2005 by Berlin Fritz
quote:
Originally posted by Tim Jones:
quote:
Originally posted by Berlin Fritz:
Steve, It would have been interesting to hear what spin had been put on the same story if it'd happened in London last week, and not conveniently in Scotland, innit ?

Fritz Von Bangin agains't brick walls as per usual Cool


'Conveniently'? Huh? This is the end of the slippery slope you're on with this 'spin' mentality Fritz. The world isn't the way you want it to be in order to justify your unsupportable opinions, so you prefer to imagine the alternative. Try banging your head harder.

I'm sorry that there isn't a London A&E horror story for you this week. I'm sure one will be along sooner or later, but perhaps (just perhaps) the A&E service might actually be getting better. Are you prepared to consider that possibility?

Tim


All Bloody Lies I reckon ? Cool
Posted on: 19 June 2005 by charliestumpy
I would like there to be a Socialist government here in UK who would nationalize everything again but privatize Parliament.
Posted on: 19 June 2005 by Mick P
Chaps

I think that you really need to get a reality check on the NHS. The current image that it is run by dedicated staff who care for patients may have applied many years ago but not now.

The medical profession is big money from drug companies through to the Doctors surgeries.

The NHS is one of the major employers in the UK and is recruiting very fast. I have two friends who have landed well paid jobs in the Purchasing section and are looking forward to a long and prosperous career managing a total mess that will probably still be a total mess in 10 years. There are 192 trusts, each one acting like a tin god without any care for the others. Each trust aims to meet its own targets, even if that screws up other trust, so we have interdepartment warfare with patients as the victims.

The Doctors and GP's are in it purely for the money and if you think this is cynical, you try to see one on the NHS and then try booking a private appointment. I am bloody glad I have private insurance because I jump the queue by several months. Not very moral, but with doctors acting like businesmen, what is the choice.

The reality is that the NHS is no different than any other corporation, I am not passing judgement, just stating a fact.

I have just bought a house in Spain and one of the reasons being that I can pop over there, if needs be, and be assured of decent medical treatment.

Regards

Mick
Posted on: 19 June 2005 by Berlin Fritz
Now where have I seen those great wise words before ?



Fritz Von Maybe you should get Doctored yesen Sen'or ? Big Grin
Posted on: 19 June 2005 by Berlin Fritz
Brilliant Logistics innit: I wonder how many Trust Managers etc have such problems ?


Fritz Von Prescott Where are you `? Cool
Posted on: 19 June 2005 by Bruce Woodhouse
quote:
The Doctors and GP's are in it purely for the money and if you think this is cynical, you try to see one on the NHS and then try booking a private appointment.



Yeah, just try it. Should get a pretty funny look from your GP.

Bruce
Posted on: 20 June 2005 by Mick P
Bruce

The first question a GP will ask is " can you go private" when you need to be referred to a consultant.

They are businesmen

Regards

Mick

PS Actually seeing a GP is rather diifficult now a days. You can only make an appointment for the same day and by 9.00am all slots are taken.

Something to do with targets.
Posted on: 20 June 2005 by Berlin Fritz
Especially Spanish ones, in my experience they want to see the colour of your dosh (I speak from bitter experience, insurance or not). Actually doing it yourself is very different from what the lads down the lodge tell yers, I reckon ? but I'm only guessin:

Fritz Von Take lots of yer own Gin (Quinnine) Big Grin
Posted on: 20 June 2005 by Bruce Woodhouse
Mick,

I get no financial benefit from referring you as a private as opposed to an NHS patient. I am a businessman (indeed far more than you may realise unless you know more about Primary Care funding than your posts suggest) but I gain/lose nothing based on where you get referred, contrary to your suggestion.

More importantly, for the vast slug of care that takes place in Primary Care you do not get anything by waving your chequebook. I like this, it means I can suggest or decline treatment based on what I think is worthwhile without affecting my income; and crucially you should know that (and may even respect it!)

Don't get me started on targets though. Grrr.

Bruce
Posted on: 20 June 2005 by Berlin Fritz
Quite right Our Bruce, My memory is excellent strangely enough, so we don't want to waste time being 'Provoked' all over again about the same subject do we ?, besides getting going on targets by Our Mick will only rile Our Nigel into his bleedin Strongbow antics once more, innit.

Fritz Von E111's, UB 40's, 1033's, give me a DB6 anyday: Big Grin
Posted on: 20 June 2005 by Steve Toy
I like this idea of taxing private healthcare.

It's like being charged for a pint of lager in a pub you walk past and don't enter because it's a bit of a dive, only to be charged again for the pint you actually drink in the next pub.

If you go private you are still paying for the NHS even if you don't use it, so why should you be charged more for something you are not using.

The next time somebody walks past the taxi rank I'm going to charge them double flag fare (£1.85 x 2) for going onto the bus station 100 yards beyond rather than getting in my taxi. Big Grin
Posted on: 21 June 2005 by Bruce Woodhouse
The private sector feeds off the NHS to a significant degree. It does not train doctors for instance, but gets them 'free' after years of NHS training. The current government policy of dropping wait times above all else also means the private sector is cherry picking 'easy' procedures and being paid NHS cash to do them.

So you could argue that some of your NHS 'taxpayers money' is going to the private sector now anyway.

Bruce
Posted on: 21 June 2005 by Rockingdoc
quote:
Originally posted by Mick Parry:
Chaps


The medical profession is big money from drug companies through to the Doctors surgeries.

The Doctors and GP's are in it purely for the money and if you think this is cynical, you try to see one on the NHS and then try booking a private appointment. I am bloody glad I have private insurance because I jump the queue by several months. Not very moral, but with doctors acting like businesmen, what is the choice.


Mick



Well you've done it now, I'm actually offended by some tit on a hi-fi forum.

Always a bit tricky to understand your posts due to your difficulties with the language, but I assume you are trying to say that pharmaceutical companies are in some way giving GPs money for prescribing their products?

This is a lie, and if you would care to be specific in your accusations, I would be happy to pursue it further.

GPs ARE doctors, and there is no apostrophe needed either.

I don't see how you are in any position to judge their motivation to work. I entered the NHS a long time ago and worked for years as a hospital porter and path-lab technician, before training in medicine. I have never seen a private patient or held any paid posts outside the NHS. I work in a deprived part of London, and am happy with my motives.

It is too easy for self-interested buffoons to attack the NHS and thereby the morale of its staff, who are in the main there for altruistic reasons.

Altruism may be a difficult concept for you, but does a life based on consumerism and aquisition (as your many posts over the years suggest) really make more sense now you have retired?

I assume you enjoy the role of Hi-Fi forum clown, here and on pink-fish, but please try to keep your illiterate submissions truthful.
Posted on: 21 June 2005 by Bruce Woodhouse
Rockdoc

Nice rant.

I personally see no conflict between being a in a caring profession, and being a small business. We are run efficiently in terms of spending NHS money (and well supervised to ensure this) but we also employ a lot of staff and get rewarded well ourselves.

I detest suggestions that GPs in particular are in the pockets of pharmaceutical companies.

I suspect very few out there understand how GPs are funded. This govt (and others) have been only too happy to give the vague impression that we are 'on the take' and somehow divert funds from patient care to our own wallets. The Tories started this misinformation with fundholding.

Bruce
Posted on: 21 June 2005 by Rockingdoc
I've had a lie down, and am feeling better now thanks. Smile
Posted on: 21 June 2005 by Bruce Woodhouse
Good.

We'll carry on with another appointment next week perhaps?
Posted on: 21 June 2005 by Berlin Fritz
I recall my ex GP (Here) who I was with for some 20 years, about 6 years ago telling me about how they all had to be more business-like accountable, online computer etc, tec, to follow every little item of day to day practice. Although he saw the logic in it (innit) he (as were meny other GPs here), cracking up with the extra beaurocratic bullshit (the gist of which is similar to UK I believe). He basically overnight had to run as a business, bring in extra staff (there's alot of vacancies for nurses/secretaries and few qualified or willing to take it on, low wages too) (Dentists, now that's different ballgame alltogether).

Dear old Mick bringing up the GP factor again, totally running the NHS funding theme off the road, just to get back on track like, innit.

Fritz Von Don't forget the limes our Mick & yer Scouse translation booklet for Spain Big Grin


Ps: That Doc went Private & Specialised in his field taking it all over the country rather than just one place, etc, I now go to a practice which is run by two women (one Chinese) and they deal with everybody (even me):
and it's very hectic, though by UK standards normal I would think, in fact probably less patients ?
Posted on: 21 June 2005 by Stephen Bennett
quote:
Originally posted by Bruce Woodhouse:
The private sector feeds off the NHS to a significant degree. It does not train doctors for instance, but gets them 'free' after years of NHS training.
Bruce


NHS trained staff shouldn't be allowed to work for private healthcare - or perhaps only after 20 years NHS service. The BBC had the same problem; they trained everyone in TV and radio and the 'private' sector promptly employed them on higher pay.

Alternativly, the private sector should be taxed - the monies generated could be used train more NHS staff.

Why should the private sector get all this expertise for free?

Regards

Stephen
Posted on: 21 June 2005 by Steve G
quote:
Originally posted by Stephen Bennett:
NHS trained staff shouldn't be allowed to work for private healthcare


What kind of fascist state are you hoping for?
Posted on: 21 June 2005 by Derek Wright
The private sector is taxed and the users of the private sector pay twice - once by paying UK tax and social security and then have to pay for the private treatment - there is an even stronger argument the the UK tax payer buying private treatment should get a refund from the NHS.

If there was the embargo on NHS trained staff from working in the private sector - this would include Care Homes, health charities eg Headway, Canine Partners, etc, the NHS would hit even harder - with yet more bed blocking and a greater demand for care.

You may well get an exodus of NHS trained staff from the UK who want to be able to exercise a bit of freedom or personal choice in their work pattern.
Posted on: 21 June 2005 by Rockingdoc
How about if they repay their training costs through any non-NHS but related income? A bit like student loans.
Posted on: 21 June 2005 by Berlin Fritz
What about highly trained & successful ex Post Office Management/Consultants (Who've been paid for & trained like the NHS through the Public purse), they may retire early, and then find lucrtaive Consultancy work (through past contacts & experience-like Senior Politicians I may add)and then have the Gall to slag off certain 'Professional' aspects of other parts of the Public Sector that they don't agree with, rather High Order Hypocricy I tally, is it not ?


Fritz Von Military for instance (We'll train/pay for your education (all levels) and you sign the dotted line (initially) for ex number of years (sounds pretty good to me). If you decided to break the contract or want to leave early (for non acceptable reasons) you have the privelege to pay us (the State) some of it back, innit. (Sounds fair enough to me, why not take it a bit further & actually impliment it on a wider scale). I know this idea is not entirely new, but actually implimenting it would be !!! Big Grin


P.S. AS many of you folk will know, certain ex employees (even some BBC) in certain sensitive areas (May not by Law) work in that field for say 5 years with other firms etc, that'
s also why one only gets a lovely number with the likes of the Patent Office for a short few years (the likes of me that is, talking from experience): Cool
Posted on: 21 June 2005 by Bruce Woodhouse
quote:
there is an even stronger argument the the UK tax payer buying private treatment should get a refund from the NHS


I understand the argument but I think it is flawed; it assumes that each item of 'care' is discrete and either NHS or private. It also assumes that you are 'either in or out'. The reality is that private/NHS care overlap. For instance you do not lose your rights to a GP because you have a private procedure, indeed we usually end up providing the aftercare and sorting the problems afterwards. You also get all the emergency care services, screening, health promotion activity etc etc for your money. More importantly your contribution to the NHS is to the whole of society in proportion to your ability to pay. Some of us will (hopefully) be left in 'debt' in the final equation, others in 'credit'.

You could say that having a procedure in the private sector 'saves' the NHS time that it can spend elsewhere, perhaps on your behalf. Another way to look at it is that the hospital fails to get the money from the PCT to fund the procedure, so it loses income. Your suggestion would also penalise the hospital further by reducing tax income too.


I think it comes down to personal philosophy. If we want an NHS then I think we should pay for it and accept that buying private care requires us to pay 'twice', knowing the NHS remains in the background for all the stuff the private sector does not want to provide (and to all the people unable to purchase cover).

Bruce