Its A&E But not as we know it - You can't turn up if your having an emergency!

[Judy in the sky]

In some ways I agree with you, but there are so many cases where people could deal with simple things themselves, so a form of Triage on the phone may cut down on the more important hospital time.

My younger brother was triaged over the phone a few weeks ago by the 111 service. He'd been suffering what he called "bad indigestion" for a week. Turns out he was having a heart attack. He'd phoned my dad earlier in the week who recommended Gaviscon. Had he phoned me with the symptoms, I'd have directed him to A&E immediately.
As it turns out, within an hour arriving at A&E, he was in the Cardiac Catheter Suite having two stents put in. Spent the weekend on the cardiac unit and was back home on the Monday evening.
Anyway, back to the topic, I have heard nothing of this master plan by Hunt to stop walk in patients, attending A&E. (there again, I don't read the Guardian) The man's a fool, if he thinks it would ease things in A&E by much.

 

[Notch7]

They spend more than the UK on healthcare. Any suggestions on how to pay for it?

Compulsary insurance is how the German system is funded. About 10% opt to pay private health insurance. Its one of the most expensive healthcare systems.

German hospitals are a mixture of private for profit, private not for profit and public.

About a third of the some 2000 acute hospitals are for profit. Apparently one of the advantages of this model is that investors anticipate a market yield so there is a high pressure in management to perform well is high.

Out patient care is mostly by self employed doctors, dentists etc.

 

[big-all]

you can see what will happen
people will phone for an ambulance causing more problems
the man is lacking in basic common sense
maybe he thinks by playing the fool he can give boris a run for his money aiming for the top job when may goes in the near future

 

[noseall]

Compulsary insurance is how the German system is funded.

Yep, they call it National Insurance in the UK.

 

[Doggit]

Except it stopped being National Insurance a long time ago, and just became tax under another description. Apparently, they're too afraid to lump the two together, as you'd then see how much tax we are actually paying.

 

[Notch7]

Yep, they call it National Insurance in the UK.

Not the same thing at all.

 

[noseall]

Not the same thing at all.

How do they differ?

 

[transam]

They should get B&poo to pay towards A&E costs after all look what they are responsible for (?) promoting diy to wannabe diyer's who have not got a scooby doo about any thing practicable

cut there fingers off , poke there eyes out, shoot them selves with nail guns, dust in there eyes, hit them selves with a hammer etc etc all requires a visit to A&E.

yep some of these wannabe diyers to be honest u have never seen such a bunch of hopeless , useless individuals.

Some of em turn up at A&E on a regular basis , the nurses see em coming in

Oh no its him again they say.

 

[Notch7]

How do they differ?

If you dont you shouldnt be saying they are thr same

 

[SirGalahad]

Apparently one of the advantages of this model is that investors anticipate a market yield so there is a high pressure in management to perform well is high.

somehow thats not worked for the US system.

 

[JohnD]

Perhaps we should look at the German and French health care models and see if a shift to their funding arrangements would be better.

You mean spending more money.

Yes, that could help.

We'd have to get rid of Jeremy C Hunt, though, as it runs counter to his strategy.

 

[noseall]

If you dont you shouldnt be saying they are thr same

Eh?

 

[JohnD]

I heard this rumour today. I wonder if there is any truth in it?

I'm pretty sure I heard something of the kind mentioned once or twice before.

"Almost 10,000 EU health workers have quit NHS since Brexit vote
Staff losses will intensify recruitment problems at health service, which now has 40,000 vacant nursing posts"
Thursday 21 September 2017 18.16 BST
https://www.theguardian.com/society...h-workers-have-quit-the-nhs-since-brexit-vote

 

[Notch7]

Eh?

Oops!

 

[Notch7]

You mean spending more money.

Yes, that could help.

We'd have to get rid of Jeremy C Hunt, though, as it runs counter to his strategy.

The German health system isnt based on the government spending more money, it isnt funded central government coffers.

The government health insurance premium is paid directly from wages. About 15% of salary (I think).