No need to get giddy.
Excess Deaths... Links required for any Covid references.
- Thread starter ellal
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They dont
Actually one of your lot was on the box explaining why training places are limited - doctors but in some ways the same applies to nurses. Both involve on the job training. In a nurses case that can be further education.
Indirectly this relates to something I posted a link to that in part related to numbers of available bed changes over time. It's gone too far. This is why there is current talk of yet more hospitals even from your lot This could offer more training places. This is rather indirect but factual. We don't seem to have a shortage of patients do we.
Some people especially if they live in London feel a nurses pay is disgustingly low however they get a weighting allowance in that case. It isn't a job that will suite all. Blare gave them a pay rise which helped. Pay was out of sync with other areas. Think about junior doctors threatening to strike. Attempts to get more out of them when they often work excessive hours. Pay rise clamps. Too much work to do. Well most GP's have had enough hence the recent changes in that area. Gov's knee jerk - work more hours again with little time for patients. We will be needing more if we want a better service. In some ways it's now a more attractive job. Is it in other medical areas?
B'ham did have 2 general training hospitals. It now has one but some of the older building are being resurrected rather than being knocked down to provide spaces for houses - selling the land is obviously an attractive option then build high some where else. There were some Victorian buildings still in use.
Surveys of equipment in hospitals found plenty of stuff that should have gone and a lack of stuff that should be there - oh Boris suddenly wants more scanners.
Blare - your comment elsewhere. Fact mate just about everything added these days is effectively PFI. Power stations and all. Who's going to get elected on gov borrowing more and actually there are external controls in this area. IMF etc.
Things need paying for. Taxation figures. If we wont pay it we wont get it. A lot of Tory ideas in this area have hidden costs. Hidden debt too. We owe it how ever it's looked at and are paying for it. We pay one way or another anyway.
We are where we are and fixes if possible are going to be difficult and they wont be helped by a party that just concentrates on apparent gov running costs and low taxation levels. Some balance needs to be added some how or the other. We've had too many years of it.
D
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I passed Christie Hospital in Manchester earlier... it has been a building site ever since I've known it. The car parks are almost entirely full of building contractors' vans; temporary power providers; site "welfare" cabins etc. The central Manchester hospitals are the same. Not-so-old buildings being demolished and monstrous steel and glass towers going up all the time. There must be millions spent per day on all this... and still you cannot get an appointment, but...
There are more pets and farm animals in Britain than there are people. If you need the services of a vet you can get one almost immediately, or at the most within 24 hours. Why can't the NHS be as efficient? Yes, you pay to see a vet, but then you pay for the NHS, and I'll bet the cost per head of vet treatment is far less than that of NHS treatment.
Vets are small, local organisations run with efficient business methods; there is no centralised socialist state body sucking up all the cash and inefficiently doling it out to cowboy mega building companies.
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We spend less than the EU15 median per person. Including France, Germany, Belgium, Australia,...
Our number of GPs has been dropping steadily for over 10 yrs
You get what you pay for, but only if you're bloody lucky. In Germany there are far more doctors per head but their GPs earn less than ours. How does that happen...???
In the UK there seem to be so many "entitled" people who expect the world, free, and people who are too lazy to find out what to do so turn up at A & E. I don't know if that's significant or not. I just can't help thinking the NHS mentality is wrong somewhere.
Our number of GPs has been dropping steadily for over 10 yrs
You get what you pay for, but only if you're bloody lucky. In Germany there are far more doctors per head but their GPs earn less than ours. How does that happen...???
In the UK there seem to be so many "entitled" people who expect the world, free, and people who are too lazy to find out what to do so turn up at A & E. I don't know if that's significant or not. I just can't help thinking the NHS mentality is wrong somewhere.
Doubt it happens now but some years back German doctors were flocking to UK to cover weekends our GP's didn't want to work, the pay was rather good.
Vets don’t get sued anything like hospitals. Litigation alone must be crippling. Plus vets can just put an animal down. Simple. Your comparison is pointless.
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I wonder how much they were paid in comparison to our G P s that didn't want to work!
and why are they not flocking over now? Any idea ?
Interesting link, never ceases to amaze me how much more both per person and as a percentage of gdp USA spends, and yet......
Liz Truss was attacked during the week over (possibly historical) suggestions that people should be charged a fee to see a doctor, outrageous, and yet it's commonplace in Europe. Even a small fee would drastically reduce the number of people who fail to turn up for appointments, although the number has probably dropped given how difficult it is these days to get an appointment.
Another striking thing about healthcare when doing comparisons, is how few countries have a system where it is absolutely free at the point of delivery.
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would you charge pensioners ? People on benefits? Pregnant mums ? Children?
any idea what the average patient is ?
one of the things that happens in dUK is that GPs (and others) are under such intolerable workload that some of them take the opportunity to give up, for example taking early retirement.
this obviously increases workload on those remaining, who are yet more inclined to take any opportunity to escape.
the same happens in nursing, where people find it is impossible to do the job properly, and burn out from the stress of an impossible job that prevents them giving the standard of care they have spent their lives trying to achieve.
Some would say it's almost as if there are people in charge that dislike public service, and drive it to fail so they will have an excuse to hand it over to profit-makers.
It's an interesting subject. It's a fact that a number of other countries see the NHS as a more efficient system. Look at the USA for instance which is near entirely commercial. The main thing about health care there is having insurance and it fully covering what is needed. Your link mentions higher prices and if you listened to USA chat about trade deals you may have heard the USA end asking why it is they pay more for medications than for instance we do even though they may come from the USA. Bulk and certain aspects about NICE probably explain that.
Going on a few visits I have made there is a lot of misuse of A&E. Some is understandable - say a kid has fallen and twisted a leg so mom or dad takes them in for a check. I don't think that sort wastes much time. I made one visit following a bad burn from being near a lightning strike. After some thought I chose to arrive at 8-30am. There for an hour and the place was empty. One bloke came in with and ear problem - should gone to a GP but was seen. When my father was terminally ill I had to take him to one as a home visit doctor didn't carry the stuff that was needed. Around 10-30pm. The place was packed - accident and emergemcy obviously not with the vast majority of them.
Following an allergic reaction I was kept sitting in A&E for several hours. Some came in with aid some via an ambulance. Those were handled promptly. Triage for the rest and mostly following that out in little time at all. Usually a very quick check by a more senior nurse.
Bed blocking is an easy target. An early report. Nothing new about it. There has been some reduction - the quick in and out idea.
NHS tackles bed blocking crisis
Bed blocking is a major problem within NHS hospitals across the UK, with thousands of patients sitting in hospital beds facing a ‘delayed discharge’ until the necessary next stage of their care becomes available. A delay may be non-availability of a temporary or permanent space in a residential...
healthcare-in-europe.com
Then read the link I posted that mentions bed counts. Then think about staff shortages. I went in for a nose opperation. One day in and out op in the morning / early afternoon. Ward full. They used an empty ward and moved some staff around to do it. I wonder how many empty wards there are? This cropped up with covid. Why - staff had to be moved into the covid area to cope.
The problem is simple really a mix of not enough staff and very very probably beds. Hence ok we need more hospitals that has now cropped up. Some people are getting more routine ops more quickly by being prepared to travel as some hospital are less busy than others.
People can go through this if they want
Private Health Insurance Quote Online | Bupa UK
Complete our online form for your personalised Bupa health insurance quote.
www.bupa.co.uk
However if anything crops up related to earlier health aspects they wont cover it. Also I know some one who did have that cover that finished up being treated by the NHS anyway.
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For those that think paying for medical care is a good idea, like the USA might like this link.
Over 60% of bankruptcies in USA are due to medical expenses. Makes the n h s look better
legaljobs.io
Over 60% of bankruptcies in USA are due to medical expenses. Makes the n h s look better
11+ Mind-Blowing Bankruptcy Statistics for 2022
The number of people who are going bankrupt is increasing at an astonishing rate. Find out more with these alarming bankruptcy statistics.
legaljobs.io
Rise in GPs taking early retirement
GPs are increasingly choosing to take early retirement, with the numbers doing so rising threefold over the past decade, data from NHS Digital show. The number of GPs claiming their NHS pension on voluntary early retirement grounds increased from 198 in 2007-08 to 721 in 2016-17, and the number...
Earlier this month, Simon Stevens, the chief executive of NHS England, told MPs that changes to pension rules was adding to problems around shortages of GPs. “The department’s evidence to the Review Body on Doctors’ and Dentists’ Remuneration has pointed out that one of the contributory factors is the broad change to the pensions system,” he said.
In April 2016, there was a reduction in the amount of pension benefit that can be drawn from pension schemes, known as the lifetime allowance. The lifetime allowance was introduced in 2006 at a level of £1.5m (€1.72m; $2.12m). It was then gradually increased and reached £1.8m in 2010. A number of reforms since then have reduced the allowance, the most recent being a reduction to £1m in 2016. The Pensions Advisory Service has advised that people who are approaching this limit may want to take their pension early to avoid their benefits exceeding this limit.
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