Covid/ isolation/ Livery

[LadyGascoyne]

Filling posts with agency staff is very poor value for money, does not aid consistency and impedes team work. I am afraid that the number of vacancies currently far exceeds the number of agency and temp staff available to work, according to the NHS managers that I speak to regularly.

Oh, I’m not saying that using agency is right/ solves problems. Just that the metric quoted is not a good way to evaluate performance over a number of decades.

 

[bouncing_ball]

O

when? View attachment 85274

This graph clearly shows annual spend on NHS has increased year on year pretty irrespective of who is in power.

 

[Chianti]

O

when? View attachment 85274

This is also from a King's Fund report-

'Yes, broadly speaking. By 2008/9 NHS spending had increased by a factor of 2.9 compared to 1997. NHS spending (in cash terms) increased from £33.5 billion in 1997/8 to £76.4 billion in 2005/6 and is expected to have reached £96.4 billion for the financial year 2008/9

Over the past ten years, UK health expenditure as a share of national income has increased by nearly 3 percentage points to around 9 per cent.'

Labour came to power in 1997.

 

[Fred66]

An elderly neighbour was the passenger in a car crash recently. There was no ambulance available to take her and the driver to hospital. Her son in law took them.

This is just insane. The current pressure on hospitals and ambulances is just too high already. People must take this seriously.

Totally agree, however just to point out ambulances should be called for life threatening situations or where moving the patient might cause serious damage, so if someone can be safely transported by relative, friend, taxi etc then that is what should be happening anyway

 

[Sossigpoker]

Totally agree, however just to point out ambulances should be called for life threatening situations or where moving the patient might cause serious damage, so if someone can be safely transported by relative, friend, taxi etc then that is what should be happening anyway

Someone posted on Facebook saying they'd been waiting for an ambulance for 40 mins....if you can post on Facebook, chances are you don't actually need an ambulance....

 

[Meowy Catkin]

Totally agree, however just to point out ambulances should be called for life threatening situations or where moving the patient might cause serious damage, so if someone can be safely transported by relative, friend, taxi etc then that is what should be happening anyway

In this situation they needed an ambulance. No doubts about it, I just don't want to post details of the injuries on a public forum. I hope you understand.

 

[criso]

People are very judgemental without knowing the facts.

You could have a broken limb or have had a fall and unable to get up but still be able to post.

They may have already been assessed on the non urgent line and told to attend but not have the means to get there.

Not everyone can afford taxis or have a car or may not be in a condition to drive. I don't know anyone close by with a car so if I go to hospital I have to be able to get a variety of public transport involving stairs and/or a 10 minute walk or ambulance.

A few years ago I came in to find a disheveled and slightly confused individual in the flats hallway. He was from the ground floor flat had been mugged. It had been on a night out and he possibly had a hangover, memory from before the mugging was lost. He had a head injury. I took him inside and called the non urgent line for advice where after asking me to monitor for a while, to call back at which point they decided to send out an ambulance. He was capable of a conversation and could have posted on Facebook however the medically qualified people took the decision to attend.

 

[criso]

People are very judgemental without knowing the facts.

You could have a broken limb or have had a fall and unable to get up but still be able to post.

They may have already been assessed on the non urgent line and told to attend but not have the means to get there.

Not everyone can afford taxis or have a car or may not be in a condition to drive. I don't know anyone close by with a car so if I go to hospital I have to be able to get a variety of public transport involving stairs and/or a 10 minute walk or ambulance.

A few years ago I came in to find a disheveled and slightly confused individual in the flats hallway. He was from the ground floor flat had been mugged. It had been on a night out and he possibly had a hangover, memory from before the mugging was lost. He had a head injury. I took him inside and called the non urgent line for advice where after asking me to monitor for a while, to call back at which point they decided to send out an ambulance. He was capable of a conversation and could have posted on Facebook however the medically qualified people took the decision to attend.

 

[criso]

Duplicate

 

[criso]

Duplicate

 

[bonny]

I suspect a lot of people see a medical emergency and automatically call an ambulance without considering a car would be the better option and certainly at the moment quicker.

 

[blitznbobs]

The problem and the brilliance of the nhs is it’s huge lumbering size and the fact That it is the holy fatted calf of the British people. It is great at implementping big national programs (eg the Vaccination program or the fact that all itu beds are all within one universal system thus moving patients between hospitals is easy.) but it is abused because it is free at the point of service (working in a and e I see this on a daily basis — the chemist sells both plasters and paracetamol etc) … and that the management don’t use their huge procurement power effectively enough. I don’t get why people can’t top up things either… I’m sick of having the argument about why generic prescription drugs are the same as trade named drugs... Just give the straight choice - you get the generic for free but if you want the fancy box you can just pay for it (and the prescription) so people can spend their money if they like yet this would work in so many areas , saving time and making a bit of cash back for the NHS… so many ways that the nhs misses out on cash because it’s not run like a business on any front. ( eg foreign nationals who are not entitled to our healthcare rock up at a and e with insurance and willing to pay for our treatments, credit card in hand and we have no mechanism to charge them… the nhs has been badly organised and under funded and was never designed to do the job it now does but to disband it and start again would be political suicide (especially since COVID) so we are stuck with an outdated system that isn’t fit for purpose but wont be revolutionised as no party will have the balls to do it… so we will limp on putting sticking plasters on the biggest cuts and ignoring the small ones but never pulling the whole bloody lot down and rebuilding it on better foundations.