The NHS it's All Our Own Fault

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    The NHS it's All Our Own Fault

    I was "passed" this article on the train to my colleagues comment "What a lot of Arse". http://www.bbc.co.uk/news/health-18143082

    The NHS is thinking that it would be really good to have online appointments by 2015. Having had this discussion and in the end, argument, on my local GP patient panel, the NHS like so many government depts, are hell bent on making things harder when the rest of the world manages to get along with them and even prosper.

    I can fly round the world and then order home delivery for my return, I can book all manner of things from a phone, and even buy the fastest selling high conflict items like a concert ticket ( well my daughters can) without a hitch.

    Yet the NHS need to take 3 years to get this sorted out when as I pointed out that any number of firms with blue chip clients manage to offer that online booking service for their call volume for £100 all included, a week. But they insist on hiring an additional receptionist at £30k a year..... and plead poverty though not one GP is earning less than £80K and none work full time.

    I agree with "M'colleague"; Arses.

    And about time we stopped letting them get away with this.
    Based on the information posted, I offer my thoughts.Any action you then take is your liability. While commending individual effort, there is no substitute for a thorough review of documents and facts by paid for professional advisers.

    #2
    Theirs no drive for efficiency or entrepreneurship in the NHS which causes this and due to the size of the NHS its hard to scale systems.

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      #3
      You're not the only one Leaseholdanswers. The slog published this yesterday:

      http://hat4uk.wordpress.com/2012/05/...f-the-day-243/

      Comment


        #4
        I cannot get test results online but currently I can book appointments* and request repeat prescriptions.

        *These are for routine appointments and if I need to see a doctor/nurse that day then I need to ring the surgery directly at 8am for a call-back from a triage nurse.
        I'm a good tenant with great landlords
        I'm also a living, breathing, fully cooked female.

        Comment


          #5
          Well there is an example even back in the US 20 + years ago, the Doctor sent your repeat prescription to the chemist or gave you a script for the chemist of your choice for x months and you just picked it up as indicated.

          If you over used, the chemist said that he can't issue a batch until a particular date so see your doctor and at worst gave you an extra day or two to get an appointment.

          There is none of this paperwork or phone requests or visits. Every month I have to get refills for treatments for asthma even though I have been getting ventolin for more years than the london GP has been alive

          And in Canada I can buy it over the counter cheaper than here, but if I do they take it off the record as an outcome ( a miracle cure for a genetic ailment perhaps) for which they get paid- but if I run out, I need to see a nurse then the GP and then referred to a specialist.

          It is just so GRRRRRRRRRRRR


          And we let this happen because we are too afraid of the idea of it changing in case our freebies might go away.
          Based on the information posted, I offer my thoughts.Any action you then take is your liability. While commending individual effort, there is no substitute for a thorough review of documents and facts by paid for professional advisers.

          Comment


            #6
            Originally posted by YesAdam View Post
            Theirs no drive for efficiency or entrepreneurship in the NHS which causes this and due to the size of the NHS its hard to scale systems.
            For crying out loud. It is a national health service, not 'The Apprentice' (thank God). You don't need businessmen in charge of the NHS, you need clinicians and patients.

            And if you had thousands of little local health services, you'd all be moaning that they were't very efficient and needed to benefit from economies of scale by being aprt of a joined up, national service.

            Just stop whingeing and be grateful that if you are ill, you will be treated, free.
            'Pause you who read this, and think for a moment of the long chain of iron or gold, of thorns or flowers, that would never have bound you, but for the formation fo the first link on one memorable day'. Charles Dickens, Great Expectations

            Comment


              #7
              err.. I love the NHS as a customer but I hate its inefficiency as its financier. Its saved my life a few times.

              The NHS is already run by "businessmen" or rather many administrators, with no drive for efficiency which my point - they let costs spiral resulting in less clinicians and bad service for the patients.

              I notice your emphasis on entrepreneurship and as my understanding is someone who innovates within an origination, the OP is regarding "appointments" and the lack of innovation and that it could apparently be more efficient elsewhere via a 3rd party.

              Their is an argument for both joining up and splitting up the NHS. They don't have to be under one organisation to benefit Economies of Scale via procurement of health supplies, if they funnel orders via a procurement company. In addition they could purchase elsewhere if said procurement company.

              Comment


                #8
                Oh this is when I want to remove all responsibilities and assets from lefties and send them back to their bedroom as they are still 5 years old mentally and emotionally.

                It's not free, we just do not get a bill.


                The NHS are great for a car crash or a dose of the pox, expect of course if its night time or the weekend or a public holiday.

                And that is the rub, for a lot of the time and in a lot of ways they do not "not " do the job, they only do it "sort of" and except in a crisis patient, are unable to do so without acres of paper, prevarication, and god help you if it requires the cooperation of another department.

                Yesadam is right, as am I as the opening post shows, they have a perverted view of the world when comes to getting things done.

                And if they didn't, as above and a £24k saving in one practice, then think about how much more they could do "for free".
                Based on the information posted, I offer my thoughts.Any action you then take is your liability. While commending individual effort, there is no substitute for a thorough review of documents and facts by paid for professional advisers.

                Comment


                  #9
                  There are trade-offs. In America you pay expensive insurance as it costs a LOT. Here it's (kinda) free but they decide who gets treated.

                  For example. The survival rate for children with neuroblastoma (a relatively rare childhood cancer) in our country is 20% whereas in America the survival rate is 60% (slightly less in Mexico). A while back we were trying to raise £250k to send a child in our town to America for treatment, unfortunately the money wasn't raised in time and the child passed away. Our NHS don't deem there are enough cases of neuroblastoma nationwide to offer a treatment to save their lives so in the end family have to do all they can to send them to countries that do offer treatment (just have to pay).
                  I'm a good tenant with great landlords
                  I'm also a living, breathing, fully cooked female.

                  Comment


                    #10
                    Originally posted by Brb View Post
                    There are trade-offs. In America you pay expensive insurance as it costs a LOT. Here it's (kinda) free but they decide who gets treated.
                    I am sorry to learn about your neighbouring child and the families loss. God promises that all such children will be taken care of :angel:

                    While there are better coverages in the US, and bear in mind that state and federal taxes are a lot less than our PAYE and NI, many are in the hands of HMO's which manage and ration care, and there are many tales of companies that have outsourced their health care to HMO's and seeing a drop in coverage longer wait times and increases in co-pay.

                    What prevents us improving matters, let alone discussing it, is our stupidity.

                    The NHS like huge companies and organisations take on a life and mindset that see it's users as infinitely replaceable, and know that with very few exceptions, what else are we going to do?

                    While such companies often end up imploding the NHS finds itself in the same position as big banking.

                    Bankers we want to squeeze and punish but want free overdrafts no account fees and lots of credit and unending mortgage finance. And a mouse mat too please .

                    Enjoying this position they can make a token gesture and posture, knowing that where else will we get our credit, and they are then too big too fail.

                    At the other end of the spectrum the NHS knows that we know, while trying to ignore it, that we overuse it, take it for granted and that you can pretty much put yourself through a shredder, for fun, and you will get all mended without a penny to pay. And see a psychologist who only has 10 minutes to assess if you are Barking or Dagenham east, because 4 the rest of the day, they are in meetings.

                    They know that fear can be played on with threats of cuts industrial action and next time "you'll be in a bed in car park and you'll have to wait 17 years".

                    Government's gawd bless them, find themselves in the middle and in a lose lose position, and pop a new sign and website on the FSA and tax a few bonuses, hoping we won't notice the quarter trillion debt, and take away and A & E but throw out over 40 IVF, even though it's pretty crap for anyone who is 25.

                    You see they are the common factor a perfectly competitive company can produce ships or enormous aircraft more on lesson time or on budget, knowing that they are up against Boeing and that they have to produce enough so that the Chinese cant knock up a quick copy and bash out a few hundred velly kwik fank you, beating us to the market.

                    But add government and pretty soon we can't build two armour plated oil tankers with a few tennis court on top to rubber band a few toy air planes off it, in under 10 years and at anything like the original quote.

                    That's what happens when you are in the business of being a legislator and regulator AND a provider, and rely on the great masses and their increasingly short terms needs fears and wants, for your mandate.

                    We can't help the NHS or kick start the economy because we aren't prepared to accept the changes and rightly cant trust our governments as they are afraid to tell us what they are going to do as we are afraid to hear it.

                    And therefore no coincidence that the greatest strides in public provision and free market enterprise were both taken after the country was brought to it's knees.

                    Based on the information posted, I offer my thoughts.Any action you then take is your liability. While commending individual effort, there is no substitute for a thorough review of documents and facts by paid for professional advisers.

                    Comment


                      #11
                      With the NHS I feel there is an analogy with Churchill's 1947 quote re. democracy...

                      Many forms of Government have been tried and will be tried in this world of sin and woe. No one pretends that democracy is perfect or all-wise. Indeed, it has been said that democracy is the worst form of government except all those other forms that have been tried from time to time.
                      Yes I know Winnie wasnae keen on't NHS..

                      We all know the NHS has it's faults, but many of us - often with great cause to be grateful to the institution & staff of the NHS - consider it better than the alternatives...

                      Just looked the dates up: I was born prior to NHS so guess Dad ended up paying large-ish bill for the maternity hospital .. blimey!
                      I am legally unqualified: If you need to rely on advice check it with a suitable authority - eg a solicitor specialising in landlord/tenant law...

                      Comment


                        #12
                        Originally posted by theartfullodger View Post
                        We all know the NHS has it's faults, but many of us - often with great cause to be grateful to the institution & staff of the NHS - consider it better than the alternatives...
                        But that's the rub as I say earlier, the argument is almost always put or perceived as "well the alternative is/or if you're not careful, it'll cost us".

                        It should be free but it is the inbred dunderheaded and irresponsible actions that reduce it's effectiveness and waste

                        We know that as above the various stories in the press in the last few days are an example of perception management.

                        But you have to understand that £34 for two pizza bases or £32 for a loaf is silly. As these are are sold in supermarkets surely a money card or voucher? Or god forbid, make them tax free?

                        If I were an NHS employee who said " mmm hang on" to whom would I go, and what chance would I have of finding one person or one department who could actually make a decision? It would be lost in the bureaucracy without any cross dept accountability. There is no incentive nor direct responsibility for this decision so the prescription keeps getting issued.

                        That's the point Yesadam and I have made, it is a culture and organisation that strangles common sense and innovation.
                        Based on the information posted, I offer my thoughts.Any action you then take is your liability. While commending individual effort, there is no substitute for a thorough review of documents and facts by paid for professional advisers.

                        Comment


                          #13
                          Posts relating to grammar and spelling have been removed since they are quite off topic for this thread. I did consider splitting them off to a new thread, but I didn’t think the result would stand well on its own.
                          I also post as Mars_Mug when not moderating

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