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Post by Bentley on Jan 4, 2023 0:23:43 GMT
Splendid . So all this nonsense about the NHS being in crisis is stuff and nonsense then. Good old Tories 👍 |
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Post by Steve on Jan 4, 2023 0:32:37 GMT
Splendid . So all this nonsense about the NHS being in crisis is stuff and nonsense then. Good old Tories 👍 No because a few years before it was #1 on that assessment, it's falling and this governments callous behaviour will have ensured that it's fallen further since 2021. Will still be in the top 11 but seeing as they all have problems not good enough. |
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Post by Bentley on Jan 4, 2023 0:40:21 GMT
Splendid . So all this nonsense about the NHS being in crisis is stuff and nonsense then. Good old Tories 👍 No because a few years before it was #1 on that assessment, it's falling and this governments callous behaviour will have ensured that it's fallen further since 2021. Will still be in the top 11 but seeing as they all have problems not good enough. Or a top heavy behemoth that needs to be completely restructured.. |
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Post by Steve on Jan 4, 2023 0:47:32 GMT
No because a few years before it was #1 on that assessment, it's falling and this governments callous behaviour will have ensured that it's fallen further since 2021. Will still be in the top 11 but seeing as they all have problems not good enough. Or a top heavy behemoth that needs to be completely restructured.. Is that true though when less than 3% of NHS England staff are 'management' ? I suggest not The danger or re-organisation/restructure after re-organisation/restructure is it becomes self defeating. No one commits to a new structure if they beleive they'll be a new one along in a years time. That said as posted before, I do think there are significant issues with the way the NHS manages patients and focusses on department by department efficiency over an efficient and effective joined up solution to specific patient needs. |
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Post by Bentley on Jan 4, 2023 0:52:57 GMT
Or a top heavy behemoth that needs to be completely restructured.. Is that true though when less than 3% of NHS England staff are 'management' ? I suggest not The danger or re-organisation/restructure after re-organisation/restructure is it becomes self defeating. No one commits to a new structure if they beleive they'll be a new one along in a years time. That said as posted before, I do think there are significant issues with the way the NHS manages patients and focusses on department by department efficiency over an efficient and effective joined up solution to specific patient needs. Does that 3% include admin and positions in HR , diversity etc ? Restructuring only becomes self defeating if it is ineffectual or Half hearted. |
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Post by Steve on Jan 4, 2023 1:01:04 GMT
Go look at the link already given?
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Post by Steve on Jan 4, 2023 1:11:25 GMT
Here's a personal experience minor example of how the NHS sets out to be efficient at details and not see the big picture which it becomes efficient at.
I have minor high blood pressure so my local surgery wants me to have an annual health check - so once a year I duly turn up, they take blood samples and get results
I am also apparently a relatively higher risk of prostate cancer so the local hospital has me on 5 years of PSA checks - but they insist on their own schedule of duplicate blood tests
And I'm mid way through multi year surveillance for cancer following major surgery, hence I have an annual CT scan and that requires a blood test beforehand to check I can cope with the dye they inject. Guess what that's another set of blood tests. So I have 4 sets of blood tests a year all undoutedly executed efficiently and there is no one empowered to say 'wait a minute, why not do one set a year and share the results)
And don't get me on managing the process from 'Mr K I'm afraid you may have cancer' through to discharge after surgery. Again lots of efficient disjointed processes but no case manager tasked to or even empowered to join them up. Thank fuck I've been a fair decent project manager and it was (just) pre Covid so I could persuade people to actually join up and get me operated on. even so they missed the official time points.
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Post by Bentley on Jan 4, 2023 1:30:02 GMT
Go look at the link already given? I did . It’s just management then . Not including HR and diversity etc |
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Post by johnofgwent on Jan 4, 2023 1:38:49 GMT
There have always been failure to correctly diagnose cases and they happen in all developed countries. If anyone thinks any health service can offer a 100.000% perfect diagnosis first time performance then they need to get real. As for the horrendous ambulance delays some are seeing then every proper analysis says it's down to two root cause factors: underfunding of the care sector leading to bed blocking and privatisation of ambulance services without setting proper performance targets/penalty payments. Both down to the Tories. The only problem with your analysis is that for the past 24 years there hadn’t been a Tory voice anywhere near the nhs west of Offas dyke and our nhs trust performances have consistently been worse than England’s Apart from ambulance call out targets Over a decade ago the tears in Cardiff bay scrapped those so it made it appear the ambulances arrived. |
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Post by johnofgwent on Jan 4, 2023 1:39:57 GMT
There have always been failure to correctly diagnose cases and they happen in all developed countries. If anyone thinks any health service can offer a 100.000% perfect diagnosis first time performance then they need to get real. As for the horrendous ambulance delays some are seeing then every proper analysis says it's down to two root cause factors: underfunding of the care sector leading to bed blocking and privatisation of ambulance services without setting proper performance targets/penalty payments. Both down to the Tories. Fuck off. In the USA if you go to a GP with a headache they find out why you have a headache. Here the usless tossers give you a bloody aspirin tablet. And as for missdiagnosis even in the thrird world they wouldn't do it 3 times on the trot. Problem is if you live in the USA you can’t actually afford to go to B a GP unless you’re a merchant banker |
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Post by johnofgwent on Jan 4, 2023 1:42:21 GMT
Here's a personal experience minor example of how the NHS sets out to be efficient at details and not see the big picture which it becomes efficient at. I have minor high blood pressure so my local surgery wants me to have an annual health check - so once a year I duly turn up, they take blood samples and get results I am also apparently a relatively higher risk of prostate cancer so the local hospital has me on 5 years of PSA checks - but they insist on their own schedule of duplicate blood tests And I'm mid way through multi year surveillance for cancer following major surgery, hence I have an annual CT scan and that requires a blood test beforehand to check I can cope with the dye they inject. Guess what that's another set of blood tests. So I have 4 sets of blood tests a year all undoutedly executed efficiently and there is no one empowered to say 'wait a minute, why not do one set a year and share the results) And don't get me on managing the process from 'Mr K I'm afraid you may have cancer' through to discharge after surgery. Again lots of efficient disjointed processes but no case manager tasked to or even empowered to join them up. Thank fuck I've been a fair decent project manager and it was (just) pre Covid so I could persuade people to actually join up and get me operated on. even so they missed the official time points. None of which would be done if it wasn’t a fact that the practice is handed a cash reward to tick the box and a cash penalty for not getting it ticked. The practice don’t care about you they just want the boxes tucked to collect the wonga |
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Post by jonksy on Jan 4, 2023 5:19:47 GMT
Fuck off. In the USA if you go to a GP with a headache they find out why you have a headache. Here the usless tossers give you a bloody aspirin tablet. And as for missdiagnosis even in the thrird world they wouldn't do it 3 times on the trot. Problem is if you live in the USA you can’t actually afford to go to B a GP unless you’re a merchant banker Health insuance in the USA cost less than our NA. And many large companies insure their own workforce. |
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Post by jonksy on Jan 4, 2023 5:32:15 GMT
The NHS have more than enough resourses. But as per usual the NHS management would rather piss the money up the wall on all this diversity bullshit. And yes they do sometimes get it wrong in the USA but not 3 times on the trot and in the USA you can ask for a second opinion or go another consultant. Good luck with that one in the UK. on the same terms as in the USA, you just have to pay for it. And if the USa never get it wrong 3 times in a row how come medical errors is their third largest cause of death higher than murders, automobile accidents, drug taking etc etc? And feel free to show how what % of spend the NHS spends on diversity compared to the 10% understaffing it has and the massive spend on contract staff to almost cover the shortages. Stuff all or even less? But nit in such a short timeframe.
Medical Error Is Not the Third Leading Cause of Death
Even if 1% is used for diversity BS it still runs into millions. They are not understaffed with managers or these idiots who dream up this diversity BS.
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Post by Pacifico on Jan 4, 2023 7:40:41 GMT
Best performing health service my arse..  There are 2 interesting letters in this mornings paper. The first cited the case of a 92 struggling with a number of health issues, had need of advice and help. GP surgeries were shut for days over the holiday period and, even if open, they struggled to provide care responsively. So he rang 111 twice, only to receive an automated message stating that, due to demand, nobody was able to receive his call. The second was from a guy in rural Kenya who suffered severe chest pains. He went to the local cottage hospital at 10am without an appointment. After waiting an hour, I saw the GP. He was then sent for a blood test and CT scan. The results of the latter were emailed to a specialist in Nairobi and returned by 3.30pm. By 4pm the GP gave the all clear – it was just a minor chest infection. |
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Post by Steve on Jan 4, 2023 8:40:56 GMT
Here's a personal experience minor example of how the NHS sets out to be efficient at details and not see the big picture which it becomes efficient at. I have minor high blood pressure so my local surgery wants me to have an annual health check - so once a year I duly turn up, they take blood samples and get results I am also apparently a relatively higher risk of prostate cancer so the local hospital has me on 5 years of PSA checks - but they insist on their own schedule of duplicate blood tests And I'm mid way through multi year surveillance for cancer following major surgery, hence I have an annual CT scan and that requires a blood test beforehand to check I can cope with the dye they inject. Guess what that's another set of blood tests. So I have 4 sets of blood tests a year all undoutedly executed efficiently and there is no one empowered to say 'wait a minute, why not do one set a year and share the results) And don't get me on managing the process from 'Mr K I'm afraid you may have cancer' through to discharge after surgery. Again lots of efficient disjointed processes but no case manager tasked to or even empowered to join them up. Thank fuck I've been a fair decent project manager and it was (just) pre Covid so I could persuade people to actually join up and get me operated on. even so they missed the official time points. None of which would be done if it wasn’t a fact that the practice is handed a cash reward to tick the box and a cash penalty for not getting it ticked. The practice don’t care about you they just want the boxes tucked to collect the wonga Nope, once the GP practice hand the case to a hospital trust they are powerless, can't even access further data online than I can and at times even less. And they've tried. I'm lucky to have a very good GP surgery, the doctors there also do charity work I'm aware of. |
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