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Word has it that it's in a mess. Wouldn't wish that on the people that work in it for a moment. BUT ...

I visited Dr Quack just before Christmas, and today have received in the post a summons from Papworth Hospital, for an appointment just before the end of this month. That's quite impressive.
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  • stimpsonslostsonstimpsonslostson Frets: 3190
    edited January 9
    That IS impressive, I fear it may not be the norm though. 

    There have been numerous stories about critically ill/injured people waiting 4+hrs at a&e as they're so busy. 

    Stimpsonslostdaughter has been waiting over a year to have her tonsils and adenoids taken out. The appointment with the ENT consultant took 6months alone. 
    I waited 6months for an NHS physio appointment when I dislocated my knee (luckily I could afford to go private). 
    MrsLostSon had 9months off work with vertigo before she got her appointment with a specialist. 
    None of our stuff was life threatening- so I understand why we weren't top priority, but all these things were relatively simple to diagnose and treat. Similarly all the consultants we've seen said that each ailment would have been easier to treat had they seen is within days/weeks of onset rather than months. 

    I've got lots of GP friends who hate the job now (& despise Hunt & May). 

    All the best with your appointment. 

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  • Phil_aka_PipPhil_aka_Pip Frets: 8974
    Thank you @stimpsonslostson ; ... IIRC I waited a year back in the mid 1960s to lose my tonsils & adenoids - plus ca change
    "Working" software has only unobserved bugs. (Parroty Error: Pieces of Nine! Pieces of Nine!)
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  • FretwiredFretwired Frets: 16925
    edited January 9
    One of my friends in a surgeon and his wife is a doctor in the same hospital. In his view as many as 60% of people who come to A+E at this time of year shouldn't be there .. they have minor ailments which should be dealt with by GPs, but it's easier to clog up the system. This time of year its people with coughs and sneezes. Advice - stay at home, keep warm, drink plenty of fluid etc etc ...

    Where I live the local area Trust has invested in mobile doctors, super ambulances with tons of kit manned by paramedics and doctors and home visits - the expanded meals on wheels service keeps an eye on old folks and doctors visit the sick ones at home. The aim is to keep people out of hospitals and get people in hospital out and home or into care to free up hospital beds - its working. I've been impressed with how my aged parents are looked after.

    The Trust is forward thinking and is looking at integrating GP services with hospital services. My local GP already has a team of NHS nurses on site who can perform routine stuff - my dad has to have a monthly check-up which is done by a nurse in the local surgery which means he's not clogging up space in a hospital or wasting a doctors time. We have a new health centre which has beds, nurses and GPs for routine stuff or for people who need basic care after an operation - it means they are not bed blocking in the main hospital.

    The politicians need to stop using the NHS to make political points and should get a cross-party committee together to agree on a way forward.

    And I see the first report into health tourism put the cost last year at £2 billion with the biggest single cost being £500K for treatment for someone from outside the EU. They deliberately came to the UK for treatment. Maybe some of the foreign aid budget should be diverted to the NHS to pay for this ...
    My pump-action drivel gun is smoking hot today!
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  • Phil_aka_PipPhil_aka_Pip Frets: 8974
    Fretwired said:

    The politicians need to stop using the NHS to make political points and should get a cross-party committee together to agree on a way forward.

    Couln't agree more ! (wis)
    "Working" software has only unobserved bugs. (Parroty Error: Pieces of Nine! Pieces of Nine!)
    Seriously: If you value it, take/fetch it yourself
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  • OctafishOctafish Frets: 1037
    edited January 9
    Fretwired said:
    One of my friends in a surgeon and his wife is a doctor in the same hospital. In his view as many as 60% of people who come to A+E at this time of year shouldn't be there .. they have minor ailments which should be dealt with by GPs, but it's easier to clog up the system. This time of year its people with coughs and sneezes. Advice - stay at home, keep warm, drink plenty of fluid etc etc ...

    Where I live the local area Trust has invested in mobile doctors, super ambulances with tons of kit manned by paramedics and doctors and home visits - the expanded meals on wheels service keeps an eye on old folks and doctors visit the sick ones at home. The aim is to keep people out of hospitals and get people in hospital out and home or into care to free up hospital beds - its working. I've been impressed with how my aged parents are looked after.

    The Trust is forward thinking and is looking at integrating GP services with hospital services. My local GP already has a team of NHS nurses on site who can perform routine stuff - my dad has to have a monthly check-up which is done by a nurse in the local surgery which means he's not clogging up space in a hospital or wasting a doctors time. We have a new health centre which has beds, nurses and GPs for routine stuff or for people who need basic care after an operation - it means they are not bed blocking in the main hospital.

    The politicians need to stop using the NHS to make political points and should get a cross-party committee together to agree on a way forward.

    And I see the first report into health tourism put the cost last year at £2 billion with the biggest single cost being £500K for treatment for someone from outside the EU. They deliberately came to the UK for treatment. Maybe some of the foreign aid budget should be diverted to the NHS to pay for this ...
    Would be great if they could, but our type of government and electoral system ensure adversarial politics reign supreme. Party first, country second!
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  • rlwrlw Frets: 1643
    Word has it that it's in a mess. Wouldn't wish that on the people that work in it for a moment. BUT ...

    I visited Dr Quack just before Christmas, and today have received in the post a summons from Papworth Hospital, for an appointment just before the end of this month. That's quite impressive.
    It's not very impressive if you have some evil cancer or heart problem that will kill you in two weeks though.   Sorry.
    Save a cow.  Eat a vegetarian.
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  • Phil_aka_PipPhil_aka_Pip Frets: 8974
    rlw said:
    Word has it that it's in a mess. Wouldn't wish that on the people that work in it for a moment. BUT ...

    I visited Dr Quack just before Christmas, and today have received in the post a summons from Papworth Hospital, for an appointment just before the end of this month. That's quite impressive.
    It's not very impressive if you have some evil cancer or heart problem that will kill you in two weeks though.   Sorry.
    I haven't. That makes it impressive.
    "Working" software has only unobserved bugs. (Parroty Error: Pieces of Nine! Pieces of Nine!)
    Seriously: If you value it, take/fetch it yourself
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  • guitars4youguitars4you Frets: 4514
    rlw said:
    Word has it that it's in a mess. Wouldn't wish that on the people that work in it for a moment. BUT ...

    I visited Dr Quack just before Christmas, and today have received in the post a summons from Papworth Hospital, for an appointment just before the end of this month. That's quite impressive.
    It's not very impressive if you have some evil cancer or heart problem that will kill you in two weeks though.   Sorry.
    I haven't. That makes it impressive.
    My father (now 83) was peeing blood just before Christmas - visit to the doctor and within days an appointment at Derby City Hospital for test - Further test early Jan confirmed prostrate cancer - He is now on 'a drug' and awaiting further test and update in about 3 weeks - Can't argue one iota with the speed and attention - far to early to say how it will progress/cure etc etc but so far the service has been exceleent

    Yet equally you hear so much bad news about the NHS - My sister works in the NHS as a mental nurse and doesn't have a lot of good to say about sections of the NHS - more about how it is run, plus white collar management
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  • Phil_aka_PipPhil_aka_Pip Frets: 8974
    My sister works in the NHS as a mental nurse and doesn't have a lot of good to say about sections of the NHS - more about how it is run, plus white collar management
    Indeed. Once upon a time it was run by Hattie Jaques style matrons who put the fear of God into people. Now it's run by w@nkers in suits.
    "Working" software has only unobserved bugs. (Parroty Error: Pieces of Nine! Pieces of Nine!)
    Seriously: If you value it, take/fetch it yourself
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  • english_bobenglish_bob Frets: 2319
    My sister works in the NHS as a mental nurse and doesn't have a lot of good to say about sections of the NHS - more about how it is run, plus white collar management
    Indeed. Once upon a time it was run by Hattie Jaques style matrons who put the fear of God into people. Now it's run by w@nkers in suits.

    I work in a large NHS hospital. I see plenty of Hattie Jaques style matrons who put the fear of God into me.

    Don't talk politics and don't throw stones. Your royal highnesses.

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  • Phil_aka_PipPhil_aka_Pip Frets: 8974
    @english_bob wow I didn't think they existed any more.
    "Working" software has only unobserved bugs. (Parroty Error: Pieces of Nine! Pieces of Nine!)
    Seriously: If you value it, take/fetch it yourself
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  • english_bobenglish_bob Frets: 2319
    rlw said:
    Word has it that it's in a mess. Wouldn't wish that on the people that work in it for a moment. BUT ...

    I visited Dr Quack just before Christmas, and today have received in the post a summons from Papworth Hospital, for an appointment just before the end of this month. That's quite impressive.
    It's not very impressive if you have some evil cancer or heart problem that will kill you in two weeks though.   Sorry.

    Suspected cancers are fast-tracked through the outpatient system, and provision for appointments, scans and whatnot for those patients is prioritized. Ordinarily you'll be seen by a specialist within 2 weeks and will be starting treatment for cancer, or have an all clear, within 62 days. I don't know what the stats are nationally, but the standard is that 90-odd percent of patients should be treated within that timescale and most trusts are either meeting that, or aren't far off.

    There are very few types of cancer that will kill you within two weeks of your first symptoms, but among the most urgent are certain types of leukaemia- at the hospital I work at, blood tests from GPs that might be leukaemia get passed directly to a specialist who will often admit that person to a specialist ward the same day and start treatment within a few days.

    So no, that sort of timescale wouldn't be very impressive for something like that, but the systems in place for dealing with those sorts of diseases are different. 

    Don't talk politics and don't throw stones. Your royal highnesses.

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  • english_bobenglish_bob Frets: 2319
    @english_bob wow I didn't think they existed any more.

    "Modern Matrons" have been around for a while, but I've met plenty of senior nurses who have different job titles, but are very much that Hattie Jaques matron. 

    Don't talk politics and don't throw stones. Your royal highnesses.

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  • FX_MunkeeFX_Munkee Frets: 1994
    My sister works in the NHS as a mental nurse and doesn't have a lot of good to say about sections of the NHS - more about how it is run, plus white collar management
    Indeed. Once upon a time it was run by Hattie Jaques style matrons who put the fear of God into people. Now it's run by w@nkers in suits.
    My wife is one of the "white collar management" in the NHS at the moment she's spending her weekends volunteering to help out on wards at her hospital because there's not enough staff to cope.
    But yeah, obviously if you're management you're the problem, just like every other industry.
    Shot through the heart, and you’re to blame, you give love a bad name. Not to mention archery tuition.
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  • Phil_aka_PipPhil_aka_Pip Frets: 8974
    I refer you to @scrumhalf in his post in shit that boils your piss. Management IS the problem (like it or not)
    "Working" software has only unobserved bugs. (Parroty Error: Pieces of Nine! Pieces of Nine!)
    Seriously: If you value it, take/fetch it yourself
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  • FX_MunkeeFX_Munkee Frets: 1994
    I'm fairly sure the management at her hospital have absolutely nothing to do with the shortage of Care home places in the surrounding area. Due to Privately run ones being closed down as they're not financially lucrative anymore, leading to massive influx of dementia patients. But hey, what does she know, eh?
    Shot through the heart, and you’re to blame, you give love a bad name. Not to mention archery tuition.
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  • Phil_aka_PipPhil_aka_Pip Frets: 8974
    well I don't think you can hold hospital management responsible for things that are outside their control, but aren't both hospitals and care homes within the remit of the local NHS trust? (my apologies if they aren't)
    "Working" software has only unobserved bugs. (Parroty Error: Pieces of Nine! Pieces of Nine!)
    Seriously: If you value it, take/fetch it yourself
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  • scrumhalfscrumhalf Frets: 4933
    Care homes can be both within the NHS and privately owned. I had a client who had a group of care homes. Dealing with the NHS and with the local Clinical Commissioning Groups was a nightmare when it came to finance. Crap systems, staff who simply did not care.

    As for NHS admin, I am now in the position of having to double check everything. I found out this morning that a letter from one consultant to another, cc'd to me and my GP, was only received by me. It was not an inconsequential letter.A one-in-three success rate is very poor. Last year I had the GP and the referral management service (all three words of the name are stretching the truth) both claiming that the other was at fault. I'd be tempted to make an official complaint, but when things are that badly run I wouldn't trust the investigative process. The upshot is that it will end up costing the NHS more than if they had done the bloody thing properly first time round.
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  • FX_MunkeeFX_Munkee Frets: 1994
    The care homes are private businesses, there are very, very few NHS operated ones. So when they're not profitable enough, there's nothing to stop the owners of them just shutting up shop.
    Shot through the heart, and you’re to blame, you give love a bad name. Not to mention archery tuition.
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  • mellowsunmellowsun Frets: 2324
    Fretwired said:
    One of my friends in a surgeon and his wife is a doctor in the same hospital. In his view as many as 60% of people who come to A+E at this time of year shouldn't be there .. they have minor ailments which should be dealt with by GPs, but it's easier to clog up the system. 
    Part of the reason for this though is the closure of local walk-in services. These were immensely popular and well used, but considered not to be cost-effective and so shut down by the Coalition after Labour left office in 2010.

    As a result, people go to A&E instead. Why the government thinks this is more cost-effective I don't know.

    GP numbers are in decline so the solution doesn't lie there.
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  • capo4thcapo4th Frets: 3194
    Charge people to visit AandE and their GP it would eliminate a lot of idiots. £8.79p 
    If you are genuinely ill and or have a problem you would happily hand over £8.79

    Anyone using AandE because they are drunk and stupid should be charged £100


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  • capo4thcapo4th Frets: 3194
    On the 4 occasions last year where my son and I had to use the NHS I was very impressed with the time keeping and level of care / knowledge provided. I am not really sure what everyone is moaning about.


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  • BigLicks67BigLicks67 Frets: 497
    In the trust that I work at it seems most of the people attending A&E are genuinely ill, this is borne out by the increase in patients being transferred to wards. This is not normally the case and I have mentioned previously the time wasters who clog up A&E. The worst scenario in the last couple of weeks was a 12 hour wait in A&E and 15 ambulances waiting in the car park.

    Regards, health tourism, this could be resolved by a simple administrative procedure when booking in patients.

    Our walk in centre is still operating BTW.

    I'd echo @fretwired in that some sort of cross party initiative is needed because the NHS is in a parlous state at the moment.
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  • HeartfeltdawnHeartfeltdawn Frets: 11438
    Fretwired said:

    The politicians need to stop using the NHS to make political points and should get a cross-party committee together to agree on a way forward.

    When the two main parties have such a different ethos regarding the NHS, it won't happen.

     Phil_aka_Pip said:
    I refer you to @scrumhalf in his post in shit that boils your piss. Management IS the problem (like it or not)
    Not all management is equal. 
    Clarity over quantity.  
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