NHS performance 2016

[L00b]

Do I have to give you lines as well?

You can try, and then why don't you hold your breath?

I know you think that France has high quality universal healthcare paid for through a mixture of state funding and private health insurance

I don't.

 

And I know how much it's cost me over the past 23 years and continues to cost me every year through CSG fees taken monthly from my French bank account, even though I haven't lived there for 22 years and haven't been liable for tax there for about 19 of those.

 

It was instantiated in 1990 to try and plug the French NHS-like's growing public funding gap. Though deemed a form of taxation by the ECJ several times since its inception, the French gvt considers it's not and so continues to levy it from all and sundry, whether tax liable or not.

 

There's been the CRDS (on top of) since. Exact same purpose as the CSG, but the gap was getting bigger despite the CSG, see? So they needed more.

 

Shape of things to come here, mark my words.

 

Especially when the sentiment of the British public at large, is that it still can't see no wrong with throwing ever more public money at a failing institution in dire need of severe reform

Edited August 16, 2016 by L00b
typos and linkies

[Anna B]

The NHS could be the best Health service in the world, but unfortunately it isn't.

 

The doctors, nurses and many others who work in the NHS are wonderful in my opinion, but the bureaucracy is expensive, unwieldy, false economy, and lets it down badly. Far too many managers and meddlers. And still we have to use agency nurses instead of regular staff which costs a fortune.

Privatisation is also creeping in, and while I appreciate some privatisation might be necessary, I don't trust them to have NHS interests at heart. They are in it for profit, and as carehomes have proved their greed knows no bounds. (average £700 - £1,000 per person per week!) So if some privatisation is the only way forward I think it needs to be very carefully controlled with watertight contracts etc.

[SkylinePhoto]

The NHS should be for illness only.

 

Accidents should be covered with vehicle, home & personal insurance.

[tinfoilhat]

The NHS could be the best Health service in the world, but unfortunately it isn't.

 

The doctors, nurses and many others who work in the NHS are wonderful in my opinion, but the bureaucracy is expensive, unwieldy, false economy, and lets it down badly. Far too many managers and meddlers. And still we have to use agency nurses instead of regular staff which costs a fortune.

Privatisation is also creeping in, and while I appreciate some privatisation might be necessary, I don't trust them to have NHS interests at heart. They are in it for profit, and as carehomes have proved their greed knows no bounds. (average £700 - £1,000 per person per week!) So if some privatisation is the only way forward I think it needs to be very carefully controlled with watertight contracts etc.

 

It's always down to the managers isn't it. Never the sainted healthcare professionals. Track this down https://www.theguardian.com/society/2008/oct/16/nhs-health-rotherham

 

And what about labour councils charging the same amount for care homes (which aren't always as good)???

[unbeliever]

The NHS could be the best Health service in the world, but unfortunately it isn't.

 

The doctors, nurses and many others who work in the NHS are wonderful in my opinion, but the bureaucracy is expensive, unwieldy, false economy, and lets it down badly. Far too many managers and meddlers. And still we have to use agency nurses instead of regular staff which costs a fortune.

Privatisation is also creeping in, and while I appreciate some privatisation might be necessary, I don't trust them to have NHS interests at heart. They are in it for profit, and as carehomes have proved their greed knows no bounds. (average £700 - £1,000 per person per week!) So if some privatisation is the only way forward I think it needs to be very carefully controlled with watertight contracts etc.

 

If only the world were that simple.

i.e. The Hippocratic oath magically made you perfect.

 

Even if medical practitioners are all, my some miracle, profoundly virtuous people, they'll still make mistakes which could sometimes be avoided.

 

You know doctors and nurses make money too.

You also presumably know that a complete absence of "management" means either management tasks being carried out by medical staff, or a complete absence of management (this is also known as chaos).

Few people in the world dislike management types more than me, but there's obviously a limit.

 

 

---------- Post added 16-08-2016 at 14:59 ----------

 

The NHS should be for illness only.

 

Accidents should be covered with vehicle, home & personal insurance.

 

This is selective privatisation of healthcare funding into person health insurance by another name.

The combined costs of these insurances would become several thousand pounds per year per household.

Edited August 16, 2016 by unbeliever

[tzijlstra]

Heretic!

There are no successful part-state, part-private (insurance) universal healthcare systems. Especially not all over mainland Europe.

It's the NHS, or the nightmare which is the US system. Nothing else exists.

 

You need to use the /s tag, it's a Reddit thing, indicates sarcasm, works really well

 

The NHS could be the best Health service in the world, but unfortunately it isn't.

 

The doctors, nurses and many others who work in the NHS are wonderful in my opinion, but the bureaucracy is expensive, unwieldy, false economy, and lets it down badly. Far too many managers and meddlers. And still we have to use agency nurses instead of regular staff which costs a fortune.

Privatisation is also creeping in, and while I appreciate some privatisation might be necessary, I don't trust them to have NHS interests at heart. They are in it for profit, and as carehomes have proved their greed knows no bounds. (average £700 - £1,000 per person per week!) So if some privatisation is the only way forward I think it needs to be very carefully controlled with watertight contracts etc.

 

The NHS could be the best Health Service in the world, but only if people are prepared to pay for it.

 

Round the clock care costs money, a lot of it. It requires a specialised building, well trained staff, insurance, catering, entertainment of sorts and of course healthcare provision.

 

People in Britain don't understand the cost of healthcare, every ambulance call out costs at least 150£ to a trust. Every doctor on a shift costs somewhere between 400£ and 600£ depending on level of expertise. A nurse on a shift costs around 200£ Every hospital meal served costs around 3 pounds on average. A single hospitalisation due to, let's say, food poisoning costs around 2,000£. A hip replacement comes in over 10,000£.

 

Knocking your mate's tooth out in a drunken brawl, including A&E trip and dental treatment costs around 500£.

 

You know why people don't understand the cost? Because it is all 'free' to them. That is why people I know go to the Children's when their little boy has a running nose and people show up at the A&E to get a sick-note.

 

The average cost of every single person in the UK to the NHS is over £2000. Cover half of that through health-insurance payments, part paid by employers and keep state-funding at the level where it is and the NHS might become great.

 

At the moment, it is not, not even close.

[unbeliever]

You need to use the /s tag, it's a Reddit thing, indicates sarcasm, works really well

 

 

 

The NHS could be the best Health Service in the world, but only if people are prepared to pay for it.

 

Round the clock care costs money, a lot of it. It requires a specialised building, well trained staff, insurance, catering, entertainment of sorts and of course healthcare provision.

 

People in Britain don't understand the cost of healthcare, every ambulance call out costs at least 150£ to a trust. Every doctor on a shift costs somewhere between 400£ and 600£ depending on level of expertise. A nurse on a shift costs around 200£ Every hospital meal served costs around 3 pounds on average. A single hospitalisation due to, let's say, food poisoning costs around 2,000£. A hip replacement comes in over 10,000£.

 

Knocking your mate's tooth out in a drunken brawl, including A&E trip and dental treatment costs around 500£.

 

You know why people don't understand the cost? Because it is all 'free' to them. That is why people I know go to the Children's when their little boy has a running nose and people show up at the A&E to get a sick-note.

 

The average cost of every single person in the UK to the NHS is over £2000. Cover half of that through health-insurance payments, part paid by employers and keep state-funding at the level where it is and the NHS might become great.

 

At the moment, it is not, not even close.

 

This is the obvious solution. State funding to ensure universal coverage, but professionals and above (at least) get healthcare cover through their employer-run insurance.

Okay so, it creates some degree of 2-tier within the system.

But not where it really matters in terms of being looked after decently when you're properly sick.

This is the standard European model and although it has some general similarity to the US model, it needn't have the kinds of problems they have.

 

But you can't tell this to the British people. It's the NHS or the US system to them. They genuinely deny that there's another option.

[Daven]

The NHS could be the best Health service in the world, but unfortunately it isn't.

 

The doctors, nurses and many others who work in the NHS are wonderful in my opinion, but the bureaucracy is expensive, unwieldy, false economy, and lets it down badly. Far too many managers and meddlers. And still we have to use agency nurses instead of regular staff which costs a fortune.

Privatisation is also creeping in, and while I appreciate some privatisation might be necessary, I don't trust them to have NHS interests at heart. They are in it for profit, and as carehomes have proved their greed knows no bounds. (average £700 - £1,000 per person per week!) So if some privatisation is the only way forward I think it needs to be very carefully controlled with watertight contracts etc.

 

This happens because there are insufficient trained nurses to staff the wards.

This is set to get worse since this government has withdrawn the bursary that many student nurses, especially more mature students, relied upon to fund them through the very difficult 3 years training.

The effect will be far less very suitable people not being able to afford to heir nurse training.

It is a crying shame - this Tory government should hang their heads in shame.

[unbeliever]

This happens because there are insufficient trained nurses to staff the wards.

This is set to get worse since this government has withdrawn the bursary that many student nurses, especially more mature students, relied upon to fund them through the very difficult 3 years training.

The effect will be far less very suitable people not being able to afford to heir nurse training.

It is a crying shame - this Tory government should hang their heads in shame.

 

It should in fact get better. The money from the bursaries has been (at least largely) reinvested to create more nurse training places.

It's not remotely clear to me why everybody should have to take out student loans except nurses.

The problem in nurse training has been not lack of candidates, but lack of training places.

[Daven]

It should in fact get better. The money from the bursaries has been (at least largely) reinvested to create more nurse training places.

It's not remotely clear to me why everybody should have to take out student loans except nurses.

The problem in nurse training has been not lack of candidates, but lack of training places.

 

That is what the government are saying - the truth is different.

Believe me - the reason why many many very able and caring people will be stopped from doing their nurse training is because the bursary is now not available.

This is another Tory nail in the NHS coffin.