NHS we should be thankful

[cryrst]

Killing of insurance CEO exposes simmering anger at US health system

Long-standing frustrations were revealed online after a health insurance executive was shot and killed in New York City.

www.bbc.co.uk

This article from the USA where a healthcare executive was shot. Certainly related to care or lack of.
The cost acc to the article for family insurance is about 20K per year. Now my total personal stoppages are quite high but still not that much.
No matter who is in charge of hmg, since its conception by Bevan it has treated us at point of use. Sometimes it fails but generally good. Next time we are having a moan up maybe read this to bring you back to how lucky we are.

 

[Matov]

The entire NHS needs reforming from top-to-bottom.

Should we have a system such as the US? Then no. But our current model is currently failing and threatens to drag down so much with it.

Personally I favour something like the Norwegian model. As I understand it, every person is required to fund the first £200 or so of their treatments in any one year. So for example, you visit the GP, that is £20. Go to A&E, £20. Visit a hospital clinic for something, £20 and so on.

If you spend past that £200, then everything is free. If you require any kind of procedure that involves an over-night stay, then that is free. And so on. I also believe the hospitals are privately owned and then bill the government for services.

But this idea that you can just rock up with any and everything and just expect to not only be seen but, if you miss the appointment, there is no form of censure, is just beyond daft. And don't even get me started on the ludicrous, and quite frankly baffling, way in which Doctors and Consultants can somehow use NHS time for seeing private clients (truth is I have never quite been able to get my head around how that works so would be grateful to be educated, even if it is telling me to stop being such a t*** about it) then it is clear that the entire edifice needs shaking up.

 

[dreamwaverider]

Most consultants do a mix of private and NHS work. NHS pay for NHS work and privates pay for theirs. The NHS is done in NHS hospitals while privates in private hospitals.
When the NHS are overstretched, like most of the time, they do rent private hospital space and therefore the treatment within. This NHS rightly pay for.

 

[Matov]

Most consultants do a mix of private and NHS work. NHS pay for NHS work and privates pay for theirs. The NHS is done in NHS hospitals while privates in private hospitals.
When the NHS are overstretched, like most of the time, they do rent private hospital space and therefore the treatment within. This NHS rightly pay for.

So no private patients get treated in NHS hospitals by Consultants or Doctors?

 

[Forest Hillbilly]

Killing of insurance CEO exposes simmering anger at US health system

Long-standing frustrations were revealed online after a health insurance executive was shot and killed in New York City.

www.bbc.co.uk

This article from the USA where a healthcare executive was shot. Certainly related to care or lack of.
The cost acc to the article for family insurance is about 20K per year. Now my total personal stoppages are quite high but still not that much.
No matter who is in charge of hmg, since its conception by Bevan it has treated us at point of use. Sometimes it fails but generally good. Next time we are having a moan up maybe read this to bring you back to how lucky we are.

The Healthcare company denying treatment because of insurance policy "small print" was an issue gathering momentum for some time. The CEO going to meet shareholders to tell of an increased dividend due to big profits was always going to be a red rag.
My family have has different experiences of the NHS. Mostly very good, but more recent complaints due to foreign/agency nurses, with a lack of care and poor English skills.

A recent experience for me was being diagnosed with a cataract. The waiting list for my Consultant (and the NHS) is currently 2 years. The options available for quicker treatment are:
1. Move to the home counties where the waiting list is a couple of weeks
2. Pay £1300 to have the same Consultant treat me in the same hospital in a fortnight.

 

[becky]

So no private patients get treated in NHS hospitals by Consultants or Doctors?

Strangely, most large NHS hospitals usually have a 'private wing' in some part of the building, where the same Consultants can deal with their private patients, and conveniently, if there is any sort of 'emergency' after their surgery, they can be instantly whipped into the NHS section for urgent treatment - private wings/hospitals never have an emergency service.

 

[dreamwaverider]

So no private patients get treated in NHS hospitals by Consultants or Doctors?

Matov , Take a look at the Royal Marsden hospital on Wikipedia. There is a whole section devoted to your concerns. It is an NHS hospital. Their private wing covers the cost of the whole hospital. It’s all there.
It should help allay your concerns.
But I am not saying our system is perfect. Far from it.
But the Royal Marsden is one of the top cancer facilities on the planet. It has an excellent reputation.

 

[Eagleman13]

MSN

NHS trusts are being awarded large amounts of money to treat migrants 'at home' before their own patients.

 

[Badger11]

We don't want a US style healthcare system which suits only the rich.

However the NHS is not infallible and since it's creation the main blocker has been the BMA.

They have shaped the NHS to suits their members at the expense of patients. It's ridiculous that a consultant can't see you for 18 months but go private and he'll see you next week.

We need a new Bevan who will take on the vested interests in the NHS, I hope Streeting is that man but I doubt it.

All NHS staff should be told they cannot do private work so they either devote themselves to the public sector or they are free to join the private sector. We will lose some but there is not enough work for most.

At the same time agency staff should be dismissed unless they agree to work for the NHS permanently.

This will cause an outrage but unless we do this staffing issues will continue.

I wont hold my breath.

 

[ASCPFC]

We don't want a US style healthcare system which suits only the rich.

However the NHS is not infallible and since it's creation the main blocker has been the BMA.

They have shaped the NHS to suits their members at the expense of patients. It's ridiculous that a consultant can't see you for 18 months but go private and he'll see you next week.

We need a new Bevan who will take on the vested interests in the NHS, I hope Streeting is that man but I doubt it.

All NHS staff should be told they cannot do private work so they either devote themselves to the public sector or they are free to join the private sector. We will lose soon but there is not enough work for most.

At the same time agency staff should be dismissed unless they agree to work for the NHS permanently.

This will cause an outrage but unless we do this staffing issues will continue.

I wont hold my breath.

Interesting points. Far too radical for this gray labour. They won't rock the boat.

 

[cryrst]

Interesting points. Far too radical for this gray labour. They won't rock the boat.

It’s been too radical for all parties. Russel square is made for the BMA to spit their dummies out. Although it is still free when you walk in the door of a hospital which was my point originally.

 

[Adrift]

1. Move to the home counties where the waiting list is a couple of weeks
2. Pay £1300 to have the same Consultant treat me in the same hospital in a fortnight.

You have a 3rd choice. Join Beneden, its 15.50/month and they do almost everything except heart and cancer.
Get your eyes, your knees etc etc all those things the NHS takes a couple of yrs for.
They do all those things that don't kill you but make your life better, check it out

 

[Adrift]

My current beef is GP's
They are handsomely paid, in fact so well paid that 45% of them work part time
Full time is 8 sessions per week which equates to 4days per week
Blair allowed them to write their own contract which is why surgery's close at weekends. They also get paid by the size of their list not the number of appointments. Why would you let a private contractor write their own contract?
What do they do? They push pills based on what you tell them, fair enough. Anything else they send you to hospital. In the good old days they did minor treatment, I don't see this now.
How would Amazon do this? If all they do is interview you what's the point of seeing them face to face.

As for getting an appointment, my GP; you have to email them in the morning and they let you know if they'll see you. I doubt the SAS could get past the receptionist.

They want a new contract by 2027, basically more money less work. Streeting has his own ideas including referring yourself directly to hosp., I don't know how that would work but I am in favour of cutting out the middle man.

Rant over

 

[Badger11]

My current beef is GP's
They are handsomely paid, in fact so well paid that 45% of them work part time
Full time is 8 sessions per week which equates to 4days per week
Blair allowed them to write their own contract which is why surgery's close at weekends. They also get paid by the size of their list not the number of appointments. Why would you let a private contractor write their own contract?
What do they do? They push pills based on what you tell them, fair enough. Anything else they send you to hospital. In the good old days they did minor treatment, I don't see this now.
How would Amazon do this? If all they do is interview you what's the point of seeing them face to face.

As for getting an appointment, my GP; you have to email them in the morning and they let you know if they'll see you. I doubt the SAS could get past the receptionist.

They want a new contract by 2027, basically more money less work. Streeting has his own ideas including referring yourself directly to hosp., I don't know how that would work but I am in favour of cutting out the middle man.

Rant over

Email! Luxury lad luxury.

My surgery using a system called Anima. You cannot phone or email for an appointment. You log on and spend 15 minutes filling out an interactive questionnaire.

1. Why do you want an appointment?
2. Do you really need an appointment for that?
3. Please refer to Q 1.
4. Oh alright then well give you an appointment in a few weeks time. "Doctor! Get you! You want to see a doctor? No chance it will be an AP or if your lucky a nurse. The cheek of the guy".

The system only opens at 8am and closes down as soon as they hit their quota so by noon you have no chance. You can't even raise a ticket for them to look at later.

None of my elderly neighbours know how to use the system so I have become IT support for the surgery. Well as you can imagine not all ladies of a certain age wish to reveal why they need a doctor's appointment to their male neighbour who is raising the ticket on their behalf.

 

[becky]

My current beef is GP's
They are handsomely paid, in fact so well paid that 45% of them work part time
Full time is 8 sessions per week which equates to 4days per week
Blair allowed them to write their own contract which is why surgery's close at weekends. They also get paid by the size of their list not the number of appointments. Why would you let a private contractor write their own contract?
What do they do? They push pills based on what you tell them, fair enough. Anything else they send you to hospital. In the good old days they did minor treatment, I don't see this now.
How would Amazon do this? If all they do is interview you what's the point of seeing them face to face.

As for getting an appointment, my GP; you have to email them in the morning and they let you know if they'll see you. I doubt the SAS could get past the receptionist.

They want a new contract by 2027, basically more money less work. Streeting has his own ideas including referring yourself directly to hosp., I don't know how that would work but I am in favour of cutting out the middle man.

Rant over

Or, as I said to the last GP I spoke with (a locum in Lincolnshire picking up telephone appointments for a practice in Somerset!!!), you don't treat patients any more, you only treat test results. He actually agreed....

 

[Rudi Hedman]

Email! Luxury lad luxury.

My surgery using a system called Anima. You cannot phone or email for an appointment. You log on and spend 15 minutes filling out an interactive questionnaire.

1. Why do you want an appointment?
2. Do you really need an appointment for that?
3. Please refer to Q 1.
4. Oh alright then well give you an appointment in a few weeks time. "Doctor! Get you! You want to see a doctor? No chance it will be an AP or if your lucky a nurse. The cheek of the guy".

The system only opens at 8am and closes down as soon as they hit their quota so by noon you have no chance. You can't even raise a ticket for them to look at later.

None of my elderly neighbours know how to use the system so I have become IT support for the surgery. Well as you can imagine not all ladies of a certain age wish to reveal why they need a doctor's appointment to their male neighbour who is raising the ticket on their behalf.

I know, it’s fwcking w@nk.