Alegrias1
Nobody’s ever accused me of being a Pollyanna.
It is possible to see positives in the way that the omicron wave is developing and still appreciate that the NHS is in trouble. They are separate but linked. If the omicron wave is less of a problem than it could have been, then that’s a good thing and we need to be positive about that.
The fact that there are no more restrictions on the cards for England, but there are surge hubs being built is causing mixed messages. Its only an extra 800 beds across the whole of England, that’s a drop ion the ocean, I think. It seems to me that we are only working on one side of the equation; there are only so many resources in the NHS so its incumbent on us not to get sick. Well why are there only so many resources in the NHS? We’ve had a pandemic for 2 years and there’s still telling us the NHS isn’t up to it. I know its not possible to magic up doctors and nurses, but have we done anything to make the NHS more robust and capable of dealing with a new disease that’s never going away, can someone tell me? Or are we all expected to change our behaviour forever because politically the NHS isn’t being properly funded?
So the BMA, the doctors’ union, think there should have been more restrictions in England. I agree with them. But they are a pressure group and in my experience, doctor err on the side of caution. DH had a very bad sports injury many years ago and was told by the doctor he’d never take part in that sport again. A few years later he was national champion. You’ll forgive me if I find a doctor’s view of things just a little bit negative.
Finally, why would the Beeb just give the basic numbers for deaths without explaining what it meant? Clearly at least one person on this thread thought that deaths were increasing, and they’re not. They might in the future, they probably will, but right now, the data they gave was misleading and there’s no excuse for that. If you look at just the numbers that the BBC report, you might think that the deaths had increased six-fold in one day, which is scary by anybody’s metrics – but not true, of course. So why do they do it? Lack of understanding of the numbers? Carelessness? A desire to paint the most negative picture possible? We’ll all have our own ideas about that but none of them cast any glory on the BBC. I'm with maddyone on this one.
Sadly - all the resources the NHS have have gone into trying to ‘firefight’ the pandemic and the subsequent delayed morbidity. I just don’t think anyone has had capacity to look at things enough to say ‘how can we make the NHS more robust?’ GPs have tried to maintain distancing through virtual
Consulting, secondary care has tried to decrease flow with limited visitation, admission avoidance schemes ( GP in ED, admissions through consultant only etc) and early discharge post elective care but this has been unpopular with the public ( see the many threads on ‘why can’t I see my gp face to face) and the media.
I think it is a gross overgeneralisation to say doctors are negative, especially based on your n=1 of your husbands case. Doctors are taught to be realistic and set the expectations of patients. If we all said ‘don’t worry, you’ll
Be ok’ to every patient it wouldn’t be very helpful! Perhaps, ( and I wasn’t there) your husband was told - it is unlikely to you will play that sport again.. perhaps your husband was one of the ‘miracle patients’ we see once in a blue moon who has defied the current medical knowledge. Regardless, the majority of leaders on the NHS are not optimistic, whilst perhaps accepting we are undoubtedly in a better place than last year. As I was previously a medic, have medics in the family and a whole network of friends and relatives practising in a variety of fields within both primary and secondary care and public health all I can say is - the feeling on the ground is one of exhaustion, stress, depression, overwork.. to quote a good anaesthetist friend form a conversation yesterday ‘we are all on our knees and no one is seeing it’
No - we shouldn’t need to have restrictions indefinitely. We know pandemics burn out at some time. Clearly this is not that time! But - yes - we should be changing our behaviour temporarily. If anything - to acknowledge the huge strain our medics and allied professionals are under, and to help play our part in trying to make things a little easier for them.
The reasons for why there are not enough resources in the NHS ate complex and tricky to simplify. It’s not just a case of poor financing.
In short: it isn’t valued - the hours and working conditions are poor compared to many other countries eg Aus,Canada,NZ so there is an increasing exodus of professionals to these counties.
Brexit
The pay has been decreasingly steadily for all for years due to the pitiful, Less than inflation pay rises. Which decreases morale and makes living difficult for some people. A large proportion of staff will leave to work in the private sector, abroad or use their skills in another profession.
Medicine and care is extremely stressful. The general public can be very unkind, angry and behave poorly. There has been an increasing amount of verbal and physical
Aggression noted in both primary and secondary care. Again this leads to poor morale, Poor mental health and staff shortages.
Covid - staff have left or are off sick either due to Covid itself and it’s effects (long Covid etc) or having to isolate due to such large case rates. Recent example - midwife care on labour ward ideally 1 midwife for 1-2 ladies. Few midwives available so ward ran on 2 midwives for the entire ward.. ( a good friend is director of midwifery in local hospital)
Apologise for the rant but your comment comes across as - why should we change our behaviour, the NHS should have prepared better and the doctors are just being negative.. I would urge you to try and walk in their shoes for the past 2 years