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NHS

(564 Posts)
Iam64 Wed 03-Jan-18 19:19:36

The situation we're in this week with the NHS, cancelled operations, frail and ill patients sitting in queues of ambulances outside A and E, etc etc.
The health secretary and PM are insisting they planned well for these pressures. Every doctor/nurse Ive heard interviewed is saying the situation is desperate and that the issue is lack of resources.
Local Authorities funds have been devastated so patients who could be discharged home if social care was available remain in hospital. People stay on trollies in A and E rather than being discharged because there isn't a Consultant available to confirm they ca go home.
Does anyone have a sensible suggestion about how this situation can be improved. I don't see how it can improve without more money, we need to train and support our medical staff.

Jalima1108 Fri 12-Jan-18 11:02:51

The Indian doctor running the agency recruiting them said that they gained valuable expertise when working for the NHS which they supposedly take back with them after two years to benefit the patients in India.

I'm not so sure.

gillybob Fri 12-Jan-18 11:48:07

Yes I know that trisher we have allowed the nhs to be ripped off ( blackmailed) by agencies. Where does it end ?

Iam64 Fri 12-Jan-18 12:45:03

gillybob, I acknowledge your frustration but - what's happening in public service is that staff are under constant criticism from Ministers who would like to see no public, all private services.
Workloads are steadily increasing and pay hasn't increased. Administrative support for teachers, social workers, nursing staff, police etc etc has been demolished with the result that 80% of their working hours would be spent on a computer but everyone I know manages to do much of that in non working hours.

People who work for agencies get paid more by the hour but they do not get sick or holiday pay or any kind of pension scheme. No one wants agency staff, we need permanent dedicated nursing/teaching/social workers - it's a bad deal all round but it does enable staff to have a semblance of control over the hours they work.

Lazigirl Fri 12-Jan-18 13:09:49

I agree that it is a terrible haemorrhage of cash out of the NHS to private agencies, but as has been said the hospitals are so short staffed that they cannot function without, it's difficult to blame poorly paid staff for working for these agencies. Surely the blame lies in years of lack of investment in nurse and doctor training, and made worse now by nurses losing their bursary. When I worked for NHS they ran their own staff "banks", to enable staff either to work over time if they wanted, or to work hours that suited them. These have largely disappeared but when my mum was in hospital some nurses said that they had offered to work on a "bank" basis after early retirement, but hospital's are unable to do this apparently.

Morgana Fri 12-Jan-18 15:56:40

When they quote these waiting times in A & E. Is that the time to see a doctor or time to see anyone? Last time I went to A and E. I saw a triage nurse and then a nurse practitioner. Never actually saw the doc. as such.

gillybob Fri 12-Jan-18 16:10:44

The laws have changed with regards to agency staff rights Iam64 . We occasionally take agency workers if we get a rush job. They are entitled to holiday pay the same as a permanent member of staff.

I also disagree with anyone in the public sector taking early retirement and then selling themselves back via agencies at inflated costs. This appears to be rife in teaching as well as the NHS .

GracesGranMK2 Fri 12-Jan-18 16:24:59

I am a strong believer in 'never blame the person, blame the system gillybob'. It would not be impossible to stop people going down the early retirement /agency route. Just have all your currently vacant position filled and there would be no need for the number of agency staff but there are often freezes in recruitment and the pay of agency staff coming out of another pot. They could also look into giving permanent staff some of the flexibility agency staff.

Lazigirl Fri 12-Jan-18 17:04:29

I have just seen that the campaign group "999 Call for the NHS" has been successful in gaining permission to bring a judicial review of NHS England's draft Accountable Care Organisation contract, which they believe is unlawful under current NHS legislation. It will be held in Leeds in April. This campaign is being financed by crowdfunding, and if it helps to put a spanner in the works of the Government's progress in privatising the NHS, good for them.

durhamjen Fri 12-Jan-18 17:08:11

Good for us, not just them.
You can still contribute if you want.

Lazigirl Fri 12-Jan-18 18:07:10

Yes and you can also contribute to 38 Degrees fundraising for their huge advertising campaign to publicise the message "NHS crisis is the Government's fault" and "they need to boost NHS funding now". This will be on side of trucks and targeted leaflet drops.

durhamjen Fri 12-Jan-18 18:13:46

www.crowdjustice.com/case/healthcare4all-stage3/

If you can't contribute, they would like you to send the link to others who you think might be able to.
They need another £12,000 for the stage three court case.

Iam64 Fri 12-Jan-18 18:19:04

If you retire early on health grounds, the grounds have to include the fact you will never be fit to work in teaching/social work etc again
If people retire a bit early and then do part time with an agency, surely that's their right. Working 70 hours a week as a social worker or teacher is doable in your 30's, less so in your late 50's or 60's.
As GracesGran says, it's the system that may be at fault, not the individuals who try to survive in it.

durhamjen Fri 12-Jan-18 19:31:48

The government says that the problem in A&E happens every year. It didn't, not until the Tories took over.

durhamjen Fri 12-Jan-18 19:33:51

Iam, I thought the Tories wanted all Waspi women to take on apprenticeships, which means they want them to work part-time.
In hospitals and schools?

whitewave Fri 12-Jan-18 20:43:12

A Calais hospital is carrying out medical procedures for the NHS.

Who are we going to turn to after Brexit ?

Tegan2 Fri 12-Jan-18 21:00:52

My friend had a face lift done in Cuba....

Chewbacca Fri 12-Jan-18 21:04:49

My friend went to Bulgaria to have plastic surgery on her eye bags. She said it was nice to lie by the pool and recover whilst the swelling went down. Cheap as chips, apparently.

Jalima1108 Fri 12-Jan-18 21:06:57

Some English hospitals are doing procedures for Welsh patients

Primrose65 Fri 12-Jan-18 22:15:13

This is not something new or a uniquely Tory government problem. The issues reported by the press have not changed for over 20 years. That's what is really shocking.
1995
news.bbc.co.uk/1/hi/health/251375.stm
2000
www.theguardian.com/society/2000/dec/04/health2
2005
moneyweek.com/the-traditional-nhs-winter-crisis-kicks-in/

durhamjen Fri 12-Jan-18 22:23:42

I guess you haven't looked at the link at 19.30, Primrose.
One chart shows you.

durhamjen Fri 12-Jan-18 22:31:40

fullfact.org/health/how-much-money-does-nhs-need/

Primrose65 Fri 12-Jan-18 22:33:25

It's one measure Jen and it only goes back to 2004. No idea where it's from and the NHS is more than just A&E waiting times. 11% of people are just sent home without advice or treatment in A&E according to the Kings Fund report you quoted. A further 39% get advice only. So it's likely that a high percentage those people waiting longer than 4 hours are not waiting for treatment.
But that's all from links you've posted, so you know this already.

durhamjen Fri 12-Jan-18 22:33:53

Even the term winter crisis wasn't common until 2013.

fullfact.org/health/nhs-winter-crisis/

durhamjen Fri 12-Jan-18 22:34:36

It actually came from the King's Fund report.

durhamjen Fri 12-Jan-18 22:35:50

Yes, it only goes back to 2004, but your links are only during the Labour government. Can't think why.