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Question time Topic tonight - the NHS

(33 Posts)
Dinahmo Thu 30-May-24 21:12:38

For once I actually agreed with Farage on the subject of the NHS funding.

As some of you are aware I live in France so this is a brief summary of my health care here in the last couple of years.

Some of you may have horror stories about healthcare in France and there are sometimes strikes but I can assure you that our friends and acquaintances (both nationalities) would agree with me that the treatment here is very good.

Nearly 2 years ago I suddenly was unable to lift my left arm above shoulder height - this is what has happened to me since then.

I saw a rheumatologist in September 2022. He carried out various tests and the problem was sorted.

In October 2022 I had an emergency umbilical op. Following this a nurse came in every day for 2 weeks, to give me an anti clotting injection (5 days) change my dressing and check that I was OK. The nurse eventually removed the stitches and 1 month later I saw the surgeon for the all clear.

During this period I see an asthma consultant every 6 months.

I continued to see the rheumatologist every 6 months

I saw him again a couple of months ago and he ordered an MRI scan. 4 working days after the scan his office phoned to say he had the results and I needed to go in to see him that day.

He explained that I have an auto immune disease and sadly i had to go back on corticosteroids - higher dose. Not good because I'm feeling very jittery.

He also said that I had a shadow on my left breast and he made an appointment to see another consultant.

I saw the gynae/obs consultant a week later. He looked at the scan and arranged a mammogram for the following week (last week) and a biopsy if necessary. After the test I waited 15 minutes and was given the results and an appointment was made for the next consultation, next week.

My DH had a knee op last May and the nurses came in every day (as with me) and he had physio for about 10 months. His knee is nearly as good as when he was young.

If we need an x-ray we make the appointment ourselves. If we need an MRI our GP will make the appointment.

Back in February I had 2 cataract ops.

My DH and I pay around £250 per month for the top up health care. (not £250 each) to a mutuel (non profit making)
This covers part of the cost and the state pays the bigger part.

Younger people pay a lot, lot less. If you are on a low income you don't pay.

If you have a life threatening disease (I now have 2) the state pays for everything.

Between us we have been to 5 or 6 different hospitals, only one of which was inefficient with appointments. The others are modern, clean and well staffed.

I am at an age when breast cancer is quite common. I know 3 or 4 people who have had it recently. One in the UK (at UCH) and the rest here. The outcomes have been good and there are no complaints about the treatment. My friend in London said her treatment was excellent.

If one wants to see the GP it is normal to pay a small fee (7.5 euros) which is refunded to us via the mutuel.

We here on the news about the long waiting lists in the UK and I wish/hope that you can receive as good treatment as we do here.

My apologies for the length but I felt that you should understand how it could be.

Grantanow Fri 31-May-24 17:47:44

I was very impressed by the French health care system. Immediate GP appointments and very attentive home care for disabled people. Essentially the system is free but patients have to pay a fee at the GP surgery and for medicines but can reclaim it all. Hospital treatment requires a top up payment unless the patient is poor. Many French people pay a small insurance in order to reclaim the top up fee. It's certainly more efficient than the present UK NHS. Despite the high levels of UK funding not enough goes into the GP service to fund more GPs. The Tories seem to think you can replace qualified GPs by paramedics. In my experience that can lead to mis-diagnosis.

MaizieD Fri 31-May-24 18:08:49

The French government allocates more public money per head to the French Health service than does the UK government. That is a significant contribution to its current effectiveness.

So, before we go down the 'insurance' byway (and isn't that what NI was supposed to be?) let's consider what better state funding could do? Perhaps look at the NHS at the close of a period of Labour government and increased funding?

And consider the multiplier effect of funding the NHS, which is considered to be 3. Which means that every £1 of state funding generates £3s of economic activity...

growstuff Fri 31-May-24 18:15:12

Dinahmo

Thanks Maddyone I'm sorry to hear about your delays.

Although my business is UK based (no French clients, only UK residents) I declare my fees here each quarter and have to pay cotisations ( a bit like NIC) at 27% even though I'm well over retirement age but I don't mind because I am aware that the two of us cost the French a lot of money. (the UK does contribute, as it should, because we have an S1)

And there you have it! You pay more for a better service. All the stats show that more is spent per head in France on healthcare - it's no wonder it's better.

Joseann Fri 31-May-24 18:24:34

It's simple isn't it? The French have far more doctors per 1000 people than we do, and far more diagnostic equipment too.

maddyone Fri 31-May-24 18:37:06

This government seem to think that GPs can be replaced by paramedics, nurse practitioners, and Physician Associates (the PAs aren’t even allowed to prescribe!) Just why?

maddyone Fri 31-May-24 18:38:11

Thank you Dinahmo. If I lived in France, I’d probably have had my surgery months ago.

dragonfly46 Sat 01-Jun-24 09:38:26

growstuff

dragonfly46

Farage said we have to look to what the countries around us do to fund their health service as our NHS is clearly in trouble.
We lived in the Netherlands for many years and there is it is the same as in France. If you can afford it you pay into an insurance company (half our contribution was paid by our employer). If you earn less than the threshold it is all free but you see the same doctors and go to the same hospitals.

In other words, those who can afford it pay more into the system. Isn't that what taxes in the UK should do?

Yes maybe our taxes should cover it but the Dutch system ensures the money goes into the health system.