Like most of our public services the last thing the NHS needs is more reorganisation. It needs proper funding and then to be allowed to get on with the job. 14 years of Tory meddling to avoid the need to provide proper funding hasn't worked. The Daily Mail and other tabloids really aren't telling the truth by the way, nor the far right think tanks.
From my experience with my Dad being in hospital for an extended amount of time (which brings us to another issue of hospitals being full of people waiting to be discharged to care which doesn't exist because we've essentially privatised care and the profit lies with non-complex cases so nobody wants to take on cases like my Dad) it was less that the agency staff weren't as good, more that there was no continuity
Every time I've used 111 they've sent me to either an out of hours centre or A&E. I've ignored them as often or not but yeah it's a totally irrelevant service, may as well cut that bit out and just go to A&E first!
The service is far too fragmented with different private companies running different parts and not really being concerned with the overall care of the patient.Exactly this type of stuff. GP appointments ‘cost’ around £30-40 yet A&E costs something like 400. GPs aren’t available out of hours and many not at weekends….where does everyone end up
It's really sad this. I remember when I was last in a hospital, fortunately but unfortunately, I was not the patient, but a sibling, and I was apologising for being in the way, while the staff were apologising for asking me not to be in the way.
The NHS has been restructured, the influence of the structure is the American accountable care organisation (ACO). The NHS is, similarly to an ACO divided into systems covering a geographic patch. The systems, funded by an Integrated Care Board with a fixed budget to fund all primary and secondary care in that area. We are part way down the road Pete.
I actually wouldn't be against it, as long as there is universal healthcare where required.
How long do people think would Starmer actually last as leader of the Labour Party and Prime Minister?
Given that Iran was historically Persia which had a huge empire created and sustained by military conquest - including the taking of slaves, your argument is probably not correct. Not forgetting Britain’s leading role in ending slavery.
The colocation of GPs in A&E was a feature on the Isle of Wight for some time.
One of my heroes is Granville Sharp, one of the earlier abolitionists and key player in Somerset vs Stewart
On one of my 3 recent trips to A&E I spent pretty much all night sat with the nurses as there were no beds / cubicles and I needed my obs done every hour.
So it's arguably not the health service that's failing, it's a lot of other services.
I will just clarify, RBS bought the bank at the centre of the deal, because its management made consistently bad choices.
Don't think it's a case of below their skill level, more that they have to be ready for everything at the drop of a hat. From a very quick google A&E consultants are on around double what GPs earn. There's also far more infrastructure to maintain and operate.
think you could say that for other parts of the system as well. Certainly the police who spend a lot of time and money dealing with people with addiction, mental health issues etc that should be covered by other services that either can't cope with the numbers or simply don't exist anymore.
The most recently published figures (21/22) show average cost of an Emergency Care episode to be £242, not £400 as suggested elsewhere. Yes, more than a GP attendance, but not much major trauma ends up at a GP surgery.
It’s cover your arse medicine. If they hadn’t done all those investigations and you had dropped dead on the way home, I doubt your relatives would have been sufficiently comforted and advised not to sue.Yeah, looking at the latest it says cost starting at £418 for visit to a major A&E department that involves more complex investigation (which is the figure I’d heard/seen quoted) but a lot less for routine visits to care centres. So a current average of around 250-300 (inflation) now would make sense
How much does an A&E visit cost the NHS - NowPatient
In this comprehensive guide, we will explore the cost of an A&E visit to the National Health Service (NHS) in England.nowpatient.com
Either way its multiple times the cost of just seeing a GP or walk in centres for less urgent matters.
To answer shmmeees question I presume the additional cost is triage, tests and ultimately the cost involved in seeing a consultant. Last time i went to A&E for returning afib after being directed by 111, I saw a triage nurse, had blood tests, ECG with different nurse, then consultant (after getting blood tests redone after first lot were lost). I didn’t need all that as I’d had afib before which had initially been rectified by a Cardioversion. A ten minute GP appt could’ve given me sufficient comfort/advice
They're paid for in different ways, if you go to your GP for something there is no specific payment for the episode of care as the GP practice gets a capitated payment for its registered list.
