news & politics:discussion

[Neil]

12 minutes ago, steviewevie said:

Ok, deliberate neglect.

Not all of it, some is about improving services. 

[Neil]

Friend of mine is involved in defining and contracting the improvements. Via a voluntary role she's just taken on. 

[steviewevie]

3 minutes ago, Neil said:

Not all of it, some is about improving services. 

Quick temporary fix while people start going private direct.

[Neil]

7 minutes ago, steviewevie said:

Quick temporary fix while people start going private direct.

Somethings are too complex to be covered by a disjointed service. Improvements in stroke care in bristol are about better integration. A more joined up service 

[mattiloy]

43 minutes ago, Ozanne said:

Some of the recent statements on Labours plan for the NHS.

Binning the partnership model has the potential to solve the problem of the rent seeking docs who run chains of practices and the problem GP locum problem, so all for that. But expansion of NHS purchasing private services and allowing patients to self refer is a load of bollocks.

[steviewevie]

 

[Guest]

27 minutes ago, steviewevie said:

 

It is affordable, we are a rich country. 

Edited January 8, 2023 by Ozanne

[Neil]

16 minutes ago, Ozanne said:

It is affordable, we are a rich country. 

It's not about rich. Its not money its resources, if more goes towards health there's less for other things 

[Rufus Gwertigan]

I had my cataract surgery through an outsourced company that only deals with NHS patients. Aside from delays due to Covid as a service user it was a very positive experience.

A great many of the services I access such as mental health services are charity based 

[Crazyfool01]

7 minutes ago, Rufus Gwertigan said:

I had my cataract surgery through an outsourced company that only deals with NHS patients. Aside from delays due to Covid as a service user it was a very positive experience.

A great many of the services I access such as mental health services are charity based 

but my point is it could still be great if it wasnt outsourced . what does outsourcing it actually gain ? 

[mattiloy]

 

Squirmy Starmer

[Neil]

2 minutes ago, Barry Fish said:

Well they will be employed... If they employed they NHS will have more control over how they operate.  Lazy fuckers they are.

Problem with the current contract is something to do with pensions, I think it penalises them to keep working up to retirement age so they retired early. 

[Neil]

2 minutes ago, Barry Fish said:

No...

The NHS already provides a mind boggling amount of services it probably shouldn't. Its one of the reasons its over stretched.  How it can justify paying for IVF for people for example is beyond sense.

If a couple can't consieve and need ivf then there's a medical issue, care to tell me what medical treatments you would have banned?

[Justiceforcedave]

9 hours ago, Barry Fish said:

Second time I have told you I am not going to waste my time listing a load of treatments the NHS probably shouldn't provide.

Right now I have just taken out my privately paid for contract lenses and put on my private paid for glasses following on from my privately paid for eye appointment.  Which are also medical issues....  so yeah... you make a shit point - the NHS already doesn't cover all things medical.  Far from it.  

My grandmother just got here privately paid for hearing aids the other day...

What do you think are the characteristics of what should or shouldn’t be provided? Is it down to cost? If it’s needed for critical health reasons? If it’s self inflicted? Means tested? Combination? Something else?

I always thought it was a bit mad that old rich people get free prescriptions.

[mattiloy]

10 hours ago, Barry Fish said:

Well they will be employed... If they employed they NHS will have more control over how they operate.  Lazy fuckers they are.

GPs are totally overworked. Usually 20-30 appointments a day, lots of admin in letters to consultants and updating notes, home visits, out of hours shifts.

Most GPs don’t want the headache of running a business alongside doctoring and employ practice managers.

There are big problems with the partnership model, GPs themselves are victims of the issues, not beneficiaries.

 

10 hours ago, Barry Fish said:

No...

The NHS already provides a mind boggling amount of services it probably shouldn't. Its one of the reasons its over stretched.  How it can justify paying for IVF for people for example is beyond sense.

The long run cost/benefit calculation of IVF in a country with an aging population and a below replacement birth rate is clear.

A quick googling suggests the cost is 5k a round with a success rate of something like 20-30%.

So a cost of 20-30k to create a future taxpayer.

Then add in the fact that IVF recipients are likely to be older- couples who have kids older are probably wealthier than average, the biggest determinant of future income is (sadly) parental income - then the likelihood is that IVF made kids will go on to be productive taxpayers compared to the average.

[Neil]

guess what harry. the plebs have dysfunctional families too.

[steviewevie]

 

[Guest]

In a surprise to no one, the government didn’t go into the negotiations looking to resolve the dispute. The government’s suggestion is staggering. 

[steviewevie]

4 minutes ago, Ozanne said:

In a surprise to no one, the government didn’t go into the negotiations looking to resolve the dispute. The government’s suggestion is staggering. 

Amazing. 

[steviewevie]

Although Unison saying some progress has been made.

[Neil]

Am waiting on further information but it looks like it was covid which did for my mum, she was tested on Friday and was positive. Guess that's a consequence of nhs overload, cos there's drugs available that should stop covid  deaths. And in hospital she should have got them. I just checked and she'd had her booster jab this autumn didn't have a flu jab tho so I wonder if that was part of things. 

[Guest]

1 hour ago, Neil said:

Am waiting on further information but it looks like it was covid which did for my mum, she was tested on Friday and was positive. Guess that's a consequence of nhs overload, cos there's drugs available that should stop covid  deaths. And in hospital she should have got them. I just checked and she'd had her booster jab this autumn didn't have a flu jab tho so I wonder if that was part of things. 

I’m sorry, that’s awful. 

[Neil]

13 minutes ago, Ozanne said:

I’m sorry, that’s awful. 

Thanks. Glad she was in hospital and not on her own in her flat. Hopefully the nurses will have made her comfortable, and fussed over her. Looks like registering the death will take a while, as they're overloaded too. It's going to be a month until the funeral, as it can't be arranged until other bits have been done. 

Edited January 9, 2023 by Neil

[Rufus Gwertigan]

48 minutes ago, Neil said:

Thanks. Glad she was in hospital and not on her own in her flat. Hopefully the nurses will have made her comfortable, and fussed over her. Looks like registering the death will take a while, as they're overloaded too. It's going to be a month until the funeral, as it can't be arranged until other bits have been done. 

No consolation but you are right about the nurses. I once worked on an elderly ward during flu season and we lost 10 souls in a week. It was an old psychiatric hospital in the middle of nowhere and it was deep snow and day staff took to sleeping on the ward so they could help out the night staff. I was lucky as I lived on site but we put staff up on our living room sofa bed and floor. For all the ills of the NHS nurses do really care.

[Neil]

17 minutes ago, Rufus Gwertigan said:

No consolation but you are right about the nurses. I once worked on an elderly ward during flu season and we lost 10 souls in a week. It was an old psychiatric hospital in the middle of nowhere and it was deep snow and day staff took to sleeping on the ward so they could help out the night staff. I was lucky as I lived on site but we put staff up on our living room sofa bed and floor. For all the ills of the NHS nurses do really care.

I've got huge respect for nurses after my 28 weeks in hospital a couple of years ago. And I discovered that the NHS works best when the nurses go the extra mile. I've got no respect for the nurse who refused me a blanket on a cold night.