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NHS

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By (user no longer on site) OP   
over a year ago

Wonder who is really at fault - the health care professionals (doctors, nurses, paramedics etc) or the managers or even better the pts!

I personally find its the system which encourages incompetent people to just carry on ticking boxes.... Everything becomes inpersonal and everyone is faceless! ............

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By *iewMan
Forum Mod
over a year ago

Angus & Findhorn

there are great managers, great doctors & great nurses

and some not so good managers, doctors & nurses

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By (user no longer on site) OP   
over a year ago


"there are great managers, great doctors & great nurses

and some not so good managers, doctors & nurses"

Totally agree its like everywhere, you get them all but why does the system protect and even promote the no good ones??

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By (user no longer on site)
over a year ago


"Wonder who is really at fault - the health care professionals (doctors, nurses, paramedics etc) or the managers or even better the pts!

I personally find its the system which encourages incompetent people to just carry on ticking boxes.... Everything becomes inpersonal and everyone is faceless! ............ "

Do you believe those 'incompetent' people enjoy ticking those boxes? There are often deeper reasons for that incompetence.

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By *iewMan
Forum Mod
over a year ago

Angus & Findhorn


"there are great managers, great doctors & great nurses

and some not so good managers, doctors & nurses

Totally agree its like everywhere, you get them all but why does the system protect and even promote the no good ones??"

the NHS are not known for being the best in performance management and the offenders play the system ( as they do in a lot of industries ), they move from the poor performance process to the poor attendance process and back again.

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By (user no longer on site)
over a year ago


"there are great managers, great doctors & great nurses

and some not so good managers, doctors & nurses

Totally agree its like everywhere, you get them all but why does the system protect and even promote the no good ones??"

If someone is shit at their job and it would create a shitstorm to get rid of them,move em sideways or up.

It becomes increasingly hard to know who to point the finger at

non liability. they cant get enough of it

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By (user no longer on site) OP   
over a year ago


"If someone is shit at their job and it would create a shitstorm to get rid of them,move em sideways or up.

It becomes increasingly hard to know who to point the finger at

non liability. they cant get enough of it"

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By (user no longer on site) OP   
over a year ago


"Wonder who is really at fault - the health care professionals (doctors, nurses, paramedics etc) or the managers or even better the pts!

I personally find its the system which encourages incompetent people to just carry on ticking boxes.... Everything becomes inpersonal and everyone is faceless! ............

Do you believe those 'incompetent' people enjoy ticking those boxes? There are often deeper reasons for that incompetence."

Probably not... :-/

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By *ouple in LancashireCouple
over a year ago

in Lancashire

the no blame culture is part of the issue..

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By (user no longer on site)
over a year ago

I take my job very seriously, my focus is on my patients and giving excellent care to them during tge twelve hours they are under my care

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By (user no longer on site)
over a year ago

Trying to run public sector services like commercial businesses is the problem. They deal with people which are not commodities, so if you place pressure on managers to do so, they focus on facts, figures and savings instead of the reason they exist....health, education,law etc and of course to care about the deserving public

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By (user no longer on site)
over a year ago


"Trying to run public sector services like commercial businesses is the problem. They deal with people which are not commodities, so if you place pressure on managers to do so, they focus on facts, figures and savings instead of the reason they exist....health, education,law etc and of course to care about the deserving public "

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By *emmefataleWoman
over a year ago

dirtybigbadsgirlville

Its the faceless people that hold the purse strings ie...trust managers etc..also minister for health etc....they are the ones that make a policy for a trust etc...they way nurses and doctors are taught their profession is now "parrot"fashion, they are not taught people skills and very few have natural people skills.....its a domino effect.

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By (user no longer on site)
over a year ago

I have some serious concerns and issues with the ongoing changes and NHS reforms, I'm staff but within admin not clinical, over the last 5 years we've had targets set higher and higher to an unachievable standard now, the sacrifice if we were to continue to try to meet these targets..... Put plain and simply would be the patient care.

I'm unhappy with the powers that be feeling that financial goals are more important than the care needed for our patients. It is very frustrating and worrying and I hope Stafford's failings can be of long term benefit for the future and people to make the right decisions to enable every hospital visit worthwhile for all

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By (user no longer on site)
over a year ago

I have had some serious crashes and been taken to hospital and been looked after very well, I had Cancer treatment that worked again all on the NHS.

I have to say they do a great job, sometimes with vey little thanks or preiase.

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By (user no longer on site) OP   
over a year ago


"I have had some serious crashes and been taken to hospital and been looked after very well, I had Cancer treatment that worked again all on the NHS.

I have to say they do a great job, sometimes with vey little thanks or preiase."

Really delighted to hear your well and that you do appreciate the care you got

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By (user no longer on site) OP   
over a year ago


"I take my job very seriously, my focus is on my patients and giving excellent care to them during tge twelve hours they are under my care"

I am sure you do... And I am sure most of the professionals do take their job seriously - I am not trying to blame anyone. I just wonder where the problem lies

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By (user no longer on site)
over a year ago

Having had experiences of the NHS where a diagnosis of a genetic condition says you have it for life yet I had it diagnosed/undiagnosed and re-diagnosed some 45 years later nobody read my notes. Also having another diagnosis taking seven years because no one read the information provided at the time.

The NHS is over burdened with patients without the funding to support them, time is not given to patient care because of government targets etc.

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By (user no longer on site)
over a year ago

I would guess there are lots of factors and it can be all the OP describes. Sometimes people are recruited into management positions within the NHS from the private sector with an previous industry background and this can be at odds with the care and nurture culture.

Sometimes excellent nursing staff have been promoted into management positions and they struggle with budgeting and financial decisions because their role has primarily been a caring and nurturing one.

Some managers may impose a set of directives and have no idea the effect and whether these will work on 'the ground' on a busy Saturday night in A&E.

Some nursing staff will work to their job description and others will go over and above their contracted hours to ensure their patients are cared for.

And I expect patients will not turn up for clinic appointments, wasting their consultants time, and for theatre where there will be consultant, doctors, nurses, anaesthetist etc all lined up with no place to go.

I would imagine there are a whole host of issues that we can't even guess at.

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By (user no longer on site)
over a year ago


"Trying to run public sector services like commercial businesses is the problem. They deal with people which are not commodities, so if you place pressure on managers to do so, they focus on facts, figures and savings instead of the reason they exist....health, education,law etc and of course to care about the deserving public "

The NHS like all public sectors does not have an infinite amount of money and yet is expected to deliver a service way beyond its budget and to an exceptionally high standard. People working these services are doing the best they can on the whole, you can't tar all with such a general brush. .

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By *ctavius StuntMan
over a year ago

london

Dont worry about the nhs it will soon be gone. When the new act comes in all the pvt companys will slowly see to it that the nhs slowly fades and disappears.

Lovely philanthropic mr branson and virgin health already run some gp practises and they are also now the provider in devon for paliative care. I remember when rich individuals made large donations to such things. I mean what sort of person is ok with making profit from dying children.

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By (user no longer on site)
over a year ago

My sisters a nurse and she's under no doubt the problem is the endless drive to try and make money , surely the buck stops with the ministers who keep changing things and endlessly keep cutting funds .

If you run a ward or department with not enough staff to do the jobs then your heading for trouble.

It's a no-brainer......

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By *nnyMan
over a year ago

Glasgow

Given the size and complexity of the NHS, it's surprising it works as well as it does.

Throw in the monumental stupidity of some of the people who turn up at A&E with what can only be described as self-inflicted injuries, it's a miracle it works at all.

If you want to see just how well it does work, check out Brain Doctors on BBC and the work of the astonishing Mhairi Speirs.

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