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King's Fund Report. End of the NHS?

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By *sussexy OP   Man
over a year ago

Lewes

https://www.theguardian.com/society/2022/dec/12/decade-of-neglect-means-nhs-unable-to-tackle-care-backlog-report-says

read and weep

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By *urreyfun38Couple
over a year ago

croydon

And now the Genie is out of the bottle lets all hope that a proper grown up conversation can be had about its funding and just how it should operate.

But it will probably descend into ideaological arguments from all sides.

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By *irldnCouple
over a year ago

Brighton

Staff shortages are one of the biggest issues facing the NHS. This has been exacerbated by increasingly poor pay and conditions and the removal of training grants saddling them with debts. Staff retention is a huge issue as the NHS has most 34,000 nurses in the past year.

The past decade has seen a deliberate running down of pay and conditions to destroy moral, create a healthcare crisis and soften up the public to the idea of privatisation.

There is actually no need for healthcare in the UK to be privatised. The profit motif has no place in the provision of life saving healthcare. What needs to happen is to remove the internal marketplace, remove all the outsourcing that has fleeced the NHS. Reinstate training grants with a 10-15yr lock in for anyone who takes one.

That isn’t ideological, it is common sense. If you need to extract shareholder value to pay dividends then you either charge more for a service or provide a lower (cheaper) standard of service but charge the same.

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By *irldnCouple
over a year ago

Brighton

*lost 34,000 nurses in last year.

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By *ercuryMan
over a year ago

Grantham

Staff retention is the key. Many get NHS training, then are lured away by the private sector or to work overseas.

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By *eandmrsjones69Couple
over a year ago

Middle England

PFI was/is a massive drain.

Bad management both from all governments and internally.

Lack of planning.

Top heavy management.

No joined up thinking from GP, hospitals, social care etc.

People abusing the system, eg health tourism, calling ambulance for non-emergencies.

The list goes on...

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By *estivalMan
over a year ago

borehamwood

Dunno about the nhs but missed appointment with my surgeon yesterday, rag to ask why i hadnt turned up, told him i didnt know i had appointment informed me they sent a letter 3 weeks ago so well done royal mail for not delivering letters wonder how many more missed appointments there has been because people didnt get there letters, another cost to the nhs

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By *irldnCouple
over a year ago

Brighton


"Dunno about the nhs but missed appointment with my surgeon yesterday, rag to ask why i hadnt turned up, told him i didnt know i had appointment informed me they sent a letter 3 weeks ago so well done royal mail for not delivering letters wonder how many more missed appointments there has been because people didnt get there letters, another cost to the nhs"

In 21st century why are they relying on a paper letter? Does your GP not have your mobile and email address. Mine does.

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


"Dunno about the nhs but missed appointment with my surgeon yesterday, rag to ask why i hadnt turned up, told him i didnt know i had appointment informed me they sent a letter 3 weeks ago so well done royal mail for not delivering letters wonder how many more missed appointments there has been because people didnt get there letters, another cost to the nhs

In 21st century why are they relying on a paper letter? Does your GP not have your mobile and email address. Mine does."

Exactly, I get texts to remind me off all my appointments

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By *irldnCouple
over a year ago

Brighton

133,000 unfilled vacancies in the NHS and growing!

Hmmm I wonder if there is a correlation between falling performance and a lack of staff?

Hmmm I wonder why there are so many vacancies?

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


"Staff shortages are one of the biggest issues facing the NHS. This has been exacerbated by increasingly poor pay and conditions and the removal of training grants saddling them with debts. Staff retention is a huge issue as the NHS has most 34,000 nurses in the past year.

The past decade has seen a deliberate running down of pay and conditions to destroy moral, create a healthcare crisis and soften up the public to the idea of privatisation.

There is actually no need for healthcare in the UK to be privatised. The profit motif has no place in the provision of life saving healthcare. What needs to happen is to remove the internal marketplace, remove all the outsourcing that has fleeced the NHS. Reinstate training grants with a 10-15yr lock in for anyone who takes one.

That isn’t ideological, it is common sense. If you need to extract shareholder value to pay dividends then you either charge more for a service or provide a lower (cheaper) standard of service but charge the same."

I think your right. Its been underfunded for years alongside social care. This is a crisis of the governments making.

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By *estivalMan
over a year ago

borehamwood


"Dunno about the nhs but missed appointment with my surgeon yesterday, rag to ask why i hadnt turned up, told him i didnt know i had appointment informed me they sent a letter 3 weeks ago so well done royal mail for not delivering letters wonder how many more missed appointments there has been because people didnt get there letters, another cost to the nhs

In 21st century why are they relying on a paper letter? Does your GP not have your mobile and email address. Mine does."
nothing to do with my gp this is my surgeon at the hospital, not been near my gp since ending up in hospital earlier this year after they diagnosed me over the phone as having a kidney infection turns out it was an abcess that burst and ended up in icu for 17 days so my gp can go fuck herself

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By *estivalMan
over a year ago

borehamwood


"Dunno about the nhs but missed appointment with my surgeon yesterday, rag to ask why i hadnt turned up, told him i didnt know i had appointment informed me they sent a letter 3 weeks ago so well done royal mail for not delivering letters wonder how many more missed appointments there has been because people didnt get there letters, another cost to the nhs

In 21st century why are they relying on a paper letter? Does your GP not have your mobile and email address. Mine does.

Exactly, I get texts to remind me off all my appointments "
this is an ongoing thing with my surgeon nothing to do with my gp

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By *sussexy OP   Man
over a year ago

Lewes


"...snip...

The past decade has seen a deliberate running down of pay and conditions to destroy moral, create a healthcare crisis and soften up the public to the idea of privatisation.

There is actually no need for healthcare in the UK to be privatised. The profit motif has no place in the provision of life saving healthcare. What needs to happen is to remove the internal marketplace, remove all the outsourcing that has fleeced the NHS. Reinstate training grants with a 10-15yr lock in for anyone who takes one.

...snip..."

My reading is that KF are going to say it is too late for that. Making training unattractive for several years, and making the country deeply unattractive for many immigrants has put us in a pit that we literally cannot climb out of, given that training doctors and nurses - even if we were to make it more attractive - takes years.

COVID and long COVID has depleted the workforce, so we are in a long recession. As a country we have wasted billions on ineffective track and trace, useless (and often fraudulently acquired) PPE, furlough schemes which had no protection against fraud and then a disastrous mini budget. So it is hard to see where the money can come from to find a way out.

Which, arguably, is exactly where Lansley wanted wanted us to be, when he set us off down this track.

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

I heard a program on radio saying most gp have a 3week waiting list for apointments.aparently they are paid by nhs for everyone the have on the books eaven though they dont see them and some have died and some have mooved.the program said they should only be paid for the folks they see.it would save millions

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