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imperishablehcfc

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#31
14/03/2017 at 20:57

Agreed in part Obi but plenty of others think we just need more staff and more money thrown at a totally broken model, just bury the problems even further 

Fuck the short term we will build a 1000 year Hull City Reich 

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hcclog

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#32
14/03/2017 at 21:43

The staff that cared for my mother recently upto her death were excellent and caring.My mother was on her deathbed for best part of two weeks and we were told at the time that she was dying and that they was no hope.They removed all food/drink tubes and basically filled her full of painkillers for the remainder of her life.I spent two nights with her and watched her suffering although she was unconcious.
The cost for all of this must be eyewatering and my point is that in such circumstances why the fuck do we not put them down?we would with a pet. 

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exiled CITY AFC

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#33
14/03/2017 at 21:59

Except obi that is exactly the opposite to the way medics work and want to work.

They love the interesting complicated stuff and don't want to do the routine. In fact that is one of the main structural issues - that the routine is not separated well enough from the urgent and complex.

It would be brilliant if every A & E could filter the majority to the McDonalds model you suggest... 

Let it never be said that I was silent when they needed me - William Wilberforce 

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Obadiah

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#34
14/03/2017 at 22:09

Quote Quote by imperishablehcfc on 14/03/2017 at 20:57
Agreed in part Obi but plenty of others think we just need more staff and more money thrown at a totally broken model, just bury the problems even further


Its broken because New Labour and the Tories want to treat the NHS as a business with a financial structure that makes it easier to privatise it. Drive it into the ground and then soften up the voters for the introduction of charges and more private sector involvement.

The NHS does require more money and more staff. It also needs to get rid of some of the high paid bureaucrats that have got themselves a nice little earner thanks to New Labour and the Tories. 

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exiled CITY AFC

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#35
14/03/2017 at 22:28

Quote Quote by Obadiah on 14/03/2017 at 20:45


You have been ticked off. The Specialist has seen you within the time limit. The hospital administrators will be in line for a bonus for meeting the government target and you're left feeling what was the point of that. No doubt the Specialist thought it was a waste of his or her time as well. Now times your experience by a hundred or so and you can see how much time is wasted meeting targets.

Nothing to do with whether the staff are lazy or not but everything to do with ensuring the NHS bosses get their bonuses.

Hope its nothing serious.


It's nothing like that obi.

No one - literally no one - has any responsibility for the journey of the patient. In fact the only person who does in this example is the patient himself who has described his ridiculously inefficient journey and the associated waste of staff and the patients time. The medics and the admin staff all are happy to go through the motions of their little slice of the work but no one cares about the overall. It's like pass the parcel and most people have figured out that as long as I am being really really really caring and nice while wasting your time in buckets it makes it very hard to be critical.

Of course Tony Blairs army of managers and administrators should - given all the overhead they added - have taken the lead and re-configured the system top down (will never be done bottom up) to suit BUT here is a problem. The senior medics don't work for the managers and bosses. (Most have a direct contract with the Secretary of State who they still don't see as their boss).

It needs end-to-end reconfiguring but tell me who can lead that in a way that the workers top-to-bottom actually DO....

It's not measures per se that are the problem it's the system design (or lack of it) and then applying the right measures exactly like the ones the patients themselves actually use. Time taken from end to end and time having actual useful treatment or activity. The value add to none-value-add ratio is a fundamental basic of modern operations management. As tax payers - and fans of the fundamental idea of the NHS -it needs dragging into the 21st century because otherwise the Tories will outsource the work (waste included) and then it will never get cleaned out.

Improve it or lose it is what I think... 

Let it never be said that I was silent when they needed me - William Wilberforce 

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candw

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#36
15/03/2017 at 07:37

Good job the Health and Social Care Act 2013 put things right, then.

SOMEONE ACTUALLY WROTE THIS:Yes,I can see them deciding to fly planes into buildings in a country which didn't exist at the time of the fall of Jerusalem centies later because of the 70,000 killed then.  

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exiled CITY AFC

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#37
15/03/2017 at 12:47

It didn't it simply re-arranged the furniture on the titanic.

No worse no better IMHO 

Let it never be said that I was silent when they needed me - William Wilberforce 

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candw

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#38
15/03/2017 at 13:16

Worse, actually.

SOMEONE ACTUALLY WROTE THIS:Yes,I can see them deciding to fly planes into buildings in a country which didn't exist at the time of the fall of Jerusalem centies later because of the 70,000 killed then.  

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exiled CITY AFC

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#39
15/03/2017 at 16:52

Not really just pushed a systemic issue elsewhere. 

Let it never be said that I was silent when they needed me - William Wilberforce 

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