Right, there's been plenty of discussion on here about cuts to public spending etc.

Not wanting to expand into all that, but this is now a massive concern.

 

As much as labour appear unelectable, if the Tories don't start to act quickly I can see this growing into a potential election loser for them, or at least a continued low majority.

 

Should immediate money be found (from overseas aid maybe) or leave it as it is?

 

Interested in everyone's views.

My mrs also works at RBH and is in complete

Agreement with Kent and so are most staff she works with

Something needs to drastically change before it reaches the point of no return

What that is I ain't got a clue

But the one thing I do know is the staff are fucking superb and astound me with their skill and care

Too many fuckers who shouldn't be in A + E doesn't help

 

The same wankers are equally responsible for wasting the time of GPs

 

My understanding was that the NHS treats more patients than ever

 

Patient expectations are too fcuking high, also

 

Too many promises made by successive governments

I had chronic manflu over the weekend. Snot and everything. But like a brave solider I managed by lying on the couch dressed like a slob pointing at things like an empty cup or remote control.

 

I survived. And didn't need to put it on Facebook or get the doctor out for it.

 

#mon

Sorry double post

Edited January 11, 20179 yr by 1969

Agree. Frankly too much demand, with ageing population and a population which is growing quicker than infrastructure and resources can cope with.

Euthanasia is the answer. Seriously.

 

If you asked everyone tomorrow of fit state and mind to sign an agreement that once they are bed ridden or can't wipe their own arse let alone feed themselves then they can be put down like you would with a suffering animal.

 

I'm sure there will be a few minor legal technicalities to iron out but let's not let that get in the way of anything.

last time I was in A&E there was not one british person in there or could speak the Queens

 

are all them not putting a Strain on the NHS

last time I was in A&E there was not one british person in there or could speak the Queens

 

are all them not putting a Strain on the NHS

I can't speak for A&E - but we only had two patients out of 25 on our ward who were born outside of the UK today. And one of them was from Ireland. On the flip side - one of the HCA's, one of the nurses and most of the Dr's and Consultants were foreigners. Quite frankly we'd be knackered without their help.

 

So it's not been my experience that the pressures at Bolton are coming from immigrants. That's as a student nurse giving and being objective - not as a yoghurt knitter. It has a bit of an impact - but nowhere near as much as you might imagine. Certainly nowhere near as much of an influence as the aging population, lack of social care, alcohol and smoking related illnesses.

As for foreigners working for the NHS the missus saw a Nigerian shrink whilst on the post natal recovery ward and with her accent she sounded like she was telling the Mrs off whilst checking she was ok.

Lovely lady once you got past the accent.

 

There was a proper Farnworth lass on the ward after giving birth to urchin number 10

she'd leave the poor thing in its cot skriking away whilst she went for a fag and a butty. Short of checking the kid was medically ok there was nothing the staff could do.

A lot of the staff we met were from the EU particularly the consultants

 

It makes you wonder if we can still attract them over given the strength of the pound and the changing contracts - that will likely not help

A piece on BBC News then

 

1 in 2 of us now get cancer, it was 1 in 3 but has increased as we are all living longer

 

I wonder what the stats are like for all the other illnesses / treatments

 

There are 850,000 people with dementia in the UK, with numbers set to rise to over 1 million by 2025. This will soar to 2 million by 2051.

225,000 will develop dementia this year, that’s one every three minutes.

1 in 6 people over the age of 80 have dementia.

70 per cent of people in care homes have dementia or severe memory problems.

I can't speak for A&E - but we only had two patients out of 25 on our ward who were born outside of the UK today. And one of them was from Ireland. On the flip side - one of the HCA's, one of the nurses and most of the Dr's and Consultants were foreigners. Quite frankly we'd be knackered without their help.

 

So it's not been my experience that the pressures at Bolton are coming from immigrants. That's as a student nurse giving and being objective - not as a yoghurt knitter. It has a bit of an impact - but nowhere near as much as you might imagine. Certainly nowhere near as much of an influence as the aging population, lack of social care, alcohol and smoking related illnesses.

 

I'd agree with this given my time on the wards on placement. Re the foreign staff, we need to train more of our own and dispense with the silly degrees that medical students now have to pay for. However, I think the time is coming when we have to realistically fund it through a mixture of tax and private insurance as is done in various european countries. 

 

I would go further and asI've said before charge £10 per doctors visit paid up front. Outpatients should pay £10 per appointment refundable if appointments are kept. 

That's another problem. Nursing patients with dementia is really demanding - especially in hospital when their usual routine is distrupted and they become even more disorientated.

 

We have things called fall mats which are like alarms which sound when somebody stands up or gets out of bed unexpectedly. We use them when patients are unsafe to walk - but don't have the capacity to realise - the idea is that it lets us know so that they don't hurt themselves.

 

Sometimes you can have three or four patients on these mats on a bay of seven - and those alarms will sound almost continuously for 12 and a half hours on a shift. It makes it really difficult to do the rest of your work as you're constantly running around trying to make sure everybody is safe.

 

It's things like this which cause problems when people talk about the aging population being a factor. Not just necessarily that people get ill more or that when they do it's more complex. It's that the time and effort it takes to care for someone compassionately as they get older increases massively. In reality most of these types of patient need one to one care - or at least two two one. Not nine to one like it is at the moment.

ticking bomb is dementia

 

i blame the tories

Edited January 12, 20179 yr by Casino

I'd agree with this given my time on the wards on placement. Re the foreign staff, we need to train more of our own and dispense with the silly degrees that medical students now have to pay for. However, I think the time is coming when we have to realistically fund it through a mixture of tax and private insurance as is done in various european countries.

 

I would go further and asI've said before charge £10 per doctors visit paid up front. Outpatients should pay £10 per appointment refundable if appointments are kept.

I could go with an appointment costing the same as a prescription if your visit doesn't result in a prescription

have you any idea how many few folks pay for prescriptions?

The NHS should be free.

Folk already put off going to the doctors for lumps/screening etc so if they had to pay a tenner then they're even less likely to.

 

with a childhood friend who now works at a pharmacists she reckons one of the biggest wastes of NHS money is people not claiming their tablets so bin bags full of medications have to be sent off to be destroyed. nevermind folk getting paracetamol on script

I had chronic manflu over the weekend. Snot and everything. But like a brave solider I managed by lying on the couch dressed like a slob pointing at things like an empty cup or remote control.

 

I survived. And didn't need to put it on Facebook or get the doctor out for it.

 

#mon

You were obviously too weak.

Thanks for sharing it with us now

have you any idea how many few folks pay for prescriptions?

Don't spose that would matter if your visit didn't result in one

 

Got to be someway to deter the hypochondriacs who go when they have a cold

 

Same with a&e

 

Maybe my problem is I leave it till i absolutely have to go and still have to wait a couple of days and I don't even know the name of a doctor at my practice to request the same one, not that i would

 

Some 1 billion prescriptions are dispensed annually in England, with around £450m raised from prescription charges in 2012–2013. The think tank notes that while 40% of the population are liable to pay the prescription charge, in practice 90.6% of prescriptions are dispensed free of charge.

The NHS should be free.

Folk already put off going to the doctors for lumps/screening etc so if they had to pay a tenner then they're even less likely to.

 

with a childhood friend who now works at a pharmacists she reckons one of the biggest wastes of NHS money is people not claiming their tablets so bin bags full of medications have to be sent off to be destroyed. nevermind folk getting paracetamol on script

 

 

fcuking hell

 

if their lifes not worth a tenner

one of the biggest wastes of NHS money is people not claiming their tablets so bin bags full of medications have to be sent off to be destroyed. nevermind folk getting paracetamol on script

This one is massive. A lot of people are on repeat prescriptions of VERY expensive medications and just ask for the entire repeat - when in reality they've shit loads sitting in boxes at home. Hard to know what the NHS can do about that really? Short of going around people's houses and rifling through their cupboards.

 

As a country we need to change the way we interact with the service and our expectations of it really.

As a country we need to change the way we interact with the service and our expectations of it really.

 

on this, you and I agree

 

 

as you can imagine, i get the odd bit of info and the number of regular wasters and the ones with 'flu' wanting appointments is a real pisser

 

 

if youve got flu, likelihood is you cant move, let alone get out of bed and if you have got flu, theres nowt the doc can do

 

 

 

another one that pisses me off is an expectation that the nhs should get you home from hospital

 

ambulances are not fcuking taxis

Edited January 12, 20179 yr by Casino

I'm pretty certain every woman over the age of 50 is addicted to prescription drugs of some sort.

The one that gets me is when patients are fit but the families want them to stay in for another four or five days because they'll 'be on holiday' or something of that ilk.

 

The hospitals job is to get you medically fit - after that (in theory) it's obligation is supposed to end and either self care or social care is supposed to take over - either from family or state or a combination of the two.

 

Hospitals are used like hotels - and a lot of the time there is an expectation that you'll take on the role which should be being carried out by the family. It's nobodies fault really - it's just been allowed to slowly evolve that way.

fcuking hell

 

if their lifes not worth a tenner

there plenty of people who dont go to their doctors for stuff because they dont want to be a bother or its probably nothing etc. so putting an extra barrier in there is dangerous