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Wanderers Ways. Neil Thompson 1961-2021

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Posted
On 07/01/2020 at 21:44, Not in Crawley said:

 

KW is also a friend of this really lovely bloke, it’s this idea that Drs can just administer care without management, it was never thus and never will be. 

Out of curiosity Kent (and I apologise for aking what may be a stupid or unaswerable question), but what percentage of patients, across the NHS, are sent directly to care without going through the procedure of registering at reception (be it A&E, GP Surgery, or a scheduled appointment)?

If the percenttage is, as I suspect it to be be, high, then surely the administrators have the details to recharge ?

Only those going straight to emegency would be bpassing this.

Posted (edited)
1 hour ago, boltondiver said:

Now I know you are a bit strange, but you are excelling yourself here.

”not possible to determine effects”

But you have been preaching Armageddon 

If that's true, then you have been "preaching" that "BREXIT is the road to Paradise". You're the fundamentalist,  not me. 

Feel free to give examples of ANYONE here predicting "Armageddon" after Brexit....

Edited by Cheese
Posted
6 hours ago, Cheese said:

If that's true, then you have been "preaching" that "BREXIT is the road to Paradise". You're the fundamentalist,  not me. 

Feel free to give examples of ANYONE here predicting "Armageddon" after Brexit....

And so yet another remoaner re-writing of history begins. The airbrush is out once more. The twists and the contortions that these characters go through. It is beyond parody.

Posted (edited)
8 hours ago, ZiggyStardust said:

Out of curiosity Kent (and I apologise for aking what may be a stupid or unaswerable question), but what percentage of patients, across the NHS, are sent directly to care without going through the procedure of registering at reception (be it A&E, GP Surgery, or a scheduled appointment)?

If the percenttage is, as I suspect it to be be, high, then surely the administrators have the details to recharge ?

Only those going straight to emegency would be bpassing this.

I See your still waiting for an answer. 

Edited by Mounts Kipper
Posted
2 hours ago, paulhanley said:

And so yet another remoaner re-writing of history begins. The airbrush is out once more. The twists and the contortions that these characters go through. It is beyond parody.

Go on then Paul, find a single post on wanderersways in which I have predicted "Armageddon" or anything remotely similar... 

Posted
3 hours ago, paulhanley said:

And so yet another remoaner re-writing of history begins. The airbrush is out once more. The twists and the contortions that these characters go through. It is beyond parody.

For balance, we were promised sunlit uplands pre ref, that's changed to not as bad as remainers said it would be.

Probably, we will be somewhere in the middle as usual.

Posted
1 hour ago, Winchester White said:

For balance, we were promised sunlit uplands pre ref, that's changed to not as bad as remainers said it would be.

Probably, we will be somewhere in the middle as usual.

But crucially, in charge of our destiny. 

Posted
13 hours ago, ZiggyStardust said:

Out of curiosity Kent (and I apologise for aking what may be a stupid or unaswerable question), but what percentage of patients, across the NHS, are sent directly to care without going through the procedure of registering at reception (be it A&E, GP Surgery, or a scheduled appointment)?

If the percenttage is, as I suspect it to be be, high, then surely the administrators have the details to recharge ?

Only those going straight to emegency would be bpassing this.

Theoretically all patients will get 'booked in' when they arrive for treatment wherever that might be. Unless it's a major trauma or an emergency where it can't wait. In which case we'd still be trying to find out someone's identity anyway.

Like I said - we generally know who people are and where they live and who their next of kin are. What we can't do, or don't have time to do, is check that all those details are genuine, whether they're a UK resident or whether they have means to pay for treatment/have insurance.

Presumably you'd need some sort of national ID card? And then a database and an agency to chase all of these things up.

And you've also got to bear in mind that someone from the Indian subcontinent who's ineligible for treatment is unlikely to give you accurate details of where they live. So you're unlikely to be able to chase them for payment. And if you approach their government for payment - you'd have to have proof of that particular patient to be reimbursed. And then they'd have to agree to pay it.

It's absolutely the right thing to do in principle. I don't think anybody disagrees with that. It's the practicalities of it that we've never been able to figure out. I'm convinced it would cost more than it saves. A lot more. 

Posted
2 minutes ago, kent_white said:

Been busy with patients.

You're 

x

If you get a bloke in with a dodgy hip wearing a Union Jack vest and a one way ticket to Torremelinos tucked in his 3/4 length shorts, treat him first ok?

Posted
1 hour ago, Mounts Kipper said:

But crucially, in charge of our destiny. 

And there we have it folks

Even if it's worse, that's not a problem 

Brilliant

Posted
11 minutes ago, Spider said:

If you get a bloke in with a dodgy hip wearing a Union Jack vest and a one way ticket to Torremelinos tucked in his 3/4 length shorts, treat him first ok?

St George vest if you please. 

Posted (edited)
23 minutes ago, kent_white said:

Theoretically all patients will get 'booked in' when they arrive for treatment wherever that might be. Unless it's a major trauma or an emergency where it can't wait. In which case we'd still be trying to find out someone's identity anyway.

Like I said - we generally know who people are and where they live and who their next of kin are. What we can't do, or don't have time to do, is check that all those details are genuine, whether they're a UK resident or whether they have means to pay for treatment/have insurance.

Presumably you'd need some sort of national ID card? And then a database and an agency to chase all of these things up.

And you've also got to bear in mind that someone from the Indian subcontinent who's ineligible for treatment is unlikely to give you accurate details of where they live. So you're unlikely to be able to chase them for payment. And if you approach their government for payment - you'd have to have proof of that particular patient to be reimbursed. And then they'd have to agree to pay it.

It's absolutely the right thing to do in principle. I don't think anybody disagrees with that. It's the practicalities of it that we've never been able to figure out. I'm convinced it would cost more than it saves. A lot more. 

I cannot believe it would, just needs an amendment to the current admittance information and a process in place to make sure it happens and treatment on non urgent procedures are not started before it’s confirmed it can be paid for. (Urgent medical attention should be treated separately) once patient stabilised then the process should be same as mentioned above. 

Edited by Mounts Kipper
Posted
21 minutes ago, Mounts Kipper said:

I cannot believe it would, just needs an amendment to the current admittance information and a process in place to make sure it happens and treatment on non urgent procedures are not started before it’s confirmed it can be paid for. (Urgent medical attention should be treated separately) once patient stabilised then the process should be same as mentioned above. 

When you need treatment in Spain, what happens?

Posted
Just now, Sweep said:

I presume he just shows his EHIC card at present

Which is too difficult for us to do it would appear from reading this thread. 

such a labour intensive task 

Posted (edited)
19 minutes ago, Spider said:

When you need treatment in Spain, what happens?

If I’m not a resident there I’ll fly home for treatment. Under retirement age as a resident in Spain I’d need insurance. 

Edited by Mounts Kipper
Posted
10 minutes ago, Escobarp said:

Which is too difficult for us to do it would appear from reading this thread. 

such a labour intensive task 

Not too difficult - too expensive

Posted
12 minutes ago, kent_white said:

Not too difficult - too expensive

What to ask for sight of a card when a patient is there? Like when I go to the dentist and they ask me if I’m registered? Am I missing something here genuinely? 
 

when I go to the hospital I’m asked name date of birth etc. we do that they don’t come up as biritish national on our database then can I have your EHIC card please sir madam. Where is the incremental cost on the treatment there? 
 

help me out here Kent as im seriisily struggling. 
 

what next banks saying it’s too expensive to ask for ID Or your bank card when you are withdrawing money ?

Posted
29 minutes ago, Sweep said:

I presume he just shows his EHIC card at present

Is that accepted at every hospital?

Only experience I've had of using it was in Cyprus years ago. The only place you could use it was a hospital in Limassol, which was nowhere near so ended up going down the private route

Posted
28 minutes ago, Mounts Kipper said:

If I’m not a resident there I’ll fly home for treatment. Under retirement age as a resident in Spain I’d need insurance. 

So you're proper ill, bedridden ill and unable to be moved.

Who pays?

Posted
8 minutes ago, Escobarp said:

What to ask for sight of a card when a patient is there? Like when I go to the dentist and they ask me if I’m registered? Am I missing something here genuinely? 
 

when I go to the hospital I’m asked name date of birth etc. we do that they don’t come up as biritish national on our database then can I have your EHIC card please sir madam. Where is the incremental cost on the treatment there? 
 

help me out here Kent as im seriisily struggling. 
 

what next banks saying it’s too expensive to ask for ID Or your bank card when you are withdrawing money ?

Is that firm still going to do the ID cards for free re voting etc ?

Use those cards as ID, hardly an issue and free of charge.

The bigwigs in the NHS won't agree to it though as theres fuck all in it for them.

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