- Location
- Lincolnshire
What was designed to sustain a workforce now keeps buddies alive.
Scottish new 45% tax rate and ..........
- Thread starter bobk
- Start date
Hilly
Member
- Location
- Scottish Borders.
They got a 7% rise couple weeks ago apparently .
ollie989898
Member
It just needs to be moved to an insurance model that is controlled centrally. They have the statistics and huge amounts of health data on the population so it wouldn't take much work to devise a system. Health insurance tax simply collected alongside PAYE on a sliding scale. Mandatory for anyone who is self-employed with an up front contributory payment whenever people present to services which is based on your tax code. Dependants to be added to the tax codes of their parents.
True competition put into the marketplace based on a payment per patient system. It works in other countries fine enough.
Swarfmonkey
Member
- Location
- Hampshire
That'd shake things up nicely, particularly at GP level. I see no reason for a sliding scale though, just use a fixed percentage contribution rate as per Germany.
£75k and above earners don't vote for the SNP
7% rise to the unemployable for a guarantee they still will
Can only hope it works? Got to be rid of the Greens holding power somehow
ollie989898
Member
Nah, we need to pay more, and I want the rich to pay more. Need to be spending around 15% of GDP which will mean 50% more funding. Doubling of medical school capacity is planned by 2035 but we need to get more doctors into training as there just isn't enough of them in many specialties to even be able to offer any level of competition.
I do think the fixed sum per patient on the books model for GP services needs a drastic rethink. I'm not sure how competition in the GP sector could be done- you can't really walk into any surgery you like at present because no one has access to your notes and these are important for older people on multiple medicines (ask the average older person what medicines they are on none of them ever remember).
If the NHS stopped bombarding over 60's with screenings etc , they would be less busy
Self fulfilling prophecy
- Location
- Aberdeenshire
Your average SNP voter may switch to labour but not really sure what they offer them.
ollie989898
Member
No, those health checks are done for a reason. 1 because the earlier they catch some of the more common ailments the better the end result tends to be for them and 2 because someone very clever has worked out it was cheaper to give older people a routine screening check than cope with X or Y or Z that went undiagnosed for 2 years.
A lot of 'GP level' health conditions are actually under-investigated- if you check the Kings Fund website you will see that the UK lags way behind in diagnostic imaging equipment compared to other G20 nations and there aren't enough appointments for people in the first place. This leads to people either not bothering to engage with health services until they reach a point where their condition is serious enough to compel them to go. Or they seek treatment at their nearest emergency department which leads to bitterness because there is often a long wait involved and for a proportion of people the emergency department is going to do initial examinations and then refer them back to the GP because there is a wide range of treatments that emergency departments are just not equipped to do. It's like people pitching up with chronic back pain that's lasted months and expecting an MRI in the next 20 minutes after midnight. That isn't the intended aim of the service nor has it ever been.
The government simply isn't interested in spending enough money on health services for it to be able to fulfil it's intended aims any longer.
I'm relying on my genes , cos once the NHS have got you that's it .
We're all dying .
I think this sums up the SNP
designanddetail
Member
They should just make it a blanket, 0% up to £20k, 25% up to £250k then 35% over £250k
Goweresque
Member
- Location
- North Wilts
I've just been on holiday for a few days to west Wales, and my dog was ill while I was there. My friend rang her vets in Haverfordwest, my dog was booked in with them, and they requested his records from my vets in Swindon, who sent them over via email within the hour. When the vet in Haverfordwest examined my dog he had total access to all his previous meds and illnesses, and was able to amend his records to include his notes and prescription, which were then sent back to Swindon to update them as to what had occurred.
If we can do it for dogs we can do it for people. It might mean doctors and their surgery staff might have to do some work for once, instead of acting like little tinpot dictators, but that would be no bad thing. Its surprising how much knowing that if you p*ss the customer off you don't get their business again makes people a lot more customer oriented. Medicine is a service industry and its high time they were reminded of that fact.
- Location
- Carmarthenshire, West Wales
my daughter is finishing her nursing degree this year (she already has a degree in Zoology and was working as a field biologist)
2wheels
Member
- Location
- aberdeenshire
at 77+ what are these screenings you speak of?
ollie989898
Member
I don't disagree with your point broadly- as you outline it makes a lot of sense.
However, given that the senior management of public sector organisations are going to want to defend and preserve their services at all cost for reasons of self-preservation, do you think they will ever warmly receive a change in policy that makes it a lot easier for their competition to provide a service they are already trying to provide?
If service providers A, B and C all have equal access to information held centrally and maintained at cost to A, and you insist on a funding model of a fixed fee per person, what do you think will happen to an industry that has previously been used to working in monopsony? People will simply flock to whichever service they percieve to be the fastest/best. Suddenly perhaps A doesn't generate much traffic and if you follow that logically then it could be that A simply disappears and ceases to exist.
I would be as open to change as anyone but it's coping with the fallout in the meantime. I am also unsure that the ultimate goal of any such change- i.e. improvement for everyone will necessarily follow- if you live on the tip of Cornwall or in the Scottish Highlands for example, I'm not sure a centre offering same-day appointments for colorectal surgery is going to open just 2 miles down the road and be looking around for business.
ollie989898
Member
Around 30,000 new nurses enter the profession every summer. Similar numbers seem to leave the profession/retire at the same rate.
I understand that the drop out rate from nursing degrees is alarmingly high as well. They should bring back the bursary I think. I'm not sure nursing shifts of 12 hours really help matters because they just don't fit with childcare, I guess 6 hours would logically fit but how do you take the kids to school if your shift starts at 7.30am?
Clearly you escaped the mafia