Boris........

[ollie989898]

Its a good job this wasn't as lethal as ebola or something because it would be a far different proposition.

 

[ollie989898]

If it's rudderless and poorly run you can only blame the government, no one else.

You should know by now the government has zero control over a behemoth the size of the NHS.

 

[upnortheast]

Trouble is no Government dares to suggest a proper review of how the NHS operates or they would be accused of trying to destroy it . Can you imagine the state the folk who inhabit twitter would get in .
A little illistration of money wasted.
An aquiantance went to work for NHS
A work phone & laptop provided. NHS price £2500. any slightly shrewd buyer price £1500
Attend conference in London. NHS paid £480 for 2 return rail tickets. By waiting haldf an hour for an "off Peak " train saving £200.
the examples just keep coming !
Think they could do with a farmer in the purchasing office !

 

[Lowland1]

If it's rudderless and poorly run you can only blame the government, no one else.

And they dare not touch it for the outcry it would cause. It is a sacred cow.

 

[ollie989898]

The trouble with any public sector body is people get promoted into positions merely because of their length of service.

The other problem is letting doctors get involved in management and commissioning.

 

[Princess Pooper]

From what I have seen, it is Public Health England that seem to have been indecisive and poorly organised.

 

[rob1]

If it's rudderless and poorly run you can only blame the government, no one else.

yes but everyime a change is suggested all we hear are "hands of our nhs" perhaps after the virus has pased we can have a proper debate on how we move forward with the political football

 

[Muck Spreader]

You should know by now the government has zero control over a behemoth the size of the NHS.

It has total control, as does Scotland and Wales who often run their NHS services on differing lines to NHS England. I would like to say you get what you pay for, but the US proves that this clearly not the case. But the UK has to put more money into it's health services, at least up to the average of most developed world economies. As for PHE what can you say, they totally underestimated this coronavirus pandemic and lacked the resources to deal with it.

 

[Lowland1]

It definitely should not put anymore money into the NHS the money that is being put in has to be used more efficiently. And there needs to be a level of charges for services not to pay for services so much as to discourage frivolous demands on the services.

 

[ollie989898]

It has total control, as does Scotland and Wales who often run their NHS services on differing lines to NHS England. I would like to say you get what you pay for, but the US proves that this clearly not the case. But the UK has to put more money into it's health services, at least up to the average of most developed world economies. As for PHE what can you say, they totally underestimated this coronavirus pandemic and lacked the resources to deal with it.

I am not convinced it is entirely due to money. Some trusts perform very well and much better than others.

I believe more money will be needed though along with a huge shift in mindset to achieve a genuinely 24/7 NHS.

 

[stewart]

It definitely should not put anymore money into the NHS the money that is being put in has to be used more efficiently. And there needs to be a level of charges for services not to pay for services so much as to discourage frivolous demands on the services.

That's how the Australian and New Zealand health services work, there is a nominal charge when you visit the doctor, there is also a safety net for those less able to pay.

 

[ollie989898]

I agree a charge at source woud be useful but the middle and upper echelons of the NHS are way too entrenched in their positions. Consultants won't work outside of office hours and the civvy side is massive. Throw in the PFI joke and its an endless gravy train.

 

[Lowland1]

My father in law was a surgeon as was my mother in law, my sister in law is a doctor another a ward manager they talk of medicine being a vocation unfortunately it seems a lot of others are not in agreement on this.

 

[Muck Spreader]

It definitely should not put anymore money into the NHS the money that is being put in has to be used more efficiently. And there needs to be a level of charges for services not to pay for services so much as to discourage frivolous demands on the services.

Then you will always have a health service that is stretched and rationing it's services. Keeping people alive doesn't come cheap and with the increasing rapidity in drug and technological development that cost is going to keep on climbing exponentially. Couple that with the fact that health care is also hugely labour intensive and the public's high and often unrealistic expectations nowadays money has to be forthcoming in ever greater amounts. I don't know if the UK public would be happy with something like the French system which is expensive public/private partnership but is not rationed or subject to any waiting lists.

 

[ollie989898]

Then you will always have a health service that is stretched and rationing it's services. Keeping people alive doesn't come cheap and with the increasing rapidity in drug and technological development that cost is going to keep on climbing exponentially. Couple that with the fact that health care is also hugely labour intensive and the public's high and often unrealistic expectations nowadays money has to be forthcoming in ever greater amounts. I don't know if the UK public would be happy with something like the French system which is expensive public/private partnership but is not rationed or subject to any waiting lists.

Social care budget will be growing exponentially as well or need to.

 

[JP1]

News just in

Boris out of intensive care and moved on to a ward

 

[Muck Spreader]

Social care budget will be growing exponentially as well or need to.

Definitely, as the major cause of bed blocking if nothing else.

 

[Scribus]

News just in

Boris out of intensive care and moved on to a ward

Can the nurses claim for tin knickers as PPE?

 

[JP1]

Can the the nurses claim for tin knickers as PPE?

I'm just glad he appears to be getting through. He does have a new baby on the way and I wish him all the best (and the strength to put up with some of our - and other - populations)

 

[Lowland1]

Then you will always have a health service that is stretched and rationing it's services. Keeping people alive doesn't come cheap and with the increasing rapidity in drug and technological development that cost is going to keep on climbing exponentially. Couple that with the fact that health care is also hugely labour intensive and the public's high and often unrealistic expectations nowadays money has to be forthcoming in ever greater amounts. I don't know if the UK public would be happy with something like the French system which is expensive public/private partnership but is not rationed or subject to any waiting lists.

No they wouldn't they have unrealistic expectations they are used to a free service which if you have an ageing and unhealthy population becomes more and more stretched the problem will be that upgrading the service will require more taxes that people do not want to pay. I don't believe for a minute anyone will willingly accept paying even a nominal charge and any politician who suggests it is probably committing professional suicide.