markavfc40 Posted September 12 Share Posted September 12 3 minutes ago, foreveryoung said: An I'm gonna buy a Lambourghini tomorrow As if it was that easy. What? you have 1000+ GP's looking for work, that the last government didn't want to employ. The new government employs them and it will improve access to GP appointments. Not rocket science is it. 1 Link to comment Share on other sites More sharing options...
bickster Posted September 12 Moderator Share Posted September 12 15 minutes ago, foreveryoung said: An I'm gonna buy a Lambourghini tomorrow As if it was that easy. Seems to be plenty on Auto Trader, so it would actually be more difficult than buying a Lambo. I'm not aware of anyone but yourself suggesting it was easy. Why make things up? Link to comment Share on other sites More sharing options...
Popular Post chrisp65 Posted September 12 Popular Post Share Posted September 12 My parents always drove a Ford, really proud of it, first generation to have their own car. They passed it on to me. I’ve never really serviced it, I’ve not invested in tyres or shocks or anything, I've just sort of scraped it through the MOT, whilst driving it faster and faster, further and further, with heavier loads. Never really dealt with the rust. What’s clear now is, Ford’s simply aren’t up to the job, and owning a Ford is crap, and clearly the only thing that will work will be leasing an Audi that will never be mine. I’ve checked with the specialists and experts at the Audi showroom and they’ve all said this is the only sensible solution. They just want the best for me, anything else is just stubborn ideology. 5 Link to comment Share on other sites More sharing options...
MakemineVanilla Posted September 12 Share Posted September 12 8 minutes ago, chrisp65 said: My parents always drove a Ford, really proud of it, first generation to have their own car. They passed it on to me. I’ve never really serviced it, I’ve not invested in tyres or shocks or anything, I've just sort of scraped it through the MOT, whilst driving it faster and faster, further and further, with heavier loads. Never really dealt with the rust. What’s clear now is, Ford’s simply aren’t up to the job, and owning a Ford is crap, and clearly the only thing that will work will be leasing an Audi that will never be mine. I’ve checked with the specialists and experts at the Audi showroom and they’ve all said this is the only sensible solution. They just want the best for me, anything else is just stubborn ideology. If I didn't know better I would guess that Stewart Lee wrote that. I can't tell if it is a metaphor or an analogy but hey, that's great work. 1 Link to comment Share on other sites More sharing options...
markavfc40 Posted September 12 Share Posted September 12 (edited) Access to a GP is actually a great example of one of the many ways the last government set the NHS up to fail. With an increasing population they not only underfunded general practices by not even keeping funding up with inflation when they did provide extra funding for general practices it was ring fenced for additional roles in general practice so things like dieticians, physios,care coordinators. The funding could not be spent on recruiting the one thing many general practices need which is doctors. So we have therefore had the ridiculous situation whereby people are waiting over 4 weeks in some areas to see a GP, there are hundreds of GP's looking for work, and when the government, who have underfunded General Practices for years, does provide extra funding for General Practices they ring fenced it to be used to pay for additional roles. Edited September 12 by markavfc40 1 Link to comment Share on other sites More sharing options...
foreveryoung Posted September 12 Share Posted September 12 25 minutes ago, markavfc40 said: What? you have 1000+ GP's looking for work, that the last government didn't want to employ. The new government employs them and it will improve access to GP appointments. Not rocket science is it. Your easily pleased with words. Ill be happy when I see some action. Link to comment Share on other sites More sharing options...
tonyh29 Posted September 12 Share Posted September 12 5 hours ago, markavfc40 said: There needs to be more GP's/GP appointments available to stop the need to visit A&E. Those two things would be a decent starting point and ones that could achieve noticeable differences quickly. Couldn’t agree more happened to be at my GP’s today for a men check routine thing , ironically after them texting me everyday this week not to forget my appointment , the nurse doing my check forgot to turn up but in the 20 mins I was there not one single person was in the waiting room and no one came out either … I’m guessing it’s not practical to have given the clear excess of appointments my surgery had to other areas to take up some of their strain or for my docs to go to another surgery that day to help … but it could be worth looking into surely ? Link to comment Share on other sites More sharing options...
markavfc40 Posted September 12 Share Posted September 12 (edited) 27 minutes ago, tonyh29 said: Couldn’t agree more happened to be at my GP’s today for a men check routine thing , ironically after them texting me everyday this week not to forget my appointment , the nurse doing my check forgot to turn up but in the 20 mins I was there not one single person was in the waiting room and no one came out either … I’m guessing it’s not practical to have given the clear excess of appointments my surgery had to other areas to take up some of their strain or for my docs to go to another surgery that day to help … but it could be worth looking into surely ? Hopefully that could be part of any reform. Many GP's are I think contracted to work for only one practice, or they could be a partner in that practice. There are though a substantial number of locum doctors looking for work, but as I have explained in my last post, General Practices, of which some desperately need doctors, weren't allowed to use additional funding to employ doctors as the previous government ring fenced it for additional roles. Employing these GP's looking for work is one quick fix the new government are going to make. Edited September 12 by markavfc40 Link to comment Share on other sites More sharing options...
colhint Posted September 12 Share Posted September 12 I think the only way to fix it is to have a cross party committee to oversee it. Bring in someone from the BMA and also nursing. Then agreed cross party members with the governing party having the chairman and swing vote. The government then has to agree the budget then let them try to fix it. I fear of we don't try something like that we'll just rinse and repeat. One party will go after f unding, and the other the money wasted. With nothing ever improving. the only other possible way is to have an absolute head of the NHS a position a bit like the speaker. Not allied to any party. Link to comment Share on other sites More sharing options...
foreveryoung Posted September 12 Share Posted September 12 16 minutes ago, markavfc40 said: Hopefully that could be part of any reform. Many GP's are I think contracted to work for only one practice, or they could be a partner in that practice. There are though a substantial number of locum doctors looking for work, but as I have explained in my last post, General Practices, of which some desperately need doctors, weren't allowed to use additional funding to employ doctors as the previous government ring fenced it for additional roles. Employing these GP's looking for work is one quick fix the new government are going to make. Who's gonna pay for this one, maybe close some more government funded cmomunity centres, take a bit more off the pensioners? I'm just a little sceptical of it all to be honest, especially when there's apparently no money to spend with this 20 billion quid black hole hanging over us. Then there's still a billion to pay out the post office staff, probably put that on hold though aye? 1 Link to comment Share on other sites More sharing options...
Chindie Posted September 12 VT Supporter Share Posted September 12 1 hour ago, sidcow said: Isn't reform what they're suggesting. Reform isn't a descriptive with specifics. Reform can mean a great many things. When this Labour party says reform, I view it differently to how I would if someone else was in charge. I trust our political establishment to reform the NHS marginally less than I'd trust Sauron to run the Jewellery Quarter 1 Link to comment Share on other sites More sharing options...
delboy54 Posted September 12 Share Posted September 12 Well as long as "reform" just doesn't mean chucking even more money at a struggling institution... In my humble opinion there is a lot right with the NHS, but also a lot wrong with it. If it was the best model for health care then why hasn't it been copied by any other country in the world? Link to comment Share on other sites More sharing options...
bickster Posted September 12 Moderator Share Posted September 12 17 minutes ago, delboy54 said: If it was the best model for health care then why hasn't it been copied by any other country in the world You mean apart from... Sweden Denmark Ireland Portugal Spain Norway Cyprus Latvia Hong Kong Italy New Zealand Finland Malta Cuba Who all follow the Beveridge model to some degree or other 1 1 Link to comment Share on other sites More sharing options...
delboy54 Posted September 12 Share Posted September 12 9 minutes ago, bickster said: You mean apart from... Sweden Denmark Ireland Portugal Spain Norway Cyprus Latvia Hong Kong Italy New Zealand Finland Malta Cuba Who all follow the Beveridge model to some degree or other But not exactly though, we need to look at and compare what they do well, that we do poorly. 2 Link to comment Share on other sites More sharing options...
bickster Posted September 12 Moderator Share Posted September 12 9 minutes ago, delboy54 said: But not exactly though, we need to look at and compare what they do well, that we do poorly. Not continually f*** it over like the Tories have been doing. Maybe everybody needs to pay a little more tax 2 Link to comment Share on other sites More sharing options...
foreveryoung Posted September 12 Share Posted September 12 40 minutes ago, bickster said: Not continually f*** it over like the Tories have been doing. Maybe everybody needs to pay a little more tax I think most of us would agree, we pay enough. Maybe they should start by looking at procurement. Could probably save a couple of billion a year there. For example, prescribing paracetamol costs £4.50. Could be advised to be bought over the counter for 25p. Believe it or not, this costs the NHS £80 million a year. I think I read somewhere, the waste in the NHS is estimated at around 6 billion a year. 1 Link to comment Share on other sites More sharing options...
Genie Posted September 12 Share Posted September 12 4 hours ago, markavfc40 said: Access to a GP is actually a great example of one of the many ways the last government set the NHS up to fail. With an increasing population they not only underfunded general practices by not even keeping funding up with inflation when they did provide extra funding for general practices it was ring fenced for additional roles in general practice so things like dieticians, physios,care coordinators. The funding could not be spent on recruiting the one thing many general practices need which is doctors. So we have therefore had the ridiculous situation whereby people are waiting over 4 weeks in some areas to see a GP, there are hundreds of GP's looking for work, and when the government, who have underfunded General Practices for years, does provide extra funding for General Practices they ring fenced it to be used to pay for additional roles. I’ve said this before but all these new build estates that are popping up, on top of what they pay for the land there is a list as long as your arm of other things they have to fund. Money for local schools, leisure facilities, doctors, dentists etc. All these millions of pounds are scooped up and were never spent on what they were supposed to be. Thousands and thousands of new houses in Tamworth and no new doctors or dentists. Where did all the money go? 1 Link to comment Share on other sites More sharing options...
Davkaus Posted September 12 Share Posted September 12 (edited) 29 minutes ago, foreveryoung said: I think most of us would agree, we pay enough. Maybe they should start by looking at procurement. Could probably save a couple of billion a year there. For example, prescribing paracetamol costs £4.50. Could be advised to be bought over the counter for 25p. Believe it or not, this costs the NHS £80 million a year. This is not some common sense idea NHS middle managers don't want you to know, they don't do it because it would cost more, and worsen service. The net cost of prescribing 100 paracetamol is about £2-2.50. Having your healthcare assistants pop out to buy 100 from Tesco (if you could) would cost you £2.30 and not guarantee supply. The problem here is so many people going to the GP instead of popping out to the shop themselves (but free prescription certificates will do that...) and doctors still being so profligate with prescribing paracetamol when they're advised not to prescribe it. Edited September 12 by Davkaus Link to comment Share on other sites More sharing options...
bickster Posted September 12 Moderator Share Posted September 12 20 minutes ago, foreveryoung said: I think most of us would agree, we pay enough. UK's personal taxation is fairly low compared to other developed nations The problem is wages are too low and we've allowed way too many people to own more than one property. Investment in property has resulted is ludicrous housing costs 4 Link to comment Share on other sites More sharing options...
chrisp65 Posted September 12 Share Posted September 12 U.S. taxation, scandi health and social care. Ain’t gonna happen 4 Link to comment Share on other sites More sharing options...
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