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NHS Loading

You're having the life of Riley down there... so what's with all this nonsense talk about Welsh independence then? :D
I think that will remain a whisper, until Scotland look like it's on their agenda again.
 
In my Doctors surgery not one of the Doctors is a full time practitioner, they all only work two or three days a week.
Oh, and here in Wales we don't pay for prescriptions
Yes, in England only 90% of prescriptions are free.

You can understand why Doctors don't want to work that 4th or 5th day.

Why work on Wednesday or Friday, when you're going to lose half the money in tax and NI to pay for the NHS and all that other nonsense

Better to stay at home, take the kids to school, have a nice cooked breakfast, check mbclub, quick round of golf, a couple of strengtheners, and then pick the kids up after school.


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We've always talked about independence, even though it's not financially viable.
It's like you don't like your neighbours, but you can't afford to move :)
A few of the Ladies at the mid-week Stableford say something similar.
 
It's like you don't like your neighbours, but you can't afford to move
I've been dealing in N. Wales since 1999.
Being thick, skinned, it took me a long time to realise this.

My money welcome, me and mine not so.

When they moved Snowdon, to stop us finding it, the penny dropped.
 
I've been dealing in N. Wales since 1999.
Being thick, skinned, it took me a long time to realise this.
My money welcome, me and mine not so.
When they moved Snowdon, to stop us finding it, the penny dropped.
Walked up Snowdon a couple of years ago, just after the era of lockdown.
Stopped at a tiny cafe at the bottom, thinking a coffee and a bun, sandwich, or piece of fruit would be good.
"Sorry, we only do hot drinks. No food. There's no call for it."
Really?

(And they've only just reopened the cafe at the summit, in June after closing it for Covid-19. Presumably they didn't hurry "because there wasn't much call for it.")
 
I'm on a treatment where the cost of the medication is quoted as £5,000 per month at retail, although they say the NHS has a deal. I looked on the internet, and the price for the same quantity of the same medication in the USA is $20,000.
My good lady has Chrohn's, and at one stage had an ileostomy (which was eventually reversed) all her stoma supplies were free. She joined an FB Chrohn's group (which has proved so helpful - a positive aspect of social media) The group has a lot of US members who have to pay stupid amounts for supplies (the insurance companies almost all found a get-out clause to pay!) to the degree that a few people faced the choice of food or stoma supplies! And we complain about the NHS.....

When she had the reversal, all the remaining supplies were parcelled up (you are stupidly over supplied by the HNS and the stoma companies send load of samples) then sent to a couple of people in the USA who were so grateful it was embarrassing
 
I work for a company that is helping Trusts move to electronically storing their documents. What you have witnessed is only a minute glimpse of the ass-backwardness that exists in the NHS.
A very long time ago I was a grad trainee for a major packaging company who got sent into a London hospital to talk to them about their plans to repackage bulk packs of drugs into smaller packs for internal redistribution.

Their proposal was so mind blowingly stupid and disconnected from the real world of trying to run a small production line that it’s stayed with me ever since.

Well-meaning people, not working particularly hard, who simply didn’t have a clue about the basic flows and efficiencies of getting stuff done. “Labels?” We’ll just hand write them out. On dangerous drugs…

(And documents? This is the same NHS that has only recently been forced, literally been forced, to stop using fax machines.)
 
Well-meaning people, not working particularly hard, who simply didn’t have a clue about the basic flows and efficiencies of getting stuff done. “Labels?” We’ll just hand write them out. On dangerous drugs…
The NHS is full of such people and it hinders the health service from being the world leading health provider it should be. The same applies to every large organisation though and I can't see the situation changing much.
 
The NHS is full of such people and it hinders the health service from being the world leading health provider it should be. The same applies to every large organisation though and I can't see the situation changing much.
It's the British choice to put health in the hands of an bureaucracy of 1,400,000 people that's badly run by by half interested, over-promoted clerks, "supervised" by uninterested doctors and nudged by "here today, gone next year," Ministers of Health.

Germany, France, Italy, Spain, Japan, Australia etc etc. would never let this happen. They break the organisations down into smaller more accountable units.

OK, the NHS is only the 10th biggest employer in the world, but slightly bigger global employers such as Amazon and McDonalds would never allow themselves to be run as badly as the NHS.

"Feeling ill? We can see you in two weeks time. We'll assess you then, send you off for tests a week later, review the tests a week after that, and think about putting you in front of a specialist in a month's time. She'll have a think about it, and with a bit of luck we might be able to do something for you in two to six months time, but no promises."

Imagine having that conversation about something really important, like maintaining your Mercedes ....


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Mrs Me had serious issues, the bid C was the thought. It was 2 months between appointments.
Thinking it may be last opportunity I suggested to the specialist that we could go skiing in between. No, best my lady was available should they find space in various calendars, no health reasons.

We waited over 2 months for the next appointment.

An expat friend in Lanzarote is with expat partner. Partner with issues went to the Spanish health centre. Thinking it was the big C they did tests that afternoon. Next day their health service flew them both to Tenerife so he could start treatments asap. She was accommodated by them. That's a health service to be proud of.
 
An expat friend in Lanzarote is with expat partner. Partner with issues went to the Spanish health centre. Thinking it was the big C they did tests that afternoon. Next day their health service flew them both to Tenerife so he could start treatments asap. She was accommodated by them. That's a health service to be proud of.
Love it.

Lanzarote and Tenerife: combined population: 1,200,000

(smaller than the number of people who work 3-5 days a week for Our NHS)
 
Mrs Me had serious issues, the bid C was the thought. It was 2 months between appointments.
Thinking it may be last opportunity I suggested to the specialist that we could go skiing in between. No, best my lady was available should they find space in various calendars, no health reasons.

We waited over 2 months for the next appointment.

An expat friend in Lanzarote is with expat partner. Partner with issues went to the Spanish health centre. Thinking it was the big C they did tests that afternoon. Next day their health service flew them both to Tenerife so he could start treatments asap. She was accommodated by them. That's a health service to be proud of.
Wow that is some service.
It's the British choice to put health in the hands of an bureaucracy of 1,400,000 people that's badly run by by half interested, over-promoted clerks, "supervised" by uninterested doctors and nudged by "here today, gone next year," Ministers of Health.

Germany, France, Italy, Spain, Japan, Australia etc etc. would never let this happen. They break the organisations down into smaller more accountable units.

OK, the NHS is only the 10th biggest employer in the world, but slightly bigger global employers such as Amazon and McDonalds would never allow themselves to be run as badly as the NHS.

"Feeling ill? We can see you in two weeks time. We'll assess you then, send you off for tests a week later, review the tests a week after that, and think about putting you in front of a specialist in a month's time. She'll have a think about it, and with a bit of luck we might be able to do something for you in two to six months time, but no promises."

Imagine having that conversation about something really important, like maintaining your Mercedes ....


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Recently been suffering from severe lower back pain which has got worse. A month wait to see GP who referred me for physio. (GP surgery then ask for feedback on their service!) I had to email physio but heard nowt for 2 weeks. Reminded them and then got a "consultation" by what was obviously an NHS bot. 2 weeks later get response "we will contact you shortly". 2 weeks later get an appointment in 2 months time. So basically 20 weeks without knowing what is wrong or any attempt to put it right.
 
Wow that is some service.

Recently been suffering from severe lower back pain which has got worse. A month wait to see GP who referred me for physio. (GP surgery then ask for feedback on their service!) I had to email physio but heard nowt for 2 weeks. Reminded them and then got a "consultation" by what was obviously an NHS bot. 2 weeks later get response "we will contact you shortly". 2 weeks later get an appointment in 2 months time. So basically 20 weeks without knowing what is wrong or any attempt to put it right.
NHS is at its best in an emergency, it seems. However, for more run of the mill type things the system seems to grind to a crawl.
 
As I discovered three decades ago with my parents, it's a Health Rationing Service. Some play the system well and take a lot of resource, most, including my parents, don't push themselves forward and suffer as a result.

On the other hand, both got to to good age of 80, and wouldn't have relished life beyond that.

But I can see that people in their 50's and 60's are getting poor support.
 
Recently been suffering from severe lower back pain which has got worse. A month wait to see GP who referred me for physio. (GP surgery then ask for feedback on their service!) I had to email physio but heard nowt for 2 weeks. Reminded them and then got a "consultation" by what was obviously an NHS bot. 2 weeks later get response "we will contact you shortly". 2 weeks later get an appointment in 2 months time. So basically 20 weeks without knowing what is wrong or any attempt to put it right.
I worked in "manufacturing industry" in my twenties in paternalistic companies which always had oodles of mainly men with "back problems" which could take them off work for long periods of time. "An occupational hazard" that the NHS was hopeless to support. Later I ran distribution operations that had the same problems with warehouse staff.

Best advice to manage it now is to network and try to take guidance outside the NHS, because it's... hopeless. The guidance is usually gentle flexing, pilates, warm baths and all that nonsense. Some plead for surgery but it's a... challenging path.

People like Sir Muir Gray will always emphasise mild exercise, despite the temptation to just stay sat. (Worth dipping into his videos). Back at that manufacturing company, the worst back sufferers always seemed to be those who tried to "rest" their way out of the problem.

Too late but..... always loosen up and always lift with your legs, NEVER with your back.

And always be wary of dodgy advice from old blokes on the internet....(Chuckle)

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Mrs Me had serious issues, the bid C was the thought. It was 2 months between appointments.
Thinking it may be last opportunity I suggested to the specialist that we could go skiing in between. No, best my lady was available should they find space in various calendars, no health reasons.

We waited over 2 months for the next appointment.

An expat friend in Lanzarote is with expat partner. Partner with issues went to the Spanish health centre. Thinking it was the big C they did tests that afternoon. Next day their health service flew them both to Tenerife so he could start treatments asap. She was accommodated by them. That's a health service to be proud of.
SWMBO has severe osteoarthritis and basically needs new knees. She had as many cortisone jabs as was feasible and pestered her doctor until he referred her (she works in a surgery herself, so knows the trigger words etc.). Was emailed a link which had the option of our main hospital in a good few months time or a very local private hospital within 2 weeks! Attended, got a place to park (no charge) and was seen on time (as it turned out by the same consultant who would have done her main hospital consultation...) He had a chat and said we don't appear to have any recent x-rays (there are, but of course the systems do not talk to each other) so needed some doing. Our hearts sank as we envisioned another hospital appointment at some stage in the future then a wait for another consultation. Nope - told us to walk down the corridor by which time he had asked for said x-rays which were done straight away and within 10 minutes we were back in front of him! He said that if knees done by him at the private hospital it would be 5-6 months, but if at the main hospital (which is likely in case of complications connected with her Chrohn's) the wait would be 10-11 months, again done by him. Within just 24 hours she had a letter detailing the discussion with her follow-up appointment. The contrast is stark and I'm not convinced it is all down to finance - as much to do with more efficient process?

One amusing thing is that there is a separate waiting room now for private patients! Guess they must have objected to sitting with the NHS commoners. Probably have up-to-date Readers Digest too ;)
 
Good friend of ours (83-84 years old with history of medical problems) had a major problem ATM that had her blue lighted to local hospital a couple of weeks ago, gall stones, needs gall bladder removed, NHS waiting time 12 months! Private appointment with consultant in 2 weeks time, they won't operate (laparoscopy) until she's 6 weeks pain free (which means a further 4-5 weeks on opioid medication) and it will cost them north of £6k. Similar happend with Cora a few years ago, she has one ear canal very small needing a canalplasty (ream out the bone to widen the canal), long NHS waiting list for the best UK surgeon, private happened in weeks but cost us north of £4k - and only improved things for 3-4 years.
 

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