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July 5 2022 2.23am

NHS Re-organisation

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View Badger11's Profile Badger11 Flag Beckenham 12 Jun 22 8.01am Send a Private Message to Badger11 Add Badger11 as a friend

I couldn't find an appropriate thread.

After decades of centralising healthcare services it now looks like the NHS realise that local is better.

[Link]

Waiting lists are coming down although not quick enough. As the writer points out one of the many delays is caused by the conflict between routine and emergency operations.

Setting up units in shopping centres or supermarkets away from the hospital allows routine procedures to be done away from the pressures of emergency healthcare.

Often it's not about staff but operating theatres a routine procedure is bumped for an emergency operation (quite right) leaving the medical staff and patient twiddling their thumbs.

Having multiple smaller hubs is the model to go for many procedures.

The next task they need to address is elderly bed blockers who should actually be in nursing homes rather than hospital beds.

None of this is new pre 1970's this is how the NHS operated, cottage hospitals and nursing homes for people who need to have an eye kept on them until they are fit enough to be discharged.

 


One more point

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View kingdowieonthewall's Profile kingdowieonthewall Flag Sussex, ex-Cronx. 12 Jun 22 8.36am Send a Private Message to kingdowieonthewall Add kingdowieonthewall as a friend

one of the biggest issues is people using A&E as a drop in doctors.
Often theyll have several other family members with them, so one upset tummy may involve 2 or 3 people taking up space in the waiting room.

 


Kids,tired of being bothered by your pesky parents?
Then leave home, get a job & pay your own bills, while you still know everything.

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View cryrst's Profile cryrst Flag Chatham 12 Jun 22 8.42am Send a Private Message to cryrst Add cryrst as a friend

Originally posted by kingdowieonthewall

one of the biggest issues is people using A&E as a drop in doctors.
Often theyll have several other family members with them, so one upset tummy may involve 2 or 3 people taking up space in the waiting room.

Tbh atm itís the only way you can see a doctor. The local quacks seem to think covid is still rife and they donít have to open fully. A joke really. Iíve got an abscess that burst and have an appointment at the wound clinic next Friday ! Did get antibiotics from
A and E last Tuesday though and keeping it covered. The point is if the quacks was open I wouldnít have needed to go to hospital.

 

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View Badger11's Profile Badger11 Flag Beckenham 12 Jun 22 8.45am Send a Private Message to Badger11 Add Badger11 as a friend

Yup we don't have enough A&E departments.

Where I live we have a local minor injuries clinic we need more of them, local being the key word.

Tip. If you are not in your local area and and suffer an injury and need non urgent help ask a builder / trademan. They always seem to know the best places to go to.

 


One more point

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View Badger11's Profile Badger11 Flag Beckenham 12 Jun 22 8.49am Send a Private Message to Badger11 Add Badger11 as a friend

Originally posted by cryrst

Tbh atm itís the only way you can see a doctor. The local quacks seem to think covid is still rife and they donít have to open fully. A joke really. Iíve got an abscess that burst and have an appointment at the wound clinic next Friday ! Did get antibiotics from
A and E last Tuesday though and keeping it covered. The point is if the quacks was open I wouldnít have needed to go to hospital.

We simply don't have enough GPs this isn't going to turn around quickly probably at least another 5-10 years to train them. In the meantime the best the NHS can do is to use their resources as best as possible.

Senior nurses dealing with cuts and bruises and the like.

We should also have drunk tanks manned by police and medical staff and fine the individuals heavily.

 


One more point

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View cryrst's Profile cryrst Flag Chatham 12 Jun 22 12.58pm Send a Private Message to cryrst Add cryrst as a friend

Originally posted by Badger11

We simply don't have enough GPs this isn't going to turn around quickly probably at least another 5-10 years to train them. In the meantime the best the NHS can do is to use their resources as best as possible.

Senior nurses dealing with cuts and bruises and the like.

We should also have drunk tanks manned by police and medical staff and fine the individuals heavily.

Your spot on with drunk tanks. I would bet at least 30% of hospital admissions are drink or drug related. Whether primary or secondary causes.
Imagine that wasnít there we would be over staffed so waiting and treatment would be quicker and better.

 

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View BlueJay's Profile BlueJay Flag UK 12 Jun 22 1.12pm Send a Private Message to BlueJay Add BlueJay as a friend

Originally posted by cryrst

Your spot on with drunk tanks. I would bet at least 30% of hospital admissions are drink or drug related. Whether primary or secondary causes.
Imagine that wasnít there we would be over staffed so waiting and treatment would be quicker and better.

Some very rightminded ideas here. 'Whatever works' in my view, whether that's utilising shopping centres and the like, or taking a more forthright approach to drunks clogging up A&E of a weekend.

 

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View Forest Hillbilly's Profile Forest Hillbilly Flag in a hidey-hole 12 Jun 22 1.37pm Send a Private Message to Forest Hillbilly Add Forest Hillbilly as a friend

Perhaps an NHS presence at those 24hour petrol stations. Probably quite beneficial for those injured in road incidents, and you can get food and drink while you wait to be seen.

 


,.,.,..,

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View Wisbech Eagle's Profile Wisbech Eagle Flag Truro Cornwall 12 Jun 22 3.57pm Send a Private Message to Wisbech Eagle Add Wisbech Eagle as a friend

Originally posted by Badger11

We simply don't have enough GPs this isn't going to turn around quickly probably at least another 5-10 years to train them. In the meantime the best the NHS can do is to use their resources as best as possible.

Senior nurses dealing with cuts and bruises and the like.

We should also have drunk tanks manned by police and medical staff and fine the individuals heavily.

My wife is a nurse. She already does a lot more than deal with cuts and bruises. They are now generally dealt with by HCAs (health care assistants). Senior nurses run wards and departments. My wife carries out procedures that only a few years ago would have been done by a doctor.

What is not generally known is the number of private clinics being established which get the bulk of their work via NHS contracts. These tend to specialise in common problems which have long waiting lists. One here deals exclusively with cataracts and offers a maximum 2 week appointment for treatment from referral.

Another large local surgery is expanding and building an operating theatre on site capable of quite significant surgery. They already have a small one.

None of this will address the staffing issues, though, so we will need to continue to recruit heavily from overseas for the foreseeable future.

Bed blocking has been a problem for decades and for which there is no quick, easy or cheap solution. A huge building programme is needed and, if to be done by the private sector, the financial incentives need to be in place. Too often local authorities squeeze down the rates they pay to the point where it is uneconomic for care homes to accept funded clients, even if they have the space. Add to that the length of time all the admin takes and this is not a simple issue. If the NHS start to run "cottage" hospitals again, for rehab, or recovery for the elderly prior to returning home, then again a huge building programme is required which will take many years, and a lot of money, to arrive. Same if local authorities run their own care homes again. They were stopped, and the homes sold to the private sector, when it became apparent that it cost more to place a client in their own homes than in a private one. Unions got their members higher pay in council run homes, thus they were always fully staffed. Care work is poorly paid, and the results are obvious.

 

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View Spiderman's Profile Spiderman Flag Horsham 12 Jun 22 4.23pm Send a Private Message to Spiderman Add Spiderman as a friend

Originally posted by cryrst

Tbh atm itís the only way you can see a doctor. The local quacks seem to think covid is still rife and they donít have to open fully. A joke really. Iíve got an abscess that burst and have an appointment at the wound clinic next Friday ! Did get antibiotics from
A and E last Tuesday though and keeping it covered. The point is if the quacks was open I wouldnít have needed to go to hospital.

We are obviously very lucky as never have a problem getting GP appointment. Although my wife has been waiting several months for an outpatient appointment to have a benign tumour removed,

 

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View stevethenorm's Profile stevethenorm Flag Hornchurch 12 Jun 22 4.43pm Send a Private Message to stevethenorm Add stevethenorm as a friend

Originally posted by cryrst

Your spot on with drunk tanks. I would bet at least 30% of hospital admissions are drink or drug related. Whether primary or secondary causes.
Imagine that wasnít there we would be over staffed so waiting and treatment would be quicker and better.[/quote

You've lost your bet then. I work at Queens hospital in Romford and its about 1 in 30 people coming into A&E that is drink or drug related.

The doctors surgery's are the problem as people cant get appointments with there doctor and are deliberately being told to go to A&E for anything to make the surgery's figures look better.

Also, most doctors dont just stay at their surgery as they get massive financial incentives to do doctor training and bank hours at other hospitals and clinics.

Edited by stevethenorm (12 Jun 2022 4.54pm)

 

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View Badger11's Profile Badger11 Flag Beckenham 12 Jun 22 5.33pm Send a Private Message to Badger11 Add Badger11 as a friend

Originally posted by Forest Hillbilly

Perhaps an NHS presence at those 24hour petrol stations. Probably quite beneficial for those injured in road incidents, and you can get food and drink while you wait to be seen.

If their looking for large numbers of people going nowhere they could always try the airports.

 


One more point

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