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February 8 2023 6.55am

NHS needs a total review

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View georgenorman's Profile georgenorman Flag 15 Dec 22 2.34pm Send a Private Message to georgenorman Add georgenorman as a friend

Originally posted by steeleye20

'The East German health system is widely regarded as the most advanced in the Communist world. It is also considered a model by the West Germans, whose less comprehensive program is threatening to become impossibly expensive'.

Did they have 7 millions waiting for treatment in the DDR?

Socialist states generally have good medical care.

And, of course, the best sex workers.....


Has East Germany reverted to communism then? The communist world - what does that consist of these days.

 

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View Badger11's Profile Badger11 Flag Beckenham 15 Dec 22 3.12pm Send a Private Message to Badger11 Add Badger11 as a friend

Originally posted by steeleye20

'The East German health system is widely regarded as the most advanced in the Communist world. It is also considered a model by the West Germans, whose less comprehensive program is threatening to become impossibly expensive'.

Did they have 7 millions waiting for treatment in the DDR?

Socialist states generally have good medical care.

And, of course, the best sex workers.....


I think you have a good point here. In Cuba I know that they have a good health care system but then doctors are only paid a few pounds a day so that's how they afford it, lets implement that policy over here.

 


One more point

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View Wisbech Eagle's Profile Wisbech Eagle Flag Truro Cornwall 15 Dec 22 3.31pm Send a Private Message to Wisbech Eagle Add Wisbech Eagle as a friend

Originally posted by Spiderman

Very few students will ever repay the debt, as it incurs ridiculous interest. My daughter has a well paid job, having obtained a masters degree. She is repaying every month but will never repay it in full. Sorry off topic

I understand that. The problem is that many potential students donít, so it disincentives them. Itís really another tax on the highest earners, those who benefit most from a degree, but itís widely misunderstood.

 

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View Nicholas91's Profile Nicholas91 Flag The Democratic Republic of Kent 15 Dec 22 3.43pm Send a Private Message to Nicholas91 Add Nicholas91 as a friend

Originally posted by Wisbech Eagle

I understand that. The problem is that many potential students donít, so it disincentives them. Itís really another tax on the highest earners, those who benefit most from a degree, but itís widely misunderstood.

Given the nursing profession is so pivotal, and to a certain extent vocational, I would like to see any qualification funded, even if partly, by the Government.

I don't have any idea nor inclination to sufficiently investigate how that may work at any level, or if it currently does, however I think the societal reward would be great enough to justify something at least resembling this. The profession can be highly demanding and as previously mentioned, is an absolute necessity, so therefore the renumeration should reflect this.

A basic understanding of supply+demand should validate this stance however my very, very limited knowledge or insight leads me to believe that the supply is currently both less than the demand and under further threat. I have previously made clear my stance on the NHS and I do fear for it long term if conditions, including management and pay for staff, are not addressed.

Edited by Nicholas91 (15 Dec 2022 3.46pm)

 


Now Zaha's got a bit of green grass ahead of him here... and finds Ambrose... not a bad effort!!!!

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View steeleye20's Profile steeleye20 Flag Croydon 15 Dec 22 3.45pm Send a Private Message to steeleye20 Add steeleye20 as a friend

Originally posted by Badger11

I think you have a good point here. In Cuba I know that they have a good health care system but then doctors are only paid a few pounds a day so that's how they afford it, lets implement that policy over here.

I recall that the NHS sent managers to Cuba to study how their health care worked.

Also that the staff of a hospital actually built it from scratch!

 

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View Stirlingsays's Profile Stirlingsays Flag 15 Dec 22 3.53pm Send a Private Message to Stirlingsays Holmesdale Online Elite Member Add Stirlingsays as a friend

Originally posted by steeleye20

I recall that the NHS sent managers to Cuba to study how their health care worked.

Also that the staff of a hospital actually built it from scratch!

You can't get the communists out of your mind at the moment Steely.

 


'Who are you and how did you get in here? I'm a locksmith. And, I'm a locksmith.' (Leslie Nielsen)

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View Badger11's Profile Badger11 Flag Beckenham 15 Dec 22 3.58pm Send a Private Message to Badger11 Add Badger11 as a friend

Originally posted by steeleye20

I recall that the NHS sent managers to Cuba to study how their health care worked.

Also that the staff of a hospital actually built it from scratch!

Obligation. A mate is married to a Cuban girl and lives there he is always going about Obligation (not sure what the Cuban word is). Basically everybody has to pull their weight for the community.

 


One more point

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View steeleye20's Profile steeleye20 Flag Croydon 15 Dec 22 6.54pm Send a Private Message to steeleye20 Add steeleye20 as a friend

Personally I'd never vote for woke liberals like Stalin.

 

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View cryrst's Profile cryrst Flag The garden of England 15 Dec 22 6.59pm Send a Private Message to cryrst Add cryrst as a friend

Originally posted by Midlands Eagle

You mentioned this before but I'm not sure that it's true. The role of some nurses has been upscaled into nurse practitioners but not all of them. When I mentioned to my staff nurse wife that you had said that nurses no longer have to feed or toilet patients her response was "I wish"

Does she eerr ya no bring her ummm uniform home some times. Ummm ya no just so like you can like umm look at her and make sure it like fits ok like ya no

Edited by cryrst (15 Dec 2022 7.02pm)

 

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View cryrst's Profile cryrst Flag The garden of England 15 Dec 22 7.00pm Send a Private Message to cryrst Add cryrst as a friend

Originally posted by Badger11

I think you have a good point here. In Cuba I know that they have a good health care system but then doctors are only paid a few pounds a day so that's how they afford it, lets implement that policy over here.

Blimey Russell square would be like a ha ha .

 

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View Wisbech Eagle's Profile Wisbech Eagle Flag Truro Cornwall 15 Dec 22 11.06pm Send a Private Message to Wisbech Eagle Add Wisbech Eagle as a friend

Originally posted by Nicholas91

Given the nursing profession is so pivotal, and to a certain extent vocational, I would like to see any qualification funded, even if partly, by the Government.

I don't have any idea nor inclination to sufficiently investigate how that may work at any level, or if it currently does, however I think the societal reward would be great enough to justify something at least resembling this. The profession can be highly demanding and as previously mentioned, is an absolute necessity, so therefore the renumeration should reflect this.

A basic understanding of supply+demand should validate this stance however my very, very limited knowledge or insight leads me to believe that the supply is currently both less than the demand and under further threat. I have previously made clear my stance on the NHS and I do fear for it long term if conditions, including management and pay for staff, are not addressed.

Edited by Nicholas91 (15 Dec 2022 3.46pm)

In many ways the student loan system is a way of the government funding the qualifications as only the highest earners will ever pay it back. However, it's not well understood, and it puts off people, as who wants a large debt around your neck increasing with high interest rates for your working life?

I am conflicted as my wife is a nurse who works in the way we all hope to be cared for, with devotion, skill and compassion. She deserves more money, but I also know that we cannot afford to give her it at the moment. She works in a clinic, but also does bank shifts on wards. How anyone can handle the pressures on some wards is a wonder. Only today I saw three security officers having to restrain a patient. In my youth you would not see a security officer in a hospital! Imagine the Emergency Department at midnight on Saturday, already overrun with delays, having to deal with abusive, aggressive, drunken men and women who have injured one another. Who wants to willingly care for them, let alone show compassion? Yet they do.

I also hear of situations which are very wasteful. Low quality administration managed by unimpressive people. This isn't so unusual in any big organisation, but it still irks to see it.

I don't see a quick and easy solution to any of the issues. Each one will need its own new long term strategy, with an overall destination as the aim. I do though wonder if the current banding system for pay rates needs to be revisited. There are already higher rates in London and the SE. Maybe we need to pay much higher rates to those who work in the most challenging areas, like the ED and neurological wards? Thus reducing the need to pay agency staff at even higher rates. The qualifications are equal, but the work isn't.

I am sure that some costs can be saved by better management, efficient use of resources and technology, but ultimately we are going to have to pay more. I stopped paying NI 13 years ago, but use the NHS more now than ever. That seems to me to be an obvious change that will have to be made before too long.

 

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View ASCPFC's Profile ASCPFC Flag Pro-Cathedral/caravan park 15 Dec 22 11.49pm Send a Private Message to ASCPFC Add ASCPFC as a friend

Originally posted by steeleye20

Personally I'd never vote for woke liberals like Stalin.

He's more Blair than Corbyn.

 


Patrick Vieira's
Red and Blue Army!

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