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13-01-2018, 10:53 PM
121

Re: NHS Malaise

Originally Posted by Julie1962 ->
When I was in over Christmas it was obvious they are understaffed at times. But grossly over staffed at others. They need to get the balance right. I think the use of agency staff is madness too I saw one nurse offer to cover a shift but apparently there was no money for overtime, so they got in an agency nurse at three times that cost ! If the agency budget had money why couldn't it have gone to overtime and save some of it for next time ?
This just rings of mismanagement, and I know that this is one of the major problems of the NHS.

The thing is that shuffling papers creates the need for yet more paper shufflers. That is common knowledge.
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13-01-2018, 10:55 PM
122

Re: NHS Malaise

Originally Posted by Julie1962 ->
These things just don't happen in private companies. I don't want to see NHS go private but they need to look at what works and adopt some better practices.
If the NHS is ever privatised, and I'd rather it wasn't, I am sure that at least one thing would be improved: effective and more efficient management.

It would also nip health tourism in the bud.
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14-01-2018, 12:37 AM
123

Re: NHS Malaise

Originally Posted by Muddy ->
If you want to go to a private hospital make sure it's for something minor.
For serious ailments and life saving treatment you want all the back up and expertise of the NHS .
Private hospitals do not want the risk. Insurance companies never used to even pay for maternity.
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14-01-2018, 09:10 AM
124

Re: NHS Malaise

My experience of anti fraud and financial control in the NHS and DH is there isn't any.

I remember after being involved with a significant case of fraud that 2 years after the systems that allowed the fraud to happen were still in place nothing had changed and no lessons had been learnt.

I remember speaking to the Chief Exec of the local Hospital Trust her exact words were "Julia we are not like private companies in the NHS we trust our managers" says it all really.
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14-01-2018, 11:44 AM
125

Re: NHS Malaise

Originally Posted by AnnieS ->
Private hospitals do not want the risk. Insurance companies never used to even pay for maternity.
Sorry what do you mean?
It's not about risk it's because they don't have the entire back up team of professionals .
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14-01-2018, 11:46 AM
126

Re: NHS Malaise

Originally Posted by JBR ->
If the NHS is ever privatised, and I'd rather it wasn't, I am sure that at least one thing would be improved: effective and more efficient management.

It would also nip health tourism in the bud.


But why JBR do other countries like Spain and France manage it so easily?
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14-01-2018, 12:19 PM
127

Re: NHS Malaise

Originally Posted by summer ->
My experience of anti fraud and financial control in the NHS and DH is there isn't any.

I remember after being involved with a significant case of fraud that 2 years after the systems that allowed the fraud to happen were still in place nothing had changed and no lessons had been learnt.

I remember speaking to the Chief Exec of the local Hospital Trust her exact words were "Julia we are not like private companies in the NHS we trust our managers" says it all really.
That explains a lot summer, in private cleaning it's very common to see disposable gloves provided not by the company you work for but the colleague who works in the NHS. I put a stop to it where I work I couldn't understand though why the NHS wasn't acting.
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14-01-2018, 12:38 PM
128

Re: NHS Malaise

Originally Posted by Muddy ->
[/B]

But why JBR do other countries like Spain and France manage it so easily?
Because they don't have such soft politicians and healthcare managers.
I suspect that those countries also don't have a vast army of do-gooders and Bob Geldofs who keep pleading for us to feed the world.
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14-01-2018, 02:00 PM
129

Re: NHS Malaise

Mr M had a serious life threatening accident last year in Spain .
An ambulance siren job .
We arrived at the hospital he was whisked away to ICU
I was directed by the ambulance doctor to the desk where I give in my ETIC card . If I hadn't had that I would have had to give details of my insurance .
It took all of four minutes .
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14-01-2018, 02:07 PM
130

Re: NHS Malaise

Originally Posted by Muddy ->
Sorry what do you mean?
It's not about risk it's because they don't have the entire back up team of professionals .
Private hospitals do not want the financial risk of procedures that may be loss-making. Such as long-term conditions, specialised care, geriatric medicine etc. If an insurance company doesn't insure it they don't generally provide it.
 
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