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Cinderella
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07-01-2018, 06:51 PM
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NHS Malaise

The NHS might have extra funding for winter pressures what it doesn't have is enough staff. They are under enormous stress. Mrs May is being urged to get a grip, a big problem the failure to provide sufficient services at home and in the community for those requiring social care has added to pressure on hospital beds with disastrous knock-on affects for other patients requiring acute or routine treatment.
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Julie1962
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07-01-2018, 07:00 PM
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Re: NHS Malaise

They don't have enough staff because they waste money in so many other ways. Until that's adressed I can't see why we need to give more money.
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07-01-2018, 07:02 PM
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Re: NHS Malaise

I agree, Julie, good money after bad springs to mind.
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07-01-2018, 07:06 PM
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Re: NHS Malaise

Originally Posted by Cinderella ->
The NHS might have extra funding for winter pressures what it doesn't have is enough staff. They are under enormous stress. Mrs May is being urged to get a grip, a big problem the failure to provide sufficient services at home and in the community for those requiring social care has added to pressure on hospital beds with disastrous knock-on affects for other patients requiring acute or routine treatment.
It's not a problem with an easy solution.

You can put more money back in to care in the community and have it run at 50% capacity for 9 months of the year I guess.

The biggest problem in nursing is that nurses don't have enough time working with patients as they have too many forms to fill, boxes to tick and records to update on the NHS intranet.
We have an ageing population that are living longer and no local hospitals. Also, fragmented families mean that fewer people are cared for at home by their families.
GP surgery are closed 60% of the time and the only place left to go is A&E.

There is no easy answer and simply saying more staff .for an annual two month upsurge probably isn't practical
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07-01-2018, 07:09 PM
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Re: NHS Malaise

The biggest problem is that they have so much demand - an ever increasing demand.
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07-01-2018, 07:12 PM
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Re: NHS Malaise

The skilled people are going back to mainland Europe in droves. They can find jobs elsewhere.
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07-01-2018, 07:13 PM
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Re: NHS Malaise

Social care and community services are unable to react quickly enough to help free up hospital beds. Not all the problems are medical.
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07-01-2018, 07:14 PM
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Re: NHS Malaise

Originally Posted by Julie1962 ->
They don't have enough staff because they waste money in so many other ways. Until that's adressed I can't see why we need to give more money.
That's not why they don't have staff. They simply cannot recruit. They have tens of thousands of vacant posts. These posts are funded.
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07-01-2018, 07:26 PM
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Re: NHS Malaise

Originally Posted by AnnieS ->
The skilled people are going back to mainland Europe in droves. They can find jobs elsewhere.
I don't blame them, they have been made to feel unwelcome.
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07-01-2018, 07:34 PM
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Re: NHS Malaise

Originally Posted by Cinderella ->
Social care and community services are unable to react quickly enough to help free up hospital beds. Not all the problems are medical.
There was the Health and Social care act 2012 which was to revolutionise care :

Here is an extract from a Nuffield paper responding to the consultation and giving detail on attempts to plan for the changes and come up with models of integrated care in the new world. :

"Needs assessment and service specification: Most of the eight study sites spent a considerable amount of time, effort and resources on assessing local health needs,
reviewing current service provision, and devising new care pathways. The PCTs typically worked with many different professional and user groups in this review and
design activity, which was helpful in bringing them together and improving plans, but extremely time-consuming and expensive.

This suggests that commissioners will need to set aside considerable resources for this, and perhaps focus initially on a specific service for which data can be effectively collected, collated and synthesised; detailed costings can be drawn up; and a new care pathway agreed among a relatively small group of professionals, carers and patients. Such work can then be extended across the wider patch to enable integrated care to be developed and tested out ‘at scale’. There is also a need for the NHS Commissioning Board (NHSCB) to develop templates and guidance on the commissioning of integrated care so that clinical commissioning groups (CCGs) can avoid reinventing
the wheel many times over."

Here is the link :

https://www.nuffieldtrust.org.uk/fil...-web-final.pdf
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