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23-05-2021, 10:51 PM
11

Re: E- Consult forever?

Originally Posted by Twink55 ->
I think the problem is that we all turned to the doctors for many less serious ailments, before we relied on the the pharmacy products...... hence too many unnecessary appointments!

I am not sure the phone appointments make less work for doctors, because I have had several calls from my doctors late as 8.30 pm and I know the nurses at my practice are still doing face to face appointments to dress wounds and advise on how to help them heal better.

I have always thought that first aid should be taught in school & we should be tested on our knowledge. If we continue to go to doctors for every ache and pain, we have nobody to blame but ourselves when the NHS services become less satisfying.
A GP's job is to prescribe medicines, offer advice or refer you to a consultant if they think you need expert advice.
Covid isn't the only reason our health service is not as good, it is too many people wanting best health care, for too little money. Oh and maybe too many well paid consultants who prefer to keep the wealthy in good health because it pays more for less hours!
Our generation have had great care from the NHS, but I feel that making the public do more to help themselves, by education & internet advice ( that is strictly based on fact) is the only way future generations will receive the same good care

That would require continuous assessment Twink because what was taught to first aiders ten years ago has changed and if you are a qualified first aider you are expected to do a refresher every three years.

I'm wondering how many people would know that if you find someone crushed under a heavy object you shouldn't move it. If you find someone with glass embedded in their limb you should not remove it etc. That tourniquets are no longer recommended. The recovery position and when it's better not to put someone in it. etc.

GPs are ultimately responsible for our healthcare needs. Making the public help themselves will just lead to more chronic disease due to lack of monitoring early on and nipping in the bud.
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24-05-2021, 08:29 AM
12

Re: E- Consult forever?

Originally Posted by AnnieS ->
That would require continuous assessment Twink because what was taught to first aiders ten years ago has changed and if you are a qualified first aider you are expected to do a refresher every three years.

I'm wondering how many people would know that if you find someone crushed under a heavy object you shouldn't move it. If you find someone with glass embedded in their limb you should not remove it etc. That tourniquets are no longer recommended. The recovery position and when it's better not to put someone in it. etc.

GPs are ultimately responsible for our healthcare needs. Making the public help themselves will just lead to more chronic disease due to lack of monitoring early on and nipping in the bud.



Annie I think you will find that the NHS are trying to reduce appointments with your GP already!
I was a first aide at a rugby club and 3 year refresher meetings would not cost a lot if they were done with groups of people. If there was an injury that I couldn't deal with my players were always sent to A&E
I was not suggesting that the emergency services will soon disappear, but we live in a technical age and I am sure there will eventually be online centres that can advise on what action to take.

I just feel we all need to toughen up a bit and not visit the GP every time we cough, sneeze or ache because that is what the NHS is already telling us to do. Whether we like it or not, health care will change over the next few years!
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24-05-2021, 09:07 AM
13

Re: E- Consult forever?

Hi

Medical Science has improved massively over recent years.

The new Regional Specialist Centres are amazing, more like Star Trek than the NHS.

You can watch your own heart beating, as can the consultant who is miles away, at the same time.

X Rays are so much different and faster and CT scans are amazing.

There will still be a need to see a GP from time to time, but I have not seen mine in person for a year.

My prescriptions are magically altered after I get a blood test or send in some readings, I get phone calls from specialist nurses.

The new system works, at least for me.

If I insisted on meeting people in real life, I would have a long waiting list.

The hospitals still have to socially distance, many staff have worked none stop for more than a year and deserve their holidays.
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24-05-2021, 09:33 AM
14

Re: E- Consult forever?

Originally Posted by swimfeeders ->
Hi

Medical Science has improved massively over recent years.

The new Regional Specialist Centres are amazing, more like Star Trek than the NHS.

You can watch your own heart beating, as can the consultant who is miles away, at the same time.

X Rays are so much different and faster and CT scans are amazing.

There will still be a need to see a GP from time to time, but I have not seen mine in person for a year.

My prescriptions are magically altered after I get a blood test or send in some readings, I get phone calls from specialist nurses.

The new system works, at least for me.

If I insisted on meeting people in real life, I would have a long waiting list.

The hospitals still have to socially distance, many staff have worked none stop for more than a year and deserve their holidays.
Swim I feel that things are always changing and, as people adjust to the changes, they often find it is more acceptable.
I feel that new systems are more acceptable to the young, but older people can adapt, providing the system is explained to them properly.
When medical people are overworked they are more likely to make mistakes. If doctors, nurses and patients work together, to find a way that suits all, I think we can make new systems work... and without picking up the infections that others, in the waiting room, may pass on.
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24-05-2021, 09:44 AM
15

Re: E- Consult forever?

Originally Posted by Twink55 ->
Swim I feel that things are always changing and, as people adjust to the changes, they often find it is more acceptable.
I feel that new systems are more acceptable to the young, but older people can adapt, providing the system is explained to them properly.
When medical people are overworked they are more likely to make mistakes. If doctors, nurses and patients work together, to find a way that suits all, I think we can make new systems work... and without picking up the infections that others, in the waiting room, may pass on.
Hi

A very good post.

I am a numpty when it comes to smart phones and apps etc.

My GP Surgery is under special measures it is so bad.

The rest are great and the Nurses, Physios and Pharmacists in Hospital have been great and set up my mobile for me.#
#

I am very happy with the new systems, but then I have had a lot of help from the NHS to make it work.

Times change, we need to move with them.
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24-05-2021, 10:06 AM
16

Re: E- Consult forever?

If they are pushing more burden to unpaid carers then they should transfer the GP income to unpaid carers.
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24-05-2021, 10:11 AM
17

Re: E- Consult forever?

Originally Posted by Twink55 ->
Swim I feel that things are always changing and, as people adjust to the changes, they often find it is more acceptable.
I feel that new systems are more acceptable to the young, but older people can adapt, providing the system is explained to them properly.
When medical people are overworked they are more likely to make mistakes. If doctors, nurses and patients work together, to find a way that suits all, I think we can make new systems work... and without picking up the infections that others, in the waiting room, may pass on.
It's all about money Twink. There will be old and younger vulnerable people who fall through the cracks and do not obtain care they need. Some such people don't matter to anyone, don't have carers, or don't have the skills available, money available to cope with this tech. These people will not chock up on statistics because they are an unknown mass of suffering. They may end up in the news when they die of neglect. There was that awful case of the husband and wife where the poor woman had not left her chair for years and was wedged in her own excrement. The husband was taken to court for neglect. That's an extreme case but that is an extreme end of where we are headed.

I'm all for positive change but not when it leaves a very vulnerable group behind. That is what will happen. We have an ageing population and the demographics aren't likely to change anywhere but towards old age. This should be taken into account planning services.
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24-05-2021, 12:28 PM
18

Re: E- Consult forever?

Originally Posted by AnnieS ->
It's all about money Twink. There will be old and younger vulnerable people who fall through the cracks and do not obtain care they need. Some such people don't matter to anyone, don't have carers, or don't have the skills available, money available to cope with this tech. These people will not chock up on statistics because they are an unknown mass of suffering. They may end up in the news when they die of neglect. There was that awful case of the husband and wife where the poor woman had not left her chair for years and was wedged in her own excrement. The husband was taken to court for neglect. That's an extreme case but that is an extreme end of where we are headed.

I'm all for positive change but not when it leaves a very vulnerable group behind. That is what will happen. We have an ageing population and the demographics aren't likely to change anywhere but towards old age. This should be taken into account planning services.
I think that perhaps you are looking too much on the down side of this, before understanding how a new system may work. Remember that the elderly were the first to get the Covid vaccinations, because they were more likely to suffer!

This is the UK and I have never known our country to neglect their elderly... often it is the elderly peoples' children who do that!
I understand that some vulnerable people may not be able to cope with online treatment, but I doubt that our country would not try to help them. Unfortunately the lady in the wheel chair was abused by her husband, because he didn't phone for help..... but then many young mothers are beaten by their partners and can't escape because they have children to care for! These are not the fault of the NHS, it is the evil relatives that prevent them getting help.
There have always been people who slip through the cracks but I think our NHS have done their best for as many as possible.
We probably can't save them all, especially when our economy has been damaged by Brexit and Covid, but I do believe that our health service will do the best they can. Lets hope that families, friends & neighbours will try to help if they are worried about people who cant look after themselves.
The rest of us can help by not using the doctors for minor ailments.
 
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