NHS in serious trouble

Johngannonsunderpants said:
That is absolutely the case. I'm now the longest serving in my team as a shed load of people left. Their replacement's are now leaving.
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Unfortunately it's not just a case of throwing money at it for a year or trwo. Shortage of staff is related to lack of graduates which is in turn related to abandoning bursaries . who would want to be a newly qualified nurse working in an environment stretched to the limit saddled with student debt. It's the same for social workers as well who are widely criticised as a profession but are working with in almost impossible circumstances. Health and social care Professions have been absolutely downtrodden by the Tories , the biggest absurdity being later intervention and fixes cost much more money. A quick monetary injection now is not going to fix years of neglected services
 
r00fie1 said:

*
Wednesday 29 June 2022

Immediate reintroduction of mask wearing at UHS​


University Hospital Southampton has today taken the decision to reintroduce mask wearing throughout all areas of our hospital, following a sharp rise in COVID-19 in the community.
The transmissibility of the Omicron variants BA.4 and BA.5 is proving to be very high and once again we need to do everything possible to stop the spread of infection in order to protect our vulnerable patients, staff and the services we provide.
We are asking our community to help us achieve this.
The impact of this surge in COVID cases is being felt across all areas of our hospital, with 92 inpatients having tested positive. This includes patients admitted as a direct result of COVID-19 symptoms.
We have also been forced to close 19 hospital bays, putting beds out of action, because of contact with infectious patients.
The spike in cases is also affecting our staff, with a significant number of absence due to COVID-19 related illness.
Against this backdrop, we are continuing to see unprecedented levels of demand across our hospital and our emergency department (ED) continues to be busier than ever.
Our staff are working incredibly hard to care for everyone who needs our help and we are asking the community to please show their support, by taking the following steps:
  • Wearing a mask, unless medically exempt, and use hand gel when visiting the hospital
  • Stay away from our hospitals if you have symptoms, or are a contact of someone who has tested positive for COVID-19
  • Attend appointments on your own, wherever possible
  • Choose which service might be best if you are unwell and need medical care – consider a pharmacy, your GP, or visiting the urgent treatment centre unless it is urgent or a life-threatening emergency
We would like to sincerely thank our community for its support for this urgent response to the situation we find ourselves facing at UHS. Please be assured that the situation remains under regular review from our infection prevention team.

* University Hospital of Southampton is run by Health Care Professionals - who make decisions on health and medical evidence to protect patients and staff.
The information available doesnt indicate if they are Communist - inspired.
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When I was in James Cook the other day all the staff had them on. When I say had them on, they were wearing them as chin warmers until a member of the public walked past when they then put them on over their mouths, some of them even out them over their noses too.

On the subject of staff leaving, could they be leaving to join agencies? Only reason I ask this as my mates's sister did some agency work at a hospital in Darlington the other week and was paid £40 p/h for a 12 hour shift. She did three days. She also works full time at James Cook.
 
Warwickboro said:
I think we've crossed wires here. I'm taling about lockdowns, closure of children's playgrounds, eing illegal to meet more than 6 people outside, and the closure of businesses as be (well more than a tad OTT). Not the government's ineptitude, lack of preparation with PPE etc which was a travesty. And no I do t work I healthier lol, but I'm sorry, ill never agree that decimating private business was a sensible approach to this, we do also need them you know.
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What would you suggest?
The Public Services we rely on - follow correct clinical guidance.
"Private" Sector - do what you like and let the public NHS pick up the tab?
Eat out to catch owt?
 
r00fie1 said:
What would you suggest?
The Public Services we rely on - follow correct clinical guidance.
"Private" Sector - do what you like and let the public NHS pick up the tab?
Eat out to catch owt?
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In a way yes, only the public sector should have been free to choose who they spent their with too. Like I say, the only measures I can see that were not way too draconian were masks & vaccines, in addition I'd like to have seen hepa filters. Look we won't agree here so perhaps I should leave it at that, I mean you no ill will.
 
Glover_elbow said:
Unfortunately it's not just a case of throwing money at it for a year or trwo. Shortage of staff is related to lack of graduates which is in turn related to abandoning bursaries .
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This is my major issue with the current system of funding further education. I cannot see any connection between the country's needs and granting student loans. Why grant huge numbers of student loans to people studying courses where experience shows there is minimal chance of paying the loan back? Conversely, if as a nation we have skills shortage in certain areas, then we should be applying bursaries for these courses. I accept that there may need to be a caveat that they will perform a fixed element of service after graduation or else the bursary is converted to a loan.
I understand there is a lead time in plans like these, but considering the relatively vast numbers attending university compared to 30 or 40 years ago, then the fact we have so many skills shortages suggest that we are doing something wrong.
 
RedAsABeetroot said:
Is it only me who feels that since their new contracts the GPs seem to work about 1 day a week managing the practice and as a patient you only ever get to see trainee doctors or nurse practitioners?
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It's just you and people who believe what they read and hear in the media.

Most practices have a manager rather than a doctor running them.
 
Borothruandthru said:
The theory goes that if the NHS gets really crap , people won't kick off so badly when it's sold off to American private companies.
Has a yone noticed how already your scans and xrays are being sent off to usa for assessment which takes about 3 weeks.
It's already happening.
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Where? Oh the conspiracy theory.
 
I don't think there's any great debate on whether the Tories have underfunded the NHS.

They clearly have, by hundreds of billions of pounds compared to historical spending.

I don't think they'll need to sell it off; the money being siphoned off to private providers is the best of both worlds for them. It allows them to parrot the 'free at the point of use' while still providing risk free profit to private companies.
 
Unravel_Morrison said:
I don't think there's any great debate on whether the Tories have underfunded the NHS.

They clearly have, by hundreds of billions of pounds compared to historical spending.

I don't think they'll need to sell it off; the money being siphoned off to private providers is the best of both worlds for them. It allows them to parrot the 'free at the point of use' while still providing risk free profit to private companies.
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It's not so much that they have underfunded it, budgets have been rising (but still not enough to meet demand) and most Trusts are losing money each year so spending is actually higher than the budgeted amount.

The main problems are that they have cut budget from management and admin which leaves clinical staff seeing fewer patients because they spend too much time doing something that used to be done for them. The lack of managers (despite everyone's favourite line about there being too many middle managers) means everyone is managing themselves and nobody is hitting targets. That's not staffs fault. We can't see as many people if there is no co-ordination between departments and external services. Staff end up doing it themselves which again takes their time away from seeing patients.

Then the biggest issue is that there have been huge cuts to services that affect the inflow and outflow from Hospitals. Drastically reduced social care services mean more people end up in hospital than we should be seeing and people get stuck as bed blockers in good enough health to go home but nowhere to go. NHS spending has been mostly in line with inflation but total spending on NHS and inter-connected services like social care, council run services and even police is much lower than it was and that inevitably means more people end up turning up at A&E because there is nobody else to deal with them.

All of that means that the hospitals are expected to see more patients due to the higher demand but with limited resources clinically and logistically.
 
Borothruandthru said:
What pre condition is your state of mind ,to
conclude that just because you're experience of x ray was different to mine, then I'm talking bull**** ?
I was asked to sign consent forms for the scan results to go to usa.
The Dr was Carter of North Tees.
Be more respectful.
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You had to sign a consent form because your patient identifiable data was being shared. Your scan was sent to the USA because an AI (artificial intelligence) service (heart flow) had their service back then. The particular device is now standard of care and has received NICE approval.
 
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