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Why Is " More Cash " The Only Solution Ever Called For With The N H S ?
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Why can't they send in a task force to sort out the biblical levels of fraud, waste and inefficiency?
Why can't they send in a task force to sort out the biblical levels of fraud, waste and inefficiency?
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foo-den ! lots of waste coz |I say so! // free tee
However I agree fully that they should send in business heavyweights and maybe even loss accountants to go over it with a fine tooth Combe.
yeah what are they gonna do ? what is a loss accountant ?
does profit and loss work as a concept in the NHS where you get a budget and spend it and then nexty year you get a budget and spend it and then ....
as for business heavy weights
we had one who asked portentously: why cant that doctor take out an appendix in this sick three year old ?
( sortta like Freddie Kruger crossed wiv Fred Shipman)
and I said - because he is a psychiatrist.
Oh he didnt give up - full of Tescos shelf packing ideas - Mr X should scrub so that Mr Y can do his op instead of seeing pts or doing a ward round ....
However I agree fully that they should send in business heavyweights and maybe even loss accountants to go over it with a fine tooth Combe.
yeah what are they gonna do ? what is a loss accountant ?
does profit and loss work as a concept in the NHS where you get a budget and spend it and then nexty year you get a budget and spend it and then ....
as for business heavy weights
we had one who asked portentously: why cant that doctor take out an appendix in this sick three year old ?
( sortta like Freddie Kruger crossed wiv Fred Shipman)
and I said - because he is a psychiatrist.
Oh he didnt give up - full of Tescos shelf packing ideas - Mr X should scrub so that Mr Y can do his op instead of seeing pts or doing a ward round ....
The myth of 'waste and inefficiency' is peddled by the usual suspects who'd like an even bigger piece of the NHS pie - KPMG, Price Slaughterhouse, McKinsey et al.
The real nonsense and huge waste of money is the 'internal market' - layers of management (and the aforementioned consultants) shuffling paper money around and creating work for themselves - but of course this model is currently unassailable as it leads to vast profits for some (and creeping privatisation by the back door too).
The real nonsense and huge waste of money is the 'internal market' - layers of management (and the aforementioned consultants) shuffling paper money around and creating work for themselves - but of course this model is currently unassailable as it leads to vast profits for some (and creeping privatisation by the back door too).
Just as a "kick off".....GP's and Consultants are grossly overpaid as a result of astonishing deals done with the government, mainly the Labour party.
I agree that this is not the whole problem with the NHS but is a startling anomaly.
I really do not know how one turns this "giant tanker " around before the cataclysmic collision which is inevitable.
I agree that this is not the whole problem with the NHS but is a startling anomaly.
I really do not know how one turns this "giant tanker " around before the cataclysmic collision which is inevitable.
Peter as usual your gobbledygook speak says something but who knows what. Not me that’s for sure.
Loss accountants may not be the right term but even I know they are accountants that look With a fine tooth Combe at accounts. And if some NHS trusts are cash strapped then they would be worth it.
There is massive waste in the NHS. Whether that is in services, agency staff payments or layer upon layer of needless, sometimes overpaid management.
Businessmen, even without medical knowledge would streamline it.
Anyone who thinks just chucking more money at the NHS will make everything better is in my opinion deluded.
Loss accountants may not be the right term but even I know they are accountants that look With a fine tooth Combe at accounts. And if some NHS trusts are cash strapped then they would be worth it.
There is massive waste in the NHS. Whether that is in services, agency staff payments or layer upon layer of needless, sometimes overpaid management.
Businessmen, even without medical knowledge would streamline it.
Anyone who thinks just chucking more money at the NHS will make everything better is in my opinion deluded.
QM, if the civil service had just an inkling of how things are run then there would be no problem. Simply trace back their careers complete with successes and failures.
There is massive waste in the NHS Overpaid and over structured Management, far too many consultants, uncontrolled immigration stressing the NHS infrastructure let alone the non payment of contributions, NHS being treated as the WHS and of course an abysmal procurement department. On top of that we had labours odd handling of GP's.
As I have said before on here the NHS needs total reform. BUT, it will never happen because any cuts made in the management will be heralded as 'cuts to the NHS' ' privatisation' and other ridiculous arguments. Only when the NHS is no longer treated as a political football will it change but I suspect it will collapse well before that.
There is massive waste in the NHS Overpaid and over structured Management, far too many consultants, uncontrolled immigration stressing the NHS infrastructure let alone the non payment of contributions, NHS being treated as the WHS and of course an abysmal procurement department. On top of that we had labours odd handling of GP's.
As I have said before on here the NHS needs total reform. BUT, it will never happen because any cuts made in the management will be heralded as 'cuts to the NHS' ' privatisation' and other ridiculous arguments. Only when the NHS is no longer treated as a political football will it change but I suspect it will collapse well before that.
I don't know how widespread this is but take my local clinic, five doctors but two on some sort of retirement plan. This means they work only three days a week,no weekend work, for the next two years until full retirement and all on full time pay. One of the doctors told me he could afford to retire now but is doing this to pay his daughters university fees. Does anybody else have this perk?
"Would have thought that if there was massive waste they'd have already have found it in the decades of scrutiny and government interactions/instructions."
Well they have not, OG. I was unfortunate enough to have to spend almost seven hours in A&E a few weeks ago and to temper my rising blood pressure (which was not the reason I was there but might well have ended up being so) I took a good look around at what was going on. I won't bore you with my findings because I'm sure most people could recount similar stories. Suffice it to say that the unit was like an army field hospital. In fact it was probably far worse. I've never experienced a field hospital but I'd be surprised if they were not run on far better lines than my local A&E. The waste and inefficiency was incredible and the wonder was that anybody got seen to at all.
The problems stem from the divine status the NHS has had bestowed upon it. It has never been "the envy of the world" and it certainly is not now. It is called upon to do far too much for far too many people (many of whom have no right to access its services without payment). It needs scrapping and a far more regimented system put in its place where only those entitled to use the service can do so and then only for a limited range of ailments. It also needs running on business lines as not as a place where its employees can sit chatting and drinking coffee.
Well they have not, OG. I was unfortunate enough to have to spend almost seven hours in A&E a few weeks ago and to temper my rising blood pressure (which was not the reason I was there but might well have ended up being so) I took a good look around at what was going on. I won't bore you with my findings because I'm sure most people could recount similar stories. Suffice it to say that the unit was like an army field hospital. In fact it was probably far worse. I've never experienced a field hospital but I'd be surprised if they were not run on far better lines than my local A&E. The waste and inefficiency was incredible and the wonder was that anybody got seen to at all.
The problems stem from the divine status the NHS has had bestowed upon it. It has never been "the envy of the world" and it certainly is not now. It is called upon to do far too much for far too many people (many of whom have no right to access its services without payment). It needs scrapping and a far more regimented system put in its place where only those entitled to use the service can do so and then only for a limited range of ailments. It also needs running on business lines as not as a place where its employees can sit chatting and drinking coffee.
Efficiency would be greatl;y improved if people stopped using A&E for ridiculously minor / cosmetic reasons:
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and if people stopped missing appointments:
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and if people stopped missing appointments:
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Maybe the extra 400,000 Romanians we have here (see article below), most of whom have paid little or nothing IN to the NHS, is part of the problem.
Also of course the thousands of others who have poured in from the EU in the last few years but paid little in to the NHS.
Below, article today saying Romanians are now the second top non-UK nationality living here.
p.s. I have nothing against people from Romania who come here and behave themselves, but bear in mind they are all entitled to NHS treatment but have not been here long enough to pay much IN to it but are taking out.
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Also of course the thousands of others who have poured in from the EU in the last few years but paid little in to the NHS.
Below, article today saying Romanians are now the second top non-UK nationality living here.
p.s. I have nothing against people from Romania who come here and behave themselves, but bear in mind they are all entitled to NHS treatment but have not been here long enough to pay much IN to it but are taking out.
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