Crosswords0 min ago
Tory Assassination Of The Nhs Continues.
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me, it is in safe hands, I am a 100% supporter of the NHS but it does need some adjustments. It's just about the only useful thing Labour ever did and I am very proud of it and I do not accept the left wing assertion that it is in any danger. Under pressure? Of course but it's not going away however much you and your bitter election losers want it to just so you can whine about the Tories.
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It does not matter who is in power, the NHS in its current form will never have enough money and will always struggle.
It has morphed over the last 30 or 40 years from a health service to a giant bureaucratic monster where processes, procedures and paper shuffling take precedence over healthcare and welfare of patients. Look at any hospital or doctors surgery and see the amount of administrative staff there are. Every desk has four people sitting behind it; people wander round with sheets of paper; senior nurses are employed to do clerical tasks. It goes on and on. The GP contract is a joke. For 95% of problems GPs could be replaced with a decent website linking patients to pharmacists or doctors who know how to deal with their specific problem. (Usual GP “treatment” – “take two asprins and if it’s no better (or you’re not dead) in a fortnight come back and see me and I’ll send you to somebody who knows what they’re talking about”).
I could write a book on problems and inefficiencies I personally have witnessed in the health service and it is not the fault of Labour or the Tories. It is a creeping malaise of unaddressed inefficiencies and poor management which effects all nationalised services.
It has morphed over the last 30 or 40 years from a health service to a giant bureaucratic monster where processes, procedures and paper shuffling take precedence over healthcare and welfare of patients. Look at any hospital or doctors surgery and see the amount of administrative staff there are. Every desk has four people sitting behind it; people wander round with sheets of paper; senior nurses are employed to do clerical tasks. It goes on and on. The GP contract is a joke. For 95% of problems GPs could be replaced with a decent website linking patients to pharmacists or doctors who know how to deal with their specific problem. (Usual GP “treatment” – “take two asprins and if it’s no better (or you’re not dead) in a fortnight come back and see me and I’ll send you to somebody who knows what they’re talking about”).
I could write a book on problems and inefficiencies I personally have witnessed in the health service and it is not the fault of Labour or the Tories. It is a creeping malaise of unaddressed inefficiencies and poor management which effects all nationalised services.
Don't be getting sick on the 1st, 8th and 16th of December.
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What to do?
A strong government is required who will undertake to break the stranglehold that the unions hold over large swathes of public services. They also need to whip into line the civil servants who seem to see their function not as servants but as champions of their particular department, seeking to increase budgets, headcounts and expenditure as they see those "achievemnets", rather than outcomes, as measures of their success. No government of ay colour in the recent past has set out to do this and none seems likely to do so in the foreseeable future.
As far as the health service goes, it needs to drastically reduce its administrative staff, do away with the ridiculous “Health Trust” organisations (and their associated non-productive staff), impose a sensible GP structure, remove the need for every patient to visit a GP for ailments which clearly the GP will not be able to handle, impose a proper contract with consultants which makes them unavailable for more lucrative work outside the health service, make most hospitals 24/7/365 operations with staff rotas providing appropriate shifts (as, say, the police or fire service does), stop “appointments” for hospitals being made unilaterally for patients who have not asked for treatment and have not been consulted about whether the appointment suits them or not (I have received four of these – all of which I ignored – in the last 18 months). Oh, and lastly, charge foreign visitors the full cost plus 25% profit for all treatment they receive.
That’s just for starters.
A strong government is required who will undertake to break the stranglehold that the unions hold over large swathes of public services. They also need to whip into line the civil servants who seem to see their function not as servants but as champions of their particular department, seeking to increase budgets, headcounts and expenditure as they see those "achievemnets", rather than outcomes, as measures of their success. No government of ay colour in the recent past has set out to do this and none seems likely to do so in the foreseeable future.
As far as the health service goes, it needs to drastically reduce its administrative staff, do away with the ridiculous “Health Trust” organisations (and their associated non-productive staff), impose a sensible GP structure, remove the need for every patient to visit a GP for ailments which clearly the GP will not be able to handle, impose a proper contract with consultants which makes them unavailable for more lucrative work outside the health service, make most hospitals 24/7/365 operations with staff rotas providing appropriate shifts (as, say, the police or fire service does), stop “appointments” for hospitals being made unilaterally for patients who have not asked for treatment and have not been consulted about whether the appointment suits them or not (I have received four of these – all of which I ignored – in the last 18 months). Oh, and lastly, charge foreign visitors the full cost plus 25% profit for all treatment they receive.
That’s just for starters.
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