NHS admin…..shockingly bad

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flaps7
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NHS admin…..shockingly bad

NHS admin at xxxxx hospital is beyond a joke.  Today my wife attends clinic for minor surgery, in and out in 30 minutes. The receptionist is on the phone saying that she has no files for the 15 patients attending the clinic. Luckily the only notes she has are for my wife. This same day my mum receives four copies of letters sent to her GP from same hospital all dated 30th March but going back to dictated dates of 4 weeks ago. One letter states that my mum must seek urgent dental treatment for an infection. Great, it’s now fcuking Saturday. Where on earth do you find a NHS dentist open? To cap it all, in amongst her letters is personal information on three of the hospital’s patients. When is someone going to get to grips with NHS administration and get rid of the crap that dwells within it. Or is it ALL such a national treasure that it’s treason to tell it how it is. Crap.

Rick

john aston
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I can't disagree. My dad was a GP and a fervent believer in the NHS - he'd trained before it existed. I still support the  idea of the NHS but over the last decade I  have experienced enough ineptitude , rudeness and indifference to make doing so a struggle.

Examples include - trying to discharge my aging dad from hospital but being made to wait an extra two hours because the in house dispensary was 'closed for stocktaking'  

- witnessing a spat between two doctors as to who was in charge in A and E and , minutes later , being told that their local anaesthetic was past its use by date and I'd need an ambulance to go somewhere else 

- my local surgery asking me what the telephone number of the local hospital was 

- letters (letters, in 2022 !) cancelling appointments being received after the appointment time 

- an insane emphasis on choice in a subject I knew nothing about (back surgery ) 

- the worst , most misleading and confusing signage I've ever seen 

- months long waits for ten minute treatments 

and so on . Most of the staff have been brilliant , both admin and medical but despite tabloid moans about NHS management I don't want  the surgeon to have to order the oxygen or the nurses to plan the cleaning schedule - it needs expert, well resourced infrastructure but  not the amateur hour joke it sometimes seems to be  

 

 

DougBaker
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Who has been in charge of funding and management for the last decade?

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SLR No.77
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#3. Tory bashing does get a tad boring if it's purported to be the cause of all evil, plus it doesn't explain why some hospitals are very, very good and some are absolutely dire.  The vast majority of problems are down to poor communication and some staff that just aren't up to the job, but it's massively inconsistent. 

My father was in Warrington Hospital having one of his lungs drained due to cancer. We had a pre-arranged appointment to see the consultant and after waiting an hour after the scheduled time we were told that the consultant didn't work in Warrington that day, ever. Unbelievable. During the same visit he was taken for x-rays and subsequently forgotten about, nobody bothered to check why a guy in a wheelchair had been parked in the middle of the x-ray waiting area for over an hour and a half. None of this can be blamed on lack of funding, just very poor administration and communication, and dare I say it, care.

By comparison my daughter is undergoing treatment through the John Radcliffe Hospital in Oxford and her care has been absolutely top class and communication just brilliant.  The big lump between her collar bones which they quickly found to be an avocado sized tumour was dismissed in Warrington as nothing, in the words of the attending doctor "I've had a similar lump for years and it's probably nothing to worry about". No X-rays, no scan, just a suggestion to see a physio about her neck pain. Her difficulty swallowing and breathing didn't feature. The disparity between the two NHS hospitals was clear when Oxford showed real surprise that no X-rays or scan had been done in Warrington. 

There are many really good people in the NHS, but there's too many that are not, at both clinical and administration levels. It's an institution that we should rightfully be proud of but all too often very much a case of "could do better". 

 

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K7 VCT
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My wife is and has worked in the NHS for many years and some of the management is simply not fit for purpose, the higher up the worse they are......its NOTHING to do with the government atm, its been the same for over 20 years. Far to many so called cheifs and not enough Indians....that said its lucky it has so many people actually hard working every day who give a sh#t about what they do, otherwise it would simply be useless. The NHS is fantastic in an emergency, but can be at times sadly lacking in many other areas. It can also be soooooo very different across the country.

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wild bill
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There are 2 main issues with the NHS and i speak as someone who has needed drastic treatment and has most of his family in the frontline (i'm the black sheep) and my local NHS is nothing short of brilliant in every aspect from admin to treatment, however it is insane to keep it free at point of delivery.

1) It should be free for those below a certain income level (lets say £35k per annum as a rough stab) Those in higher income brackets should pay a monthly fee which would subsidise treatment. Visits to GP's should be charged to everyone (say £10) and then refunded if treatment required as it is in France and Sweden i believe? this woulld keep the sniffly and overweight away from clogging up GP's unnecessarily) Keeping it free for all users is nuts. We have to tackle the fact that we also have a massively old aged populace which is the main problem.

2) The admin needs a massive overhaul by people who know what they're doing. Sadly i know a few NHS managers and without exception they are people with great medical skills sadly moved to management and then promoted to a level beyond their own incompetence.

Blaming the Tories for the NHS issues is sadly also nuts. It's every governement since i can remember because no one will bite the obvious necessity of 1

Tony Whitley
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1) Great idea. I know, let's call it "National Insurance"?

StevehS3
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 If you have a dig around in most large UK organisations there will be good, bad and pockets of under performance. The difference is they are likely to be paid more, lower qualified, in roles that are less visible to the public and far less critical roles. I see the NHS as one of the best examples of a large UK organisation.

However, in general I don't think the UK is great at running large organisations. France, Germany etc are much better IMO. 

ScottR400D
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I'm not sure I've ever seen any evidence that throwing money at the NHS has ever brought quantifiable improvement, though I like the idea of refundable deposits to weed out the time wasters and possibly those with self inflicted 'illness'. 

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StevehS3
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#9 I agree. Throwing money at it can do more harm than good. It's needs a long-term strategy of funding, staffing and improvement. 

ScottR400D
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Something that's puzzled me is that while some hospitals, trusts etc do well others seem unfit for purpose.

Our nearest main hospital is Norfolk and Norwich. Aside from an ambulance issue the other year they seem to do OK. Every time I've had to use them I've been very pleased. 

Don't they benchmark and/or learn from each other? 
 

L7C