NHS admin…..shockingly bad

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wild bill
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Jonathan i take your point about charging/refunding/bureacracy but other countries seem to be able to manage it (although i don't know whether they have good or bad early diagnosis of diseases like cancer in places like France or Sweden) The French refund system on visits is pretty efficient and alot of the things taking up a GP's time are dealt with by the Pharmacies as i understand it.

As someone who has been in the system so to speak how would you deal with it?

My point is that we've done the same old thing for ever and we expect something to change and it simply won't. (now we might say 'let's leave it be' which is fine but we can't endlessy moan about it and not look at ways to improve it both in terms of treatment and bureaucracy We have to think of a different solution. Also as technology advances charging for some areas in some way is eminently doable technically. Look at covid passport on the NHS app for example. Very slick from my personal experience.

It certainly seems (in my area anyway) that the more urgent the treatment required the better it all works. My experience was faultless from beginning to end.

 

DougBaker
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We have not been doing the same old thing for ages, there have been multiple redisorganisations in the NHS. Funding has gone up over certain periods, and gone down ( or not up as fast as it had been ) during other periods.

1.6K Roadsport SV

ScottR400D
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"there have been multiple redisorganisations in the NHS. Funding has gone up over certain periods, and gone down ( or not up as fast as it had been ) during other periods."

The very definition of "doing the same old thing....."

L7C
TomB
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Isn't a fundamental problem the fact the NHS is centrally managed by the Department of Heath and Social Care, at the core of political spin and whim, and devoid of a long term strategy?  In my decidedly non expert view, it could be separated from the government, and run under a fully independent organization who can plan for the long term without the interference of her today gone tomorrow minsters, keen to make their mark.  We seem to have ended up with a system that no one in their right mind would design from the outset, and short of an etch-a-sketch ending and starting again, I wonder how it could be improved.

 

   

Jonathan Kay
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I'm busy today... guess what on!

Please keep them coming. And I've realised I didn't answer that important question about benchmarking as a tool for quality improvement. I'm sorry and I will.

Jonathan

Temple Cloud
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Although my wife and I are in our 70s we've only had a small amount of personal, patient experience with the NHS but every time we have  the service we've been given has been spot on and exemplary.

However, when it comes to work I've experienced numerous interactions with the NHS having been a director (now retired) on a long running BBC TV series. And again, these interactions have been fantastic. All the staff concerned were professional, timely, courteous and of the highest possible standards. Much of our filming was fly on the wall observational stuff in hospitals and out on the road with ambulance crews and the love and dedication given to patients was above and beyond the call of duty in nearly every case.

If private companies had employees that gave the same level of dedication to their work as 90% of the NHS staff this country would be in a much better place than it is.

Of course the above doesn't infer the same is true of the back office administrators but I just wanted to file my support for the frontline NHS staff as there is a tendency in this country to tar everyone in the NHS with the same brush

He was looking for the card so high and wild he'd never need to deal another - Leonard Cohen

flaps7
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Jonathan, I will be dropping you a pm for your guidance on obtaining a response out of the Trust. And thank you for your offer of help.

Rick


 

 

Domus
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 Mrs Domus broke her wrist in November 2021, spent about 8 hours in A and E with surging blood sugar levels due to stress, no one was available to take her sugar readings or supply any food to combat these rising levels.  I of course was forbidden entry due to Covid.  Two weeks later at fracture clinic she was told it was healing well and the plaster could be off in time for Christmas.  Two weeks later at fracture clinic she was told it was not healing, it was set wrong and needed surgery.  Before surgery the following Tuesday she needed to have a Covid swab at the operating hospital on Sunday morning, we duly turned up at the appointed time to find no one could do the test or knew anything about such a test.  First thing Monday morning we telephoned the surgeons secretary to sort it out only to be told she should have had the test on Sunday.

Back in the car to the hospital where eventually a nurse in fracture clinic did the test.  Instead of being first on the list on Tuesday due to her diabetes she was pushed back to afternoon surgery and told to report at 11.00 instead of 07.00.

 

Tuesday morning at 07.30 we had a phone call and told to get here NOW as the test had come back as negative.  The drive to North Manchester from Bury at that time in the morning is nothing short of misery, we arrived at 08.45.  I had to abandon her at the door and she was put in a room on her own due to isolation.  At 15.00 she rang me in floods of tears saying her sugars were all over the place and was still awaiting surgery after being alone in a room for 6 hours.  At 17.00 I rang the hospital to find out what was going on, no answer from the day surgery, the switchboard told me the day surgery department was closed for the day.  I had no option other than drive over there.  The place was in darkness but a cleaner let me in and found a nurse who was not pleased that I had turned up without being summonsed.  My wife was still in surgery and would be for some time, against her wishes I elected to wait.  An hour later another nurse told me the surgery had gone well but her blood pressure was very low and so was in recovery, "Can I see her?"  No was the reply.   Another hour or so and I was told her blood pressure was still too low and she was being admitted.  "Can I see her?" Again no.  This was 11 hours since being dropped off.  She finally got her phone sometime after 22.00 to call me The admitting Dr had not written up insulin on her notes and she was therefore not allowed to self administer her night time insulin.  She was finally discharged at about 14.00 on Wednesday and could finally get her blood sugars in some kind of order and was told to attend  a fracture clinic before Christmas to change the cast and remove the stitches.  After a week or so with no appointment forthcoming she phoned to find there was no fracture clinic until January, when informed that the surgeon wanted the cast changed and stitches removed the advice was "Go to A and E" You could not make it up.

Peter Haslam

Joint AR LADS

wild bill
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That's horrific Peter and just not acceptable for any human being to go through. I'd take that one up with management of the trust if you have the time/patience. My Mother in law suffered similar up in Shrewsbury a few years ago with her heart valve op (although in  mitigation she's not the 'easiest' patient they are going to deal with in their careers) It does seem to be massively dependent on the trust in question. Some really have it fairly sorted others are a disaster. Im in Somerset so my main treatment hospital is Bath and my local A&E is Frome Community. I've only had efficient experiences in both. (DIY axing injury lol for A&E my only complaint was the receptions eye roll when i explained what i'd done whilst i bled onto the floor Rolleyes)

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My wife works for the NHS as a clinical scientist, she whistle blew her department due to unmeetable workload leading to patient endangerment, who then accidentally forwarded her complaint to the involved individual with out any redaction. She has now whistle blown the office that did this, should be interesting