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 Stuk  Top half 09 Dec 14 4.40pm |
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Quote Seth at 09 Dec 2014 4.23pm
Quote Superfly at 09 Dec 2014 4.15pm
The NHS, im my very very recent experience, is in a shocking state & getting worse. I phoned to see my GP yesterday & was told they no longer take same day appointments. There is a same day walk in clinic from 2pm but they'll only see the first 18 people. I arrived at 1pm and the queue was out the door. I called again this morning to book a future appointment - the earliest they can book me in is the 24th December. My group practice has 9 GP's and I'm willing to see any of them. I'm going to have to join my work private health care. An action I despise as I don't see why I should when we have the NHS - but a 15 day wait for a doctors appointment is unacceptable.
The GP system in England is facing a "catastrophe" because of cuts in funding, doctors' leaders are warning. Analysis by the Royal College of GPs suggests that over the past three years, investment in general practice has fallen by £400m in real terms. That is equivalent to a 7% cut in spending per patient, it says.
It's not funding, it's the ratio of doctors and surgeries to people, which gets worse by the day.
Optimistic as ever |
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| Stuk Top half 09 Dec 14 4.43pm |
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Quote Seth at 09 Dec 2014 4.25pm
Quote Stuk at 09 Dec 2014 4.21pm
Quote Johnny Eagles at 09 Dec 2014 4.19pm
The cynic in me makes me wonder if the people behind this study were keen on using it to bash the American healthcare system, which is a bit of a political hot potato over there. It crossed my mind while reading it too.
We were talking about a country, not a political perspective. Who do think that report is out to bash, and why?
Optimistic as ever |
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Seth  On a pale blue dot 09 Dec 14 4.50pm |
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Quote Stuk at 09 Dec 2014 4.40pm
Quote Seth at 09 Dec 2014 4.23pm
Quote Superfly at 09 Dec 2014 4.15pm
The NHS, im my very very recent experience, is in a shocking state & getting worse. I phoned to see my GP yesterday & was told they no longer take same day appointments. There is a same day walk in clinic from 2pm but they'll only see the first 18 people. I arrived at 1pm and the queue was out the door. I called again this morning to book a future appointment - the earliest they can book me in is the 24th December. My group practice has 9 GP's and I'm willing to see any of them. I'm going to have to join my work private health care. An action I despise as I don't see why I should when we have the NHS - but a 15 day wait for a doctors appointment is unacceptable.
The GP system in England is facing a "catastrophe" because of cuts in funding, doctors' leaders are warning. Analysis by the Royal College of GPs suggests that over the past three years, investment in general practice has fallen by £400m in real terms. That is equivalent to a 7% cut in spending per patient, it says.
It's not funding, it's the ratio of doctors and surgeries to people, which gets worse by the day. My experience is that GP services have deteriorated dramatically over the last few years and the funding cuts over the same timescale are no coincidence. The report I linked to agrees and I'm inclined to believe the GP's.
"You can feel the stadium jumping. The stadium is actually physically moving up and down" |
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| OknotOK Cockfosters, London 09 Dec 14 4.52pm |
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Quote Stuk at 09 Dec 2014 4.40pm
Quote Seth at 09 Dec 2014 4.23pm
Quote Superfly at 09 Dec 2014 4.15pm
The NHS, im my very very recent experience, is in a shocking state & getting worse. I phoned to see my GP yesterday & was told they no longer take same day appointments. There is a same day walk in clinic from 2pm but they'll only see the first 18 people. I arrived at 1pm and the queue was out the door. I called again this morning to book a future appointment - the earliest they can book me in is the 24th December. My group practice has 9 GP's and I'm willing to see any of them. I'm going to have to join my work private health care. An action I despise as I don't see why I should when we have the NHS - but a 15 day wait for a doctors appointment is unacceptable.
The GP system in England is facing a "catastrophe" because of cuts in funding, doctors' leaders are warning. Analysis by the Royal College of GPs suggests that over the past three years, investment in general practice has fallen by £400m in real terms. That is equivalent to a 7% cut in spending per patient, it says.
It's not funding, it's the ratio of doctors and surgeries to people, which gets worse by the day. I'm not a unthinking defender of the NHS (and have been in work-related private healthcare schemes for about 10 years now) but I can always get to see my GP the same day for a shorter 5 minute consultation if it is an urgent case and can get an appointment within a maximum of 48 hours if not. The only thing that prevents me being able to see them within that period is my own inflexibility trying to get around work. And even then they offer limited weekday appointments starting at 07:30 for working people to facilitate. I suspect it is a case of good and bad GP surgeries exist. As someone with 2 small children they have been massively helpful to me and I can have very little complaint about the quality of care provided. Edited by OknotOK (09 Dec 2014 4.53pm)
"It's almost like a moral decision. Except not really cos noone is going to find out," Jez, Peep Show |
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| Seth On a pale blue dot 09 Dec 14 4.53pm |
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Quote Stuk at 09 Dec 2014 4.43pm
Quote Seth at 09 Dec 2014 4.25pm
Quote Stuk at 09 Dec 2014 4.21pm
Quote Johnny Eagles at 09 Dec 2014 4.19pm
The cynic in me makes me wonder if the people behind this study were keen on using it to bash the American healthcare system, which is a bit of a political hot potato over there. It crossed my mind while reading it too.
We were talking about a country, not a political perspective. Who do think that report is out to bash, and why?
"You can feel the stadium jumping. The stadium is actually physically moving up and down" |
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| jamiemartin721 Reading 09 Dec 14 4.54pm |
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Quote Stuk at 09 Dec 2014 4.40pm
Quote Seth at 09 Dec 2014 4.23pm
Quote Superfly at 09 Dec 2014 4.15pm
The NHS, im my very very recent experience, is in a shocking state & getting worse. I phoned to see my GP yesterday & was told they no longer take same day appointments. There is a same day walk in clinic from 2pm but they'll only see the first 18 people. I arrived at 1pm and the queue was out the door. I called again this morning to book a future appointment - the earliest they can book me in is the 24th December. My group practice has 9 GP's and I'm willing to see any of them. I'm going to have to join my work private health care. An action I despise as I don't see why I should when we have the NHS - but a 15 day wait for a doctors appointment is unacceptable.
The GP system in England is facing a "catastrophe" because of cuts in funding, doctors' leaders are warning. Analysis by the Royal College of GPs suggests that over the past three years, investment in general practice has fallen by £400m in real terms. That is equivalent to a 7% cut in spending per patient, it says.
It's not funding, it's the ratio of doctors and surgeries to people, which gets worse by the day. Arguably that's funding, if they're aren't enough GPs to go around and increasingly less incentives to work in the NHS as a GP.
"One Nation Under God, has turned into One Nation Under the Influence of One Drug" |
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| Seth On a pale blue dot 09 Dec 14 4.58pm |
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Quote jamiemartin721 at 09 Dec 2014 4.54pm
Quote Stuk at 09 Dec 2014 4.40pm
Quote Seth at 09 Dec 2014 4.23pm
Quote Superfly at 09 Dec 2014 4.15pm
The NHS, im my very very recent experience, is in a shocking state & getting worse. I phoned to see my GP yesterday & was told they no longer take same day appointments. There is a same day walk in clinic from 2pm but they'll only see the first 18 people. I arrived at 1pm and the queue was out the door. I called again this morning to book a future appointment - the earliest they can book me in is the 24th December. My group practice has 9 GP's and I'm willing to see any of them. I'm going to have to join my work private health care. An action I despise as I don't see why I should when we have the NHS - but a 15 day wait for a doctors appointment is unacceptable.
The GP system in England is facing a "catastrophe" because of cuts in funding, doctors' leaders are warning. Analysis by the Royal College of GPs suggests that over the past three years, investment in general practice has fallen by £400m in real terms. That is equivalent to a 7% cut in spending per patient, it says.
It's not funding, it's the ratio of doctors and surgeries to people, which gets worse by the day. Arguably that's funding, if they're aren't enough GPs to go around and increasingly less incentives to work in the NHS as a GP. Indeed. If more people want to see their GP and they can't it's because there's not enough funding for more GP's. My daughter is at med school and is not inclined to become a GP because of the ever-increasing workload and huge cuts in their funding.
"You can feel the stadium jumping. The stadium is actually physically moving up and down" |
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| jamiemartin721 Reading 09 Dec 14 5.04pm |
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GP's are a lottery. First you generally can't book an appointment, or if you can its for about a week in advance, then it can be a total crap shoot who you'll see and what time you'll get into see them. Then comes to the fun of trying to persuade them that you actually are ill Invariably then you get the fun of coming back because either the treatment was useless, or because you were right all along, that it wasn't something like a cold (who the f**k goes to the GP for a cold unless its persisting). Plus all the fun of contracting something else in the 30-40 minute wait, despite being five minutes early for the appointment time. Eventually, after a few visits, they'll pass you onto a specialist and you just have to hope that it wasn't something really serious. After six months of complaining to her GP about pains in her side that was intermitant, my mother finally got diagnosed with clear cell cancer in her kidney, only because she'd gone in for breathing complaint which turned out to be a pulmonary embolism from the cancer. Sadly, by that point it had metasticised to her Spine and lungs, and removing the Kidney only bought her more time, where as had they scanned her for the pain, rather than going for cheap painkiller options, she'd have had a 90% chance of survival once the kidney was removed. Pressure on GPs is not to refer, and to hit budgets totals. Invariably that gets people killed.
"One Nation Under God, has turned into One Nation Under the Influence of One Drug" |
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| Stuk Top half 09 Dec 14 5.12pm |
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Quote Seth at 09 Dec 2014 4.50pm
Quote Stuk at 09 Dec 2014 4.40pm
Quote Seth at 09 Dec 2014 4.23pm
Quote Superfly at 09 Dec 2014 4.15pm
The NHS, im my very very recent experience, is in a shocking state & getting worse. I phoned to see my GP yesterday & was told they no longer take same day appointments. There is a same day walk in clinic from 2pm but they'll only see the first 18 people. I arrived at 1pm and the queue was out the door. I called again this morning to book a future appointment - the earliest they can book me in is the 24th December. My group practice has 9 GP's and I'm willing to see any of them. I'm going to have to join my work private health care. An action I despise as I don't see why I should when we have the NHS - but a 15 day wait for a doctors appointment is unacceptable.
The GP system in England is facing a "catastrophe" because of cuts in funding, doctors' leaders are warning. Analysis by the Royal College of GPs suggests that over the past three years, investment in general practice has fallen by £400m in real terms. That is equivalent to a 7% cut in spending per patient, it says.
It's not funding, it's the ratio of doctors and surgeries to people, which gets worse by the day. My experience is that GP services have deteriorated dramatically over the last few years and the funding cuts over the same timescale are no coincidence. The report I linked to agrees and I'm inclined to believe the GP's. Mine has actually improved in the last couple of years, thanks to a new and larger practice but getting same day or next day appointments are still almost impossible. (That's with 100% patient flexibility OKnotOK.) I'm always less inclined to fully believe a report done by someone with a heavily vested interest in a certain outcome, rather than an independently found conclusion.
Optimistic as ever |
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Johnny Eagles  berlin 09 Dec 14 5.14pm |
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Quote Seth at 09 Dec 2014 4.25pm
Quote Stuk at 09 Dec 2014 4.21pm
Quote Johnny Eagles at 09 Dec 2014 4.19pm
The cynic in me makes me wonder if the people behind this study were keen on using it to bash the American healthcare system, which is a bit of a political hot potato over there. It crossed my mind while reading it too.
What opposite political perspective is that then? The rabidly free-market Dutch and Danish healthcare industry?!
...we must expand...get more pupils...so that the knowledge will spread... |
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| Stuk Top half 09 Dec 14 5.14pm |
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Quote Seth at 09 Dec 2014 4.53pm
Quote Stuk at 09 Dec 2014 4.43pm
Quote Seth at 09 Dec 2014 4.25pm
Quote Stuk at 09 Dec 2014 4.21pm
Quote Johnny Eagles at 09 Dec 2014 4.19pm
The cynic in me makes me wonder if the people behind this study were keen on using it to bash the American healthcare system, which is a bit of a political hot potato over there. It crossed my mind while reading it too.
We were talking about a country, not a political perspective. Who do think that report is out to bash, and why?
The other one does seemingly lean towards it though.
Optimistic as ever |
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| jamiemartin721 Reading 09 Dec 14 5.14pm |
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Quote Stuk at 09 Dec 2014 4.16pm
Quote jamiemartin721 at 09 Dec 2014 3.27pm
Quote Stuk at 08 Dec 2014 5.20pm
Quote jamiemartin721 at 08 Dec 2014 5.01pm
Quote matt_himself at 08 Dec 2014 4.55pm
Quote jamiemartin721 at 08 Dec 2014 4.46pm
I don't think people are against the idea of paying tax, rather they're more against the way in which its spent (or wasted) on things like vanity projects and political egotism.
I am not for the dismantling of public services but I think a dosage of private sector keeping costs down management will be of benefit to all concerned. How many paracetamol in the packet, what size and what strength? Is that the cost of the drugs, or the cost of dispensing the drug to patients in A+E or hospitals (when you figure in other costs). The private sector isn't as efficient as people tend to think either, and in many cases are a reason why government costs can be much higher. Government services will always cost more than the private counter parts, because the public will insist on higher standards in regards to operations and responsibility, which results in greater expenditure.
Not to mention being far more efficient, at anything. Personal experience. I've worked in contracts to government and private sector, private sector work has a lot less in the way of requirements, compared to government sector work. For example, there when providing IT into government sectors you have all manner of health and safety requirements that you just don't see in the private sector (such as RSI systems, Special Needs Software, higher data protection requirements, security protocols are higher, environmental systems requirements, more resilient DR and fallback plans, restricted infrastructure requirements are higher etc). You'll need to security clear staff to just be on site, which you almost never will for private sector contracts. Chances are you'll have restricted hardware limitations as well. Even requirements in regards to development, testing and QA is much higher when you're working with governments, as is auditing requirements. Defense is even more extreme in its standards and requirements. It all has to be recouped somehow, and invariably it costs more. It costs about 750-1000 per end user to provide a workstation to a government worker. Its about 500-750 in private sector.
As I said it's the chain of pointless procedures and box ticking that means you pay more, for lower rather than higher standards. Not to mention the additional costs of someone else, ordering it, unwrapping it, setting it up etc. Not really, the two aren't really comparable. I remember being called into consult on a Lloyds project which was regularly blue screening users. They had the cheapest kit, worst processes and paid for the lowest quality service - because ultimately as long as they didn't lose the ATMs and basic service they didn't have a real problem (they could even resort to back ups). You don't get the same flexibility with a Government systems.
"One Nation Under God, has turned into One Nation Under the Influence of One Drug" |
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