The NHS

There was a report that came out a couple of years ago on health services in the EU. On the number of clinicians per head of population the UK was rank 27th out of 28, with Greece (yes Greece) having the most. BUT and it's a big but, the UK came second on the list when it came to the quality of service provided. That says to me that the NHS is doing more with less resources than other European countries except Germany.

 

What are you suggesting then? You have laid out the facts which I am not challenging. What should have been done and what needs to change?

 

All our porters/domestics and catering staff are nhs (other trusts not so). Most GP surgeries are nhs funded. Dentists do well out of the NHS.

 

Not at our Trust though.
And of course they lose out on the wider benefits. The only benefit I see is being able to choose where and when to work.

 

Never said they didnt however GPs and Dentists are private enterprises..

 

All GP surgeries must have a contract with NHS England. They receive the majority of their budget from the NHS. If by private you mean they then have to pay their staff and bills from this budget then yes. Where on earth would they get their money from if they were not funded?

 

It depends what she did for the NHS. Some agency staff in talking therapies for NHS get paid a lot more than their band 5 equivalents.

 

I'm only referring to ward based.

 

Radiologist

 

A GPs practice is a private company. Privately owned. Privately managed. Privately staffed. The only inference the NHS has is paying for services.

 

60 million people are registered in just under 7,000 GP surgeries. The GP gets 154£ for every patient from the NHS. That's a heck of a lot of money. It must adhere to the guidelines and practices set up under the contract by the NHS. The NHS pays for it and it is responsible to it. If the NHS didn't fund it then we'd all have to pay. Then that would certainly make it private.

 

A specialised area then

 

*In England

Healthcare is devolved and arranged differently in Wales, Scotland and NI.

 

I think you'd better watch Panorama tonight.

https://www.manchestereveningnews.co.uk/news/greater-manchester-news/im-angry-dont-want-die-18541677

 

My point wasn’t that I thought you had an agenda or even that you wanted to privatise healthcare; it was that in using the language you did, there would be a danger of it becoming normalised.

You are just one person of course so I’m not singling you out; there are very many who say similar. Common theme and similar language.

I fear the central decision makers will latch onto such things, but with a very different end result desired, and start to kill off the nhs under our noses.

Of course people working in the nhs will tell you where it’s failing. People working anywhere tell you that. I’ve never worked anywhere where the ‘shop floor’ or ‘coal face’ if you will doesn’t know better how to run things than those that actually are running things. Workers want more workers, not more managers. They don’t always need them.

More to the point, on this example they’re probably right as well - I’ve no feeling that there isn’t a massive improvement could be made in how things are done within the nhs. I’m not involved in it now and I never was from a medical point of view.

For a start, would it not be prudent, for example, for a heavily qualified and experienced nurse, say a band 7, to be making decisions based on clinical and practical need when running the wards rather than budgetary ones? Medical knowledge needs to have input in how to use resource yes, but should that responsibility sit solely on a healthcare professional who’s primary objective is the treatment and care of patients?

Anyway, I imagine we’re wanting the same or a similar thing. I just think we are much better looking for change and support rather than loosely going on the blame game

 

See above: I think we do, I just see a danger in normalising blame on the nhs.

 

Compared to last monday announced deaths down by a third, the first time 3/4 of the UK countries have all announced zero deaths on the same day and 462 less infections down by over half. Now less staff are needed for Covid they need to be moved to trying to save the hundreds of thousands of other lives in jeopardy from delays or cancellations of appointments, operations and much needed treatments.

 

Couldn’t find percentages. But this I assume is the breakdown of employees, England.

 

It may be about 2 years old now, but Warwick Business School calculated something like 31000 managerial roles (less than 3%), which included approx one-third being combined clinical/manager roles (e.g.: Ward manager/Nurse or Consultant/Clinical Director). Seems a bit low to me, earlier studies in 2012 (Kings Fund) and I think approx 2015 (Nuffield Trust) had the figure between 4-5% of the workforce. Compared to the economy generally which has approx 10% of roles at managerial level.

 

The clue is in ‘national’, any country of a similar size or larger has a regional approach

but I’m now annoyed that I responded to your ridiculous fishing expedition.