@maizie the NHS is in need of a very serious shake-up of its processes and procedures, many of which languish 30 years or more in the past. The issues are many and too complex for a post here, but it's not necessarily money that's the issue. There are many administrative and organisational issues. These include things like each consultant is an individual empire free to run their own
fiefdoms clinics in what way they wish, so there's no standardisation and no economies of scale of running similar processes. The lack of electronic integration of communications, records, and data sharing. Fixing those would be a huge step in the right direction.
Unbridled and uncritical adulation of the NHS does nothing to help it. Where it works, it's brilliant. Unfortunately vast swathes of it don't work very well and the knee-jerk response from many of 'throw more money at it' isn't necessarily the solution.
People's expectations are wrong also. Medicine has changed. Having one big hospital in an area that does A&E as a specialism is better than having smaller A&E units in several hospitals. It is better for specialist services to be concentrated as that is shown to lead to improved outcomes. But the moment you suggest that city 'x' is going to move A&E to hospital A and away from B and C there are immediate campaigns. This is usually in cities where there may be 3, 4 or even 5 'full service' hospitals with probably no more than 10 miles between them. I suggest to such people that they try living in an area where your A&E is 28 miles away, like mine is, before starting the campaigns....
Which brings me to aargh #1. My brother had to undergo some tests last week and an examination which required a minor procedure. That was Friday. Monday he was an emergency admission due to an acute infection which poleaxed him and he ended up on intravenous antibiotics for 4 days.
When I've got time, I might talk about the complete failure of the NHS to provide any help in resolving my mum's sudden loss of mobility. Can't help but feel the apathy is due to her age.