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Aaaaaaaaaggghh - The Scream Thread!


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#19186 Tenor Viol

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Posted 14 July 2018 - 13:38

Condolences f#m.

@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.


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#19187 Cyrilla

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Posted 14 July 2018 - 22:38

Totally agree with your last para, TV.

 

Our dad has recently been in hospital for three weeks - he said the clinical care was excellent but the administration awful and the care of the patients' emotional well-being was abysmal.

 

As with your mum, people look at the number that is attached to the person and treat them (or not) accordingly.   

 

Pa HATED 'being with a lot of old sick people' - he is definitely no more than 25 in his thinking voice...

 

sad.png


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#19188 Bagpuss

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Posted 15 July 2018 - 06:02

Agreed, C.  I visited Pa 2-3 times a week whilst he was incarcerated.  The lack of stimulation was worrying - no staff actually talk to patients, presumably because they're overstretched doing the blinkin' paperwork, although they would all congregate together in corners.  The first ward he was in had him surrounded by people who looked like they'd been embalmed in 1978 - it was truly awful - and I only saw 2 other patients have anyone visit.  When he was transferred to a specialist unit, the age-range of patient was far greater which was better for him, and I made sure I got him up and out into the little garden area when I visited. NO effort was made by staff to get him up.  Muscles atrophy incredibly quickly so his mobility now he's home is nothing like as good as it was.  

The NHS is an amazing thing on so many levels but the failings within it are of great concern.  In the specialist unit I met a lovely lady in the toilet - as one does - who just needed a breather from sitting with her dying husband.  He and she were just in the middle of a busy ward where half the curtain had come off its runners so no privacy, no dignity; it was little better than sitting in a corridor.  That isn't right.  It isn't right at all.

BP sad.png x


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#19189 Cyrilla

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Posted 15 July 2018 - 22:09

No, Bag, it isn't.

 

I don't think it's realised quite how important the emotional well-being of patients is, in so many ways.

 

:(


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#19190 Aeolienne

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Posted 16 July 2018 - 12:43

I've been in my current job for over eight months, and still my bank account went into the red when my rent was paid on the 11th. That means that I'm relying on my overdraft for approximately two thirds of each month. Am I ever going to be on top of my finances?

 

To rub salt into the wound, the latest office newsletter announced this year's Christmas party: a Brazilian-carnival-themed extravaganza costing £58 per head (excluding drinks) followed by an optional casino. I find it hard to believe that I'm working for the same employer as people who can afford this. All in this together? Yeah right.


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#19191 barry-clari

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Posted 16 July 2018 - 14:20

To rub salt into the wound, the latest office newsletter announced this year's Christmas party: a Brazilian-carnival-themed extravaganza costing £58 per head (excluding drinks) followed by an optional casino. I find it hard to believe that I'm working for the same employer as people who can afford this. All in this together? Yeah right.


Ugh. I probably could stretch to £58, but I’d hate every second of such a party. I’d rather go to a pub, restaurant or a cafe with three or four friends and just chat quietly.
I can’t see that you would enjoy it either, if I know you the way I think I do.
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#19192 Norway

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Posted 16 July 2018 - 14:45

Same here - definitely not into parties. Genuinely prefer cello scales! ninja.gif


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#19193 corenfa

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Posted 16 July 2018 - 15:17

I wouldn't go for such a party even if I didn't have to pay for it
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