National Health Service

[Beechwood_S6 101]

4 hours ago, Anna B said:

Our NHS system is in a sorry state and needs reform, but that's what you get with the Tories in charge for 13 years of cuts and privatisation.

It wasn't perfect under Labour, but it was much better than this.

System needs reform you can blame Labour Conservatives government top heavy management etc, but don't forget that a major part  of the blame, sits with stupid folk.

The uk is a country of extremes be it food or addictions. No excuses for the  amount of excesses people put in themselves.

 

There tends to be  sugar coating, whilst the Drunks in A&E and Obese clogging up resources and funding whilst clocking up longer term conditions.

[Anna B 1,417]

NHS seems to do emergency medicine well, but struggles with the rest. 

 

I know new treatments can be horrendously espensive, and drain the coffers, but a lot of the old fashioned, basic stuff like good nutrition, good quality sleep, rest and recupperation seems to be neglected these days as well as a good bedside manner and having something to distract the mind off one's troubles.

 

These don't cost much but can't be measured on a spread sheet so tend to be forgotten. But I believe they are more important than we imagine to the wellbeing of the patient.

[El Cid 221]

7 hours ago, Beechwood_S6 said:

blame, sits with stupid folk.

The uk is a country of extremes be it food or addictions. No excuses for the  amount of excesses people put in themselves.

 

There tends to be  sugar coating, whilst the Drunks in A&E and Obese clogging up resources and funding whilst clocking up longer term conditions.

Blaming stupid people gets you no where, what is the solution?

 

The sugar tax in fizzy drinks worked, more funding for drug abuse clinics, more regulation on advertising to children, regulation on breakfast cereals etc

[Beechwood_S6 101]

11 hours ago, El Cid said:

Blaming stupid people gets you no where, what is the solution?

 

The sugar tax in fizzy drinks worked, more funding for drug abuse clinics, more regulation on advertising to children, regulation on breakfast cereals etc

I'm pretty certain Its not cake

https://www.dailymail.co.uk/news/article-1297974/Sharon-Mevsimler-Final-pictures-UKs-fattest-woman-ate-death.html

[ECCOnoob 1,052]

19 hours ago, Anna B said:

NHS seems to do emergency medicine well, but struggles with the rest. 

 

I know new treatments can be horrendously espensive, and drain the coffers, but a lot of the old fashioned, basic stuff like good nutrition, good quality sleep, rest and recupperation seems to be neglected these days as well as a good bedside manner and having something to distract the mind off one's troubles.

 

These don't cost much but can't be measured on a spread sheet so tend to be forgotten. But I believe they are more important than we imagine to the wellbeing of the patient.

Lots of things there that people should be taking self responsibility for - not expecting the state to nurse them.   THAT is the problem.  

 

The NHS is overused, taken for granted, overburdened by far too many who should and can be taking care of themselves.  It has  far too many departments, divisions, side projects and auxiliary services that shouldn't be funded by taxpayers.  Its ego is far too big and its always too overprotected because god forbid any Politician would dare to suggest even the slightest reform - they all know it would be election suicide and within seconds all the unions would be kicking off. 

 

I long for the day when someone will have the balls to openly admit  it might be a little bit of incompetent, flabby, wasteful, expensive and mismanaged.   It needs to be completely stripped back to is functions of core clinical treatments and emergency services.    Lifestyle choices, malingerers, self inflicted damage, serial abusers and timewasters clogging up the service need to be severely tackled even directly made to pay if necessary.    

 

......You choose to go base jumping off cheddar gorge  >>   better get that health insurance policy.

You choose to eat 2 buckets of fried chicken and a gallon of coke a day, despite the widely publicised public health warnings >>  be prepared to be paying for your weight loss and diabetes treatment 

You choose to blatantly ignore repeated advice of your Clinician to cut out smoking >>    fine, but the next time your visit with worsened emphysema will be chargeable.

You choose to get blind drunk on Saturday night and start brawling  >> your choice. But expect to be left waiting at the back of the A&E queue followed by an invoice on Monday.  

You choose to repeatedly fail to attend arranged GP appointments without cancelling  >>  next time its £25 each missed appointment.....

 

However, never going to happen.  

[ECCOnoob 1,052]

1 hour ago, Beechwood_S6 said:

I'm pretty certain Its not cake

https://www.dailymail.co.uk/news/article-1297974/Sharon-Mevsimler-Final-pictures-UKs-fattest-woman-ate-death.html

If true (because Daily Mail).   A perfect example of waste, incompetence and mismanagement from the NHS I describe.    Putting aside the obvious self infliction from the family and the patient herself,  how the hell did things get that far.  How on earth did they 'sneak in' Fish and Chips and Buckets of Fried Chicken to a clearly critically obese patient on a hospital ward.   Nobody noticed?  Nobody actually monitored and checked when they ran their tests?   Did none of the clinicians involved up to and during the peeing away of £10k on a gastric band stop to think that this patient clearly has a mental health problem and may need to be referred for either detention or psychological treatment to top her self harming via overeating?     Did none of the services check on the wider family, about her lifestyle and who was providing this bed bound woman with all this food which may have been bordering abuse?   

 

Madness. 

[Anna B 1,417]

4 minutes ago, ECCOnoob said:

Lots of things there that people should be taking self responsibility for - not expecting the state to nurse them.   THAT is the problem.  

 

The NHS is overused, taken for granted, overburdened by far too many who should and can be taking care of themselves.  It has  far too many departments, divisions, side projects and auxiliary services that shouldn't be funded by taxpayers.  Its ego is far too big and its always too overprotected because god forbid any Politician would dare to suggest even the slightest reform - they all know it would be election suicide and within seconds all the unions would be kicking off. 

 

I long for the day when someone will have the balls to openly admit  it might be a little bit of incompetent, flabby, wasteful, expensive and mismanaged.   It needs to be completely stripped back to is functions of core clinical treatments and emergency services.    Lifestyle choices, malingerers, self inflicted damage, serial abusers and timewasters clogging up the service need to be severely tackled even directly made to pay if necessary.    

 

......You choose to go base jumping off cheddar gorge  >>   better get that health insurance policy.

You choose to eat 2 buckets of fried chicken and a gallon of coke a day, despite the widely publicised public health warnings >>  be prepared to be paying for your weight loss and diabetes treatment 

You choose to blatantly ignore repeated advice of your Clinician to cut out smoking >>    fine, but the next time your visit with worsened emphysema will be chargeable.

You choose to get blind drunk on Saturday night and start brawling  >> your choice. But expect to be left waiting at the back of the A&E queue followed by an invoice on Monday.  

You choose to repeatedly fail to attend arranged GP appointments without cancelling  >>  next time its £25 each missed appointment.....

 

However, never going to happen.  

It's called nursing. Or caring. Or making people feel valued. 

Healing begins in the mind with a desire to get better. Make the patient feel like a nuisance or worse still blame them for their illness, and they won't get well, or at best it will take much longer. 

 

Certainly some people choose to abuse their bodies, but a great many serious illnesses are the product of faulty genetics, accidents and bad luck, but I'm thinking particularlyof old people who fall ill because their bodies are wearing out. so they end up in hospital and deserve a little kindness.

 

No doubt you think that once they have outlived their usefulness they should lie down and die 'and reduce the surplus population...'

[Beechwood_S6 101]

1 minute ago, ECCOnoob said:

If true (because Daily Mail).   A perfect example of waste, incompetence and mismanagement from the NHS I describe.    Putting aside the obvious self infliction from the family and the patient herself,  how the hell did things get that far.  How on earth did they 'sneak in' Fish and Chips and Buckets of Fried Chicken to a clearly critically obese patient on a hospital ward.   Nobody noticed?  Nobody actually monitored and checked when they ran their tests?   Did none of the clinicians involved up to and during the peeing away of £10k on a gastric band stop to think that this patient clearly has a mental health problem and may need to be referred for either detention or psychological treatment to top her self harming via overeating?     Did none of the services check on the wider family, about her lifestyle and who was providing this bed bound woman with all this food which may have been bordering abuse?   

 

Madness. 

They spent £5,000 a week for 6 months at the priory so clearly gave her 5 star treatment 

[Al Bundy 1,577]

6 minutes ago, ECCOnoob said:

If true (because Daily Mail).   A perfect example of waste, incompetence and mismanagement from the NHS I describe.    Putting aside the obvious self infliction from the family and the patient herself,  how the hell did things get that far.  How on earth did they 'sneak in' Fish and Chips and Buckets of Fried Chicken to a clearly critically obese patient on a hospital ward.   Nobody noticed?  Nobody actually monitored and checked when they ran their tests?   Did none of the clinicians involved up to and during the peeing away of £10k on a gastric band stop to think that this patient clearly has a mental health problem and may need to be referred for either detention or psychological treatment to top her self harming via overeating?     Did none of the services check on the wider family, about her lifestyle and who was providing this bed bound woman with all this food which may have been bordering abuse?   

 

Madness. 

Too busy doing Tiktok videos.

[ECCOnoob 1,052]

Just now, Anna B said:

It's called nursing. Or caring. Or making people feel valued. 

Healing begins in the mind with a desire to get better. Make the patient feel like a nuisance or worse still blame them for their illness, and they won't get well, or at best it will take much longer. 

 

Certainly some people choose to abuse their bodies, but a great many serious illnesses are the product of faulty genetics, accidents and bad luck, but I'm thinking particularlyof old people who fall ill because their bodies are wearing out. so they end up in hospital and deserve a little kindness.

 

No doubt you think that once they have outlived their usefulness they should lie down and die 'and reduce the surplus population...'

I am not denying that.   If you read my post, I made it clear that the NHS should be providing core clinical treatments and emergency services.  Looking after the disabled, natural cause illness, elderly fragility and palliative care is part of that core clinical treatment.  

 

What I am not agreeing with is propping up the serial abusers, self harmers, malingerers, timewasters, dangerous activities, lifestyle choices....    Anna,  SOME patients are a nuisance.   SOME patients deserve to be blamed for their own conditions (even more so why they ignore the previous advice/treatment/refuse services offered).    SOME patients should be made to pay when they overuse and abuse the service.   SOME patients are more than capable and should be taking responsibility for nursing and caring for themselves instead of sitting on their backsides expecting the state to pick up the tab.  

[Beechwood_S6 101]

12 minutes ago, Anna B said:

It's called nursing. Or caring. Or making people feel valued. 

Healing begins in the mind with a desire to get better. Make the patient feel like a nuisance or worse still blame them for their illness, and they won't get well, or at best it will take much longer. 

 

Certainly some people choose to abuse their bodies, but a great many serious illnesses are the product of faulty genetics, accidents and bad luck, but I'm thinking particularly of old people who fall ill because their bodies are wearing out. so they end up in hospital and deserve a little kindness.

 

No doubt you think that once they have outlived their usefulness they should lie down and die 'and reduce the surplus population...'

and those are the ones that would be better cared for if the others were not abusing  NHS resources

[ECCOnoob 1,052]

16 minutes ago, Beechwood_S6 said:

They spent £5,000 a week for 6 months at the priory so clearly gave her 5 star treatment 

Ah yes. overlooked that line.  So again a perfect example of waste.  Use the Priory rather than send her to the £5m Mental Health Care Department that the Mid and South Essex Trust had at their disposal.