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How would you solve the NHS crisis?

The NHS is in crisis so what should we do?

The NHS “crisis” is being caused because patients are going to A&E for ailments that would have been treated by a GP 20 years ago, Iain Duncan Smith has said.

He said a “change in culture” was causing more people to go to emergency departments than their local doctors, for basic problems.

“The pressures are greater, 20 years ago a lot of the things people go to A&E for now, they wouldn’t have.” But the former Tory leader said he didn’t think the current state of the NHS was different from previous winters.

The Red Cross has recently described the health service as being in a “humanitarian crisis”.

There is mounting pressure for GP surgeries to be open 7 days a week, to alleviate the crisis. Some GPs in England have been warned they could lose extra funding if they fail to meet their commitments to keeping surgeries open for longer.

The government wants surgeries to open between 08:00 and 20:00, seven days a week, unless they can prove the demand is not there.

Increasing funding via National Insurance contributions is another solution being proposed. A senior Labour MP has suggested NHS spending should be entirely funded by National Insurance in order to safeguard the future of the health service.

An immediate increase in National Insurance and further reforms to the tax would help close a £67.7bn funding gap over the next five years, the former minister, Labour Frank Field said.

He called for the Government to raise National Insurance to a level that would entirely fund the health service and social care – but to cut general income tax in by a “commensurate” amount.

So what are your views?  How is the NHS crisis affecting you? Would you like your GP surgery to open 7 days a week? Do you think a rise in NI contributions is an acceptable solution? Should National Insurance contributions be means tested?

How would you solve the NHS crisis?

256 people have already voted, what's your opinion? Insist GP surgeries open 7 days a week Increase National Insurance contributions

What are your views?

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Soozie11
12th Jun 2017
0
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Educating the population is the key! Introduce a new GCSE into the school curriculum - "Managing and understanding personal health." As others have said there is so much you can do to manage your own health conditions!
We have a rule in our house .... Wait 7 days before calling the GP. (Within reason ) So far it has worked.

Just 2 thoughts here ....
Jane Black
18th May 2017
1
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I pressed the wrong thing I hadn't finished.
Cancer can't survive in an alkaline state and Turmeric reduces inflammation. (arthritis) I can personally attest to the efficacy of turmeric.
Psychiatry is also a waste of money it is ineffective and often damaging. Their invented diseases are not cured with psychotropic drugs electric shock treatment or prefrontal lobotomies. Turning someone into a zombie is not a cure. Pharmaceutical companies only care about profits, not people. Doctors are misled and dictated to by these companies. There have been recent court cases where it has been proven that research results were faked. Check out this link. cchr.org
Jane Black
18th May 2017
1
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The NHS could save millions by reducing noneffective care and medication. It appears that Bicarbonate of soda and Cider vinegar, keep a body in an alkaline state and Turmeric
Ogg
5th May 2017
0
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Go Surgerys need to be open seven days a week people who work away e.g. London have no access to there GP unless they take time out. We should be charging access to the NHS especially GP practices for overseas visitors and also those that have not been here long enough to contribute to the system
VeraS
27th Apr 2017
1
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Reduce the number of highly paid managers also all overseas visitors should show they have insurance before treatment
Barton babe
7th Apr 2017
1
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I would stop sending money over seas for so called aid, and spend tax payers money on the NHS.
Sherrybee
26th Mar 2017
0
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You need only check the cost of private medical insurance to see that our contributions are too low.
Having said that I think that there are many other reasons which contribute to the apparent breakdown in our system.
The suggestion that a small charge at A&E for those who could have gone to a chemist or the online helpline is a good one.
A LARGE charge for those who abuse the ambulance service and A&E by drinking to excess causing self abuse of alcohol and accidents.
Non essential surgery or medical aid should not be on National Health, such as plastic surgery and in vitro treatments. I accept the deep desire for a child, but please look at adopting the little ones who are in need of a family and love.
Plastic surgery should only be for those seriously affected, not those who cry that their nose is ruining their lives. Also those who have had private elective plastic surgery that has gone wrong should elect to have it repaired at their own cost not expect NHS to foot the bill..
Charge all foreign patients unless we have reciprocal agreements with their country of origin and in advance of treatment unless it is a life threatening situation.
My last plea is to bring back the old fashioned Matrons. We do have superb, underpaid nurses who have a very high standard of training but who are being overworked in many cases. There should be a secondary staff, also well trained but more simply, who could undertake the less medical duties under a Matron. A Matron could also oversee the general standard of cleaning within her/his wards as they once did. I accept that this requires more funding so see my fist sentence! Rant over for now!!
pamflower
19th Mar 2017
1
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If people paid £10 or £20 before they were seen in A&E for Minor Ailments they would think twice about going. For years people are being told not to bother a Dr with a Minor Illness and instead go to the Pharmicist who can treat you. Too much watching Holby City and Casualty. Younger people are not taught basic First Aid as our parent taught us. All foreigners should be charged also before they are seen. We have to pay abroad. I paid 50 Euros to a Dr when I got a bug in Malta and then 20 Euros for my prescription. Some items cannot be bought over the counter, Also there is a need for respite places to be opened for patients to go for a few days after an operation instead of sending Community staff out to homes which is what is about to happen. I have been waiting 7 months for a hip replacement which was cancelled before Christmas. Last time I waited 7 weeks.
parsnip54
12th Mar 2017
1
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Firstly, the NHS should NOT be run as a business. It's a public service for all of us who contribute via National Insurance. Secondly it's the National Health Service NOT the International Health Service. We must retrieve payment from those who abuse the system from abroad. The NHS cannot subsidise the continuous drain on funds and resources from foreign visitors who blantantly use the NHS for cheap health care for themselves. By all means let them use our already vastly overstretched hospitals but make them pay for the privilege like we would have to when we travel abroad.
Twiggie
5th Mar 2017
3
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Hello everyone, just recently joined and have read most of your comments with interest. I think, however, there is another side to the NHS crisis, and that is the growing prescription bill and the consequent cost to the NHS. To take just one item which grows year on year - Statins. These cost the NHS some £450m a year and as far as I can see heart disease is increasing. I cannot see anything improving in the NHS as long as the pharmaceutical companies have such a strong influence on GP's pushing largely unnecessary and very expensive drugs. Another thing, GP's are paid extra for diagnosing certain diseases - what's that all about, thought it was their job.
Jane Black
18th May 2017
0
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You are spot on. Big Pharmas are controlling the Doctors. Check out this site
Jenninora
10th Mar 2017
0
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It sure al adds up.
gr8nutcase
14th Feb 2017
0
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My Doctors work 4 1/2 days a week no weekends and have half day on a Thursday, I think this is disgusting. I usually have to wait anything between 2/4 weeks for an appointment. As far as hospitals are concerned I have read that there are more administrative staff than Doctors and Nurses ??? Many years ago 2/3 main hospitals in different counties were run by one administrative authority, this should be bought back, I am sure it would save money
Proudpatti
11th Feb 2017
2
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Start charging non British for medical care...And people who go because of stupid things like, headaches,in growing toe nails,a paper cut ect should be charged for wasting time..
You can ask ur pharmacist for advice as well..
Marigold67
7th Feb 2017
5
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NHS should stop healt tourist coming into our hospitals from non EU country's . Anyone who comes here for tritments must come with health insurance . No health insurance no tritments .
Also they must prove that they have sufficient founds for further expenses. Why should we have to increase NIC to pay healt tourism. All doctors surgery should do the same. Tax payers are fed up watching those sponges reaping us off.
nape
5th Feb 2017
1
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when I was on holiday in Spain I had to call out the doctor he charged 60 euros which I had to pay and I also had to pay for taxi and for what I had to get from the chemist and that is what this country should be doing. we should also put the money which we paying theE U into the N HS
jeanmark
5th Feb 2017
2
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When I was in Spain and developed a chest infection I visited a local Health Centre and received prompt and high quality care. I was asked for my EHIC card and once checked against my passport as ID the care and treatment I received was free. I only had to pay €5 for my antibiotics having walked to the chemist.
Marigold67
7th Feb 2017
1
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Yes jeanmark that's correct, even Spain have better sistem for health tourism. And why not. Their health service is much better, more efficient, very clean hospitals and the staff very polite nice.
Georgie Girl
3rd Feb 2017
2
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Of course Doctors should work over the 7 days, we do not arrange to be ill Monday to Friday. I have been in hospital quite a few times and it is ridiculous that this or that can't be done until Monday. Same as with normal GP surgeries, you would think we were suggesting they work the full 7 days but this is not the case at all, I recall many nursing staff telling me they were work really long shifts and I felt horrified for them but delving deeper it was their choice, by working longer shifts they had more days off. This is not good practice, we can all only keep on top form for so many hours in the day so this should not be an option.

Ultimately the NHS could do with more money but by the same token looking at hospitals alone, regardless of how we value our Doctors and Nurses, there is one heck of a lot of bad management, wasting money, wasting time. just so much bad organisation.
Also hand outs to Doctors from the Pharmaceutical Companies to try this drug or that on those who may just be gullible enough to be their guinea pigs.
nettap
3rd Feb 2017
0
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Regarding my ideas on extra finance for the NHS. Lionel has pointed out an error on the e-mail address I gave. Herewith the correction:-

Lionel my fault. End of address should read 3xAPncQp8WJo6w

As you can see the capital "O" should be a "Q"

Regards...........Alan
nettap
3rd Feb 2017
0
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Lionel my fault. End of address should read 3xAPncQp8WJo6w

As you can see the capital "O" should be a "Q"1

Regards...........Alan
Lionel
3rd Feb 2017
0
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Thanks mate, I'll follow through with my promise this evening when there's a little more time.
nettap
2nd Feb 2017
1
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Those of you who have been reading the forum relating to NHS funding have seen my ideas vis á vis the use of the foreign aid budget.

I am organising an e-mail petition to Parliament, which will read as follows:-

“Cut foreign aid, and use all the monies saved to help the NHS,

It is obvious that the NHS requires more financial help. This extra financial help could come from cutting the foreign aid budget.”

I need the endorsement of five people so that my petition can be published: thus enabling people to vote in its favour. I believe that if I can get 100,000 signatories a debate can be forced in Parliament.

Please click this link to sign the petition.

https://petition.parliament.uk/petitions/177775/sponsors/Tay3xAPncOp8WJo6w

I have obtained the site moderators permission to publicise my petition. I have been helped by Lionel, who confirms he will be one of the five signatories the petition requires.

Should you agree please send your endorsement to the above address.

Many thanks.
Lionel
3rd Feb 2017
0
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Got a 404 on that link.
nagonthenet
31st Jan 2017
1
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Crisis is too many people in the UK
Marigold67
7th Feb 2017
1
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Absolutely right nagonthenet, 99pc illegal.
nagonthenet
31st Jan 2017
2
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National Insurance Contributions - the biggest misuse of the English language since Personal Independence Payments. Nothing to do with Insurance and nothing to do with being Independent!
Lionel
1st Feb 2017
0
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Ain't that the truth!
Jenninora
31st Jan 2017
1
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In respect of the question ' ' How would you solve the N H S crisis? ' Well in my answer to this question, something radical. Authorities need to be radical.
Taking into account the posts on here and voiced by the populace in United Kingdom which cover most that is wrong, rectify that which does cost unnecessarily.
My simple posts,as others, are from knowledge, experience and the chance to use free speech.
Marigold67
7th Feb 2017
4
Thanks for voting!
I have worked in NHS, the best solution is to give power to doctors and nurses who nows best what's needed. We have to many pen pushers and fat cats who spend to much money paying agency forgein staff instead of paying our own qualifying staff to do the work.
Lionel
31st Jan 2017
2
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Well said, and I so agree.
Jenninora
28th Jan 2017
0
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I have read the posts on this subject and do agree with such a lot. Has anyone also thought that twenty plus years ago there were little or no scanners. These on their own will have made an enormous impact on diagnosis or elimination. Adds to the waiting lists.
Also over the same period of time litigation has made an impact on doctors time spent on patients. G Ps must refer for higher opinion. Tie that in with The scanning if you know what I mean.
Lionel
28th Jan 2017
1
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Oh yes, haven't we just become a so litigious society. A blame culture- he did this so I'll sue for hundreds of thousands, and get it.

Deplorable. For every pound of NHS money paid out in settlements there is at least a pound not devoted to patient care. But isn't patient care what the NHS is all about? Or am I mistaken here? Is little Jonnies finger nail, broken by an over worked A & E more important than someone in a ward needing surgery but sadly, theatres are so full, staff so over worked ...

I would say, ring fence the NHS. No further litigation after this night.
jeanmark
30th Jan 2017
1
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Sorry Lionel, the NHS like any organisation has to be held accountable for its action how ever distasteful that is. Thus legitimate litigation claims are an unfortunate necessity.

What should be stopped is legal companies eagerly seeking claims for little Johnnies finger nail and those people always looking for someone to blame when there is no blame, that is expensive.
Marigold67
7th Feb 2017
1
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Absolutely right jeanmark.
Lionel
30th Jan 2017
3
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Jeanmark, I don't disagree entirely with your views. But I hold the view NHS staff are human and fallible. We go to a doctor, enter hospital for treatment on the understanding those staff will do their best for us. And I sincerely believe they do just that.

If it doesn't work out quite as we expected; if the condition we have is too far advanced for present treatment levels ...

Let's just accept life, life as it is. Let's not sue the NHS because they were less than perfect, because a mistake occurred. Instead, let's just be grateful there are very hard pressed people in the NHS willing, and often, able, to help us.

Gratitude is something which has passed from our times. Instead we have 'rights,' which are not rights at all but privileges. If the NHS cannot restore us to a perfect 'me,' or there is a failure, let's be glad someone was in place to try for us.

Is that too simple a view? Perhaps.
Marigold67
7th Feb 2017
2
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I agree to all of it. Well done.
jeanmark
31st Jan 2017
0
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Possibly Lionel because there are a small number of times when things can not be blamed on overworked staff. The skill is knowing when this is the case.
Jenninora
30th Jan 2017
2
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I do agree with accountability Jean. Quite right. Just let me say while I am on the issue of an over burdened N H S , a simple enough problem that a G P could have fixed for a patient 20 years ago would have to be referred on to higher consultation now. That being the way numbers of consultations have risen dramatically. Scanning is now frequently used ( as we all know ). Maybe other little or larger problems appear with the diagnosis of a scan. All adds up. We are so lucky to have the N H S with it's ability to cover so much ground with healing so many speciality illness. May they work towards a remedy that will sort the N H S crisis ( the crisis of the original question put on by Silver Surfers)
jeanmark
31st Jan 2017
0
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I agree the NHS is overburdened and a solution needs to be found. There have been many good ideas put forward, but you have identified one of the problems, we are now able to diagnose and treat so much more and not all with having to use a scanner. All of this advance in medicine comes with a cost. The NHS is no different to other organisations, businesses and our own homes, costs rise each year but income doesn't necessarily follow at the same level.
marpo2
28th Jan 2017
1
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The overcrowding of hospitals and the burden on GP's surgeries is that folk these days are too quick to think there is something really wrong, when years past, the masses just got on with it. "Put a bit of hot wet crusty bread on it to draw out the pus" was a favourite of my mother when one of us broke a limb climbing a tree. The collective "we" cannot seemingly get through an ailment without rushing to the local surgery for reassurance, rather than going when we really, truthfully cannot solve the problem ourselves. Yes we could be ill, yes it may be serious, but why oh why are, the surgeries and hospital ED's full to the brim?
I grew up in a homestead that had 2 out of us 3 brothers born with defective urinary systems which were detected at birth, but when my parents and I would visit them in turn, 6 years apart, we would hardly see anyone other than the medical staff.
In the large hospital serving our community and others just outside the city, the cafeteria's are rammed, the wards are always full, and A & E is constantly busy. I think that the fear of the big C is so prevalent in today's society, the problem will only get worse...we've not all got it; have we?
Lionel
28th Jan 2017
2
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Marpo, I entirely agree with you. There is an obvious obsession with health and well being. In itself that is unhealthy. But, in my opinion much worse, is the scare-mongering in the press.

One of my few indulgences is reading the online press, most of it anyway. Last Spring, on one day, the Mailonline carried 11 health related articles, four of which were contradictions of others that day. Only this week an article stated crisp chips, toast and some crisps contain a carcinogen and therefore could cause cancer. It's not news! But what is news is that one would need to eat three tons of badly burned potatoes a week to be at a detectable risk. That was in the Mailonline the next day!

I believe far too many people, particularly in the younger generations, have become neurotic about health. Our postman's wife has WebMD site bookmarked. The slightest sign of a sniffle she's checking symptoms and running to her doctor.

In short, there's an excess of information. Information overload, in a limited sense.

Like you I was brought up not to fuss. Victorian grand parents raised me for the first eight years. Yes, I'm well familiar with hot wet crusty bread, as well as Kaolin Poultice and Friar's Balsam, to name but a few traditional remedies. Oh, let's not stop there ... Dr Collis Brown's stomach potion, (lovely), Indian Brandee, syrup of figs (why did that need to be given at night - always meant a midnight trip up the yard in the cold), and a bad gash in my left hand, well, white cotton soaked in Dettol and a needle. Granny did a neat blanket stitch! Still got the scar.

No WebMD, not a doctor for miles and an ambulance would take an hour to arrive from the nearest hospital. But we all survived, tough as old boots!
Lynsey
27th Jan 2017
2
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Not fixed temporarily with sticky plasters
Lynsey
27th Jan 2017
4
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Hospital and community care needs to be joined up and work together . GP surgeries need to be more accessible. Get rid of big salary managers . Incredible amount of waste in the NHS on everything ! Agencies. Medication and equipment etc .... everything needs an overhaul ,ripped apart and started again .
Lionel
28th Jan 2017
2
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A very wise King of Israel in the Old Testament, Solomon, wrote, a time to build and a time to tear down. How true.

I believe it is true of the NHS as well. We can't tear it down in one go but piece by piece take down and re-build.
stevedore
27th Jan 2017
5
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Having recently been in hospital under emergency entry and then in Obs ward while tests were done.I had the chance to see the number of drunks and drug users using the NHS has a B&B.I think any one who is drunk or a drug user should be charged £100 for every time they turn up at the emergency room.No payment no admission .Tough but I think it's needed
Lionel
28th Jan 2017
2
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I have a deal of sympathy for your reasoning. And ...

My wife and I shared a similar A & E experience as you've related. Two years ago she was playing with our three Collies on a winter's Saturday evening. She made a mistake. One doesn't humiliate a masterful lead dog in front of his pack. She got bitten on the face. Blood poured. Late in the evening I raced fifteen miles to the nearest A & E only to find the others in waiting were drunks and crack heads. She was still pouring blood, faint and unsteady on her feet, but still they had their turn first.

Now, I'm not criticising the hospital here, no. There must be some order in their dealings at A & E, but an emergency patient pouring blood onto the floor warrants quicker attention than a drunk still slurping from a can and vomiting on the floor.
Riversiderouge
27th Jan 2017
2
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In simple terms I would re open all the A&E Departments that the Trusts have closed in recent years. Objectors at the time warned them what would happen, but did they listen? No!

My GP maintains that there is a tremendous waste in today's N.H.S, and he is in a position to know.
Lionel
28th Jan 2017
3
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Agreed! And I would add, re-open cottage hospitals. Similarly, there was a nationwide outcry when almost all were closed - dire warnings issued but still the NHS closed them. Money.
Riversiderouge
28th Jan 2017
2
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Money? There is never a shortage of money in the UK Piggy Bank Lionel. It's just a matter of how you choose to spend it.
Lionel
28th Jan 2017
2
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Ah, words of wisdom, and I could not disagree. But, most government departments are run by tight wads who would rather see money going to 'good causes,' than the NHS or Defence.
Riversiderouge
28th Jan 2017
2
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johnboy68
27th Jan 2017
3
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cut down on paying people good money for walking round with paper in there hands and do very little cut out on hospital managerment bring back ward matrons to run there own teams etc
Lionel
28th Jan 2017
1
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That's authorative matrons as they once were. Perhaps not what Blair offered us as a sop.
johnboy68
27th Jan 2017
3
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start charging for picking up drunks people who waste time for calling out for getting tv remotes any self reflected causes missed appointments charging for services to people from overseas until they have lived here for 4 years and paid into the system last year I went for eye test and 4 appointments in front of me did not turn up these people should be made to pay where people who need services cant get it
Lionel
28th Jan 2017
1
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jane63c
27th Jan 2017
3
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It is a very complicated situation we face with both health and social care, each impacts on the other and really needs to be brought together. We also need to change the language of taxation so people realise again that it is a responsibility not a burden to be taxed at an affordable rate. And yes, the highest earners need to be paying significantly more. There is no quick fix to two services that have been subject to underfunding over a long period of time but proper investment could help turn the tide. We all have a responsibility to pay more tax if we are earning over the thresholds.
hamlyn
26th Jan 2017
4
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If all pensioners were to pay £2 per month for their bag of prescriptions making a total of £24 per annum, this would raise considerable millions of pounds for the NHS. Most pensioners have more disposable income than the rest of society but those in receipt of Pension Credit should continue to receive their prescriptions free. I would gladly pay for my prescriptions at this set rate. I would also be in favour of fining patients for missing both GP and Hospital appointments and also charging for GP appointments, say £10, with those on benefits being exempt.
Marigold67
7th Feb 2017
2
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Please leave pensioners alone, apart from the very rich I have paid into a sistem all my life, only to be disappointed with everything we stand for. Latest generation those nothing but life on benefits. Why oh why we have to foot everything for some lazy bones that have never contributed to the society.
hamlyn
8th Feb 2017
0
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Marigold 67, I'm sorry that you don't like my suggestion that Pensioners, who are not in receipt of Pension Credit, should pay £24 per year for their prescriptions, considerably less than non pensioners and a fee of perhaps £5 for a GP visit, which would also apply to working age patients. This would help the crumbling NHS enormously, as will charging non domiciled health tourists. I am a pensioner myself, but as I receive only a State Pension, I choose to work to top up my income instead of claiming Pension Credit and I would gladly pay all these suggested charges to help the NHS keep afloat for my grand children. Wouldn't you too?
Lionel
28th Jan 2017
2
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Hamlyn, some pensioners have more disposable income than the rest of society, but by no means all. We don't, things are quite tight.

Yes, I'm coming around to the way of thinking that says we must charge for missed appointments etc.
hamlyn
28th Jan 2017
2
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Yes, money is tight for me too. However I would still gladly pay £24 per annum prescription charge and £5 or more to see my GP if it meant that the NHS would still be around in the future to treat my grandchildren when they are my age!
Lionel
28th Jan 2017
2
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Hamlyn, I do so agree with you.

We don't mind paying a small surcharge for prescriptions, no not at all. And I so agree, the NHS must be around for our grand children, my step grand children whom I've raised, when they're our age. What better legacy may we leave them, better than money, what think you?
unclehefty
27th Jan 2017
2
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This is an innovative approach and one I would subscribe to it could generate c.£250m per annum make it £5 and it is over a Bn.
Do not agree with charging for GP appts, but do agree with charges for missed appointments.
hamlyn
27th Jan 2017
2
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Perhaps a charge of £5 for GP appointment? That's only the price of two lattes in my part of the country! It might make people think twice about rushing off to the Surgery every time they sneeze, freeing up appointments for those who really need to see a doctor. We should all take more responsibility for our own health and stop abusing our pressurised NHS. Sadly many of the younger generation grew up in a Nanny State and their parents forgot to teach them common sense...
jeanmark
31st Jan 2017
2
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I understand your reasoning hamlyn but there are a number of people with a chronic condition who have no choice. They have to visit their GP on a very regular basis as a means of helping prevent hospital admission. They may not feel able to pay for every visit.
hamlyn
31st Jan 2017
2
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So those who need to visit more frequently could be given a discount in proportion to the number of visits needed per month say?Those in receipt of Benefits such as Universal Credit, Disability Living Allowance and Pension Credit would be exempt anyway from both fees to visit their doctor and prescription charges. We do have to get real in order to support our NHS.
Lionel
28th Jan 2017
2
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Yes, Hamlyn, the nanny state has done noone any favours.
jeanmark
25th Jan 2017
1
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BirdofParadise, your NI contributions would have ceased once you reached 60 as you would have been eligible for your state pension. The NHS is funded out of general taxation not NI contributions. Thus continuing to pay NI would not have benefited the NHS.
BirdofParadise
25th Jan 2017
0
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When I was working my NI contributions stopped at 60 yrs even though I worked another 4 yrs. I was surprised that my contributions stopped and would have been happy to continue paying until I retired. I think that contributions should be paid up until retirement.
zelda
25th Jan 2017
1
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Increase NI contributions o fund more and better social with an end to 15 minute flying visits. Ensre that all patients due to be discharged are assessed prior to discharge and an action plan drawn up alongside a personal care plan so that adequate provision and cohesion of all services, carers, nurse, physios etc can be maintained and all are orking together. If discharge planning is begun the day a patient is admitted to hospital,with adequate resources and funding this will free up much needed beds for acute patients. Health care needs to stop being used as a 'political football' and a cross-party committee needs to look at what is needed to maintain a publicly funded, publicly owned, free at the point of delivery NHS. The nhs must be removed from the political sphere by means of a cross-party concensus.
jeanmark
25th Jan 2017
1
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Zelda I agree with all that you say but note the NHS is paid out of taxes. I think most Trusts do start discharge planning on admission, the problem is, as you have noted, there are insufficient resources in the community and that causes a very large problem with discharge. I would suggest politicians focus so much on the front door, as that is easier to measure, but ignore the back door because that costs money.

I think a number of us support the idea of the NHS being removed from the political sphere.
Lionel
28th Jan 2017
1
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Oh, most definitely remove the NHS from the political sphere. To most politicians it seems common sense is not even a parallel universe.

I read on an SS forum on alcoholism that recognising there is a problem is the first step. When we recognise and indentify the problem areas with the entire healthcare system we will have taken a brave first step. Without that first step there is not going to be a realistic overhaul and expansion of the HNS services we need so badly.
nettap
24th Jan 2017
2
Thanks for voting!
Use all or part of the foreign aid budget (2015 = £12,5 billion) to fund any extra monies required.
Lionel
24th Jan 2017
2
Thanks for voting!
Well said. But that must come after a complete review of NHS usage, staffing and expenditures.
nettap
25th Jan 2017
1
Thanks for voting!
Lionel it would take years for the various parties involved to come up with a true budget: years that we do not have. So funds need to be found quickly whilst budgets are looked into and resolved.

I am instigating an e-mail petition to Parliament, and need five endorsers. I will not write more as this is not the place to publicise my petition without the agreement of the site moderators. Once I get the 5 endorsements my petition will get a website. If I get 100,00 signatories Parliament must debate the petition: this may be a way forward. My MP just sends a "template" reply.
Lionel
28th Jan 2017
0
Thanks for voting!
nettap, if you contact Sally the Editor by going to the footer at the bottom of the page where it reads Contact Silver Surfers and give her the detail of what you propose then, knowing she is a very reasonable lady, and understanding, she may well allow publicity on SS.

Please, nettap, if you care to Private chat with me, I'll be very pleased to support you and endorse your petition. It is not a good idea to put private email addresses on a public forum, so, again, use chat. I'll look out for you.
Lionel
25th Jan 2017
1
Thanks for voting!
Reading this back it sounds politician speak!

Perhaps I may put it this way: first, identify the enduring weaknesses and strengths, through the eyes of NHS staff and the public.

Rigorously search out anomolies in sound performance in every area.

Perform a brutal assessment of expenditure. View the present situation in the light of both known and estimated demographic changes and additional burdens through malnutrition, bad life style choices and any other factors.

Bring each part of this assessment into a cohesive whole and lay out a way forward, with realist expenditure.

Could all this be achieved in three months? I think it could if judges, politicians, accountants and other top management were not consulted.

It is then for government then to come up with the funds.
willshome
24th Jan 2017
1
Thanks for voting!
Why vote on National Insurance contributions? They do not pay for the NHS but for unemployment benefit and so forth. The NHS is paid for from general taxation - at a lower than OECD average proportion of GDP. Deliberate underfunding because this government plans to end our NHS and introduce an insurance-based system, with all that implies. Wake up to what is happening before it's too late. Don't be duped. I'd suggest listening to Dr Marie-Louise Irvine https://www.youtube.com/watch?v=dfZOsXzX4oY
willshome
24th Jan 2017
1
Thanks for voting!
Please please please, educate yourself about what is happening to the NHS. It is being deliberately underfunded and privatised. In 2010 the budget was “ring-fenced” at below what would be needed. In 2012 the Health and Social Care Act upped the amount Trusts could earn from private patients from 2% to 49%. With government funding down many of our hospitals are virtually businesses so no wonder waiting lists are going up and private healthcare with it. This is no accident. Read https://www.amazon.co.uk/Nhs-Sos-How-Betrayed-Save/dp/1780743289 We don't have much time to save our NHS. Once it's gone it's gone forever.
JenB
23rd Jan 2017
1
Thanks for voting!
It's only a suggestion but take a full financial audit of the system... find out where money is being wasted...
maybe open an on-street drop-in shop for health care;
cut nursing hours to 7 1/2 hours rather than 12 hours and therefore employ more nursing staff.
jeanmark
24th Jan 2017
0
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Sorry JenB, not sure what you mean. Cutting nurses hours to 71/2 means you wouldn't save money, it would increase cost.
Sheila d
23rd Jan 2017
1
Thanks for voting!
I just want my doctors surgery to keep me with one doctor and not shut lunch time and not shut half day training with no notice.! And please answer phone as mine left myself on hold twice today. A&E must be overrun after bad surgery treatment. . Also my surgery blood tests lost and doctor forgot my urine Test so nurse took it. As an over 50,, I rarely go to docs but this last episode really upset me.
h2o
23rd Jan 2017
1
Thanks for voting!
I would set up a an investigation to all the overpaid fat cats and penpushers who are on ridiculous salaries at the expense of the NH and get rid of them.
People using A&E as a Dr's surgery for minor ailments should be Charged £20 for treatment, and people with alcohol and drug addiction should be turned away unless it is life threatening. It is their choice to get in that state in the first place and the NHS should not have to be held responsible for their lack of discipline.
I would stop the methadone programme, that is just a substitute and does not break the habit and is costing the country a fortune. I would legalise drugs. Thus getting rid of drug barons and let the addicts get on with it. As I said before it is their choice.
I would try to employ more nursing stagg, this in turn would reduce the ridiculous pricing by companies supplying bank nurses. It s time to stop this softly, softly, regime and get tough again.
Soapbox
23rd Jan 2017
2
Thanks for voting!
Make one care home in each area a convalescent home OR one area in every gargantuan hospital , same number of beds used but in a non-emergency capacity - no extra building , no bed blocking , emergency staff only needed as a call out , nursing staff to maintain dressings , nutrition and physio with a view to returning people home .
Reduce the ridiculous amount of paperwork required -ensure doctors can refer straight to a specialist if necessary .
Lionel
23rd Jan 2017
3
Thanks for voting!
Soapbox, I entirely agree with your first paragraph.

In the West Norfolk area I came from we had a main hospital in Kings Lynn, about fourteen miles away. There was a doctor's surgery four miles away in the nearest market town with two doctors. They made home visits and one conducted a surgery in a village pub every Tuesday.

In that market town was a cottage hospital. Instead of blocking beds in the main hospital, elderly, and other patients, were taken there for rest and recuperation when unfit to be returned home. I spent a few days there after falling out of a tree into a shallow river at ten years old.

Sadly, a now long past review some wealthy bureaucrats found these cottage hospitals to be too expensive and without a defined purpose within the new framework they were putting forward. A Socialst government accepted that and very closed many.

These cottage hospitals freed up beds for patients needing urgent attention. I doubt a case of bed blocking for two years (recently in the press) could ever have occurred.

If it were left to me, and it won't be, I would establish cottage hospitals around the country; a dozen beds, supervision by local doctors and care staff could be used in place of so many highly qualified nurses. That would relieve bed blocking!
Miamoo
23rd Jan 2017
4
Thanks for voting!
*Funding should be diverted from EU funding.

*A review of management in hospitals is urgently required. Hospitals are over run with managers.

*Existing staff are not paid there own pay scale to work overtime so won't work to cover shifts leaving no option but to pay agency staff at a considerable higher cost. Pay existing staff more and reduce costs to agency.

* Health and social care services cannot continue on the current provision. There needs to be more access out of hrs and public holidays.

* Costs providing transport home for patients needs a drastic review. Patients and families expectation is that transport should be provided at no cost. Transport should only be escalated to nhs providing once family or other means have been explored. Only vulnerable and unwell patients should be provided with transport home from hospital.

*PFI hospitals should be scrapped. These will and are proving to be counter productive to saving costs

* Legal tax evasion should be stopped and increased revenue used.

* Money used for delayed discharge should be diverted to opening more beds. Throwing money at delayed discharge is not going to solve the problem of an ageing population that is increasing the demand on the NHS.

* local authority care homes and step down step up beds are required to prevent admission and for discharge from hospital once medically stable.

* Nationwide campaign to educate the public on the correct use of AE to prevent unnecessary presentation.

I could go on.............

Just a few thoughts from a recently early retired nurse where capacity meetings on a daily basis sums up the need for actual beds.
jeanmark
23rd Jan 2017
3
Thanks for voting!
Miami, I totally agree with you with regard to PFI's, one of the biggest and expensive mistakes made by the government.
upwarduk
23rd Jan 2017
1
Thanks for voting!
So many people voted for Brexit because they believed the slogan on the battle bus indicating that the money we sent to Europe would be diverted to our NHS.
Truth or Fiction?
I'm afraid it's fiction, make it a part truth.
thefilthycripple
23rd Jan 2017
0
Thanks for voting!
The crisis in the NHS is being magnified by the left wing BBC , I continue to get excellent and timely care ,my sister has received emergency care and it has been magnificent . The staff do a great job but if you let 300000 plus people in to this country every year there are going to be stresses
willshome
24th Jan 2017
0
Thanks for voting!
You’re joking, the BBC should have been reporting this crisis coming for 6 years but are turning a blind eye. This is privatisation. This brochure from a 2010 health corporations conference explains how it will be done (pages 10-13). The NHS is being underfunded and “the NHS will be shown no mercy". In fact the corporations have made billions , private healthcare spending has doubled. It's not foreigners, it's corporations and the politicians they have bought. http://www.apax.com/media/374179/apsax-healthcare-thought-leadership-2010.pdf
Jenfa
23rd Jan 2017
3
Thanks for voting!
There is no point in just adding more and more money without solving the problems. There should be more money going into social care because if beds cannot be emptied, then no more patients can be admitted. Solving the bed blocking problem should alleviate some of the trouble.
Staffing - staff should be completing 'exit interviews'. They are leaving in droves (and I include friends and family members in this) because they are unhappy. Why? And who on earth would want a job with a one year contract? People have mortgages, rents, etc., etc. You cannot run your life when you know as soon as you start a job, you will need to be looking for another one.
Trained nurses are in the minimum because care assistants are cheaper. At one time the ward had a sister, probably three staff nurses, and one auxiliary (care assistant). Attention was pain to the detail of the patient care.
Recently in for a knee replacement, drug rounds were often delayed for two hours, medication that should be given prior to meals, was not, and of course pain relief was an issue too. On day three I was told I could go home and at lunch time while eating lunch a nurse carrying fresh bedding and the next patient for my bed, carrying her surgical gown etc., were standing at the foot of my bed waiting for me to eat lunch, get dressed, pack my things - and finally, without finishing lunch I was in a wheelchair half dressed and off to the 'departure lounge' where I waited three hours for drugs from the pharmacy - also overstretched.
I speak as someone who worked for the NHS for 37 years.
Cocobella
23rd Jan 2017
1
Thanks for voting!
We have exactly the same issues as EP. There are 'walk in' centres but not always accessible for everyone. I fear that increased funding only results in comparable increases in drugs and other essentials. Likewise increased funding in social care could potentially increase the cost of care for both funded and privately paying residents. Someone mentioned consultations/reviews to include patients and/or families. Involvement in such activities is entirely possible - check out Volunteer Services at your local Trust. However, there are many staff (not management) who can testify to the waste in the NHS.
Pam1960
23rd Jan 2017
2
Thanks for voting!
There are a number of patients visiting their GP to get sick notes for work. They may have felt too ill to work but have decided they need more than 7 days self certification. How many appointments are taken up with viruses which can't be treated? How many people are telephoning the surgery at the first sight of a sniffle? I've lost count of the number of people over the years who have said I'm going to the doctors as I've got flu. Man up take some paracetamol and go to bed. If you had flu you wouldn't be able to get up. These same people are the first to complain they have to wait days or weeks for an appointment. Take some responsibility for your own illnesses
jeanmark
25th Jan 2017
0
Thanks for voting!
I don't disagree with your thoughts but unfortunately we live in a Parsonian culture (his Sick Role Theory) and thus people have to obtain a sick note for work. You have already noted self certification only covers 7 days and employers need to have some indication that someone is genuinely ill or unable to work such as after surgery.

Our culture also appears to suggest a number of people firmly believe there is a 'pill' for every ill. I have lost count of the number of people who have become verbally aggressive when not given antibiotics for their 'sniffle'.
Poppyrose
23rd Jan 2017
1
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A lot of good points made below so really just reiterating but cut out the swathes of administrators, senior managers, exec managers, streamline their working practices i.e. stop all pointless meetings where a lot use it for a break, stop their obsessive spending on yet more i.t. that isn't effective. On money saved, invest in the people on the front line the nurses, doctors, cleaners and porters. Start nurses on wards don't just send them off to get a degree, Charge anyone without a N.I. number so have machines at the door - they are good at collecting car parking money so why not this - and charge from the moment they walk in. Start looking at the cost of pharmeceutical companies and the huge amounts they charge, start a re-cycling system for all equipment like walking sticks, crutches etc, I still have 2 walking sticks and was told to take them to the tip! From the money saved/generated invest in the after care so patients can get sent out sooner so releasing beds and get people back into the habit of going to GP first instead of straight to A&E and of course it would help if the surgeries were run 12 hours a day with staggered doctors hours. They are paid a lovely large amount so they should provide better cover. It would also help if the NHS instead of holding out their hands forever begging for yet more money, started to take responsibility and started to treat the NHS more as a business looking at waste, time management, restructuring etc.
jeanmark
23rd Jan 2017
1
Thanks for voting!
Poppy rose, you and others have made some good points but some may be a little misguided. Nurses are not 'sent' away to do degrees, nursing and midwifery are now degree professions and thus are like other university students, they are no longer employed by NHS trusts. I agree with you about equipment but I know for experience that re-cycling certain equipment such as crutches etc. is not cost effective, it costs more to render them 'safe' for use than to throw them out. There are certain areas where the safety of patients has to be a priority even when it is the more expensive option.

No organisation as large as the NHS, the largest employer in the UK, can survive without layers of managers, and it is treated as a business that looks at all the areas you have mentioned. It is probably because it is treated as a business that layers of management have evolved. Plus all political parties use it and all public services as a bargaining tool and constantly set measurable, but not necessarily attainable, targets for their own purpose.

As a business the largest cost is drugs and yes they should be looked at, but pharmaceutical companies are profit making companies and thus not totally altruistic in their approach. The second largest cost is staff.

As for GP's I agree they should look at the service they provide but many do. I'm lucky, my practice is always reviewing its service and involve patient groups in that review but in general we, as patients, also have a responsibility. As an example, at the moment the practice I use has one GP on maternity leave and one on long term sick leave. They are unable to get locum cover because there are insufficient GP numbers out there. Add to that they receive approximately 140 'urgent' calls every day for a same day appointment but from the 1st January alone have had the equivalent of 4 days missed appointments, for either a doctor or nurse.

I suggest that next time the government announce the billions of pounds they have given to the NHS, we all ask the question "How much does that mean for every hospital and health centre in real terms"? It is estimated that Type 2 diabetes costs the NHS 1 million pounds per day and that is just one chronic health disorder without considering acute services.

If we want changes surely we, as the public, have to give our support to the NHS rather than constantly deriding them for not meeting our demands. You need more than doctors and nurses to run a health service.
Poppyrose
23rd Jan 2017
0
Thanks for voting!
The points I mentioned are all ideas to be looked at. What you have given in answer is a negative to each one but no alternative solutions. I do not deride the NHS but there must surely be measures that can be taken to make it more cost effective. What figure would solve the 'crisis'? Is it to be accepted that this giant of an organisation which is the biggest employer in Europe is able to just keep going receiving more and more without accountability? People within the health service cannot afford to be defensive but need to be more pro active in finding the solution. Every day, every winter there are the screaming headlines that the NHS is in 'crisis' so what would solve this continuing 'crisis'? The public are becoming numb to the continuous panic statements, fed up with the money constantly being poured in as in the proverbial bottomless pit. Remember Gordon Brown on one of his first budgets saying he would increase the tax on a packet of cigarettes by 25p thereby 'overnight' solving the NHS problem and here we are all these years later still having the same problems. That should give a hint that there needs to be change. The public do support the health service but that support should not be an open, never ending cheque.
jeanmark
23rd Jan 2017
0
Thanks for voting!
I'm not disagreeing with what you have written Poppyrose just making points on some of the comments. The problem we have is that medical science has made more and more things possible that were once considered impossible and all with an additional cost. Something has to give and that may be considering things like rationing, something I wouldn't want to see having devoted 47 years of my life to the NHS. I am not being defensive just identifying how tiring it can be to constantly being told you have to be more efficient when you are struggling to make ends meet, being told you have to make savings but expected to expand the service you are accountable for.

I don't have an answer to the problems but do recognise it will get worse as more and more people use it. I agree that throwing more and more money at the service won't solve the problem because each year all costs increase. There is so much emphasis put on the front door without recognising it's the back door causing a problem.
1eah0livia
23rd Jan 2017
1
Thanks for voting!
The government doesn't want the NHS anymore, if they did common sense would have them building more hospitals as the population is rapidly growing. They want 'Victorian workhouses' for the poor which is what our hospitals are becoming. If you cant pay they won't bother about us.
EP
23rd Jan 2017
2
Thanks for voting!
For a start I'd cut out some of the layers of management. Too many paid to much.
Invest more money being sent as foreign aid.
Employ more GP's and then they can stop moaning about how many hours they work and their workload can be more easily shared. They get paid huge salaries so let them earn it. There are days every week where they are closed for staff training. No weekend appointments. If you want an appointment. you ring the surgery first thing in the morning and so does everyone else. You can't get through and give up. If you work you try again at lunchtime to be told all appointments have been taken and ring again tomorrow. It's no wonder people go to A&E.
Nogmeister
23rd Jan 2017
1
Thanks for voting!
It's obvious that far too many people treat the NHS as a European Health Service or a World Health Service. It can be accessed by people who've paid little or nothing into the system.
In addition, those of us that do pay in simply don't pay enough for complex modern healthcare.
The final point is that the NHS is inefficient, simply throwing money at it will never solve that.
Goodeone
23rd Jan 2017
4
Thanks for voting!
Maybe the crisis is caused by people not taking responsibility for their own health. Too many eat badly refuse to exersise and run to the doctor when they get sick. If we aĺl to up this responsibility and only used the service when needed I am sure that would help.
jeanmark
22nd Jan 2017
3
Thanks for voting!
Well Redbird, whilst in Spain I had a chest infection, the first thing asked for was my EHIC card and treatment was then free at the point of delivery once I had proved identity via my passport. I just had to pay €5 for my antibiotics.

Why do people try to blame anyone from overseas for the problems within the NHS, it is far more complex than that.
Pam1960
22nd Jan 2017
3
Thanks for voting!
I don't think charging overseas visitors will be enough to halt this crisis. We British need to pay more if we want to retain the NHS. As mentioned in previous topics where does it end when charging drunks and drug addicts. Weekend binge drinking is one thing but alcoholism and drug addiction is an illness. Should we refuse to treat a baby who was born with this addiction through no fault of their own. What about the obese whose added weight contributes to heart problems or people who smoke and gave respiratory issues. I want to belong to a caring non judgemental society and to this end I would be prepared to pay for it. Know Scandinavia taxes are high so they can benefit from good education and health care why should we expect to get it for next to nothing.
MorrisandDoris
22nd Jan 2017
1
Thanks for voting!
Start by charging all overseas visitors for treatment
Stop dealing with drunks and drug addicts at A&E
Treatment for victims of crimes of violence should be passed onto the guilty persons to pay the NHS this can be seized property and goods to the value of treatment given.
this system can be also be used to deal with any injured victims of drunk driving.
Stop all overseas aid
ETC63
22nd Jan 2017
2
Thanks for voting!
Back to basics. The NHS needs to concentrate, both financially and staff wide, on GP service and Casualties and stop this runaway train towards treating every condition no matter what its expense.
Redbird
22nd Jan 2017
4
Thanks for voting!
When I was in Cyprus I had food poisoning, the fist thing asked for was my insurance! They should do that here! We have to pay so why shoudn't they?
Twiggles
21st Jan 2017
7
Thanks for voting!
Too many people from overseas coming and getting treated free while we pay our national insurance for 50 years . Make all overseas people regardless of what country they come from pay or no treatment.
Jenfa
23rd Jan 2017
1
Thanks for voting!
Agreed. While working in the NHS I could not understand how a foreign patient, referred by the GP, was not asked for any documentation but WAS asked if they needed an interpreter for their appointment with the Consultant. The cost of an interpreter is very high - and if they could explain to the GP what was wrong with them, why an interpreter now? Surely they could have brought an English speaking friend.
DavidR5
21st Jan 2017
7
Thanks for voting!
Each year the UK gives away millions of pounds in overseas aid. If even half of this funding was transferred to the NHS, there wouldn't be a cris at all.
Lionel
21st Jan 2017
3
Thanks for voting!
Yep! That's about right David. I'm with you on that one.
ginntonic
21st Jan 2017
5
Thanks for voting!
Insist people from other countries pay for treatment, as we have to when abroad, either by holiday health insurance or give them a bill.
Cut the number of managers in hospitals and in health centres.
Stop giving free prescriptions to people for Paracetamol when it costs pence for a box over the counter.
Lionel
21st Jan 2017
4
Thanks for voting!
I'll go with most of that. But may I add ...

There's been a serious misconception about the NHS. Under Blair they were pushed into running themselves as a business. Too many private contractors were brought in. They offered inferior services and made a profit. There cannot be a profit in the NHS! Simply, it is not a profit making concern.

A close look at the entire set up is needed, from Hospitals, A & E, G.P.'s and care services. A close look at supply companies and their rpices, Big Pharma and what it is charging. There must be a tight integration of the NHS with care services. I was in the care industry for some years and know first hand how disjointed the entire system is.

I would suggest the review be conducted not by judges, Civil Servants and the like, all of whom have a vested interest, no, not them, but a body of ordinary people, well used to the work place. Afterall, the NHS serves mostly ordinary people, like me.

And funding? What are your thoughts Ginntonic?
Jenfa
23rd Jan 2017
2
Thanks for voting!
Right on Lionel. I think it was Blair who cut GP hours and increased their pay at the same time. Also extending pub opening hours and adding to the problems caused by alcohol in A&E.
I think MPs should take themselves into local pubs etc., and just listen to the world being put right by the general public. Among the rubbish talked after a few beers - there are a few gems.
I agree with you that the problems in the care industry are causing a bottleneck in the NHS, and old people are getting the blame for living too long!! Let's keep going.
Ariadne
21st Jan 2017
5
Thanks for voting!
Paying for medical help ,be it from G.P.s ,hospitals, ,surgery ,and prescription drugs, This system works in the
Republic of Ireland, consequently, surgeries and health centres are not full of people with minor complaints. Every one does pay into a Health system,,and claim for
treatments,, as they do if they have a car accident.
Pensioners are not charged for anything, and ,having lived in southern Ireland for a number of years, I found
nothing but excellence from every arm of the system.
People did not travel from across the world for free medical attention, because it is not available to them
the U. K treats every one and anybody who sits in an A&E department. And,,, the whole world knows about our FREE to all comers system, which, will sadly collapse , has to be stopped,
Dickens
23rd Jan 2017
1
Thanks for voting!
Not to all it seems my grandaughter still at school was advised by a teacher to seek medical advice about pain and tingling in her arm when she is writing for any length of time. From previous experience of the same symptoms it was suggested that physio therapy would help. My daughter took her to see the GP who said oh no we can't do that you will have to pay for physio, This is for a young person who is still in full time education. This is so wrong.
Lionel
21st Jan 2017
2
Thanks for voting!
I lived in Eire for a long while and know how the system works. Actually, it works very well.

Picking up a point you made, over many years I've been sickened by the young mums crowding waiting rooms because little Jimmy has a sniffle, They feel the need to see a doctor when common sense and their mother's experience would serve them better.

You are quite right. Health tourists must not be treated unless they have provable means of payment, and perhaps a significant deposit should be taken at reception?
Pam1960
20th Jan 2017
3
Thanks for voting!
I couldn't agree more with you Lionel. Well said. We live know a society that demands everything as a right but doesn't seem to accept that all services cost. If we want a decent NHS for ourselves and future generations we have to put our hands in our pockets. Is the country's budget so difficult to get our heads around. It is just the same as a household budget. You have to make cutbacks in some areas to get more in other areas or you increase your budget. In the case of the NHS we should pay more taxe
Lionel
21st Jan 2017
3
Thanks for voting!
Thank you Pam. I absolutely agree with you.

We live in a time when people think so much is free when it is not. Nothing is free. Someone must pay.

To walk into A & E and get free treatment ... it's not free.

I have three Collies here. They're lively to say the least. About five years ago they were barking at the postman, a friend of mine. My face got too close to my lead dog and he savaged it. Made a bit of a mess.

It was my fault. Having had Collies for then forty years I should have known better. But, so much blood, it was pouring out of me. My wife took me to a minor injuries unit thirteen miles away. No waiting, straight in for treatment. Thirty stitches and getting home made peace with my lead dog. He's down beside me now.

We must pay for that service, yet so many people moan about taxation and still use the NHS.
ecarg
20th Jan 2017
3
Thanks for voting!
Yes agree contributions should be means tested and extra taxation must be ring fenced but as Lionel says a complete review of the NHS is required .Maybe expectations should be reduced and preventative education increased so younger generations are fitter going into old age than currently.
Lionel
19th Jan 2017
5
Thanks for voting!
I've been banging on about this for years. Healthcare doesn't come cheap. Someone, somewhere has to pay! Right now we're placing impossible demands upon NHS front line staff. It can't go on. The system is breaking apart.

I have pleaded on SS, with my MP and even with Cameron ... we must properly fund the NHS. This health care system was, and can be again, the envy of the world. It's our NHS, which keeps us oldies alive and well. As best it can, bearing in mind the demands upon it.

It seems to me, a mere citizen of the UK, a top down review of the NHS is needed; to take account of todays demands upon it and predicted future demands, given this aging population. That's not a re-organisation, just a review. That includes G.P. practices, funding, training and the supply of required services. Then our government must fund what is needed and what is projected.

If I believed a hike in tax would go to the NHS and not to general taxation I would support it. But sadly, it may become like Road Fund Tax, just general taxation and roads which are pitiful.

We have now a reforming government, like it or not. If they could enshrine in law a tax hike would be devoted to the NHS for all time I would be well pleased.

The NHS must be properly funded or we oldies will be compelled to tread the Liverpool Care Pathway when that should never have been instituted. It is death by starvation.

So, what we do for ourselves we do for our children and grand children.

It is a case of pay up or die!
jeanmark
19th Jan 2017
2
Thanks for voting!
Maybe better funding for Social Services to help in discharging older people into a safe environment.

What are peoples thoughts on rationing services? Can we really afford to fund everything that is now requested? It is estimated that Type 2 Diabetes now costs the NHS £1 million pounds a day and that is just one chronic disorder without even considering the cost of acute services.
Lionel
19th Jan 2017
1
Thanks for voting!
ecarg
19th Jan 2017
2
Thanks for voting!
Improve the wages of social care workers enabling more to be recruited .People can earn more in a supermarket than they can being responsilble for clients lives . This would help with the bed blocking situation.I also think GP should work a shift system as patients work varying hours but as there is a shortage of GP's this isn't likely to be workable.As people are living longer maybe we should be paying a contribution after retirement also they could stop the winter fuel allowance and give the money to the NHS instead.
jeanmark
19th Jan 2017
1
Thanks for voting!
I don't disagree in principle but maybe the winter fuel allowance should be means tested, I know a number of elderly people who rely on it to keep warm. Also are all pensions in a position to make a monitory contribution once they retired if they only receive the state benefit?
Baxi
19th Jan 2017
2
Thanks for voting!
I think GPs should be far more customer friendly than they are. We are funding them after all! My own surgery is great and I can get an appointment on the same day via their phone appointment booking system.

My husband's GP is another matter entirely. You have to ring at 8.30 for an emergency appointment on the same day or they can't see you for 3 weeks - it's hugely stressful, especially if you really are ill.

I had another experience when I tore my calf muscle and called my GP when I got home as instructed by the French Doctor who treated me. It took my GP 3 days to call me back despite the fact that I gave the receptionist the diagnosis from the French Doctor. Then, eventhough the injury was several days old, he told me to go to A&E and refused to see me! I think it was because he'd been so bad at getting back to me that he was worried that if I had a thrombosis he would be liable.

It's no wonder the hospitals can't cope!
CeeCeeUK
19th Jan 2017
4
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My GP closes every lunchtime for an hour and on Saturday and Sunday. There are 5 GPs and at least 2 receptionists so why they can't stagger their lunch breaks and open at least on Saturday morning I don't know! Getting an appointment within 3 or 4 days is impossible. The A&E department is less than half a mile away so you can understand why people go there instead. Luckily I personally have not had to try and see my GP for a couple of years but my late partner was in poor health and whenever we tried to get an urgent appointment for him we were often told to call an ambulance. We told the paramedics this, and the hospital, and they were not at all surprised when they looked at what GP practice he was with.
Marley444
19th Jan 2017
4
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I think that GP surgery's should be open on a Saturday but not a Sunday. This would allow people who work during the week access without having to take time off of their working week. The trouble is we have an aging population and with our open borders we have increased the numbers of people who require our NHS services so we need to add resources. I think that increasing NI contributions makes sense, although then the onus is put on those who are working so does this seem slightly biased? How about if you turn up to A&E with an issue that isn't an Emergency you are turned away and told to see your GP? If there was a scale of say 1-5 of critical treatment and you don't make the scale you are sent away?
Pam1960
19th Jan 2017
2
Thanks for voting!
I don't think taxing the working population is biased as they will reap the benefits on retirement when they will probably require the NHS more. People of working age who are on benefits could always pay a nominal sum which is deducted from their payments. We have to find a way to keep this wonderful service. Maybe another option is only cases which include life or death cases, broken bones, victimsof crimes and major accidents will be seen at A&E unless referred from walk in centres where they have been assessed first of all. If people turn up at A&E with non urgent issues they will be charged for treatment
Wilf
19th Jan 2017
4
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I think thats quite a good idea but you may get a lot of arguments at A&E if people are turned away and I could see a lot of bureaucracy
Pam1960
19th Jan 2017
4
Thanks for voting!
We need to have a tax solely for the NHS. When it was originally set up the average age at death was probably around 70ish which would have been 5 - 10 years after retirement. Many people live into their 90s and older and have not been making contributions for 25 - 30 years. To receive the best care throughout all age groups the working population need to pay more in taxes to provide the necessary care in later life. As for as I can see there is no reason why GP surgeries cannot open longer hours. At most practices there are a number of doctors so they should be able to work a shift pattern. In many other occupations people are having to work shifts to cover longer opening hours so why not GPs. The only business that is cutting hours are High Street Banks who are mainly open during working hours and even then only for about 6 hours. No one thinks about the needs of the customer
JohnHerb
19th Jan 2017
2
Thanks for voting!
I think you are right Pam1960 about having a separate tax for the NHS that is totally transparent and the fact that we are in an ageing society makes matters worse. I have an old Aunty who was 95 when she died and the last year she was always in and out of hospital understandably when you are that age. If we all age another 10 years thats about 10% more people using hospitals. the figures don't seem to add up. Also why doesn't the government make all this information about the NHS more transparent...I will look on the internet to see if I can find anything
Wilf
19th Jan 2017
5
Thanks for voting!
We should all pay more taxes to give to the NHS. Health is the most important thing we have ...with freedom...we cannot go on trying to make do with the NHS. We have an ageing population...I am one of them! and we all need to go to our doctors or hospitals at some time. Some more than others. At the same time we need a little flexibility. I think most local doctors will have worked shifts in their lives. Maybe in their local practice they could work one weekend in 4?. We also need to keep drunks and other fools out of A&E. Have a drunks room (Portocabin) that can be hosed out outside A&E in hospitals that keeps them away from normal human beings!
MrsPat
19th Jan 2017
3
Thanks for voting!
Why should GPs have to work at weekends and be forced to do it? Doesnt make sense. I think they should go back in time and have "roving" doctors who will provide home visits and pay for this by increasing taxs if need be. We all need health services we just need to pay for them. I can remember 50 years ago our doctor coming round to see my dad in bed when he was unwell. They should bring medicines with them in a van and dispense them then and there. Simple and would keep people away from A&E

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