> If you want the procedure though nationalised healthcare (NHS), there is a wait
Unless it's an emergent procedure, in which case it'll be done same day or within the next 72 hours.
56,529 karma · joined September 22, 2011
Unless it's an emergent procedure, in which case it'll be done same day or within the next 72 hours.
This is over-testing, and it leads to over-diagnosis and over-treatment and it is a well recognised form of harm in healthcare.
This is despite all the weird laws in the US against collecting, analysing, and reporting statistics.
The US simultaneously under-treats poor people while over-treating rich people. This is why health outcomes in the US are so bad across a range of indicators.
It starts with an example that is genuinely shocking - a fake IC being used in a military aircraft. I've worked in the electronics industry building test equipment, and the traceability requirements were fierce. A company avoiding that and using fake parts is surprising because they save a few dollars but destroy their reputation. The video gives other examples of counterfeit ICs that get into the defence supply chain.
I was pleased to see discussion about the difficulties caused by military certification of designs - these "lock in" designs making it very difficult to use substitute parts. So, when very old equipment needs to be serviced the parts simply aren't available new because they're not being made anymore. People are stuck having to use non-standard supply sources to get the items.
This isn't an isolated incidence - we've seen it in many other places too.
1) Genuinely baffling to see people who think their individual sucky experience is universal. What you describe is how your gp works. Change GPs! There are better surgeries around.
I called my GP after 12 midday and explained that I had turned a bit yellow and had pain under my right ribcage, and they booked me in for an appointment a couple of hours later, and after I'd send them they booked me into my local hospital's surgical assessment unit (thus bypassing A&E) where I was hooked up to IV fluids and antibiotics. I got scans that day, I got surgery the day after, I was discharged a few days later when the infection had clear and my numbers were better.
Same day appointments are for emergencies, and if you have an emergency you will get a same day appoint
> The only other means of accessing the NHS is by rocking up at the Accident and Emergency (A&E)
No, this simply isn't true. In this order depending on severity of illness, people can chose to get support from: NHS Website, NHS 111, Pharmacy, GP, Minor Injury and Illness Units, Emergency Departments, or Ambos.
Plenty of services now have self referral - podiatry, physiotherapy, dietetics, eating disorder, mental health crisis, antenatal, etc etc. So you don't have to go via your gp, you just phone them up and make an appointment.
> this is likely to have been driven in part by activities in response to the coronavirus (COVID-19) pandemic, such as testing and tracing services and the implementation of the vaccination programme.
Yes, if we include the many billions spent on faulty test and trace and broken PPE -the corrupt spending that went to pals of the Tory party- we see an increase in health spending.
Guess what happens to the amount of health care funding if you ignore the corrupt spend on PPE?
What is a manager? Are you only including non-clinical staff? Or do clinical staff count too? If you're including clinical staff, how many hours of their working week are you counting as clinical hours and how many are you counting as managerial hours? Are you converting people who work part time as managers to Full Time Equivalent positions, or not?
If you want to poke the data it's here: https://digital.nhs.uk/data-and-information/publications/sta...
If you want more description of the complications of counting managers in the NHS I found these useful (if a bit old now):
https://www.kingsfund.org.uk/publications/future-leadership-...
https://www.kingsfund.org.uk/projects/general-election-2010/...
https://www.kingsfund.org.uk/projects/health-and-social-care...
If you're going to argue against fundamental human rights like "right to life" then you're going to have to do better than the arguments you're using here.
There's loads of reasons to dislike NHS care and it's genuinely weird that people who are so against the NHS never manage to hit on something real, and instead resort to stuff that's simply fiction.
NHS England spends billions commissioning care from private providers. That's why we have Priory Group, Cygnet, Operose, etc etc all providing care. (And in the case of cygnet and priory, often poor quality care).
And patients have a right to chose where to get their care - that's what chose and book is.
People who don't understand the NHS think it's a single organisation -which is what you've done here- and that's not correct. Patients have a choice of where they get elective care. NHS England commissions specialist services, and 42 ICSs commission the bulk of regular services. They're not allowed by law to have a preference for NHS providers, so if a private provider can do it for the money they should put a bid in. That commissioned care is provided by about 200 - 220 NHS trusts. NHS Trusts include ambo services, acute hospitals, community hospitals, mental health care, and community care. These NHS trusts are independent organisations that have their own boards of directors and their own accounts and they can compete against each other to provide services to particular regions. This does not include primary care which is provided by GP surgeries.
There are so many that there's now another genre of reacting to this bad advice.
UK politicians have spent the past ten years talking about "efficiency savings" (meaning real term cuts), and so now the system is running normally at 90-95% capacity. And then you have something like COVID, combined with a bad flu season, combined with a bad respiratory illness season for young people, combined with a cold snap where councils didn't de-ice pavements, combined with Brexit meaning many staff have left, combined with years of defending of social care:
All of these mean we have older, iller people in hospital, we can't get them out of acute hospital and into care / nursing homes because those don't exist anymore, we can't get them back to their own home with paid carers because all those staff left in Brexit.
That means when someone is in ED and needs a bed there isn't one, and when someone is in an ambo and needs to get into ED they can't because there's no space, and when they're on the floor at home after a fall and need an ambo there are no ambos because they're all queueing at the ED.
For years in England we've pushed risk onto ambo staff, and this year we've finally said acute hospitals have to share that risk, so we're seeing the inevitable results of over-crowding and over-full hospitals.
And this is all entirely predictable and preventable - people have been describing FOR YEARS exactly what would happen and how it would happen and even when it would happen, and now it's happening.
The blame lies squarely with a Conservative government that doesn't believe in tax funded public services and which has decided to cut as much as it can.
"The NHS is over-managed" is a tired, boring, argument that is easily debunked with a simple search.
The NHS has fewer managers than similarly sized organisations. That's not a sign of an out of control bureaucracy.
You didn't say where you are. Copyright infringement tends not to be a criminal offence, unless you're doing it as part of a business (so if you print out copies of that ebook and sell them) or you do so much of it you distort the market (you distribute so many copies of that ebook you destroy the profits that publisher might have made).
The rights holder can sue for their losses, but this tends to be the cost of the item, so they tend not to do that.
Once you have the new med you use the courts to prevent the off-label use. See eg lucentis or avastin for Wet AMD.
https://en.wikipedia.org/wiki/Peter_principle
> The Peter principle is a concept in management developed by Laurence J. Peter, which observes that people in a hierarchy tend to rise to "a level of respective incompetence": employees are promoted based on their success in previous jobs until they reach a level at which they are no longer competent, as skills in one job do not necessarily translate to another.[1]
The concept was explained in the 1969 book The Peter Principle (William Morrow and Company) by Laurence Peter and Raymond Hull.[2] (Hull wrote the text, based on Peter's research.) Peter and Hull intended the book to be satire,[3] but it became popular as it was seen to make a serious point about the shortcomings of how people are promoted within hierarchical organizations. The Peter Principle has since been the subject of much commentary and research. Co
I don't get this - if it's a routine check up you'll have one per year, so your GP will be booking it in for you, and they are paid money to do so.
If you're talking about a routine check-up for the worried well who don't have any health problems but who just want a doctor to tell them that they don't have any health problems, well, those checks cause harm and do not prolong life so you'd want to delay them as much as possible.
I can't talk about Scotland, Wales, or NI. But here's the data for England:
https://digital.nhs.uk/data-and-information/publications/sta...
There were 34,000 detentions under the act. Of these, only 4,150 were detentions following a Section 135 / 136 place of safety order (the bit of the Mental Health Act that the police can use).
The CQC also have their "Monitoring use of the Mental Health Act" report here: https://www.cqc.org.uk/publications/monitoring-mental-health...
This strengthens the point you're making. EG https://www.cqc.org.uk/publications/monitoring-mental-health... and https://www.cqc.org.uk/publications/monitoring-mental-health... both talking about the poor care recieved by patients as a result of the defunding of the NHS and social care systems.