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One example of many within the NHS
NHS officials pay £32 for gluten-free bread that costs £2.25 | Mail Online
I know the cynics amongst you will say ah its the Daily Mail, but this is one hundred % true, and its not the only example of chronic waste in the NHS, paying 15 times the price of a supermarket, there is something not right here, cut out the waste and more money will be available for patient care, it ain't rocket science is it |
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Good example of why matrons and nurses will always do a better job than managers. Managers live in a different universe divorced from the practical realities of the daily grind, just like many politicians.
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This is NHS Wales, which comes under the direct responsibility of the devolved Welsh assembly. It's just one more example of the waste incurred by our celtic friends as they liberally dispense english money.
I suggest we solve the problem by letting them have a couple of thousand saline drips, surplus to requirements from Stockport Hospital, charge 'em a hundred quid each and in a few years time there will be no buggar left in Wales and nowt for us to worry about. |
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Nurses go into nursing to nurse patients. If they are managing budgets, then this takes them away from their primary role....of nursing patients. How do I know this...well, because I went into nursing to look after people.....I gained experience and with this, came promotion.....I was moved further away from the actual caring role....the more promotion I got the further away this would take me from caring....and from using my experience, and from passing on this experience to nursing staff who needed and wanted supervision. I was not trained in management skills until the very end of my career. What was my influence on the management of budgets? Very little. Purchasing decisions were made on behalf ot the nurses and patients by someone else, the only input I had, was at a once a month meeting where products in use were discussed(The Product User Group forum).....and we were asked to give recommendations.......these recommendations were rarely followed on expense, but would be followed if we criticised the safety. I could have been far better employed in being on my ward, carrying out nursing duties. I have been out of the NHS for 9 years now(after 30 years of service)....I can't imagine that things have changed very much....except that nurses seem to be thinner on the ground. |
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This is a very insensitive post, taking into account the seriousness of the current situation in Stockport. Have you no thought for those who have been affected by this situation? Obviously not! |
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Surely those who make these ridiculous purchases must know the price of bread & other consumables from when they do their own shopping, or are they so high & mighty others do the shopping for them, and they think thats the right price for bread.
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Foodstuffs would be the domain of the catering Dept.
When people think of Matrons, they think of the days beforethe Salmon re-organisation...when one matron ruled the whole hospital...the current system of matrons is vastly different........and I think these senior nurses were just given the title of matron because the general public saw the Matron as being in sole charge......it was just a Google Page Ranking exercise.They were called nursing officers before this. |
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I've been on placement on my ward for nearly 3 month now..... never seen the matron, never heard anyone mention her. We had a problem one Sunday we were informed that she wasn't available the clinical director came in from home instead.
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It's the old matrons I was thinking about, just a few for the whole hospital. That was when the NHS was admired all over the world.
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The time you are talking about was in the 60's(and before) and there was only one Matron per hospital.....the one at QPH had a little Scottie dog which she would take on the ward rounds with her........if you were summoned to see Matron it was for something pretty serious. |
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A month or so back Tesco were stocking Warburton's gluten free - that was around £2 a loaf and far better that the NHS supplied ones but we were told there was only one supplier to the NHS:confused: |
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My cousin in Wales is coeliac and she told me that you have the option of bread or flour on prescription.
A bread machine sounds a better option than 'a bigger freezer'. I was on a low carb diet last autumn and didn't eat any bread for 3 months. I didn't feel deprived. Most commercial white bread has a low nutritional value. When you make your own you can add extras (eg eggs and ground nuts) to make it worth eating. |
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Kinda like Hattie Jacques, eh:D |
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No Eric, much more formidable that Hattie.
While I don't remember the Matrons, my colleague who is the same age entered nursing straight from school.......was a cadet, before going on to do her training.......she remembers Matron vividly, after being sent to report to her for breaking a thermometer. She had to pay for the thermometer....the princely sum of one shilling! |
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It seems that costs of gluten free prescriptions (as per opening post) was incorrect.
Welsh Government denies Tory claim of £20 NHS loaf | Healthcare Network | Guardian Professional "However, the Welsh Government responded with a statement which says that Millar is making an inaccurate claim because it regarded "each item" as a prescription and not a loaf. It said the actual cost of a single loaf of gluten-free bread is about £2.82." "The Welsh Government also confirmed that it issues gluten free madeira cake on NHS prescription at a cost of £2.82 per cake." 'Let them eat cake':rolleyes: - it's the same price!:eek: I do not regard bread and cake as essential for a healthy diet. So I see no reason for it to be provided on prescription(free). If you really want it, you can make your own. Doves Farm Gluten Free White Bread Flour (1Kg) in Tesco | mySupermarket |
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By that misguided logic, persons with peanut allergy should be provided with free alternatives (eg. cashew, almond nut butters) so they need not feel 'deprived'.:rolleyes:
If you consider bread to be the 'staff of life' then pay for it, and don't expect the NHS to subsidise your diet. |
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Eh, sorry you've lost me there MargR, can't follow your connection with nuts in comparison with gluten intolerance. You even mentioned you have a cousin with the same condition, so you'd be all for them being denied it too ?
It's not that I consider bread to be "the staff of life" & I couldn't do without it for a while (believe me I have done). It's more to do with what the NHS considers in the patients interest & after all most folk have paid into the system for many a year, so why shouldn't they get a modicum of return ? That's the whole reason of paying your dues isn't it ? :) |
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I have done some websearching re coeliac disease and on several sites it is stated that it affects one in ten of the population, most are undiagnosed.
Hyndburn's population is 81496 - so there are 8,149 residents who potentially qualify for a free (or heavily subsidised) weekly ration of bread, cake and biscuits. Maybe chemists should expand their premises to accommodate the bread queues which will result.:rolleyes: The potential for bankrupting the NHS is there, is it not? Coeliac disease is an immune system disorder, but it is not the only such disorder, other food allergies are not given the same special treatment. A person with any immune disorder adapts their lifestyle to avoid whatever triggers symptoms = sensible action. Maybe the alcoholics are saying amongst themselves 'It's Ok to get alcohol subsidy because the coeliacs get their bread subsidy.' - I suggest that unsubsidised abstinence by both groups would be a cure. My cousin was disappointed with the gluten free bread, and the loaves she made herself, so opted not to eat it = sensible action. If a coeliac considers that the need to eat bread cake and biscuits is essential to survival, then they should not expect to be fed free by taxpayers. I have reactions to many items sold in supermarkets, and have to source alternatives at my own expense. I do not expect the NHS to provide them. |
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To use your own turn of phrase;
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As to being fed by the taxpayer aren't those in receipt not also at present or in the past taxpayers, so in the end they are paying for it themselves. |
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Think half of these "new" diseases/ailments are invented by the Medical profession to justify their existance , everyone is now a "victim" even the obese , if your fat STOP sodding eating. Does anyone accept any personal responsibility for anything anymore
agree with MargaretR |
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But the issue is that of prevention rather than cure. I have no time for & agree totally that for those whose illnesses are brought about by their own stupidity & lack of self control should be left sort themselves out, whereas those whose condition is not of their own making & beyond their control should be supported. |
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Coeliac disease is when gluten causes damage to the intestines.
I happen to have intestines damaged by C-Difficile (was hospitalised in 1980) which resulted from prescription of a (now banned) antibiotic. Because of decades of frequent diarrheoa I once paid for my own coeliac test Biotech Biocard Celiac Test - Boots ..which showed negative. I have learned what not to eat, and take vit/mineral supplements to compensate for my intestines' low capacity to absorb nutrients from food. I do not expect the NHS to subsidise my food - even though I have this condition due to medical negligence. PS I have never suggested that you pay for your own oxygen. I did note that you blame your poor health on decades of smoking. |
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My thinking is that if the HHS was serious about saving money they could start by making all patients including kids (regardless of circumstance) make a nomimnal co-payment of £10 for each appointment , soon clear out the malingerers ;)
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Prescriptions | Coeliac UK |
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"breads, rolls, pastas, flour and bread mixes, pizza bases and crackers. ...Sweet biscuits and cake mixes are being restricted in some areas." ..can hardly be described as medicine can it?:rolleyes: |
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....that must be easier than telling an alky not to drink. Gluten is not addictive |
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Children were frequently admitted to paediatric wards in a malnourished state......despite the fact that their parents said they had healthy appetities. They were labelled Failure to Thrive(FTT) and then diagnosis became possible by taking a small biopsy from the gut.....this showed that the children had a metabolic disorder....they could not digest the gluten in wheat. While I can understand Margaret's viewpoint, I do not subscribe to it. Being able to have bread in their diet makes children feel more 'normal'...even though that bread is special......and to expect parents to fund this special dietary requirement out of their own pockets may place a financial burden on them that would be unacceptable. As for making the bread yourself........well for some people that is an option, but for others, it wouldn't be practical. You also need to realise that when coeliac is talked about, it is more than bread and cakes and biscuits that have to be avoided....anything that uses wheat flour as a 'thickener' is also forbidden. If you have a family member with a food allergy, you have to walk the minefield that is food labelling. |
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Point in case Marg P's comments above. :) |
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I think you are right there Dave........Hospital kitchens understand the needs of coeliacs, but commercial catering establishments frequently do not.
Some people who are intolerant of gluten are also Lactose intolerant too. I nursed quite a few patients who were both. |
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Diabetics have to learn about diet in order to survive/thrive... are you suggesting that Coeliacs aren't capable of managing their condition in the same way?
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No I don't think that Coeliacs are not capable of managing their diet.......but if they get foodstuffs on prescription, they will have to pay the required prescription charges unless they are over 60 or are a child.....and these days the precription charges aren't cheap.
It is possible that buying the gluten free bread from the supermarket is cheaper than getting prescriptions....because I am sure that most coeliacs restrict the amount of bread they eat. I have a friend who is coeliac and she only has bread as toast in a morning. |
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Food labelling is so strictly regulated that everyone who can read is in control of what passes their lips. Only children and illiterates need assistance and guidance.
The likelihood is that some people don't care what they eat as long as they ease hunger. You eat to nourish your body - much of the processed food eaten doesn't do that. |
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Gluten free restaurants and pubs, gluten free hotels and accommodation, gluten free cafes and coffee shops, gluten free takeaways and fastfood
Eating out needs more care but isn't impossible. I searched this site and found one listed in each category in Blackburn - none in Accrington. I have eaten out with my coeliac cousin in Wales and when on holiday with her in La Palma. She needed to ask the waiter about ingredients and select her dishes accordingly. eg. I have never seen a salad with gluten - just have an oil dressing - no mayonnaise |
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well folk like you n i must be very lucky,having computers n ability to look after ourselves, how many aint? i'm sticking wi me comment.
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Butty shops and pie shops are a 'no no':D
Maybe that's why Accrington doesn't feature on that site. PS look what I've found !!!! :D http://www.jdwetherspoon.co.uk/home/...y-requirements |
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I don't agree with food on prescription either.
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I was once prescribed bananas when in hospital because of potassium but just treated it as a joke..if I need a banana I'll buy one or two... I can see how this could be important when in care or hospital but if I was told I shoud not eat bread I would stop eating it.. would not expect the NHS to supply me with overpriced bread for my breakfast.!
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i still think the great still outweighs the bad in the nhs;) and for paying £10 for an appointment, yes the american health system is the polar opposite of the great british nhs which doesnt discrminate if your poor or rich and lets the deprived and poor to rot and die.the america we dont see on mainstream television .
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Good point cmon, the first question they ask you in an American hospital is "whats your credit card number":rolleyes:
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I have dined at - Wetherspoons Newquay - reasonably tasty but not memorable. Wetherspoons Morecambe - that was a disappointment - peas like cold bullets. I am not ruling out the likelihood that I may well visit a Wetherspoons again. Serving the same food nationwide can vary according to how it is cooked locally. |
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Nearly 20 years ago, when Joan was first diagnosed, we went on holiday to Torquay, but we stopped overnight in a hotel near Truro, we first checked if they catered for gluten free, which they did. When we arrived Joan mentioned about the gluten free meal, and the chef actually came out to see her. when we went into the dinning room the Italian matradee showed us the the table, the waitress took our order, Joan was having soup, as the waitress came out of the kitchen the matradee actually picked up some croutons and put them in both bowls of soup, doh, He wasn't amused when Joan told him it was no use fishing them out with a spoon and wanted a fresh dish:rolleyes: I think if I remember rightly Barry Yates said on here that he and little pom had had a meal in Accy somewhere and her meal was supposedly gluten free, but she was ill afterwards, I'm sure he will confirm this if he sees this post. So you see because an establishment says its provides gluten free food, doesn't always mean that it does, mainly because of human error |
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Another example of the wasting money in the NHS. They should clamp down on pathetic scum who don't need prescriptions but still continue to get them ( or should it be the doctors who need striking off for keep writing them out )
This morning I witnessed one of Accringtons many town centre low lifes come out of Lloyds chemists with 2 bags of what I assume were prescribed 'necessities' and walk to some other low life waiting at the corner of the market. The waiting low life handed over a sum of cash and the other one handed over his goods. 10.30am at one of the busiest points in the town centre :mad::mad::mad: |
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John you are quite right about the prep. Gluten free meals need to be prepared in an area where wheat containing foods have not been prepared....some coeliacs are so senstivie that even food prepared in an environment where a sandwich has been prepared can affect them very badly.....and this is something that Kitchen staff sometimes do not appreciate. |
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Retlaw. |
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The thing is Retlaw, if you make an eating establishment aware of your special needs and they say they can fulfil them, then if you suffer as a result of their failure to adequately do so, you could take legal action against them.
My nephew is severely allergic to Peanuts....he went to a chistmas party where they played cards and one of the boys had been eating peanuts before the game.....my nephew touched the cards handled by this boy, and ended up on a ventilator in ICU. He is also allergic to milk and milk products....his reaction when he comes into contact with these is an anaphylactic shock....he carries and adrenaline pen everywhere he goes. |
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However, there are quite a number of local eating establishments that are fully aware of the requirements for a gluten free dish, serving and kitchen staff are obviously well trained in those places - went to one last night, the Grey Mare - the waitress was quite knowledgeable, so no problems. An earlier posting compared diabetics to coeliacs - sorry but that is like comparing apples and strawberries. If you took the time to compare the relevant prices in Asda/Tesco/Morrison's between ordinary foods and gluten free foods you may be in a position to comment. Is it alright to provide drugs or alcohol to people who have self inflicted themselves with the problem. If it is then what is wrong with providing the basic staple foods to people who have a condition that is no fault of theirs. If you have no knowledge or experience of the subject then I suggest that you refrain from commenting on the subject. |
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What about hospital in patients too....should a fee be levied because thay are eating whilst in hospital(after all they would be buying this food at home....so aren't they getting something for nothing?). Neil, I am not having a go at you, I'm not being facetious or nasty........I am just putting these points to you, to ask where do we draw the line? I know life is not impossible without the staple foods that wheat provides, but it is a lot less pleasant and harder to manage. Why don't you try a month of no wheat products and see how hard it is.....no pasta(pasta is healthy isn't it - yes unless you are coeliac) no bread, no cake, no biscuits, no food that contains wheat based thickeners...so any casseroles stews would be runny and thin(unless you used potato starch) and look unappetizing......and as for desserts well, your choice would be strictly limited. I do not begrudge coeliacs getting whatever help they can, to improve their lives....their condition is lifelong, it is not self induced. I do however, begrudge the money given to alcoholics and drug addicts.....they get help with their conditions despite the fact that contributed to their ill health. |
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Thank you Barrie.
I don't think food allergies are taken very seriously by those who haven't experienced them at first hand(either themselves, or a close family member having one of these conditions) When we went out to Australia in 1980, my nephew was a baby six months old or so......being fed solely on breast milk, but his mother started to wean him while we were visiting. She had no idea that he had any food allergies...he had thrived on breast milk , slept well and was a bouncing baby who looked brimful of health. In the few short weeks that we were there, he was rushed to hospital countless times...blue lights flashing. All because his mum had given him some baby rice made up with cows milk....and it was months before they tracked down what was the problem. By the time we went home the bouncing baby had become a fractious bag of bones......who cried all the time and was poorly most of the time. I thought that he wouldn't survive. All because he was allergic to cows milk...and later it was discovered he was severely allergic to nuts, especially peanuts. |
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So I googled it. I think the difference here is that you can buy gluten free bread and other foods in Tesco so why should they be given free when others cant get life saving medicines? Quote:
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The peanut allergy thing isn't really an issue....how many people do you know who can't live their lives without having a peanut....so No, I am not in favour of people with nut allergies getting food on prescription.
Coeliac disease is a bit different....and if the gluten free bread in Tesco(or any other retail outlet) was the same price as a Warbies toastie loaf then I would be saying exactly what you are saying, but it isn't....in some instances gluten free food is more than double the price of the ordinary product....so how about this for a compromise.......the coeliac sufferer pays for their bread what you and I pay for ours, and the rest of the cost is taken care of by vouchers...issued on prescription. I am not exactly sure how the prescription situation is for dietary products....but for medicines it is one medicine one prescrition charge(£7 something) so if you pay your prescription charge and get 4 loaves, the coeliac sufferers are paying much more for their dietary product than the rest of us pay for ordinary bread.....and only slightly less that it is to buy in Supermarkets. I'm glad that you didn't think I was having a pop at you....and also that some of the other points you agreed with too. Give the gluten free experiment a try. I am sure you will be glad to go back to normal food. |
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And I take your point about the Tesco Gluten free bread, but if someone told you tomorrow that you were going to have to pay £2 for a loaf of bread would you be happy?(especially as you can see others paying almost a third less for their bread)........and as I have pointed out it isn't just bread. No pies, pastry, biscuits, pizza, pasta, ready made meals(oh you can have the chips but not the fish...unless the frier will do it batterless for you), no bought sandwich, no sausages. |
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I eat one loaf per week, as you say it isn't much.
I pay 85 pence for my loaf of bread(aldi Farmhouse batch)...biggish slices, but I think that if you look the Gluten free loaves are much smaller in size than the Warbies bread that you have quoted....the last time I looked they were not 'sandwich sized' like the Warbies loaf.......saying that I don't know many coeliacs who would eat their gluten free bread as a basis for a sandwich...they mostly have it as toast.......I believe it isn't the most palatable thing in the world. |
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Yes, just checked the Gluten free bread is 400 grms......£2 = 50pence per 100grms
The Warbies Toastie, 800 grms £1.35 = 17 pence per 100grms........so you would be paying quite a lot more than a third(which is what I quoted on the basis of a like for like loaf) above the price of ordinary bread.(almost 3 times as much) |
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I have actually talked to Joan about this over the weekend, as for Bread, there are numerous different breads on the market (unlike 20 years ago) Warbies are trying there best to get on the list, but its the consensus that Juvella fresh baked is about the best, I've actually tried this its very much like ordinary thick sliced cottage loaf. I actually think that Joan is now very well clued up on the subject, I suppose she has to be as Secretary of the Manchester Branch of Coeliac UK. Only a fortnight ago she was speaking at a seminar at the Royal Preston Hospital, to medical clinicians of all levels from consultants to practice managers and nurses.
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We have found that the Warburton's Gluten Free is nicer tasting, not as solid and doesn't crumble as easilly as Juvella - that is £2.49 for a small loaf, much more expensive than a Warburton's Toastie when compared gram for gram.
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