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The n.h.s.
to me the NHS has become pathetic,you cannot see your doctor only talk on the phone, the lasses in the chemists i have been in are the exception they are superb,i was told to ring the NHS by my Pharmacy i did got a load of options was asked if i wanted an English Speaking person to answer i said yes cos i am pretty deaf, i got answered and could hardly tell a word said.:mad:end of the day i hung up without knowing what i wanted, i think its probably the bigwigs that run it to blame but its really PATHETIC, is it just me that thinks this?
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I signed up with the practice I'm now with over 3 years ago after my caring doctor retired, I have yet to see a doctor, it's always been practice nurses.
One time the nurse told me she thought I should urgently to go to hospital to check my condition, she went to consult the doctor, 20 minutes later she returned, the doctor didn't even put their head around the door to check me over. I don't consider this to be a very good practice, but what the hey, I'm still alive so the nurses must be doing something right. |
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Cashy I am sure that you are not alone in feeling let down by the primary care service.
Since the Covid thing, there has been very little access to GP's.....if you need something it is not a GP who will deal with your issue....it will be some other Health Care professional Yet GPs are still being paid as if they were seeing patients. What exactly ARE they doing. let me see...oh yes, they are giving Covid jabs at £15 a pop(£20 if they can wangle to be doing it on a Saturday or a Sunday) GPs are independent contractors who sell their services to the NHS, so they have one leg in the NHS and one leg out. We are told that there are not enough GPs......but is that our fault? The NHS needs a root and branch overhaul, but there is no political party that has the guts to suggest this let alone do it, I cannot see things improving anytime soon I worked in the NHS for almost thirty years and it saddens me to see where it is right now. It has good dedicated staff, but a rotten management structure. |
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i suspected it was those in authority to blame, that dont surprise me at all. but it sure aint good enough in my eyes.
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GP's do seem very reluctant to go back to seeing people. They much prefer the telephone or send us a picture of whatever you've got. The best I had was a hospital eye appointment by telephone about 12 months ago which basically consisted of can you see alright and have you got any other problems? I told them I could see with my specs on and I didn't know of any other problems but then I didn't know I had a problem with my eyes in the first place until they told me I did so I probably wasn't the best person to be asking. I have seen somebody since and fortunately all is as well as it can be.
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think the majority of the country has had the same problems since covid. situations like stopping your medication as you have not had a revue which is unable to be booked after 50 odd unanswered phone calls. criticising the NHS to some is akin to kicking an ill animal. it way have been the countries greatest invention but that was 70 years plus ago with 25 million lower population that seemed to me the extra population being the main users. some serious talking needs to be done in its future and comparing other countries health service to ours and come out with the best one available for all.
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MH, don’t be holding your breath while you wait…that is a sure way to make ALL your medical problems disappear…but you will go with them.
There is no one in government or out of it with the small round things to instigate this. But it DOES need doing. The NHS is too top heavy….too many chiefs and not enough Indians. Money wasted on airy fairy ideas instead of the basic care that would benefit the majority of users…..and the staff would benefit too because they would get much more job satisfaction(which is a good morale booster). |
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[QUOTE=Margaret Pilkington;
The NHS is too top heavy….too many chiefs and not enough Indians. Money wasted on airy fairy ideas instead of the basic care that would benefit the majority of users…..and the staff would benefit too because they would get much more job satisfaction(which is a good morale booster).[/QUOTE] with the word National in its title its obvious it will be top heavy with non medical staff as were the nationalised industries where when they existed. same as the councils when they were allowed to put up rates by any figure they wanted to do. |
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Yes…I have to agree.
There was a lot of money wasted on stupid schemes like getting people like Lloyd Grossman to come up with ideas for recipes for food to be given to patients…..things like olive oil mash. What patients need is nutritious food cooked on the premises by cook(not chefs) who understand the concept of food to tempt the eye and the nose before it gets to the mouth. Silly amounts of money were invested into IT systems which(to my knowledge) failed and had to be replaced. The PFI that was instituted by that snake Tony Blair, robbed the NHS of obscene amounts of money so that it looked like we were getting new facilities without adding to the national debt. I think you could get a bunch of nurses together and they could point you in the direction that the NHS needs to go to improve front line services and make the most of the budgets. It won’t happen because it would rob the cronies of revenue. |
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they will not take the slightest notice of nurses they have too much common sense for the BIG WIGS. in my view. they are ignored.
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Yes, I know Cashy…it would never happen.
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[QUOTE=Margaret Pilkington;1262404]
I think you could get a bunch of nurses together and they could point you in the direction that the NHS needs to go to improve front line services and make the most of the budgets. It won’t happen because it would rob the cronies of revenue Marge I have to agree with you whole heartedly, as I have mentioned in a long ago post I was given a one in ten chance of surviving a motor bike accident in 1968 ( yes I was a rocker), but with the skill and dedication of Sister Hayes and her nurses and doctors, (yes I have got that the right way round), at Accrington Victoria Hospital and the care that I received from my wife of twelve months when I was finally allowed home, I am still here to tell the tale. |
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Sister Hayes was a legend Taddy.
She was night Sister at BRI when I was a student…I liked her…..and she treated me like I knew what I was doing…that gave me confidence. She was one of the first to congratulate me when I got my sisters post. |
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what happened also to the matrons who seemed to rule with the iron rod and how many people were employed to replace something that from an outsider seemed to work.
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MH…..I trained in 1974…..matrons were long gone by then….replaced by nursing officers.
This 1972 Briggs report saw them off. Oh yes and Brian Salmon had a hand in the changes too The Salmon report predated the Briggs report…..and matrons disappeared as a result of the Salmon report Circa 1967. Usually there was only one Matron per hospital…..and they were formidable. Nursing officers were employed per department…..so straight away it increased the costs without having the clout of the Matron. Current Matrons were just a sop to public opinion…(the public saw Matrons as being the arbiter of all the hospital services) their remit is limited and they do not have the influence of the single Matron pre 1972. |
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that says it all really. changes for changes sake and not even cost effective.
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Yup, same boat here. Failures in every direction.
Never met or unable to see my pretend "G.P." in Ossy. No baseline status established to compare ongoing changes to. Nothing. An Admin Assistant to sign off my Prescriptions. Almost useless. I've been once to their Surgery. The place is deserted and the Phone never rang. I could see the Consultant Receptionists who know everything were sat doing nothing. When I ring the Surgery they make out they're rushed off their feet and keep me on hold for an average of 40 minutes. Mysteriously, the person I need to speak to is never there. Despite their new website & platitudes. They have demonstrated their disinterest in seeing any actual Patients. Physio (Emergency LOL) was requested by a Guesser (some folk call these always wrong people "Doctors") at Blackburn Teaching goodness knows what Hospital last AUGUST. This has NEVER happened. My wheelchair wore out & needed repairs. Some genius at Specialist Mobility Rehabilitation Centre sent me a wholly unsuitable, extremely uncomfortable chair that ensures my spinal subluxation & constant pain. Without any "Assessment". These clowns wanted me to do an assessment OVER THE PHONE. FOR A WHEELCHAIR!!!! Think about that for a minute. I call, eventually they send me a random, unsuitable chair again. Their new Contactors weren't even going to take my old chair away. They must think I'm starting a scrap yard for used wheelchairs. I persuaded the extremely unskilled delivery driver to take it. Not his fault, he just drives a van to drop boxes off. How on earth would he know? Now it seems, the new N.H.S. policy is to do everything badly enough to warrant a sell off off of what's left. There are many other petty failures & demonstrations of incompetence. I'll stop here, I'm not writing a novel. |
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The NHS needs restructuring from the ground up.
The problem is that it is a political poisoned chalice I’ve been party to numerous examples recently… 1. Ambulance staff waiting to unload at A & E for 4+ hours meaning they are offline to help others 2. Various departments refusing to treat without referrals from A & E despite being aware of what treatment is needed because of required paperwork and sending people back down to A&E 3. GP’s abrogating responsibility and sending people to A&E 4. 111 tickbox operators booking ambulances or sending people to A&E 5. Idiots using A&E 6. People unable to get appointments from 3 day a week GP’s using A&E for common complaints There is a very simple solution, but no government will go for it because of negative press.. 1. Define emergency (e.g life threatening) 2. Fixed price for all Ambulance call outs except above 3. Payment for all avoidable injuries at A&E 4. Payment for all none accident or emergency Don’t even get me started on how much low paid healthcare assistants do the work of ‘nurses’ constantly bitching in the media about pay and conditions |
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I had an op yesterday all the staff were briliant it does want restructuring for me its the big wigs that run it what are pretty useless.
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Also the money is spent in the wrong places.
Advertising for a Diversity Director at some silly per Annum salary is ludicrous. As for the health care assistants taking on the duties of nurses….maybe that is because nurses have taken on many of the roles that used to be the domain of junior doctors. They were bamboozled into doing these thinking that it was a good career move….but while nurses are re-siting IV lines and doing other roles….who is doing the actual caring for patients….? Well of course the health care assistants also want a slice of feeling their job is more interesting, more important than just feeding or toileting patients, making beds…the menial boring stuff (but just as important to good care). As for paying for treatment for anything…to me that is not on. We have paid into the system via our contributions. How long would it be until someone told an obese patient that they would have to pay for treatment because their obesity was ‘self inflicted’ It adds in another layer of administration….there are enough of those already. Also the NHS is very bad at collecting money from people who should have no access to treatment because they are health tourists(I know that over the last couple of years these probably fell back to zero)….I have seen people visiting relatives here….have surgery and treatment that they should have been billed for but were not. Yes, the NHS does need root and branch changes…..but these need to be considered and implemented so that improvement for service user is assured. |
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Guinness what you are advocating is a version of privatisation.
During the pandemic, it has been impossible to see a GP….well nigh impossible to get even a telephone appointment…..even if you have complex life shortening health issues. Yet if I wanted a knee replacement and I could afford to pay then I can guarantee that I could be seen and in a hospital bed in less than seven days having the required surgery. And though GPs do not want to treat the sick there are some who are still doing aesthetics….the fillers, the Botox etc. The big problems started when the GP contracts were changed…..also many GP’s work part time in the NHS to give them more time to do more lucrative work. As for ‘nurses bitching in the media about pay and conditions’…..they are entitled to do this as the staffing levels in many departments are bordering on unsafe and the skill mix is unbalanced…..that might be part of the reason that HCA’s are doing the jobs that were done by nurses. I know that I have been retired for twenty years, but I have friends still working in the NHS and I know that they work hard for their salaries…and are worth every penny because of their skills and experience. |
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to me anyone blaming the ordinary staff is just taking the easy way out simple as,
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I'm not advocating privatisation, I'm advocating charging the muppets who call an ambulance for stupid reasons (just google stupid ambulance calls) and people who turn up at A&E with a non emergency. In my opinion a financial charge will make people think twice before wasting an emergency resource.
But it ain't going to happen because the word 'privatisation' was used by Margaret who (just like me) is about as far from 'woke' as Rip Van Winkle....just imagine the privatisation twitterstorm from the wokeabilly hillbillies to anyone suggesting this as an option, which would prove my point about the NHS being a political poisoned chalice And I'm not blaming ordinary staff...ordinary staff are the HCA's who do an amazing job, do the donkey work and provide the care. Nor am I blaming the secretaries and receptionists who have to constantly field difficult questions from irate patients who have been let down by a tired unsustainable system that is badly in need of an overhaul. |
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Yes, I think that those who misuse the services should be fined and I would advocate a sort of fixed penalty doled out by security staff….rather than someone being billed.
I know that there are time wasters who use the services indiscriminately….and yes by all means penalise them but please do not get into the situation where services are deemed unavailable if your need could be seen as being self induced. To determine whether something is self induced requires a value judgement to be made….and I was taught that we were not there to make value judgements on our patients. Do you turn away someone with a broken leg because they fell down after a few drinks at a birthday bash? (No of course you don’t…but you want their credit card details so that they pay for treatment?) The person you want to charge may have paid their taxes and the NI contributions and never had need of the service before. This is a slippery slope to go down….and once down there you can never get back up |
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[QUOTE=Margaret Pilkington;1266013]Guinness what you are advocating is a version of privatisation.
During the pandemic, it has been impossible to see a GP….well nigh impossible to get even a telephone appointment…..even if you have complex life shortening health issues. Yet if I wanted a knee replacement and I could afford to pay then I can guarantee that I could be seen and in a hospital bed in less than seven days having the required surgery. And though GPs do not want to treat the sick there are some who are still doing aesthetics….the fillers, the Botox etc. The big problems started when the GP contracts were changed…..also many GP’s work part time in the NHS to give them more time to do more lucrative work. As for ‘nurses bitching in the media about pay and conditions’…..they are entitled to do this as the staffing levels in many departments are bordering on unsafe and the skill mix is unbalanced…..that might be part of the reason that HCA’s are doing the jobs that were done by nurses. I know that I have been retired for twenty years, but I have friends still working in the NHS and I know that they work hard for their salaries…and are worth every penny because of their skills and experience Thank you for that Marge, I cannot Agree more. I have stated under earlier posts that, but for the dedication of Sister Hays and the nurses and consultants who looked after me at Accrington Victoria Hospital in 1968, I would not be here to be able to type this in. |
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You were lucky to have their services that got you well…if that were now…what would it be like.
There have certainly been changes and they have not made the patient safer, or looked after better. Sad as that is it has to be acknowledged…but it is not the grass roots staff at fault. |
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entitled because of staffing levels....the care sector has been totally hammered...long time real caring staff were sacked because they refused the vaccine, they were pilloried in the media...'they're looking after my gran they should have the vaccine' etc..etc.....when the NHS refused..the forced vaccine was stopped and there was nothing in the media about them 'looking after my gran'...staffing levels in care is far more precarious than in the NHS because of this kind of nonsense, who wants a career that can be so easily rubbished, is paid far less and where your vocation is ridiculed and constantly attacked. Skills and experience..yeah right...there is this snobbish idea that a nurse is far more skilled than a care worker which is total crud! Please enlighten me....just what can a nurse provide that a good trained care worker cannot? |
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You ask what can a nurse do that a good trained care worker cannot do?(there are lots of things that they cannot do….but I do not propose to provide an exhaustive list)….they cannot be left in charge, they cannot give controlled drugs, they cannot administer meds…..but they have the BEST job….that is…caring for patients. (As a denier Ward Sister…I refused to be called Ward Manager…..I envied them this part of the job)
And the answer to that is if training a nurse to qualify was not really necessary….then why do it? And the training a HCA is nothing like the training of a nurse…..BUT I have worked with some brilliant HCA’s….but they were called auxiliary nurses in my day….as a student I learned some very good lessons from the auxiliaries. Yes, of course there are SOME qualified staff nurses who have that snobbish trait, but they are riding for a fall….and any sister worth her salt should be able to spot this and sort it out. All levels of staff are vital….but to ensure the best care you also need to have the right mix of staff. How many times have I done duty Rota’s to be asked to do them again because the skill mix was unbalanced? I can tell you it is more than a handful. I truly think the rot set in when they took the training out of the hands of the hospital and put them into universities. I did my training before all this university education set in so I really knew and valued ALL those who had a hand in caring for patients…..from the top consultants to the lady who plus the beds out and cleans the skirting board….and the ladies who served the food. All of them are vital….and as vital as a snobbish qualified nurse. |
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That above post should read ‘Senior Ward Sister’.
And my iPad thinks it knows what I want to say..it doesn’t. I wanted to say ‘the lady who pulls the beds out and cleans the skirting boards behind the beds’….but my iPad changed the pulls to ‘plus’. I would hate those who read these posts to think I was losing my marbles….yes the bag might be open…but they are all there! |
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[QUOTE=Margaret Pilkington;1266085]You ask what can a nurse do that a good trained care worker cannot do?(there are lots of things that they cannot do….but I do not propose to provide an exhaustive list)….they cannot be left in charge, they cannot give controlled drugs, they cannot administer meds…..but they have the BEST job….that is…caring for patients. (As a denier Ward Sister…I refused to be called Ward Manager…..I envied them this part of the job)
And the answer to that is if training a nurse to qualify was not really necessary….then why do it? And the training a HCA is nothing like the training of a nurse…..BUT I have worked with some brilliant HCA’s….but they were called auxiliary nurses in my day….as a student I learned some very good lessons from the auxiliaries. Yes, of course there are SOME qualified staff nurses who have that snobbish trait, but they are riding for a fall….and any sister worth her salt should be able to spot this and sort it out. All levels of staff are vital….but to ensure the best care you also need to have the right mix of staff. How many times have I done duty Rota’s to be asked to do them again because the skill mix was unbalanced? I can tell you it is more than a handful. I truly think the rot set in when they took the training out of the hands of the hospital and put them into universities. I did my training before all this university education set in so I really knew and valued ALL those who had a hand in caring for patients…..from the top consultants to the lady who plus the beds out and cleans the skirting board….and the ladies who served the food. All of them are vital….and as vital as a snobbish qualified nurse. Oh Marge, as you know I spent many years, 14 in total, 1968/1982 being put back together following a motor bike accident, from the consultants at Blackburn Royal and the stroke specialists from Manchester plus the Sisters,Staff Nurses, auxiliaries, student Nurses and Pysiotherapists I can tell exactly what you are saying. When I had to attend north Manchester Hospital over 10 years ago the Nurses on the ward I was on were university trained to operate all the new fangled electronic machines but the majority of them had none of the old caring ability that I had been used to at Accrington and Blackburn, they seemed more intent on sitting at their Nursing Station discussing the latest news, exept for one Staff Nurse that is who I felt really sorry for; she was older than the others and had been trained on the wards, she was treated like an outcast by the other much younger Nurses to the point that i could not watch it any more without bringing it up with the administration department when I left. (I have never heard any more about it), They are probably still discussing it. |
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What those university trained nurse do not have is EXPERIENCE.
When you have watched someone who was a nice respectable man get violent in the middle of the night…..and yet all his vital signs are within normal limits…..when he tries to climb over the cot side(put there for his safety)….when you see him rip the cannula that is giving him a blood transfusion from his arm…..and you do not know why this is all happening. A good consultant comes along…whips him off to theatre and saves him from ‘bleeding out’…you really understand how lack of oxygen to the brain can affect someone……(and this was my experience as a second year student on night duty) you never ever forget it. And that is the difference. Those University qualified nurses may have the text book learning, but it does not compare to actually seeing and experiencing events in a patients life. |
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what happened on post (27) ? where it says, Quote, "originally posted by Taddy", this was not one of my posts
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Have a read of the quotes and quoting link at the bottom of my signature. :cool: |
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Guinness you talk about care being hammered…..and yes you are right. It has been hammered and the rules about vaccinations were flawed…..seriously so!
How can it be that these carers were dumped in the way that they were for exercising a personal choice…..especially as this jab has proved not to be the protection that a true vaccine should be….but hey that is for another different discussion. Maybe this is because those with Special care needs are seen as less valued….however wrong that is. As for the vocation of care workers being rubbished….not from me it isn’t. I know full well how hard care staff work and for what I consider to be poor pay(if you doubled it, it still would fall short). Maybe that is because the care homes are businesses and have to make a profit. There is also a big difference in the kind of care in these facilities…..yes I know some of them have residents with complex needs….but I feel sure these are looked after by trained nurses who are fortunate enough to have a recognised pay scale( this eats into the profits of the business making it even less likely that other carers get what they are worth). When you look at the fees for residential care, they are more than you would pay for a five star hotel. And I know that is perhaps a bad analogy, but it is hard to see the value for some people. I hope I am never in the position to need care in one of these places…..and that is not because they are all bad….but some of the are not home and they are not caring about it either. That is just my opinion from observation of some of these places. |
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OR Alternatively, cut the plug off your P.C. and go live under the stairs knowing that technology beat you!:D |
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I have looked at the Quote and Quoting Less, (still Flummexed), I know thats not spelt right but neer mind.
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Whether I will be able to cope with the more up to date model is anyones guess but, as I keep being reminded by Mrs Taddy, don't be such a Tight---- and spend some of the money that you worked 50 year's for, It's not doing owt in the bank. |
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Taddy looking at your post where you mentioned your hospital stay ten years ago…..and the university trained staff knew how to work the technical electronic gadgetry…..just thought I would say…it doesn’t take a university education to know how to operate these…..and while they are looking at the gadgetry(which can be wrong)….my training taught me to look at my patient…..as well as any gadgetry.
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Taddy….get yourself on YouTube for some instruction on how to copy and paste.
If you see how to do it , then it might make more sense. You are NEVER too old to learn some new tricks. |
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over the last year ive managed to use the nhs a flipping lot more than what i normally do ... at the minute im in isolation ... tuesday morning ive to go to burnley general to have an injection in my shoulder .. which some people have had at accy pals or their docs .. i have to go to the operating theatre at burnley general .. they dont do it at blackburn ...anyway i was told this in september last year .. was offered a date in october said i couldnt attend then because i had a hospital appointment with the eye doc at blackburn .. she said she would ring me back ... she rang back last week!!!
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Jen….I hope that this time you get the injection done.
My daughter has had a CT scan postponed numerous times over the last 18 months…..this is part of her supposedly regular follow ups for the recurrence of her cancer…..so you would think it was important….and since her surgery in Oct 2020 she has been seen once by her surgeon. If anyone could tell me how an abdomen can be palpated over a telephone consultation….or a stoma inspected…..I would be very grateful. |
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However this:- https://www.amazon.co.uk/Inspection-...s%2C124&sr=8-7 May work for the inspection! I wonder, could you get one on prescription? |
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That seems to be quite cheap Less…if I thought it would be of value I would fund it myself!
Maybe that is what the NHS is relying on…..now do Amazon sell CT scanners? (That is the really big issue….no scan for 18 months…..so anything could be going on and by the time it is found…..well you get the picture. A big worry) |
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And yet another example of the North/South divide.
A child has to wait for an ambulance for an excessive amount of time and the parents are told to get her to hospital themselves, and according to reports very risky moving a child with these kind of injuries without professional guidance. https://www.bbc.co.uk/news/av/uk-61419420 It's been plastered over the news, radio and various vacuous Jeremy Vine/Loose Women type media today as though it's a sudden occurrence....many cries, much amazement and 'Oh Good Grief the ambulance service is at breaking point' Whilst I have sympathy for the family in question, I have zero respect for the reporting media...I got news for these people... This has been happening for the last 18 months 'Oop that there North place' with zero comments, hand wringing, scourging or sackcloth and ashes from a media that supposedly represents the 'whole' country... But hey...we aren't the metropolitan elite of Hertfordshire so our warnings and cries for help have been ignored, as usual. Our ambulances have been stuck at A&E waiting to drop off casualties, because of the 'I cant see my GP so I came here with my wart brigade' or worse still have attended a fatal heart attack in 12 minutes only to have to wait for a further 180 minutes for the police to turn up take photos of the body... How outdated is this??....Surely we could give paramedics a 3 hour course on how to take photos on their mobile phones of an 86 year old heart attack victim and how to distinguish the probability of possible foul play! Especially when the police invariably ask the paramedics opinion on cause of death for their tick box forms. Then again the police may actually have to do 'policing' like solving crime, dealing with burglaries and anti social behaviour instead of sitting at the end of a phone giving you incident numbers or offering refreshments and dancing with eco-terrorists. |
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If there’s anyone still out there (other than the entire staff of the BBC) who can’t understand why patient waiting lists and nhs funding both increase simultaneously, here’s one possible reason.
https://dailysceptic.org/2022/05/16/...crease-just-7/ |
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the big wigs who run the NHS are totally useless, i feel sorry for the ordinary workers they have to follow whats been told by the clowns.
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Yes….and there are not enough lions and too many well paid Donkeys.
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Yesterday I read a report carried by a number of Mainstream media that the NHS is going to fund transgender surgery……yet there was another report that told of something like 40 conditions where medications would no longer be prescribed on the NHS.
Some of these were mild conditions, but some(like constipation….a common side effect of chronic pain meds) have serious impact on the lives of sufferers. My daughter has had serious life changing surgery as a result of cancer…..she cannot see a doctor….she cannot see her consultant and her six monthly scans have not happened in the last 18 months. Haven’t they lost the plot a bit here? Shouldn’t those who are dealing with life threatening illness get treatment promptly? Six months ago a young male friend had a polyp removed at a colonoscopy…….he had bern told it was nothing to worry about. Last week he was seen at a meeting with a consultant (and an NHS Lawyer was present) to be told that he has bowel cancer and needs surgery and will very likely need chemo as well. Yet if you are a man who ‘feels’ they should be female…..then you will get your treatment at no cost! |
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Liked it, but I didn’t like it Marge.
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Yes Less...I think I know what you mean.
You liked the fact that I had brought it to your attention, but do not like how the NHS is squandering money...or at least that is my hope. |
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