That's what they're trying to do now. If you are ill because of your own habits, then the NHS will treat you, but they are looking at having the patients sign for want of a better word a contract to say that they will diet/give up smoking/take more exercise etc, in return for their treatment. This is not up and running yet, but was on the news a few weeks ago. It will mainly affect GP's but they have to try and get across that treatment could be withdrawn if the patient does not comply.Janet ..your simplifying things a little.. smoking may not be self aflicted all the time... For example I started when I was age 14 and didnt know any better... no notices saying its bad for you.. even advertisments on telly telling you to buy them... OK I managed to give up and have been given a clean bill of health.. no problems after 25 yrs of smoking...but i take no responability or blame for smoking.. i didnt know it was bad and it took me half my life to give up... but a lot arnt so lucky...
if it was a simple choice to give up smoking i believe everyone would do it./.. it aint that easy and if it wasnt really your fault you started and ya ddnt know it was bad for ya then....
there are other issues with smokers... do you turn someone away and tell them to go die in pain.. because its your own fault.. you made a mistake and started smoking now pay the price?
you ahve to take circumstances into consideration.
whats about people who are obese and its killing them.. do you turn them away saying its your own fault for eating too much?
what about someone who contracts a death threating llness while on holiday.. turn them away ..its there own fault for going on holiday..
life isnt that simple
if it was a simple choice to give up smoking i believe everyone would do it./.. it aint that easy and if it wasnt really your fault you started and ya ddnt know it was bad for ya then....
there are other issues with smokers... do you turn someone away and tell them to go die in pain.. because its your own fault.. you made a mistake and started smoking now pay the price?
you ahve to take circumstances into consideration.
whats about people who are obese and its killing them.. do you turn them away saying its your own fault for eating too much?
what about someone who contracts a death threating llness while on holiday.. turn them away ..its there own fault for going on holiday..
life isnt that simple
I agree Harry, it's not that simple. Public health is the new buzzword. Specialist doctors nurses and midwives are now going into communities to try and get health messages across. A lot of their efforts are aimed at young people, who just don't seem to be getting that they have to take some responsibility for their own health. Hence drop in centres like the new one at fairfield. These centres are quite good, cos we try to make them fun in order to educate, there are other things that we are trying to do in the hyndburn area, as blackburn has had some of the services that we are trying to get up and running here for ages, and those of us who work in Hyndburn feel that we are losing out.Hyndburn has the largest number of pregnant drug users in our health district a specialist service is now being provided.
HIV is on the increase, as is chlamydia, National sexual health strategy (DoH) 2002 is looking to address this. Many nurses and midwives are now training in sexual health (myself included)
Smoking cessation services are now provided in the area.
I could ramble on for hours about this, and it all costs money, but I'm starvin and need me tea!!
Sorry Harry but you and you alone are responsible for the choice you made to start smoking. People told us we were kids and so shouldn't be doing it. Hence you were told it was wrong.
YOU were the one that made the decision yes I will smoke.
When the N.H.S was intraduced surley the smoking related problems were worse.
Things are different now. Nothing stays the same exept one thing the cost of things. At least and I keep comeing back to one thing putting cash were it's needed.
This is NOT with stone things, bronze statues etc.
You cant mend or nurse anything with a ------ statue.
YOU were the one that made the decision yes I will smoke.
When the N.H.S was intraduced surley the smoking related problems were worse.
Things are different now. Nothing stays the same exept one thing the cost of things. At least and I keep comeing back to one thing putting cash were it's needed.
This is NOT with stone things, bronze statues etc.
You cant mend or nurse anything with a ------ statue.
as you say lettie it all costs money its alright saying to someone you must go on a more healthy diat but when you are on income support with 3 children to feed how do you afford the food seen the price of fish latley
i have been told to go on a better diet but cant afford the fish chicken and other things surgested .
people on income support arnt rich you know
and no we dont spend a lot on other things
Anne sees to that
she is very good with the food bill
they said have oily fish 2 times a week who going to pay for it
???
the better the food is for you the more expencive it gets
i have been told to go on a better diet but cant afford the fish chicken and other things surgested .
people on income support arnt rich you know
and no we dont spend a lot on other things
Anne sees to that
she is very good with the food bill
they said have oily fish 2 times a week who going to pay for it
???
the better the food is for you the more expencive it gets
The fact is that their are alternative ways of funding public health treatment other than the one we have now....and those alternative ways in in Europe, Canada & Australia result in an overall better standard of healthcare than we have in this country.
Not only that, but the staff are better resourced and work under far less stress. The nightmare job in the world must be that of an A & E nurse in any major hospital midnight on a saturday.
OK there's an awful lot more Doc's & Nurses than 6 years ago, but there's less beds (not in itself that crucial) and vastly more bums on seats (bureaucrats)
The sooner people start to do some radical questioniing about the NHS, what it's there for and what it does, the better - then maybe we can start to make changes and catch up with our cousins
Not only that, but the staff are better resourced and work under far less stress. The nightmare job in the world must be that of an A & E nurse in any major hospital midnight on a saturday.
OK there's an awful lot more Doc's & Nurses than 6 years ago, but there's less beds (not in itself that crucial) and vastly more bums on seats (bureaucrats)
The sooner people start to do some radical questioniing about the NHS, what it's there for and what it does, the better - then maybe we can start to make changes and catch up with our cousins
[quote author=Tealeaf link=board=general;num=1065035655;start=0#27 date=10/03/03 at 17:40:14]The fact is that their are alternative ways of funding public health treatment other than the one we have now....and those alternative ways in in Europe, Canada & Australia result in an overall better standard of healthcare than we have in this country.[/quote]
examples ???
examples ???
Most of the recent and not so recent studies have found that poverty is also a big issue with health. Trying to have a healthy diet is all well and good, but a lot of our families round here just can't afford it, so they do their best with what little they have. The eat 5 campaign of recent years is an example. Trying to get people to eat 5 portions of fruit or veg a day. Not everybody can afford to. There has also been a rise in the incidence of TB in this country over recent years, due to poor, damp housing and overcrowded housing. A heck of a lot of social issues need to be adressed, because they all ultimately knock at the door of the NHS. ;D There may be more qualified nurses than 6 years ago, but there are less practising nurses. Many have re-trained to do other things, ie law, accounting etc. because they are brassed off with the working conditions, and have left the NHS for good.
Did you know that we have 5000 less practising midwives in this country than we did 10 years ago. (British medical journal 2003) a study by Ashcroft et al.
This means that patients throughout the service do not get the care that we want to give ;D
Did you know that we have 5000 less practising midwives in this country than we did 10 years ago. (British medical journal 2003) a study by Ashcroft et al.
This means that patients throughout the service do not get the care that we want to give ;D
Spitting - yep. Why do you think there has been such a big rise in TB in the last 20 years.....practically eradicated by the early 60's.
Do you remember when you could smoke on the top deck of Accy buses.....and right at the front was a sign saying "No Spitting"....was their a fine...was it 5/- ?
Do you remember when you could smoke on the top deck of Accy buses.....and right at the front was a sign saying "No Spitting"....was their a fine...was it 5/- ?
I don't dispute your figures Lettie. And I also know that half the trained nurses coming into the NHS are from overseas.
Do you think we'll end up like the States in Midwifery and Obs & Gyny? I know that 75% of all births there are now Caes....I'm told the figure here is approaching 20%...It could well be that childbirth becomes a DIY thing, as in Africa....go out , find yourself a bush and have your baby under there!
Do you think we'll end up like the States in Midwifery and Obs & Gyny? I know that 75% of all births there are now Caes....I'm told the figure here is approaching 20%...It could well be that childbirth becomes a DIY thing, as in Africa....go out , find yourself a bush and have your baby under there!
;D Yep the section rate in this country is around 20 % nationally. We won't get like the states because midwifery is actually illegal in about 47 or 48 states and their services are run by obstetricians.
The royal college of midwives, obstetricians and groups such as the NCT support that women do better with one to one care in labour and have less complications and intervention. The rate for our health district is lower than the national average.
In order to provide one to one care there needs to be more midwives. Experienced midwives nationally have taken on the role of junior doctors, because there aren't enough of them either. In my job, I see women through from the start of their pregnancy, labour, and until the baby is 28 days old and they see the same midwives all the way through (in theory) We put up drips if needed, stitch our own ladies afterwards, perform inductions of labour and do the first physical examination of the newborn. All these tasks have been taken from the doctors for no extra pay, in order to give the ladies some continuity. The midwives in this country are pretty fierce with their territory and so are our women. Many british ex pats come home (especially) from the states to have their babies here, cos they feel they get more of a choice and better care.
The royal college of midwives, obstetricians and groups such as the NCT support that women do better with one to one care in labour and have less complications and intervention. The rate for our health district is lower than the national average.
In order to provide one to one care there needs to be more midwives. Experienced midwives nationally have taken on the role of junior doctors, because there aren't enough of them either. In my job, I see women through from the start of their pregnancy, labour, and until the baby is 28 days old and they see the same midwives all the way through (in theory) We put up drips if needed, stitch our own ladies afterwards, perform inductions of labour and do the first physical examination of the newborn. All these tasks have been taken from the doctors for no extra pay, in order to give the ladies some continuity. The midwives in this country are pretty fierce with their territory and so are our women. Many british ex pats come home (especially) from the states to have their babies here, cos they feel they get more of a choice and better care.
[quote author=mick link=board=general;num=1065035655;start=0#36 date=10/03/03 at 17:55:47]Its becouse of spitting that its on the increase
and before you say you cant get it like that lettie
my mum was a ward sister in a & e thats how she got TB
she is fine now ;D[/quote]
I'm sad that you think I'd dispute you there Mick. You can catch terrible nasties from spit. TB included as it is an airborne bug. Think I'm just gonna hide now [smiley=coffeecup.gif]
and before you say you cant get it like that lettie
my mum was a ward sister in a & e thats how she got TB
she is fine now ;D[/quote]
I'm sad that you think I'd dispute you there Mick. You can catch terrible nasties from spit. TB included as it is an airborne bug. Think I'm just gonna hide now [smiley=coffeecup.gif]Ok excuse my ignorance but i am really really confused here.
Firstly I thought sex changes whereNOT covered by NHS, didn't Hayley (our own Julie Hessy) have to go to Holland for hers?
I didn't think tatoo removal was covered...my brother has just spent thousands getting his removed out of his own pocket. yes it was a stupid thing to do when he had it done, but he was in the Falklands and got bored and it did say Accy!!! I dread to think how much this is going to cost in the future as tatooing is such a big thing these days.
My other point is several years ago my gran was found to have lung cancer after smoking for many years. She wasn't given any treatment because she wasn't prepared to give it up. Am I following this right, are all these services now covered?
I think, from what I could see when I was back there for a couple of years, is that many beds are taken up unneccasarily, why be admitted to hospital the day before an operation if the op isn't taking place till late in the following day? I was admitted for food poising when I was there, I was de-hydrated but was taking care of myself at home very well. They wanted to keep me in for 3 days!
Firstly I thought sex changes whereNOT covered by NHS, didn't Hayley (our own Julie Hessy) have to go to Holland for hers?
I didn't think tatoo removal was covered...my brother has just spent thousands getting his removed out of his own pocket. yes it was a stupid thing to do when he had it done, but he was in the Falklands and got bored and it did say Accy!!! I dread to think how much this is going to cost in the future as tatooing is such a big thing these days.
My other point is several years ago my gran was found to have lung cancer after smoking for many years. She wasn't given any treatment because she wasn't prepared to give it up. Am I following this right, are all these services now covered?
I think, from what I could see when I was back there for a couple of years, is that many beds are taken up unneccasarily, why be admitted to hospital the day before an operation if the op isn't taking place till late in the following day? I was admitted for food poising when I was there, I was de-hydrated but was taking care of myself at home very well. They wanted to keep me in for 3 days!