What Grinds my gears archive B

Ribenapigeon · Super Spammer Joined: 20 Feb 2012 Karma :

[quote="grr666"]

chickenstrip · Super Spammer Joined: 06 Dec 2013 Karma :

Ribenapigeon · Super Spammer Joined: 20 Feb 2012 Karma :

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Kawasaki Jimbo · World Chat Champion Joined: 09 Oct 2015 Karma :

Ribenapigeon · Super Spammer Joined: 20 Feb 2012 Karma :

And who puts these managers in charge? It all looks like its deliberately being managed into the ground. It is a management and human resources problem though, visit any NHS facility and its always the latest kit, even the bloody fans are Dyson ones. The NHS looks like a fattened calf.

Nobby the Bastard · Harley Gaydar Joined: 16 Aug 2013 Karma :

The hand driers would have been chosen with an eye to clinical need.

You could just have paper towels, but then there's an overhead of clinical waste to dispose of and what happens if they run out?
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chickenstrip · Super Spammer Joined: 06 Dec 2013 Karma :

grr666 · Super Spammer Joined: 16 Jun 2014 Karma :

Polarbear · Super Spammer Joined: 24 Feb 2007 Karma :

Germany runs pretty well on a health system that involves a lot of private companies.

As far as I can see the NHS is a money pit that has sh1t management. Public owned companies always seem to have sh1t management. Probably people who couldn't hack it in the private sector.

The other thing that puzzles me is the 'NO, NOT PRIVATE' screams from whoever. As long as it stays free at point of help, what does it matter what system runs it? The more efficient the better surely. Just like the German system, use private where it can improve what we have rather than just chucking more and more money at it.
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Nobby the Bastard · Harley Gaydar Joined: 16 Aug 2013 Karma :

If I had blood running out of my ear I'd be in A&E and not booking a GP appointment.
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trevor saxe-coburg-gotha:"Remember this simple rule - scooters are for men who like to feel the breeze on their huge, flapping cunt lips."
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Nobby the Bastard · Harley Gaydar Joined: 16 Aug 2013 Karma :

Polarbear · Super Spammer Joined: 24 Feb 2007 Karma :

grr666 · Super Spammer Joined: 16 Jun 2014 Karma :

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Ribenapigeon · Super Spammer Joined: 20 Feb 2012 Karma :

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Nobby the Bastard · Harley Gaydar Joined: 16 Aug 2013 Karma :

Charity is incredibly inefficient because they spend a good proportion of donations advertising for more donations.
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trevor saxe-coburg-gotha:"Remember this simple rule - scooters are for men who like to feel the breeze on their huge, flapping cunt lips."
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Freddyfruitba... · World Chat Champion Joined: 20 May 2016 Karma :

Went to see my 90-year-old mum this week (lives alone, 2 hours away) - not well. She'd tried to get an emergency GP appointment on Monday and Tuesday only to be told when she finally got through 'no, all appointments - including phone - have gone: try again tomorrow". I phoned them again myself from her house on Wednesday afternoon; eventually got to speak to a receptionist to whom I 'very politely' expressed my concerns; she went off and spoke to a nurse and the advice was 'you need to take her to A&E'.

We arrived at A&E at 6pm. Got triaged about an hour later, and mum then had to sit in the waiting room on a hard wooden chair until 2 am when she finally got seen. Various tests were done over the next 3 hours (which could have taken half an hour in total if she'd had a dedicated staff member looking after her), whereupon she was admitted. She finally got to a ward at about 11 am next day, where she's been ever since.

It's all fucked.
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stinkwheel · Bovine Proctologist Joined: 12 Jul 2004 Karma :

stinkwheel · Bovine Proctologist Joined: 12 Jul 2004 Karma :

MCN · Super Spammer Joined: 22 Jul 2015 Karma :

stinkwheel · Bovine Proctologist Joined: 12 Jul 2004 Karma :

Two things need to be done that would go a very long way to releiving pressure on the NHS. And they wouldn't cost any more money.

1) Adopt a 7 day working week where all staff are on a staggered 5-on, 2-off working pattern so there are as many staff working on a Sunday as there are on a Wednesday. Routine work is not being carried out at weekends. You are more likely to die if you are ill at a weekend. Very expensive facilities which are under high demand (such as MRI scanners) are sitting unused at weekends.

I refuse to believe this wouldn't suit a lot of people. Especially working parents who could then stagger their working weeks and vastly reduce their childcare costs.

2) Roll up personal care under the NHS. It's currently run by councils. A huge amount of the NHS problem is they can't discharge patients until their care has been arranged. It is vastly more expensive to keep these people in hospitals. If the whole chain of care was under the auspices of the NHS and coming out of their budget, they would make damned sure there was sufficient personal care provision if only for the simple reason it would save them a lot of money.

I suspect the councils would welcome not being responsible for this too, they could hand over their personal care budget to another agency and let them take care of it.
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