michaelc
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Post by michaelc on Nov 2, 2023 13:33:51 GMT
I suspect the privacy we enjoy here plays a part too. Having to design a system with data protection, access control, FOI etc etc in mind probably adds hugely to the cost. I'd be happy for anyone in the NHS to see the entirety of my NHS record and I'd be ok with it being made available to any outside company so long as approved by a doctor as in my best interests.
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registerme
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Post by registerme on Nov 2, 2023 13:49:55 GMT
I suspect the privacy we enjoy here plays a part too. Having to design a system with data protection, access control, FOI etc etc in mind probably adds hugely to the cost. I'd be happy for anyone in the NHS to see the entirety of my NHS record and I'd be ok with it being made available to any outside company so long as approved by a doctor as in my best interests. It's not that "they designed a system", it's that every(*) trust, hospital, department, and device has had different systems designed for them. Over decades. * Not every system, but you get the point. For example a friend of mine is an ophthalmologist. Her previous hospital used a system to record training and accreditation etc for different procedures. As part of her rotation she was moved to a new hospital. Which uses the same system. But... the systems don't talk to each other. It took her fourteen hours to get accredited on the new system. Fourteen hours when she could have been attending patients in clinic, or operating in theater. Now multiply that kind of astonishing inefficiency across the entire NHS.
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keitha
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Post by keitha on Nov 2, 2023 18:20:53 GMT
I suspect the privacy we enjoy here plays a part too. Having to design a system with data protection, access control, FOI etc etc in mind probably adds hugely to the cost. I'd be happy for anyone in the NHS to see the entirety of my NHS record and I'd be ok with it being made available to any outside company so long as approved by a doctor as in my best interests. I'm happy for any professional in the NHS to see my data, however I and many others certainly don't want Palantir having access to my data
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michaelc
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Post by michaelc on Nov 2, 2023 19:27:51 GMT
I suspect the privacy we enjoy here plays a part too. Having to design a system with data protection, access control, FOI etc etc in mind probably adds hugely to the cost. I'd be happy for anyone in the NHS to see the entirety of my NHS record and I'd be ok with it being made available to any outside company so long as approved by a doctor as in my best interests. I'm happy for any professional in the NHS to see my data, however I and many others certainly don't want Palantir having access to my data Even if a doctor agreed it was in your best interests meaning your example wasn't the best ?
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keitha
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Post by keitha on Nov 2, 2023 19:57:29 GMT
YES, my data is mine and about me, I do not want random companies having access, especially ones with a less than unblemished record.
besides they ask doctor A get a No, B No, C No, D yes
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Post by moonraker on Nov 21, 2023 9:04:59 GMT
... in a nutshell that's one of the problems the NHS has, far to many discrete systems that can't interconnect My local hospital is in Berkshire and in July I had heart surgery at an Oxford hospital, both part of the same health authority. Recently I rang the Berkshire one and was told it had no details of my operation, not even the discharge letter sent to my GP with details of medication. Then I contacted the Oxford hospital, where my surgeon invited me in for a discussion tomorrow. Only he couldn't access the results of my latest blood tests on my Patient Access file. Perhaps I could show them to him on my mobile? I had my doubts, as I was keen that he saw two recent sets of post-op results and another for earlier this year pre-op, and the pages and graphs showing these do not display well on a tiny screen. (And I'm not keen on us poring over them with our heads together.) In the end my GP surgery emailed him the latest results. (Apparently some GP surgeries can facilitate third-party access, but not mine.)
Tomorrow I'm hoping that the surgeon can log onto my Patient Access with my password etc - though I would be quite happy to give these to him in advance.
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registerme
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Post by registerme on Nov 28, 2023 17:51:46 GMT
A friend of mine (orthopedic surgeon) was on call last night at a major London hospital. He was staying in an "on-call room" (think Travelodge but nasty) at the hospital.
The room was unheated.
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Post by bracknellboy on Nov 28, 2023 18:21:16 GMT
A friend of mine (orthopedic surgeon) was on call last night at a major London hospital. He was staying in an "on-call room" (think Travelodge but nasty) at the hospital. The room was unheated. This surprises me not the slightest. Opposite experience. Back in late September/early October when my father was in hospital, we had an unseasonally sunny/hot couple of days (seems an age ago now). The ward was oriented such that it got the sun on the external wall during the day. The temperature in the ward was awful: way way too hot. I was sweltering, patients were sweltering. They had an 'emergency' portable air conditioning unit in one corner: but this is a ward for 8 people so it achieved barely nothing, even standing next to it. The ward / hospital is caring for seriously ill people but can't actually control the environment they are in. It was a stroke ward, with a propensity to have elderly patients. For whom maintaining personal hydration/fluid intake is intrinsically difficult at the best of times. Esp. in my father's case with his having dementia. And unable to take fluid without assistance at that point. And yet they are being treated in a hothouse. Frankly it all felt a bit 3rd world. None of which is commentary on the staff. For the avoidance of doubt.
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IFISAcava
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Post by IFISAcava on Nov 29, 2023 11:28:35 GMT
A friend of mine (orthopedic surgeon) was on call last night at a major London hospital. He was staying in an "on-call room" (think Travelodge but nasty) at the hospital. The room was unheated. This I am afraid is entirely typical of how professionals are treated in today's NHS.
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benaj
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Post by benaj on Nov 29, 2023 11:39:40 GMT
Not sure if NHS service fit everyone, but it seems some NHS GPs are working some hours for private health services.
According the Monument, 15 mins GP appointment is under £70 from Bupa.
£200 buy 4 x 15 appointment pass, valid for a year
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keitha
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Post by keitha on Dec 2, 2023 11:16:25 GMT
It's not that "they designed a system", it's that every(*) trust, hospital, department, and device has had different systems designed for them. Over decades. * Not every system, but you get the point. For example a friend of mine is an ophthalmologist. Her previous hospital used a system to record training and accreditation etc for different procedures. As part of her rotation she was moved to a new hospital. Which uses the same system. But... the systems don't talk to each other. It took her fourteen hours to get accredited on the new system. Fourteen hours when she could have been attending patients in clinic, or operating in theater. Now multiply that kind of astonishing inefficiency across the entire NHS. not just the NHS, I worked for Local Authorities, and private companies providing IT services to Local Authorities, the amount of tweaking of systems between district councils under the same local Authority was incredible. But I remember once we were looking to replace a very old Payroll system with something newer and the leader of the council said in a meeting that he couldn't understand why a Payroll system would cost £100,000 plus, as his son had written a fully functional payroll system in a weekend, this fully functional system was a joke, I saw it, you typed in the Payroll number it found the person and filled the screen with their details, you then typed in Gross salary, amount of Tax, Amount of NI and pension and it calculated the net and printed a payslip. Payroll is rather more complicated than that.
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michaelc
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Post by michaelc on Dec 2, 2023 15:51:51 GMT
A friend of mine (orthopedic surgeon) was on call last night at a major London hospital. He was staying in an "on-call room" (think Travelodge but nasty) at the hospital. The room was unheated. This I am afraid is entirely typical of how professionals are treated in today's NHS. Are you suggesting manager types are treated better than consultants? Perhaps things have changed in this regard but 30 years ago, there was a very visible hierarchy. Consultants and profs were treated like Gods, next other doctors, then trainee doctors, technical staff and finally nurses and right at the bottom the auxiliary nurse. Certainly in my hospital I see there is a car park dedicated to "Doctors only". Needless to say unless you're a doctor it is very difficult to get a space. Perhaps the nurses and indeed managers have another carpark for them but I haven't seen it. I suggest the poor quality room RM's friend had to stay in was down to the state of the hospital buildings. Many of which now are indeed approaching 3rd world.
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keitha
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Post by keitha on Dec 2, 2023 17:34:47 GMT
Yes it's changed and not for the better
Consultants secretaries outrank nurses.
16 week wait monitoring etc, outrank even senior nurses.
most admin staff think they outrank nurses
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Steerpike
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Post by Steerpike on Dec 2, 2023 18:11:52 GMT
Why Labour believes Australia has the answer to fixing the NHS"International league tables show that Australia’s health services outperform those of the UK on a wealth of measures: life expectancy, mortality from cancer, heart attacks and strokes among them. Much of this comes down to diagnostics: Australia has four times as many CT, MRI and PET scanners relative to its population, along with more doctors, nurses and hospital beds. Interestingly, it achieves this while spending significantly less on health, at 9.6 per cent of GDP compared with the UK’s 11.3 per cent, according to latest comparative data from the Organisation for Economic Co-operation and Development (OECD)."
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james100
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Post by james100 on Dec 2, 2023 22:07:44 GMT
Why Labour believes Australia has the answer to fixing the NHS"International league tables show that Australia’s health services outperform those of the UK on a wealth of measures: life expectancy, mortality from cancer, heart attacks and strokes among them. Much of this comes down to diagnostics: Australia has four times as many CT, MRI and PET scanners relative to its population, along with more doctors, nurses and hospital beds. Interestingly, it achieves this while spending significantly less on health, at 9.6 per cent of GDP compared with the UK’s 11.3 per cent, according to latest comparative data from the Organisation for Economic Co-operation and Development (OECD)." If I had to suggest key differences to take from Australian system to achieve better overall results in UK (irrespective of whether they align with my politics) they would be: 1) push middle+ earners out of state system by stinging them with an extra 1-1.5% tax levy (edit: if they can't evidence private health insurance on their tax return details)2) massive immigration push to welcome medics (all levels) and their families into the UK (and keep them here) 3) make sure the huge proportion of population pushed onto private or semi-private insurance take advantage of annual (included) preventative healthcare checks 4) copy the vast number of Aussie walk in medical centres that have acted as half-way houses between hospitals and GPs for decades 5) copy private diagnostic centres and state links (e.g. there's literally a diagnostic centre in almost every suburb of Sydney, again for decades) 6) accept that state healthcare is very, very rarely free in the sense spoken of when people say the NHS is free, inc "good" GP appointments, bloods, x-rays, scans etc. 7) accept that the best net outcomes may be most easily achieved by a 2-tier system where service received correlates with financial contribution made And if he wants to spend less then he could have learned all that without flying to flipping Marouba!  State healthcare in Oz is a back-up plan. State-private hybrid is fine. Private is good. It's not perfect and has been a very long time in the making. Australia always seems to get dragged into the mess of pre-GE UK politics. I silently scream every time. Jeremy Hunt is also at it I see. Can't be bothered to rectify the crucifixion of expat pensioner finances (Brits retiring in Oz get no UK state pension uplift; returning Brits get double-taxed on their Australian pensions) yet here he is whining on again about the great pension system and making jokes about the cricket www.telegraph.co.uk/business/2023/12/02/jeremy-hunt-mimick-australia-pension-supercharge-uk/
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