IFISAcava
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Post by IFISAcava on Dec 3, 2023 10:16:20 GMT
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. Consultants' car parks have been long abolished in most places - consultants are lower on the list for a parking space than most other staff now. Definitely not the case that it is harder to get a space if you aren't a doctor - the opposite is true. There are a few spaces for on call doctors, if they haven't been parked in by someone else. And yes, "manager types" are now treated better than consultants, since manager types make all the rules. Things have changed over 30 years - massively.
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IFISAcava
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Post by IFISAcava on Dec 3, 2023 10:19:54 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 Consultants having secretaries?! If only...
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Post by bracknellboy on Dec 3, 2023 10:35:00 GMT
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. - consultants are lower on the list for a parking space than most other staff now. Definitely not the case that it is harder to get a space if you aren't a doctor - the opposite is true. There are a few spaces for on call doctors, if they haven't been parked in by someone else. And yes, "manager types" are now treated better than consultants, since manager types make all the rules. Things have changed over 30 years - massively. This is not dissimilar of my wife's experience in the police after the increase of civilian staff (which is not itself a bad thing). Car parking at a nick often worked in a way that prioritised civvy staff over police: despite the fact that the latter would be working shift hours not 9-5. And therefore would often be needing to arrive / go at ungodly hours of the night or morning. And transit from the nick to wherever they had parked in 'half blues', making them potential targets in a way a civvy wouldn't be.
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michaelc
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Post by michaelc on Dec 3, 2023 13:52:12 GMT
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. Consultants' car parks have been long abolished in most places - consultants are lower on the list for a parking space than most other staff now. Definitely not the case that it is harder to get a space if you aren't a doctor - the opposite is true. There are a few spaces for on call doctors, if they haven't been parked in by someone else. And yes, "manager types" are now treated better than consultants, since manager types make all the rules. Things have changed over 30 years - massively. I can only speak for my local hospital - Frimley Park Hospital. After queuing around the block to get into the plebs carpark, you pass the "Doctors" half empty one. Maybe some managers make themselves honorary doctors and park there - who knows.
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keitha
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Post by keitha on Dec 4, 2023 14:14:35 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 Consultants having secretaries?! If only... my sister is one, indeed she's the senior secretary in a team of them
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keitha
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Post by keitha on Dec 4, 2023 14:17:14 GMT
Consultants' car parks have been long abolished in most places - consultants are lower on the list for a parking space than most other staff now. Definitely not the case that it is harder to get a space if you aren't a doctor - the opposite is true. There are a few spaces for on call doctors, if they haven't been parked in by someone else. And yes, "manager types" are now treated better than consultants, since manager types make all the rules. Things have changed over 30 years - massively. I can only speak for my local hospital - Frimley Park Hospital. After queuing around the block to get into the plebs carpark, you pass the "Doctors" half empty one. Maybe some managers make themselves honorary doctors and park there - who knows. 2 hospitals i can think of operate a park and ride and doctors and nurses are expected to use it, even community nurses who are in and out, also it only runs between 8 and 6, so in reality useless, however in both of those hospitals admin staff can park on site
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IFISAcava
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Post by IFISAcava on Dec 4, 2023 16:50:01 GMT
Consultants having secretaries?! If only... my sister is one, indeed she's the senior secretary in a team of them one of the lucky few.
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aju
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Post by aju on Dec 5, 2023 10:40:42 GMT
my sister is one, indeed she's the senior secretary in a team of them one of the lucky few. Mrs Aju was a PA for eminent consultant in Cambridge before she retired. Has had some great benefits since retiring too!. (Sometimes she thinks she is my PA too  )
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Post by moonraker on Dec 19, 2023 14:48:07 GMT
This morning I saw a gastroenterologist at a private hospital. He wanted me to have a blood test to determine my iron levels ( which was one of the very few things not covered by two very recent NHS blood tests).
Though I had the test straightaway (usually it takes seven days for an appointment at my GP surgery), I'll probably have to wait some time to be told the results, as the gastroenterologist also works at the local hospital and will have to cover for the junior doctors' strikes in the next week or two. With an NHS blood test, the results are normally put on my Patient Access file within two working days of the test and I can see them at once.
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merlin99
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Post by merlin99 on Dec 19, 2023 15:11:38 GMT
In answer to the subject of this thread, in West Wales it most certainly isn't. In fact some parts of the service are now so b*ggered as to be almost useless for all practical purposes. This includes some of the cancer and much of the geriatric care. Frankly I con only see it getting worse as many of the recent clinical recruits can hardly speak English never mind welsh.
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adrianc
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Post by adrianc on Dec 19, 2023 16:40:09 GMT
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merlin99
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Post by merlin99 on Dec 19, 2023 17:58:49 GMT
However if the NHS is failing to get applicants who are proficient in English and you have others who are "willing to learn and improve" perhaps you will have no other choice but to take them on! This practice has gone on for years and frankly just degrades the quality of the service being provided.
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keitha
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Post by keitha on Jan 11, 2024 12:08:10 GMT
Ring GP surgery this morning, still get the 5 minutes of guff about COVID
get to number 1 in queue and then phone starts to ring and I think great, it rang for 20 minutes before a very bored sounding lady answered,
I explained the issue I need to talk about and that it is affecting me mentally, she goes off to speak to someone and comes back 10 minutes later, we have someone who can speak to you.
so I ask for an appointment
"I'm sorry we have no appointments the person who sets up the slots isn't in this week so everyone has to wait until Tuesday next week when she is back and will be able to open some slots up, if it was an emergency you could come in and wait and the doctor might see you, but you will be waiting at least 3 hours"
right so although they have staff the system isn't working because only 1 person, can do a specific job. The surgery took the online booking system down in 2020 because patients were booking slots for minor issues, at the same time they took the system for requesting repeat prescriptions offline so now you have to ring up. Honestly it feels like the practice is run for the benefit of the staff not the patients
get off the phone and my post has arrived and there's one from health board
basically it says my GP's resigned in 2018 ( that's the first I knew ) I knew message on answerphone changed late 2020, and that as of 1st April a new GP partnership will take over, honestly I hope they will sort the system out, but I fear unless they oust some of the staff it won't improve
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adrianc
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Post by adrianc on Jan 11, 2024 12:31:21 GMT
... Honestly it feels like the practice is run for the benefit of the staff not the patients ... basically it says my GP's resigned in 2018 ( that's the first I knew ) ... Remember almost all GP surgeries are privately owned and run businesses, contracted to the local NHS/GIG primary care trust - and have been since the NHS was founded. If you find one surgery incompetent, change to another. Most people haven't had a specifically allocated GP for *decades*, if ever - they're signed up to one particular practice.
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mogish
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Post by mogish on Jan 11, 2024 14:45:33 GMT
Our clinic is much the same. Hit or a miss on what service quality you get.
5 options to press before a long wait to get call answered by a disinterested teenager who either never listens or cuts you off.
No one to complain to without fear of being barred and a different Gp if you are lucky enough to see one.
The nurses are great though for routine jabs etc.
A truly broken system . Today's disgraceful figures sum this up. No political party can fix it. This was happening way before covid.
Fingers crossed it improves or a 2 tier system will surely develop.
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