adrianc
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Post by adrianc on Feb 5, 2024 12:29:11 GMT
For separate reasons this was the one time I've been (very) nonplussed by the attending paramedics. It was the carer that called them on her morning visit: she suspected a second stroke. The paramedics eventually called me to discuss. They were pushing back on taking him to hospital. They asked me in a loaded way whether I wanted him to go. ... He never left hospital and passed away about 2 and 1/2 weeks later. Sounds like you may have been failing to read between the lines. It sounds a lot like the paramedics were hinting "He's on his way out. Wouldn't you rather he fade away in the care home than in hospital?" - and I think my answer would have been to agree with them.
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Post by bracknellboy on Feb 5, 2024 12:31:59 GMT
For separate reasons this was the one time I've been (very) nonplussed by the attending paramedics. It was the carer that called them on her morning visit: she suspected a second stroke. The paramedics eventually called me to discuss. They were pushing back on taking him to hospital. They asked me in a loaded way whether I wanted him to go. ... He never left hospital and passed away about 2 and 1/2 weeks later. Sounds like you may have been failing to read between the lines. It sounds a lot like the paramedics were hinting "He's on his way out. Wouldn't you rather he fade away in the care home than in hospital?" - and I think my answer would have been to agree with them. except he wasn't in a care home. And he couldn't have been managed at home without 24 hour round the clock care. Otherwise, you might have had a point.
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benaj
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Post by benaj on Feb 5, 2024 12:32:32 GMT
Sorry to hear that bracknellboy. I hope there will be someone / something “care” for me when I get severely frail. The data might not save the frail version of me, but the “care” might help me enjoy “better” life. |
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adrianc
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Post by adrianc on Feb 5, 2024 12:36:19 GMT
Sounds like you may have been failing to read between the lines. It sounds a lot like the paramedics were hinting "He's on his way out. Wouldn't you rather he fade away in the care home than in hospital?" - and I think my answer would have been to agree with them. except he wasn't in a care home. And he couldn't have been managed at home without 24 hour round the clock care. Otherwise, you might have had a point. Ah, yes, apologies for the mis-reading.
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Post by bracknellboy on Feb 5, 2024 12:58:51 GMT
except he wasn't in a care home. And he couldn't have been managed at home without 24 hour round the clock care. Otherwise, you might have had a point. Ah, yes, apologies for the mis-reading. and of course at that point the paramedics simply wouldn't have known what the prognosis was - it took the doctors around 5-6 days - and were instead simply of the view that he had not a new event, or at least one that required hospital admission.
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benaj
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Post by benaj on Feb 5, 2024 13:31:45 GMT
Meanwhile, the alternative health care provider sent me an email and asking for my feedback of my visit.
I wonder if the “National” service can handle and do the same for every single patient.
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Post by overthehill on Mar 21, 2024 15:14:32 GMT
For no particular reason my research starts here. Long lists, might take a while. Just a sprinkling of what the NHS has to deal with.
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Post by brightspark on Mar 21, 2024 16:34:41 GMT
The NHS has a potentially infinite workload that expands until the resources available are employed to capacity. An alternative model would have defined objectives set by politicians with anything outside those objectives handled by the private sector. The NHS can never deal with all the demands placed upon it and a serious rethink and redefinition is needed of its role in society.
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Post by moonraker on Mar 22, 2024 8:15:22 GMT
Meanwhile, the alternative health care provider sent me an email and asking for my feedback of my visit. I wonder if the “National” service can handle and do the same for every single patient. I get emails from my NHS hospital and occasionally from my surgery asking for feedback. When I had heart surgery last year, the private hospital where my surgeon was based had terrible reviews, mostly of its switchboard, catering and other support staff. Luckily my op was carried out at the nearby NHS hospital, where everyone was great. The surgeon's PA was super-efficient.
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Post by moonraker on Mar 22, 2024 8:18:24 GMT
The NHS has a potentially infinite workload that expands until the resources available are employed to capacity. An alternative model would have defined objectives set by politicians with anything outside those objectives handled by the private sector. The NHS can never deal with all the demands placed upon it and a serious rethink and redefinition is needed of its role in society. But what/which political party will grasp that nettle? There would need to be a review, probably lasting four or five years and costing a lot of money, with the Government of the day then "considering" it for a couple more years.
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Greenwood2
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Post by Greenwood2 on Mar 22, 2024 8:46:17 GMT
The NHS has a potentially infinite workload that expands until the resources available are employed to capacity. An alternative model would have defined objectives set by politicians with anything outside those objectives handled by the private sector. The NHS can never deal with all the demands placed upon it and a serious rethink and redefinition is needed of its role in society. But what/which political party will grasp that nettle? There would need to be a review, probably lasting four or five years and costing a lot of money, with the Government of the day then "considering" it for a couple more years. It is rationed at the minute by waiting lists and priorities due to being employed to capacity . If you need an organ transplant you join a list where not everyone is equal, similarly with joint replacements. Routine surgeries you have to wait your turn because the capacity is exceeded. And the NHS will not cover some things at all. Those who can afford it go private, if it's possible, to jump the queues.
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Post by brightspark on Mar 22, 2024 9:25:09 GMT
I fully concur with your conclusion that currently there is rationing by demand excess. From a government perspective that is not a sensible use of resources nor intellectually honest. A public grown-up and joined up discussion needs to occur regarding things such as spending on the elderly, research priorities, population behaviour where individuals deliberately engage in high risk activities, resources to be dedicated to the less able and disabled etc etc. Since the NHS came into being so 70 years ago much has changed in the world from one where the provision of beds, bandages, a limited supply of effective drugs and some surgery was all that available. The NHS now consumes a huge amount of taxpayer money of which many would argue much is ill-directed.
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michaelc
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Post by michaelc on Mar 22, 2024 17:39:26 GMT
I fully concur with your conclusion that currently there is rationing by demand excess. From a government perspective that is not a sensible use of resources nor intellectually honest. A public grown-up and joined up discussion needs to occur regarding things such as spending on the elderly, research priorities, population behaviour where individuals deliberately engage in high risk activities, resources to be dedicated to the less able and disabled etc etc. Since the NHS came into being so 70 years ago much has changed in the world from one where the provision of beds, bandages, a limited supply of effective drugs and some surgery was all that available. The NHS now consumes a huge amount of taxpayer money of which many would argue much is ill-directed. What is that debate about I wonder? Not treating you for certain things above a certain age? I'd like to see "not free at the point of use" being extended from dentistry as a tool to reduce missed appointments etc and to target cash into things such as GP appointments made flexibly longer, more easily available and available at short notice. Ultimately, we need to train more doctors.
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Greenwood2
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Post by Greenwood2 on Mar 22, 2024 17:52:12 GMT
I fully concur with your conclusion that currently there is rationing by demand excess. From a government perspective that is not a sensible use of resources nor intellectually honest. A public grown-up and joined up discussion needs to occur regarding things such as spending on the elderly, research priorities, population behaviour where individuals deliberately engage in high risk activities, resources to be dedicated to the less able and disabled etc etc. Since the NHS came into being so 70 years ago much has changed in the world from one where the provision of beds, bandages, a limited supply of effective drugs and some surgery was all that available. The NHS now consumes a huge amount of taxpayer money of which many would argue much is ill-directed. What is that debate about I wonder? Not treating you for certain things above a certain age? I'd like to see "not free at the point of use" being extended from dentistry as a tool to reduce missed appointments etc and to target cash into things such as GP appointments made flexibly longer, more easily available and available at short notice. Ultimately, we need to train more doctors. You can train as many doctors as you want but if they don't want to be GPs in the traditional sense, ie, they want to be self employed, locums, not work anti-social hours, not really involved (don't want to be partners) in the practice the current GP system doesn't work. I don't know how you can change this. Treatment is already delayed for many people regardless of age to the point at the very least it is detrimental to health.
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benaj
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Post by benaj on Mar 22, 2024 18:28:31 GMT
Recent experience:
Family member visited a NHS health centre for blood test on 4th March. No results uploaded on the NHS app. Perhaps the blood sample or data got lost somewhere.
Earlier in February, I was invited for a NHS health check with a different health clinic. It was done in 20 minutes. The health assistant took readings on my blood pressure, took some blood samples and completed a questionnaire. Results uploaded to my NHS app within 48 hours.
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