Greenwood2
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Post by Greenwood2 on Apr 30, 2023 8:59:03 GMT
You really don't know how to give feedback on somebody's poor work without demeaning and attacking them personally? I am not talking about deliberate personal attack, but if criticism is immediately assumed to be a personal attack, however diplomatically you try to tell someone their work is not up to scratch it's not going to be acceptable. You can say I know you tried very hard (although you know they didn't) but on this occasion unfortunately you have not quite measured up to expectations or any number of platitudes, but at the end of the day it is them who's work is not good enough and it is personal because it was them, not someone else.
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adrianc
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Post by adrianc on Apr 30, 2023 9:16:39 GMT
You really don't know how to give feedback on somebody's poor work without demeaning and attacking them personally? I am not talking about deliberate personal attack, but if criticism is immediately assumed to be a personal attack, however diplomatically you try to tell someone their work is not up to scratch it's not going to be acceptable. And therein lies the line. The investigation found that Raab crossed it, but he is trying to play the innocent and claim that it's the second.
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Post by Deleted on Apr 30, 2023 18:00:53 GMT
Re "bullying" et al. We have become a nation of far too many pitiful wet wimps, with no backbone - it is very easy to tell that no-one (or VERY few) on here ever sold photocopiers. In Central London. In the early '80s.  One of my sisters did, in London and the Eastern block. She did it by being nice, not bullying. There certainly are some sorts of men who are very limited in their different styles and ability so assume shouting works all the time. It doesn't, it is merely incompetence.
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Post by moonraker on May 1, 2023 9:26:36 GMT
Back to the NHS: I don't follow the media coverage of the strikes closely, but I've yet to see or hear anything about those who did not vote to strike. With the RCN, 61% of eligible members voted on the pay offer, and of these 54% voted to reject it and 46% to accept.
Which may suggest to some that only a third of RCN members want to strike. VERY simplistic, I know.
But there must be some RCN members who disapprove of the action and there must be debate and concern within the nurses' ranks about how it's affecting patients - and, indeed, other staff. And perhaps the "debate" has led to ill-feeling between colleagues. Presumably those RCN members who disapprove of the industrial action still feel obliged not to turn up for work.
Some (most? all?) nurses must be under increased pressure because of the situation, if only when coping with aggrieved patients, especially when the latter's conditions have worsened.
(Despite now having a personal interest in the immediate ending of industrial action, my sympathies remain mainly with those taking it.)
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Post by Deleted on May 2, 2023 7:49:19 GMT
About 12/15 years ago the NHS renegotiated the dentist's deal. My dentist was on the negotiating committee. The other side shocked my dentists team. It was clear that the civil service did not understand what they were negotiating. It seemed as if the civil service wanted to pay too much for some actions and not enough for others. Anyone who thinks we have world class civil servants has been living in cloud cuckoo land. The idea that nationalising industries suddenly makes services better is nonsense.
Civil servants work to Ministers and to Government policies, though the Dominic Raab affair has prompted accusations of how they manipulate the system, such us presenting several options, all of which except the one they favour are (almost) obviously impractical.
The churning of civil servants and Ministers does not facilitate the acquisition of specific experience and knowledge. The other day a former junior Minister reckoned that two years in the job were the minimum necessary, but many don't last that long. When I was a Government press officer, I had a new Tourism Minister every year, affable coves, who spent a lot of time visiting tourist attractions, posing for a photo-opportunity and chatting to the owners/managers. Always pleasant for me, but I don't think any of them made any difference to policy.
Generally I agree.
But
Imagine a minister goes to the servant and says, "buy us some tanks" at what point does the minister's responsability stop in terms of "I want the fire button to be red".
I imagine a minister is like me. I get interested in some stuff and less interested in other stuff. So negotiation with dentists.... tick. Push prevention.... tick. Pay £10 or £20 per teath check.... getting bored now. My guess is that is when a civil servant who is normally birghter than an MP steps in a says that it is all covered in this 200 page paper.
"Wine please"
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Post by moonraker on May 6, 2023 16:10:25 GMT
Recently I popped into eye casualty with an issue, had a few details taken by the receptionist, spotted the notice advising that one might have to wait two to three hours, and sat down in the waiting room. Within two minutes I was in triage, and after 10 or 12 minutes of chat and examination was referred to a private clinic "working in partnership with the NHS", with an appointment the next working day. Very impressive, I thought, though I later reflected that on several visits some years before I'd been seen by a doctor there if not quite then, having to wait an hour or so.
I wonder what the financial arrangement is between the NHS and the clinic? Just before Lockdown, a Specsavers optometrist was concerned with something she'd spotted and referred me to my GP. A letter quickly arrived from the eye clinic giving a waiting time of two or three months IIRC. I foresaw months of disruption (and I was correct) and got seen at a private hospital in the week before Lockdown. I was with the consultant for less than 20 minutes and got reassurance - and a bill for £400+, about half of which was his fee, the rest being a charge by the hospital for the use of its equipment. (The consultant's secretary had not mentioned the latter charge when I had made enquiries.)
Direct referral to an NHS clinic by an optometrist is being suggested as one way of easing pressure on GPs.
UPDATE: When I arrived at the private clinic today, I was politely welcomed and seen on time. But the consultant: complete charisma bypass and no empathy. If I'd been paying for the appointment, rather than the NHS, I would not have been pleased. Dunno if NHS patients are palmed off with the lesser achievers. When my dental practice had some NHS patients we got seen by people straight out of dental college who moved on after a year - not that I ever had reason to complain about the treatment, which was excellent.
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Post by bracknellboy on May 6, 2023 16:48:23 GMT
Recently I popped into eye casualty with an issue, had a few details taken by the receptionist, spotted the notice advising that one might have to wait two to three hours, and sat down in the waiting room. Within two minutes I was in triage, and after 10 or 12 minutes of chat and examination was referred to a private clinic "working in partnership with the NHS", with an appointment the next working day. Very impressive, I thought, though I later reflected that on several visits some years before I'd been seen by a doctor there if not quite then, having to wait an hour or so.
I wonder what the financial arrangement is between the NHS and the clinic? Just before Lockdown, a Specsavers optometrist was concerned with something she'd spotted and referred me to my GP. A letter quickly arrived from the eye clinic giving a waiting time of two or three months IIRC. I foresaw months of disruption (and I was correct) and got seen at a private hospital in the week before Lockdown. I was with the consultant for less than 20 minutes and got reassurance - and a bill for £400+, about half of which was his fee, the rest being a charge by the hospital for the use of its equipment. (The consultant's secretary had not mentioned the latter charge when I had made enquiries.)
Direct referral to an NHS clinic by an optometrist is being suggested as one way of easing pressure on GPs.
In mid 2021, I was referred by my GP directly to a private physio service. This wasn't 'for physio' but effectively for diagnosis (and treatment). This was shortly after the end of lockdown 1. I think they kept that arrangement going for quite a while.
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Post by moonraker on May 9, 2023 9:25:13 GMT
Enabling patients to receive more advice and prescriptions from GPs seems a good idea, but pharmacies themselves are under great strain. The small one 12-15 minutes' walk from me is swamped and can't even answer the phone several days a week. The other week, I tried 16 or so times to re-order a prescription that I couldn't do on-line, walked down and waited for 25 minutes to speak to an assistant. Seven working days after re-ordering, I have to wait for 20 minutes for the prescriptions to be made up.
Several times in the queue have been residents of a village three miles from me who have given up on their local pharmacy, which is often closed because of staff shortages.
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michaelc
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Post by michaelc on May 9, 2023 17:21:35 GMT
Enabling patients to receive more advice and prescriptions from GPs seems a good idea, but pharmacies themselves are under great strain. The small one 12-15 minutes' walk from me is swamped and can't even answer the phone several days a week. The other week, I tried 16 or so times to re-order a prescription that I couldn't do on-line, walked down and waited for 25 minutes to speak to an assistant. Seven working days after re-ordering, I have to wait for 20 minutes for the prescriptions to be made up.
Several times in the queue have been residents of a village three miles from me who have given up on their local pharmacy, which is often closed because of staff shortages.
Since I started using www.pharmacy2u.co.uk/ I've never looked back. My local pharmacy isn't quite as busy as yours sounds but its still busy and it was just another annoying thing to do every 2 months or go wrong. Not anymore...
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Post by moonraker on May 10, 2023 10:26:08 GMT
Reference my thread above about the NHS farming me out to a private company, and in the light of the Government's announcement that in some cases GPs would not need to be involved in referrals for treatment: after he'd examined me, the doctor could find nothing to concern. him but thought that "a routine scan" might be an idea (leaving the decision to me). At first he spoke of referring me back to the hospital that had referred me to him and where the scan would be carried out, then he decided to write to my GP (hitherto not involved in the matter) asking her to refer me to the hospital.
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Post by bracknellboy on May 10, 2023 12:53:04 GMT
Reference my thread above about the NHS farming me out to a private company, and in the light of the Government's announcement that in some cases GPs would not need to be involved in referrals for treatment: after he'd examined me, the doctor could find nothing to concern. him but thought that "a routine scan" might be an idea (leaving the decision to me). At first he spoke of referring me back to the hospital that had referred me to him and where the scan would be carried out, then he decided to write to my GP (hitherto not involved in the matter) asking her to refer me to the hospital.which will go by snail mail not electronic, I strongly suspect. Welcome to healthcare, UK style. I'd be conscious of chasing that up with your GP after a sufficient period has elapsed (allowing for Royal Mail strike days of course). One from a private consultant to my GP never turned up (or was never found by them anyway). I got an electronic copy and emailed it to the surgery.
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registerme
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Post by registerme on May 10, 2023 15:43:08 GMT
My hip's been giving me trouble (don't you just love getting older).
I called my GP surgery on the 24th April. Had a telephone consultation that afternoon where we arranged a physical consultation for Saturday the 29th. He basically said "we need an x-ray done in case it's osteoarthritis" and explained that I could go to St Thomas' without an appointment. I went to Tommies on Thursday the 4th. The whole thing, including travel time, took an hour and a half. I basically had no wait time at the hospital, which I was not expecting.
The x-ray will have already been reported on, but it's not urgent and I have a follow up telephone appointment with my GP to discuss the results on the 25th May.
The only gripes I have are that my GP never forwarded the "x-ray request he's on his way at some point" to the hospital, which necessitated me calling the GP and getting them to send it across on the day (which worked fine), and that I had to register with the hospital (seems strange when the NHS already has all my details). The receptionist at Tommies was friendly, helpful, and accommodating in terms of sorting this out.
But I do wonder how much these inefficiencies cost if they're prevalent across the whole of the NHS.
So let's call it... 9/10. So far.
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Post by bracknellboy on May 10, 2023 16:37:16 GMT
My hip's been giving me trouble (don't you just love getting older). I called my GP surgery on the 24th April. Had a telephone consultation that afternoon where we arranged a physical consultation for Saturday the 29th. He basically said "we need an x-ray done in case it's osteoarthritis" and explained that I could go to St Thomas' without an appointment. I went to Tommies on Thursday the 4th. The whole thing, including travel time, took an hour and a half. I basically had no wait time at the hospital, which I was not expecting. The x-ray will have already been reported on, but it's not urgent and I have a follow up telephone appointment with my GP to discuss the results on the 25th May. The only gripes I have are that my GP never forwarded the "x-ray request he's on his way at some point" to the hospital, which necessitated me calling the GP and getting them to send it across on the day (which worked fine), and that I had to register with the hospital (seems strange when the NHS already has all my details). The receptionist at Tommies was friendly, helpful, and accommodating in terms of sorting this out. But I do wonder how much these inefficiencies cost if they're prevalent across the whole of the NHS. So let's call it... 9/10. So far. those operational inefficiencies are rampant across much of one's interaction with the NHS, IMHO. And between the NHS and private sector. Simple example and contrast. When my father was sent for an MRI scan by his private consultant. The scan was being doing out of an NHS site/service but being paid for privately. The delay for the scan wasn't too bad (but then we were paying). But as for the follow-up appointment with the consultant, the comments from him were that we needed to leave at least a week between the scan being done and the follow-up appointment because it would take that long to get the results back from the scan. In the event, when we went for the consultant appointment, only about half the scan results were actually available to him. In his words someone had not pressed the button to send the second scan results (which was a different scan, same machine, same appointment). Contrast that with my brother's experience in Belgium (or might have been NL - they travel). Doctor's appointment was the same day or next day; the scan was done with only a few days wait, and the results were electronically available to his doctor something like two hours afterwards. So everything joined up. Good job we have a National health system...
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Post by moonraker on May 11, 2023 16:40:39 GMT
Reference my thread above about the NHS farming me out to a private company, and in the light of the Government's announcement that in some cases GPs would not need to be involved in referrals for treatment: after he'd examined me, the doctor could find nothing to concern. him but thought that "a routine scan" might be an idea (leaving the decision to me). At first he spoke of referring me back to the hospital that had referred me to him and where the scan would be carried out, then he decided to write to my GP (hitherto not involved in the matter) asking her to refer me to the hospital. which will go by snail mail not electronic, I strongly suspect ... I nearly replied to say that communications between the NHS hospital, me and my GP are mostly electronic. However ...
Today I received a snail mail from the private company advising me of my appointment two days ago. Impossible to see when it was posted and whether it was sent first or standard class, though the letter did bear Friday's date. To be fair, the company texted me a confirmation within an hour of the NHS hospital telling me its proposal to refer me.
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Post by martin44 on May 17, 2023 19:41:44 GMT
just discovered you can order a repeat prescription on the NHS app... ive been trudging every month to my GP's surgery with the paperwork... AI..its brill..  |
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