tag:blogger.com,1999:blog-4411161795798360588.post1483493997844044518..comments2024-03-26T09:38:39.888+00:00Comments on Borthlas: Policy, not money, is the main problem with the NHSJohn Dixonhttp://www.blogger.com/profile/07447224248021209852noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-4411161795798360588.post-71914046153244563732018-01-14T16:59:55.780+00:002018-01-14T16:59:55.780+00:00In my experience, basic administration within the ...In my experience, basic administration within the health service is often shockingly chaotic which in turn results in enormous waste. Furthermore, although no politician would dare to say it, the quality of the staff the NHS employs is hugely variable. Some are, of course, outstanding. But there are others who fall well short of adequate. I am not sure if that is down to inadequate training or simply a reflection of the quality of the available abour force. In both cases though, I doubt that more funding will, of itself, resolve the problem.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4411161795798360588.post-48530812687308393042018-01-13T17:10:13.983+00:002018-01-13T17:10:13.983+00:00Throughout my adult life the one consistent theme ...Throughout my adult life the one consistent theme about the NHS has been -it’s not working.<br />More and more money does not solve the problem; therefore, it could well be the structure, constraints and general bad policy and timidity in taken on this emotional emblem that is carefully nurtured by the vested interests that support their way of life.<br />This vast apparatus is never going to work as it`s size makes it unmanageable, all policies are compromises and one size fits all has wreaked havoc, so money is not the problem, what is the problem is productivity.<br />To give an example Imperial Collage issued data on GP`s (who are private contractors), showing the big increase in women GP`s, but only one fifth elect to work full time, with male GP`s only fifty percent elect to work full time. I checked with my very busy surgery that has five doctors (male and female) and none work full time. So, the extra money put in to create doctors do not increase capacity.<br />The reasons can be personal, but the amount the get paid puts them higher tax bracket and the more hours they work brings the per hour rate down and might well put them in the super tax bracket, -airlines have the same problem with pilots. <br />Spirit of BMEnoreply@blogger.comtag:blogger.com,1999:blog-4411161795798360588.post-28720117459886490202018-01-13T10:20:07.943+00:002018-01-13T10:20:07.943+00:00Your point about policy seems to be backed up by t...Your point about policy seems to be backed up by the recent British Dental Association report about tooth decay in England. Tooth decay is the number one reason for youngsters going to hospital in England. Unlike Wales, England has no dedicated child oral health programme and the BDA feel that England has a second rate service compared to Wales and Scotland. The Royal College of Paediatrics and Child Health Smith said the figures were "startling" and "should act as a wake-up call to policy makes".Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4411161795798360588.post-11259470813364833412018-01-12T15:25:08.471+00:002018-01-12T15:25:08.471+00:00"Significantly less than it currently provide...<i>"Significantly less than it currently provides is the honest answer."</i> Perhaps unsurprisingly, I don't agree with that statement, although it's so devoid of detail as to be meaningless. But if by any chance I did want to <i>"try telling that to an ever demanding population"</i>, I think that I might start by explaining what it means rather than assuming that it's their problem for not instantly agreeing with a wild assertion stated as though it were incontrovertible fact.John Dixonhttps://www.blogger.com/profile/07447224248021209852noreply@blogger.comtag:blogger.com,1999:blog-4411161795798360588.post-26556834769814243822018-01-12T14:11:20.062+00:002018-01-12T14:11:20.062+00:00I think you miss the point. The problem with the h...I think you miss the point. The problem with the health service isn't about funding, it's about what services the NHS is meant to provide.<br /><br />Significantly less than it currently provides is the honest answer. And to provide 'significantly less' it has more than enough money.<br /><br />But try telling that to an ever demanding population. And try getting them to understand the why's and wherefore's.Anonymousnoreply@blogger.com