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NHS group to consider weekend services...
Comments
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MacMickster wrote: »It may well do due to the increased numbers of staff present, but conversely, they would be less safe Monday to Friday as there would be fewer staff present on those days and they would inevitably be more stretched.
That could then in turn dilute the system, that it would be as you say less safe over the whole of the Hospital.
Maybe the Chancellor could wave his magic wand and find the money, as he has done in the past, monies that he did not know that he had.0 -
Listerbelle wrote: »Tongue in cheek? ...
Well, yes....Listerbelle wrote: »Otherwise what a ridiculous statement. Consultants already work weekends - often doing longer hours than during the week, and sometimes doing two ward rounds....
But on the other hand, not such a "ridiculous statement" when newspapers print statements like "Hospital consultants should work weekends and evenings to help cut the rising number of deaths in NHS hospitals outside normal working hours, a senior doctor has said." And given that the 'senior doctor' concerned is the chairman of the BMA's consultants' committee he might therefore have some idea of what he's on about.
http://www.telegraph.co.uk/health/healthnews/9132987/Hospital-consultants-should-work-weekends-to-cut-NHS-death-rate.htmlListerbelle wrote: »Now this I agree with somewhat. ...
Just as well. Someone's done a study on that as well.
http://news.bbc.co.uk/1/hi/health/8269729.stm0 -
Listerbelle wrote: »MPs, off the top of my head.... slightly fuzzy brained, off to start my 3rd of three nights in 35 mins
They have had their 'expenses' cut
'Just think for a moment what a prospect that is. A single market without barriers visible or invisible giving you direct and unhindered access to the purchasing power of over 300 million of the worlds wealthiest and most prosperous people' Margaret Thatcher0 -
at last .... anyone who has been admitted over the weekend will notice the lack of qualified staff..... very different to weekdays!0
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Interesting that the only specific service mentioned was day surgery, which is simply not cost effective to open at weekends, and will have no effect on weekend death rates at all.
Most acute specialties in hospitals already operate services that are almost equal seven days a week, they are A&E, Acute Medicine, Maternity, Emergency Surgery and Intensive Care.
The issue of higher death rates at weekends is related mainly to service provision on general wards.
1. Number of doctors - one consultant for each speciality and one junior doctor covering the work of upto 20 doctors.
2. Increased use of 'bank' nurses.
3. Reduced provision of allied services such as endoscopy and radiology meaning that investigations not deemed as 'urgent' aren't performed (these tests occasionally pick up unexpected, serious findings).
In order to have a 24/7 service it's going to involve a lot more doctors and allied staff. Simply not going to happen due to cost, unless the government believes it can renege on the EWTD and get staff to work about an extra 10 unsociable hours a week for no extra pay.0 -
Another reason i have private health insuranceFaith, hope, charity, these three; but the greatest of these is charity.0
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When I worked in the Police Force back in the 70s we successfully covered, as they do now, a 24 hour service to the general public.
Why can't this be done in the NHS and please dont say we cant afford it, otherwise we are never going to solve this ever increasing problem, people are living longer so we are going to have to buget accordingly, otherwise we are going to be eternally sorry.0 -
Why can't this be done in the NHS and please dont say we cant afford it.
We can't afford it. It's pretty black and white. People in this country, including politicians, have completely unrealistic ideas as to what a free health service can provide in the 21st century.
When the NHS was conceived it was at a time when medical care involved mainly nursing care, there were no drugs, and very basic surgery. If a business case was being put forward now for a free healthcare service in this country, it wouldn't be viable.0 -
It doesn't make financial sense, if there is no more money for more staff, why spread the workload out to have wards/theatres running seven days a week when they manage to fit the work into 5?
Weekend pay rates are also higher!0
This discussion has been closed.
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