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NHS group to consider weekend services...
Comments
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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.
The police can't afford a 24/7 level of servicce provision either. Out of hours the police service doesn't provide the same level of service though, eg
Police stations closed evenings & weekends
Slower response times, especially in rural areas
Less support services (eg forensics) to process crimes0 -
The police can't afford a 24/7 level of servicce provision either. Out of hours the police service doesn't provide the same level of service though, eg
Police stations closed evenings & weekends
Slower response times, especially in rural areas
Less support services (eg forensics) to process crimes
I understand what you are saying about the present, we should never have allowed services like this to be cut back as much as they have done, then they kid us on that the service is centralised and not affected. Boll...s
When I was in the Police Force back in the 70s I can recall a full 24/7 service to the public, unless I am going through a Senior Moment.
This was a country station.0 -
When I was in the Police Force back in the 70s I can recall a full 24/7 service to the public, unless I am going through a Senior Moment.
Our local police station closed at 6pm during the week and didn't open at all on weekends. Support was from the next town, 8 miles down the road. That was in the 1970s.
We called in a pub fight when I was a barman in the late-1980s/1990. The caller was told that the only car was dealing with a drunk driver so would be unable to attend for ages. We moved glasses, pool cues etc out of the way to remove weaponry and just sort of waited for it to blow over.
I would be astounded if at any point during the history of the police force in the UK the same level of staffing was in place at 2am as at 2pm.0 -
Listerbelle wrote: »MPs, off the top of my head.... slightly fuzzy brained, off to start my 3rd of three nights in 35 mins
Note really, they've got a pay freeze from 2010 till 2013 (and don't have pay scale increments so don't get them like some bits of the public sector has dispite the pay freeze) & their pension was changed for the worse a few years ago and suffered the same CPI/RPI switch as other schemes.0 -
honestly?
I work in the NHS and would be very happy for this to be implemented. It has clear patient benefits, and not only for the patient but also for finances: e.g. often people get escorted to and from home by an ambulance because no-one can transport them, because friends/family and carers are at work, this is an expensive service (and one that most patients would rather not use).
It's not "just" a patient that has to take time off work, it is people to transport, support and care for them too.
I can understand it being personally difficult for some employees (i'd have to rework how to organise childcare for example. But as a whole system it does make sense.
it's not a simple "40% more costs": much of a hospital is maintained over the weekend anyway, and inpatients are expensively fed/washed/monitored/heated/nursed to "hold them over" until they can be investigated or treated on monday/tuesday etc. There will be (complicated to calculate but nonetheless real) savings from maximising capital assets, less on call payments for weekends, and no "weekend rates" because it will be a rota that is planned for.
it will come, the NHS can't survive if it doesn't adapt to this, the head of the BMA is pretty much last at the top table to come round to this view.:AA/give up smoking (done)0 -
That could then in turn dilute the system, that it would be as you say less safe over the whole of the Hospital.
Many areas are already cover 24/7 for critical cover and many clinics are now running much wider than simply 9-5, 5/7.
Many complimentary services have already been squeezed to provide higher levels of cover 24/7 with no extra pay, extra hours added to rotas for same level of pay, in addition to pay freezes etc.
This is debilitating staff with slow burn effects that will impact on care overall as you suggest."If you act like an illiterate man, your learning will never stop... Being uneducated, you have no fear of the future.".....
"big business is parasitic, like a mosquito, whereas I prefer the lighter touch, like that of a butterfly. "A butterfly can suck honey from the flower without damaging it," "Arunachalam Muruganantham0 -
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.
Easy change of contract at point of renegotiation. Especially when the NHS is a service industry where the main healthcare professionals (doctors) CBA to provide a service.0 -
Weekend pay is often part of the weekly rota. WHere it isn't "premium" rates have been forced down, or operative hours significantly reduced.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!
If you really need care it is available 24/7X7 and IME/O it doesn't materially matter when you call on it.
Spreading the work across 7 days won't make much impact once the change has been absorbed.
Different but not much to supermarkets opening 24/7. Once they all do it the, if there is no more money to be spent on food (operations) then no more gets purchased (done) and market share won't change.
In many cases new equipment gets installed, at heavy capital cost, to improve throughput, but there is no funding for people to actually use it."If you act like an illiterate man, your learning will never stop... Being uneducated, you have no fear of the future.".....
"big business is parasitic, like a mosquito, whereas I prefer the lighter touch, like that of a butterfly. "A butterfly can suck honey from the flower without damaging it," "Arunachalam Muruganantham0 -
Another reason i have private health insurance
Why do you think that would make a difference?
The conclusion that hospitality mortality is higher for weekend admissions isn't restricted to the NHS. In fact it's pretty much a global phenomenon, it's known as the "weekend effect" and scholarly journals regularly publish research into its existence or non-existence.0 -
Fine if you want your hip, coronary bypass or MRI done a bit quicker. Not going to help you in an emergency, or at a weekend.
May not even help then if we need more (2/5s) of their private sector time to help man the NHS tables."If you act like an illiterate man, your learning will never stop... Being uneducated, you have no fear of the future.".....
"big business is parasitic, like a mosquito, whereas I prefer the lighter touch, like that of a butterfly. "A butterfly can suck honey from the flower without damaging it," "Arunachalam Muruganantham0
This discussion has been closed.
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