How to solve the NHS funding crisis

dotchas

GwylimT wrote: »

It was like this when my mother first became a midwife, however a radiorapher had little skill beyond taking and developing x-rays. They are now able to both diagnose and treat. Therapeutic radiographers also diagnose and treat many cancers.

What you are describing is now known as a technician, which does not require a degree, just on the job training that made lead to NVQs, just like HCA's.

Not quite correct, therapeutic radiographers do not diagnose, even diagnostic radiographers do not generally diagnose, they provide high quality images to allow the radiologists to write a diagnostic report. There are some diagnostic radiographers who can report on simple extremity x-rays or chest x-rays.
Radiographers these days are more likely to do CT scanning, MRI scanning and interventional imaging in cardiac and neuro cases. However traditional x-rays are still an important and skilled job.

MarcoM

justme111 wrote: »

westernpromise, NHS is not " on a brink of collapse". It has collapsed. Nobody admits to it though, thats why they ise " about to collapse" wording. As if anynody taken it seriously when they been warned ot is " abiut to collpse" for years - it is fruatrating they keep lieing and don't admit it already collapsed.
Recruitment crisis because staff do not want to partake in that lie. Only ignorance of public not realising how ahortchanged they are allows for it to happen. Treatments that are done for tickimg the box as economic commemted. Tons of antibiotics prescribed because doctors can do nothing else. Ambulances taking hours to get to 999 calls because they are stuck in hospitals with patients that can not be transferred to wards due to no beds and staff shortages. A bif lie of NHS dentistry. Granted there are still pockets of good treatment for the lucky ones but when would one say the system collapsed - when there is nothing good at all coming out of it ? Or when there is systematic failure in most aspects of it as it is now ?
Solutions - I reckon admitting the defacto limited service. It would prevent staff demoralisation which would translate in less exoense on a..e covering tick boxes and creating pseudo controlling agencies by a government that needs to be seen addressimg healthcare issues but can not due to a sacred NHS cow so inayead of tackling it they prerend to by creating countless rules which way the mops have to be stored ( it's not a joke , it is real(.
Makimg peoole who are not destitute or children pay for everything but emergencies or life threatening conditions.
Increasing NI or creating separate fund for healthcare - how on earth one could expect to meet ever increasing standarda with the same costs?!
Sort the care systwm to stop elserly who need care languishing pointlessly in hospitals because there is nowhere to send them to.
Accept healthcare costs money and educating people on al that NHS can not afford - if they know all these wonders of medicine exist and they will have to pay lots for them they are going to try and be more careful about their health, not think that NHS will fix it all.

nowt about immigration, what a surprise

antrobus

dotchas wrote: »

I trained as a radiographer in the 80's, one of the first intakes to do a 3 year diploma, now its a 4 year degree course.

Well, I was only guessing, but I was on the right track.:)

MarcoM wrote: »

nowt about immigration, what a surprise

You want to discuss immigration?

About 26% of NHS doctors are foreign nationals. And "11% of all staff for whom data was available and who work for the NHS and in community health services are not British."

https://www.theguardian.com/society/2014/jan/26/nhs-foreign-nationals-immigration-health-service

Last time I was a guest at my local hospital, I had three Italian, and one Spanish nurse. Some of the HCAs were eastern European. I'm not sure about the medics; they tend not to chat as much.

Is that the kind of thing you want to know?

antrobus

justme111 wrote: »

westernpromise, NHS is not " on a brink of collapse". It has collapsed. Nobody admits to it though, thats why they ise " about to collapse" wording. As if anynody taken it seriously when they been warned ot is " abiut to collpse" for years - it is fruatrating they keep lieing and don't admit it already collapsed.

It seemed OK to me last week.

justme111 wrote: »

..
Recruitment crisis because staff do not want to partake in that lie

The 'recruitment crisis', such as it is, has more to do with pay levels and workload.

justme111 wrote: »

..

Increasing NI or creating separate fund for healthcare - how on earth one could expect to meet ever increasing standarda with the same costs?!...

NI contributions have very little to do with NHS funding, the bulk of which comes from 'general taxation'

Creating a "separate fund for healthcare" doesn't increase the amount of money available. And the driver isn't increasing standards, it's an ageing population.

justme111 wrote: »

..

Accept healthcare costs money and educating people on al that NHS can not afford - if they know all these wonders of medicine exist and they will have to pay lots for them they are going to try and be more careful about their health, not think that NHS will fix it all.

I would suggest that something like 99.9% of the UK adult population already accept that healthcare costs money. What is it exactly you think that the NHS can't afford?

Andy_L

dotchas wrote: »

I trained as a radiographer in the 80's, one of the first intakes to do a 3 year diploma, now its a 4 year degree course.

Degree courses take three or four years, full time or up to six years part time. There are also postgraduate programmes usually taking up to two years.

https://www.healthcareers.nhs.uk/explore-roles/allied-health-professionals/roles-allied-health-professions/diagnostic-radiographer/entry-requirements-and-training-diagnostic

A brief look at the search results and the vast majority are 3 years

gfplux

Primrose wrote: »

Our GP surgery flags up on a screen the number of missed (non cancelled). appointments every month. It runs at around 400. We can,t book online because no slots are ever available. You have to queue up from around 7 am on the day. I!!!8217;d fine every non appearance £10. Even most poor people surely have phones whereby they can ring and cancel a no longer needed appointment?

Th NHS has been a party political weapon for decades. We need to take it out of the political system and get agreement on some common issues which could then be worked on and implemented for the future.

As a Free At the point of access though, I think its had its day. There are too many of us now for it to be affordable. I also think, perhaps controversially, that if certain people deliberately refuse to take care of their health, like choosing to smoke or over indulge in alcohol there should be some kind of penalty for using the NHS. Yes, that may seem unfair, but nobody forces them to smoke or become alcoholics and the money spent on treating their subsequent diseases could be better spent on those whose illnesses or conditions are not brought about by their own health mismanagement.

400 cancellations a month is shocking.
However without knowing what % that is it is impossible to know how shocking.
perhaps they need to take people off their books if you cancel a few times without good cause.

lisyloo

gfplux wrote: »

400 cancellations a month is shocking.
However without knowing what % that is it is impossible to know how shocking.
perhaps they need to take people off their books if you cancel a few times without good cause.

I don’t think that a good suggestion as those people will just turn up at A&E which is exactly what we don’t want.

It would be good to understand the reasons for cancelling.
Perhaps they should do what some London restaurants do and send you a text asking for confirmation 24 hours before.

Primrose

Our practice had to absorb a large number of extra patients when the practice in a nearby village closed down. Perhaps it!!!8217;s just too far for older people to travel if they!!!8217;re having a bad day, it!!!8217;s pouring with rain and there!!!8217;s little public transport.

dawyldthing

tberry6686 wrote: »

Personally I would not want to pay any more in tax and I don't know anyone who would. Easy way to raise extra money to pour down the NHS bottomless pit is to cut back on other areas of the nanny state.

Me neither. Come this April we will pay 3% pension, 12% national insurance, 20% tax = 35% and if I go over I think it's £1600 a month I pay 9% student loan so 44%

April 2019 we've got 5% pension, 12% national insurance, 20% tax = 37% and if I go over I think it's £1600 a month I pay 9% student loan so 46%

So another 1% on national insurance would mean losing potentially 47% of my wage after a certain point. An eye watering amount. So I'd go from earning £7.83 an hour minimum wage come April to £4 ish.

dawyldthing

That's not including the £1200 council tax bill I think it's going up to, £147 tv licence tax plus tax on pretty much everything else. We as a country need to be more realistic as to what we want from the NHS