MegaSack DRAW - This year's winner is user - rgwb
We will be in touch
Yup. Britain poaches medical staff from poor third world countries to treat British people who can speak English, not foreign types. Cheeky gits.
Whoops, upset ernie, I better tell my wife (nurse) she's wrong.
I'll keep quiet and read my Daily Mail
the average GP salary is £57 k and the average partner rate is £100k
the former is fine the later is not
I am sure she has worked hard to get where she is today
Of course the Tories hate the NHS and see it as socialist
Not necessarily imo. Certainly free-market fundamentalists such as Liam Fox have a serious issue with state provided universal healthcare, but plenty see the benefit of a system which has provided effective healthcare to Britain's workforce for almost 70 years. A sick workforce or the increases in wages that would be required to cover the costs of much less cost effective private healthcare has little appeal to them. The problem is that as the British electorate, or more precisely the English electorate, has gradually shifted to the right in recent decades a simular shift to the right has occurred in the three main political parties. In the case of the Conservative Party this has meant that the free-market fundamentalists now have considerable power.
Mrs S is a doctor. She earns every penny fairly.
Compared to, say, a banker, I'm sure she does and she may well be one of the many highly competent, conscientious GP's who work hard in their profession. Unfortunately, I've met quite a few who do not fit any of those categories.
the average GP salary is £57 k and the average partner rate is £100k
the former is fine the later is not
Very subjective though. Not sure how may people you will find studying for that long, sitting literally hundreds of exams, working 80 - 90 hour weeks and shouldering immense of responsibility if the end result is £57k.
sm - MemberI better tell my wife (nurse) she's wrong.
Your wife is a nurse ? You should have said so .........I can't imagine how you could possibly be wrong.
firstly treat it like a business not a giveaway at the fairground..
they can keep a supermarket open 24hrs 7 days a week yet the nhs cant keep anything available 24hrs..
the staff work mon fri 9-5 knock that so its everything available 12 hours a day 7 days a week.. reduce waiting times/lists (my last heart consulatant only let people go home on tuesdays and fridays..) xrays not available after 3pm..
staff should be the example of what good looks like.. no more chubbers bursting out of uniform
build hospitals that are physicall the same why do they have to look like guggenhiem museums save lives not pay archtects..
Compared to, say, a banker, I'm sure she does and she may well be one of the many highly competent, conscientious GP's who work hard in their profession. Unfortunately, I've met quite a few who do not fit any of those categories.
Agreed, and that goes back to my earlier point about effective managers backed up by robust policies to ensure they can, and do, get rid of crap staff.
GP's are a bit of an anomaly though and they seem to receive relatively little professional scrutiny of their standards. To receive a salary like that, they should have to be able to prove their standards are excellent.
I dont think that GP's do it for the money or that any Dr does and if they do they should probably leave the profession - not a dig at your wife at all in case it reads like that.
Yes it is hard work for those who do it
maccruiskeen - Member
I'd withdraw treatment to Conservative Voters. They can't see beyond their own immediate needs (and consider themselves self-made anyway) so they'll have no cause to complain. Until its too late. And then nobody will be listening. Anyway - that should reduce the burden on the NHS by 1/6th. Is that enough or do we need to cut more?
If they're self made then surely they can be self repairing too? 😀
No they don't do it for the money but salary needs to be comparable to other professions with similar levels of training and responsibility.
Whoopee do, Doctors work quite hard. They are also well paid in comparative terms. There are other medical professions that work equally hard, often more so that are much more poorly rewarded and in terms of their direct effect upon the health of the individual they are at least equal in importance, Midwives and Paramedics to name but two.
Why ..perhaps they are all overpaid?
Not really having a dig at Doctors here it is just that some folk get massive pay and they can all tell you a reason why
Doctors probably have a better argument than say an accountant or a lawyer or similar [vastly in some cases] overpaid professional
FWIW my nationalisation and salary caps solution is not universally popular 😉
PS we are thread drifting Dr do a great job IMHO and the NHS solution involves far more than looking at Dr's
If I could change anything.... I'd change nothing.
I'd just stop meddling with the NHS for a few years, allow them enough time to get over all the change management they have been having to deal with, allow them time to start concentrating on the job at hand.
That's what I'd do
Or just accept that they are there to save lives in a way that makes budgeting almost impossible if you are serious about things being free at the point of treatment. Of course, introducing a law banning people both within and without the NHS from taking the piss would be required.
Alternatively, you could just save money by allowing the cast of Holby and Casualty to do operations on real people. They seem to be very professional and good at saving lives.
Amongst all the managerial culling, some of the senior clinical staff need some real world budgeting lessons.
Education of population regarding what services are for which illness,
There are some re-coding issues that are long overdue for revision that skew the stats badly
NHS direct could do with a better management
CQC could do with some better management
Sorry drac, but some ambulance services could do with some better management
Some of the more outlandish targets really need to be re-thought
Some outsourced stuff needs to come back to salaried, and some salaried bits need to be outsourced
Care in community needs better funding ( midwives, outreach, district nursing)
For starters
There is loads wrong with it and loads right with it, but the core problem for me is that is all disjointed, and does not have a clear idea of what it is meant to be doing. It should be protected from all government parties trying to meddle with it and should be reviewed by an independent body to basically bring it in to the modern world.
A lot of buildings are not fit for purpose anymore, the targets should be scrapped across the board and simple operating goals put in place, the doctors and nurses should have clearer operating divisions, nurses need to get on and do what doctors tell them and not hang around bitching in their coffee rooms.
there should be a common computer system bought from one of many systems availabel to run hospitals, the NHS is no different to the rest of the world so a bespoke multi billion pound system doesnt need to be developed.
the beaurocracy around patient notes needs to be cut and ideally computerised as this is what is tying up the clinical staff the most.
and allow the hospitals to do private work to make profit if they want, but profit for the NHS as a whole.
my tuppence worth.
its great but both labour and tory are making a mess of it.
In answer to the orginal question we could exclude cover for anyone who's never had a job. We could also kill anyone aged over 80. But let's not stop there lets kill everyone who doesn't or isn't able to make a contribution to society, so that's virtually all disabled people then, that should save a few bob. Seriously ... the only way to make things better is private healthcare for everyone apart from those who don't work. With healthcare plans built into employment benefits like pensions are.
@jekkyl - what like the NI contributions I have been paying for the past 30 years?
I would look to centralise rather than decentralise the management functions, daily control at the coalface with overarching direction from a single point. Not all of the overblown trusts and the maddening variations between them, it is a National Health Service rather than regional or city service so let's get it back to being a national asset.
Have to agree with the sentiment that whatever is done it should lie outside political interference. How that's achieved is anyone's guess.
a bit harsh
a friend of mine has cerebal palsy and won an olympic gold medal in cycling, so i'd say a lot of disabled people make a big contribution.
nhs cant keep anything available 24hrs
Oh, I think it can.
how about a cross party panel of MPs who come up with a ten year strategy that sits outside of the election time frames, so not always the same MPs, but at least cross party consensus on a ten year plan.
may stop all the meddling.
but also to seperate the union from the bodies that represent the doctors nurses, but to also have a body that represents hospital manager as that is in itself a profession that need better managing lol
Something that's rattled around my brain for a while but probably has a glaring flaw in it is the following;
- I love the NHS and would never even think to go private.
- I'm not poor but not rich either.
- I hate long waiting times, especially when in need of medical treatment.
I suspect that's not an uncommon combination.
When I go to the Docs and need further treatment there's an inevitable waiting list. If the Doctor said to me "You need X doing, and there's a waiting list of 8 weeks, OR you could pay Z to get it done privately next week", if I thought Z was reasonable I'd probably take him up on that, but without the prompt I'd never even think of investigating private options.
The NHS saves a bit of cash and frees up some hospital time plus an 'evil' private enterprise wins some custom it wouldn't normally have got.
There could even be a transfer of a small percentage the private fee back to the NHS coffers for referring someone...
Or have I overlooked some glaring loophole?
have I overlooked some glaring loophole?
What about the other NHS patients you have pushed further back to the end of the queue ?
[quote=verses ]
Or have I overlooked some glaring loophole?
Yes. It's often the same folk carrying out the procedure so by paying extra you are effectively making the queue longer for everyone else.
I knew there must be something I'd missed...
IMO the doctors and consultants should be made to choose - private or NHS, in the former you are on your own like anyone else in business, invest in kit, take out insurances, build facilities and try to woo customers. The latter should be as they are when they work in the NHS. I'm sure there will be a perfect reason why this cannot be done but it makes sense to me.
In the former you are on your own like anyone else in business, invest in kit, take out insurances, build facilities and try to woo customers.
A bit like current general practice then?
DrP
Yes. It's often the same folk carrying out the procedure so by paying extra you are effectively making the queue longer for everyone else.
Not sure if I agree with that.
Mr Surgeon is contracted to work 40 hours per week for NHS, during that time he does operations.
If after those 40 hours he decides to do private work instead of playing golf, it shouldn't (in theory) impact on the 40hrs he does for the NHS.
I suspect the flaw in that is the sheer cost of private work. Unless you have insurance, private treatment could be eye wateringly expensive. If it was urgent, you would be bypassing waiting lists anyway.
Make all the doors smaller so fat people cant get in,
if you smoke , no treatment until you give up,
Paramedic cars to work as taxis when not required for patients, they have 3 empty seats, and youll get to your destiantion quicker with blue lights,
air ambulances to offer leisure flights, at cost plus a good profit,
Ambulances to be used to deliver internet Bike stock, nothing like getting the latest XTR stuff off a bloke in a fgreen overall anmd blue lights and siren to let you know ghe /she is at the door,
All drunks to be treated at the local medical centre not blocking up the hospital casulty,
stop IVF, if ou want a kid get a previously born one, plenty for adoption,
legalise all non legal drugs and charge for them under medical supervision,
all cosmetic surgey to be stopped especially for ugly people unles theyre physicaly in need of the treatment,
any woman/man not in a nurses uniform carrying a file around, should be sacked , to many of them at all hospitals,
some of the above are not to be taken seriously, but DC will clutch at any straw to keep his job, so watch the headlines,.
rogerthecat - Member
IMO the doctors and consultants should be made to choose - private or NHS, in the former you are on your own like anyone else in business, invest in kit, take out insurances, build facilities and try to woo customers. The latter should be as they are when they work in the NHS. I'm sure there will be a perfect reason why this cannot be done but it makes sense to me.
Seems ridiculous that you can go on a waiting list to see a consultant or pay to go private to be seen within days only to find its the same damn person
Seems ridiculous that you can go on a waiting list to see a consultant or pay to go private to be seen within days only to find its the same damn person
Do you think? Surely what everybody does in their private time is up to them? Some people chose to ride bikes, some work overtime, some have second jobs.
Consultants who only ever operate on relatively well people might be the equivalent of mountain bikers who only ever ride the blue routes...
Seems ridiculous that you can go on a waiting list to see a consultant or pay to go private to be seen within days only to find its the same damn person
Well, it would be ridiculous if the act of seeing the same person privately in a day impacted on the 'longer' waiting list.
But it doesn't.
If the surgeon DOESN'T do private work, then you've simply the single option of the NHS waiting list.
Think of a doctor working privately AND for the NHS as two separate people, and it becomes less ridiculous.
DrP
Which do they prioritize, NHS or private?
If you have private insurance you must use it.
A number of private health insurance policies will pay you money to use the NHS. Often its cheaper for the insurance co to bribe you to use the NHS than to pay for the private treatment.
Yes, you may go on to the NHS waiting list but you get stuffed a few hundred pounds.
Interesting article from the Independent on the subject:
Cheers
Danny B
"I dont think that GP's do it for the money or that any Dr does and if they do they should probably leave the profession"
Interestingly the doctors I have spoken to seem very very much motivated by money. They all have flash cars / watches / homes / kids in private school etc...
And my point was not that consultants didn't deserve £100k+ it is that the NHS simply cannot afford to sustain such huge salaries, and that a reduction of, say 10%, is really not going to hurt these people.
Many companies, when in trouble ask staff to take pay cuts in order to survive. I was suggesting the same with the NHS, with the well paid staff. If they leave so be it, those will be the ones motivated by money. The ones that care about people will stay.
Good friend of mine had severe back problems. He'd been past from pillar to post before been sent to a specialist which was an eight week waiting list or go private. He didn't have the money so went on the waiting list. Another mate and myself loaned him the money to go private and he was seen by the same specialist 3 days later that he was already on the waiting list to see. His operation to fuse 2 vertebrae together was done then within 3 weeks. He couldn't make the distinction between his duties other than profit, nor can I.
and stop the endless rotation of doctors through different hospitals,
and if you do insist on doctors moving from hospital to hospital in the same trust then get them checked and valdidated once and not every time they rotate get them to take a day off and go through the same checks again!
Which do they prioritize, NHS or private?
They HAVE to perform set NHS duties. If the NHS duties were impacted upon (performance dropping etc) by private work, the private work would have to stop.
So, they prioritise NHS work, though have the opportunity to perform privately if they so wish.
Look at it this way - if I was inclined, I could set up "DrP's car wash emporium" and wash cars in the evening.
I couldn't wash your car in the day, as I'm at 'work'. Come the evening, I could sit down and count my piles of money..., or I could wash your car. At no point should I fail to perform my expected day duties over the car washing idea...
DrP
And my point was not that consultants didn't deserve £100k+ it is that the NHS simply cannot afford to sustain such huge salaries
Um, you've not really thought that through at all have you?
Does this mean you're saying [url= http://singletrackworld.com/forum/topic/nhs-cuts-youre-in-charge-what-services-do-you-get-rid-of/page/3#post-5043231 ]my idea[/url] doesn't/shouldn't create effectively longer waiting lists?
Great to hear from people with partners or experience in the NHS and some excellent informed opinions.
I would:
- Figure a way to get out of all poor value PFI deals/services.
- Create centres of excellence as opposed to several trusts in neighbouring areas providing similar services. Studies have shown that this works better when based on patient outcomes. E.g: Paediatric heart surgery.
- Get rid of the current IT contracts and use someone with actual technical experience delivering a similar product to evaluate what's required and put it out to tender. They're getting rinsed by the private sector for a poor product at the moment.
DrP
If I came along with my car to your car wash emporium would you wash it or ask me to go away, see if it gets cleaner during the next two weeks and, if it doesn't then come back to see you again 😉
When you are dealing with the same patients then it must be a conflict of interests. If you had the same patient on your waiting list on the NHS then how can it be ethical to see them privately for a fee which you benefit from.
NHS only available to people born in the UK!
If I came along with my car to your car wash emporium would you wash it or ask me to go away, see if it gets cleaner during the next two weeks and, if it doesn't then come back to see you again
Depends doesn't it.
If my fee was to come from a centralised pot, Realistically I would discuss with you that it's nice to have a clean car, but not necessary. I would maybe explain that your elderly neighbour needs her fuel pump fixed, so in terms of prioritising my time and skill, it's better to do that so she can drive her car again, as she needs it to socialise. I could put in place a system where we discuss ways that you could keep your car clean in the first place, so we don't have to rely on washing it so often.
However, if you explained you really wanted me to clean your car, and you were willing to pay [b]yourself[/b], then i could clean it for you. i would still explain it's not 100% necessary, though agree it looks nicer to have a clean car.....
DrP
EDIT: If I were a rather scrupulous group of 'practitioners', I would insist to you that despite looking clean after the initial job, you need to return every 2 weeks for a 'top up' clean, that despite there being no need for such an affair, I was still willing to charge you....
@DrP - but surely a very long working day with another job on top would have a detrimental effect upon performance.
..yet 'the general public' want us to cover out of hours 24/7....
You can't win can you.. 🙄
DrP
Dr P
can you explain what happens when private care goes tits up please.
what happens when private care goes tits up
You get transferred to an NHS hospital/into the care of the NHS and your care continues.
That doctor in Hollyoaks seems to be able to manage a nightclub in his spare time well enough. But then again he is a bit of a psycho.
Sorry drac, but some ambulance services could do with some better management
No shit Sherlock.
As for comparing NHS to a Supermarket and the NHS can't run anything 24Hrs. Really was that a serious post?
Anyway time for Star Trek b
Charge people for missed appointments to avoid cuts?
I missed a 11am apointment . Totally my fault . Offered to wait the rest of the day incase someoen else didnt turn up /was late. Was told not to bother .
I would not employ convicted armed robbers on £200k a year to 'manage' a £12m budget .
I would follow up verses idea of a top up scheme where , if you are financially able to pay to go private you can.
I would employ a team of people to go through every invoice with a rather fine toothecomb to see if anybody is charging £8 for a plaster , £9 for a bandage . And those people would be paid a living salary ,plus bonuses on any savings made.
If it possible i would convert the system to rolling 8 hour shifts to ensure all the expensive things like CAT scanners are not sitting idle for 2/3 of the time
but then i am not a manager , but i have met Gerry Robinson.
[quote=singletrackmind said]
but then i am not a manager , but i have met Gerry Robinson.
And he gave you a b*llocking IIRC 😉
Red Diesel for Emergency vehicles.
DrP - Member
..yet 'the general public' want us to cover out of hours 24/7....
You can't win can you..
DrP
I don't think they want each doctor to cover 24/7, perhaps they mean that they would like cover 24/7 by doctors (the key there being plural). Perhaps part of this:
If it possible i would convert the system to rolling 8 hour shifts to ensure all the expensive things like CAT scanners are not sitting idle for 2/3 of the time
Charge people for missed appointments to avoid cuts?
excellent tdo I get to charge them for every minute i sit there. Last time i went i was the fifth person with the 9 am appt to see the specialist who was ill so i got seen at 11. No idea what the others did
I also used to attend an eye specialist whose last appointment was 12:30 and the clinic shut at 4:30. They used to moan i was late when i rolled up at 3:15 and i would simply point at those still waiting and shrug
Some waiting is inevitable but I get the feeling they have got so used to it they dont care anymore and are no longer embarrassed to be doing this tbh.
Yes missed appointments costs money but i bet it is less than the combined loss of us all waiting and by a large margin
Just some?Sorry drac, but some ambulance services could do with some better management
The Trust I work for is highly regarded and is one of the best performing, according to the various indicators. That being the case, I shudder to think what the management is like in some of the others. 😯
singletrackmind said »
but then i am not a manager , but i have met Gerry Robinson.And he gave you a b*llocking IIRC
Correct, and then later on in the year he accpeted I was pretty much spot on with my assesment and apologised.
He earnt an awful lot of respect that day.
[i]Not[/i] embarking upon another (& utterly muddleheaded) reorganisation would have been a good start - the ConDems can't say they weren't warned about the likely consequences. It's almost funny watching Hunt play the blame game.
When it comes to one of the biggest 'costs' - the rapidly accelerating expense of caring for an increasingly-elderly population, many of whom find themselves in acute settings with nowhere else to go - I'm afraid there is no magic solution. It will probably require some kind of massive cultural shift.
Oh, and give Parliament emergency powers to bin PFI contracts. 👿
Seems ridiculous that you can go on a waiting list to see a consultant or pay to go private to be seen within days only to find its the same damn person
What would you think if it was the same surgeon, in the same theatre using the same kit as they would if the NHS was paying for it?
the same surgeon, in the same theatre using the same kit as they would if the NHS was paying for it
Who will probably send you straight to NHS ITU if things go south...
I forgot about the theatre staff, nurses and AHPs on the same ward as the NHS patients.
The 'run it all for 24 hrs a day' thing is often suggested by people who work Mon-Fri 9-5...
You could run it all 24 hrs a day, but you'd have to pay people to work at night; more Radiologists, more Surgeons, more Anaesthetists, more nurses, more radiographers, more porters and so on. Then, because they were working at night, they wouldn't be able to work during the day, so we'd need more of everyone to keep it working, and to enable discharges, we'd have to have teams in the community working at all hours, and ambulance crews and so on.
If you want to triple the NHS wage bill, it's a great idea.
It needs funding properly; a look at how much European countries spend on healthcare would be a start.
By the way, its hardly been mentioned here, but surely everyone knows that the big one is to stop concentrating on acute services like hospitals and spend a greater proportion on primary care services - less hospital beds, more community nurses!
whats so hard about hospital services being 24hrs.. staff dont get pai d premiums at most employers for 24hr shift working why would the nhs staff..?
why cant i book an appointment when its convienant for me.. not for the staff who work m-f..
one area i ve expereinced through out the north for the last 15 years is anti coag services.. why does the level std of care vary so much from two docs phlabotomists nurses and receptionist at one location to using a pharmacist at another i ve even had it done by fax.. from eastern europe and seen no one.
common standard would be an excellent starting point.. if a single community pharmacist can give me flu jabs, viagra, anti coag and the morning after pill.. why are there dedicated clinics in hospitals to do the same role..
Personally I'd start with a root to branch reform of NHS Culture and Leadership - both are spectacularly lacking and are a large contributor to the poor outcomes we get in England compared to other european health systems such as those in Netherlands and Germany (where interestingly the significant participation of the private sector is routinely cited as having helped to raise standards and constrain cost).
As for money saving, there's some low hanging fruit some of which is being tackled / about to be tackled:
- Clinical merit awards (don't call them bonuses!) for Consultants which can run into tens of thousands a year yet don't have any performance criteria attached to them. They are also pensionable so cost around 1/3 on top.
- The blatant scam run by many GPs on property whereby they purchase premises (some times with low cost loans from PCTs), rent them back for exorbitant rents, sell them on and pocket anything up to 7 figure profits without having paid anything themselves:
- get rid of underperforming staff and tackle sickness absence pee taking- it's almost impossible to get fired in the NHS and even when it does happen the staff normally pop up at another trust a few months later. More than anything the lack of this at present is a drag on the many hard working committed staff that don't do it, and despair at what their colleagues repeatedly get away with.
- change the pension from final salary (adding around 1/3 to pay costs to the taxpayer) to defined contribution.
The last change would at a stroke enable the NHS budget to be sustainable and would only put NHS staff on the same footing as the majority of the working population.
I'd cancel Trident
whats so hard about hospital services being 24hrs.. staff dont get pai d premiums at most employers for 24hr shift working why would the nhs staff..?
I think you're talking rubbish; night work has always carried a premium, take that away and why would anyone work at night? Also, if you work at night, you can't work during the day, as I said... You'll be a 9-5er then..
if a single community pharmacist can give me flu jabs, viagra, anti coag and the morning after pill
What you get up in your private life sounds a wee bit taxing!
The last change would at a stroke enable the NHS budget to be sustainable and would only put NHS staff on the same footing as the majority of the working population.
Hurrah for dragging everyone down to the lowest level, that's just what the country really needs; if private pension provision is crap it needs sorting out. The way to do this is not making people who work for the NHS poorer in their old age.
I don't know what to cut from the NHS: I'd need to know first where the money was being spent. Then you could prioritise. If you can't measure it, you can't manage it.
Though I would put money into the NHS out of my own pocket if they could grab the tories/libdems that are causing the NHS to be sold off and castrate the lot of them, with a big warning to labour what to expect if they carry on in the same vein.
I think health spending as a percentage of GDP is lower in the UK so I'd perhaps stop stupid ego-based wars and reallocate the money. I'd also stop being idiotic in government and try to 'nudge' the population to healthier options, such as tax-breaks for local area gyms, tax high-fat crap, try to minimise smoking (or at least nudge people towards electronic ciggies), that kind of stuff, instead of getting MaccyD's onto the food health forum thing they have.
In fact, just vote me in. The world will be a better place. Don't worry about the gay national service thing, I'm sure it won't affect you. 😀
You could run it all 24 hrs a day, but you'd have to pay people to work at night; more Radiologists, more Surgeons, more Anaesthetists, more nurses, more radiographers, more porters and so on. Then, because they were working at night, they wouldn't be able to work during the day, so we'd need more of everyone to keep it working, and to enable discharges, we'd have to have teams in the community working at all hours, and ambulance crews and so on.
In addition to which, surgery is a relatively small part of the acute workload; the acute medical/paeds/O&G work goes on 24h already, with the required backup. Furthermore, there is good evidence that doing non-life/limb saving surgery between midnight and 0800 is associated with increased morbidity/mortality - the National Confidential Enquiry into Peri-Operative Death which generated this evidence is one of the great achievements of UK medicine.
Andy
AdamW, The uniforms would be the envy of the world though! 😀
I'm with Crankboy, cancel Trident plus,
troops out of Afghanistan, stop poking our noses in other countries' affairs,
stop nhs tourism,
no more ivf,
let people die if they want to,
no more final salary pensions (this is the way most firms are going now)
fewer managers, more nurses/beds/doctors
bring back Matron
get people into good eating/exercising/lifestyle choices
stop immigration. dead. unless it's people we need. like Australia.
Oh, and stop blaming the soon-to-be-elderly. It was all well and good while we baby-boomers were working and paying lots of lovely tax. But no-one thought to save any, did they? No, the politicians didn't even ringfence our NI contributions so they're in deep doo doo over making pension payments. Oh no, and now we're all getting older and would like some pension money and perhaps to be looked after a little bit suddenly we're a burden. How typical of the short-sighted governance we are burdened with. (Said lightheartedly but with a serious undertone).
I'm with Crankboy, cancel Trident plus,
troops out of Afghanistan, stop poking our noses in other countries' affairs,
stop nhs tourism,
no more ivf,
let people die if they want to,
no more final salary pensions (this is the way most firms are going now)
fewer managers, more nurses/beds/doctors
bring back Matron
get people into good eating/exercising/lifestyle choices
stop immigration. dead. unless it's people we need. like Australia.
You need to check you profile settings, you seem to have turned into the daily mail
[i]stop nhs tourism,[/i]
There's not actually that much, and if you're not registered with a GP you will get charged.
no more ivf,
IVF is a tiny weeny cost for a massive amount of joy; leave it alone.
let people die if they want to,
We do, but it's up to you, the people to make your wishes known, and your relatives to be sensible.
no more final salary pensions (this is the way most firms are going now)
As above, don't drag us down because private pension provision has been messed up.
fewer managers, more nurses/beds/doctors
We actually need lots of managers, because otherwise I'd have to do it, which means time out of clinical work. Yes to more Drs and nurses though, but you have to pay for them.
bring back Matron
They've already done that, not that it's made that much difference.
get people into good eating/exercising/lifestyle choices
Oh yes, that's really easy....NOT.
stop immigration. dead. unless it's people we need. like Australia.
Hurrah, it's time to blame the darkies again 🙄
let people die if they want to
Hey, with the Liverpool care pathway, we don't even need to worry whether they want to 8)
Hurrah, it's time to blame the darkies again
You must have worked quite hard to misinterpret my comments as racism, well done.
I'm off to read the Daily Mail - good old Singletrackworld 😆
😆 😆
Hey, with the Liverpool care pathway, we don't even need to worry whether they want to
That shows a complete misunderstanding of what the LCP is (and isn't), and what it's for 🙄