Montgomery - all your posts are about personal responsibility for illness totally ignoring other factors and also taking huge risks yourself ( self setting a bone? easy way to cause fat embolism)
You are also ignoring all the other factors that make heathy lifestyles hard for some and that much diabetes is auto imune based.
A little knowledge is a dangerous thing and you have no idea about much of the stuff you are spouting - just doubling down on being offensive.
Your knowledge and understanding is poor to the point you cannot recognise how poor it is
If we’re considering hard conversations about end of life treatment, maybe hard conversations are needed at the start? Again, not saying I know the answer, I’ve had friends go down both routes.
I kind of agree with this, but it is all hot potato stuff. Fortunately or unfortunately medical advancement has meant that people that could not have babies now can, people can change sex where naturally they couldnt. People are living way longer than they used to because we are finding ways to stop people dying.
Personally I would stop home births tomorrow. Its an un needed drain on the NHS. If you want your baby delivered by the NHS, go to a staffed maternity unit. Every baby born at home requires 2-1 care instead of 1-1 care. That has a huge impact on the maternity units.
The end of life care thing is really fairly well sorted IME but perhaps less so in some areas of healthcare. You also run up against religious ideology. Until recently for example muslims were forbidden to sign DNACPR forms and still are forbidden from using an ACP with restrictive care options ie no escalation - thats a tricky one to deal with
We do need an honest conversation about what can be done on the NHS. IMO IVF is not something that should be offered for example. At the moment its a postcode lottery with some folk being offerd 3 cycles, some 1 and some none - thats just wrong. Others of course will have a very different view on this.
Unfortunately, we have to try to deal as best we can with the latest crisis, which is likely to be dozens of unnecessary deaths in hospital corridors and the back of ambulances today and tomorrow. Sure, it's also if we could try to help people make healthier choices, but that is an investment which will start paying off in a decade.
In purely practical terms, one of the basic functions we should expect from our governments is to provide adequate health services for the population at any particular moment. This lot have allowed that basic function to be neglected for over a decade, and this is the result. The fact they have also neglected public health intervention and preventative care is a secondary sin, but the building is currently on fire, so we have to put that out and chuck the arsonists out of office first.
part of Therese Coffey’s big announcement to save the NHS.
you are soooo last health secretary. The new announcement is that things are just fine but don’t go to A&E. And any operation you may be waiting for is cancelled. And 40 hospitals when the Lego bricks finally arrive.
https://www.lego.com/en-gb/product/lego-city-hospital-60204
The new announcement is that things are just fine but don’t go to A&E. And any operation you may be waiting for is cancelled. And 40 hospitals when the Lego bricks finally arrive.
I wouldn't put it past them to go into full gaslighting/denial mode. It got them through the first few weeks of covid - admittedly to the massive detriment of us little people - but since when has that been a problem?
I wouldn’t put it past them to go into full gaslighting/denial mode.
They're already there. According to Rishi, the current situation is a 'challenge', but hospitals shouldn't cancel elective operations (even though their recovery beds are full).
It's not a 'challenge' that the NHS can just sort out with a quick brainstorming session in conference room 3. People waiting 24 hours for an ambulance, and then dying in the back of it, or in a corridor, is a complete disintegration of the emergency care pathway.
Also FWIW, my self-treatment anecdote.
I had a mate at school who reset a damaged elbow by himself (couldn't tell you what was actually wrong with it as, obvs, he never found out at the time). A few years down the line as things got worse with it, he had to have a series of operations on the NHS that I am pretty certain cost >10x what it would have originally cost to go to A&E and get it sorted at the time.
Cool story, huh?
I know adoption may not be condidered “the same” as having a birth child, but maybe a wider societal view is needed. (The fact that MrsMC is needing to place the tenth child from one woman at the moment may be influencing my thinking!)
As you well know... it's fostering that is VERY different to having a birth child, and that is where the need is greatest. It's an entirely different job. But even adoption can be a path that many people simply are not up to, especially with older children (whether that is their own assessment or that of professionals). As for adopting new borns, the opportunities there are very slim on the ground and come with additional complications that aren't for everyone. Treating fertility issues is still healthcare, and availability of treatment is already overly rationed and restricted, we don't need to be oversimplifying the choices faced by people looking to access it.
[ No skin in the game as regards treatment for me, we didn't need IVF or anything else. My uncle and aunt did receive MBEs for their fostering of many kids over the years... as well as having three children of their own. ]
There are plenty of healthcare interventions which could be viewed as 'unnecessary' through the deserving/undeserving prism.
As I mentioned, why do we fund breast reconstruction surgery, or disfiguring birthmark removal? Or surgery to mitigate scarring after burn injuries? Because the mental health burden of these conditions can be significant, just as the burden of even relatively mild pain/discomfort from hernias, bunions etc is still considered worthy of intervention.
Why carry out vasectomies on the NHS? They could just wear a johnny, couldn't they?
I strongly believe that the NHS cannot do everything and we need an honest conversation as a country about what it should and should not cover
For example - when I did my stint in A&E many years ago Saturday evenings was drunks falling over or fighting. Sunday morning however was full of amateur sporting injuries. christmas day was full of old ladies falling over after too much food and sherry
all of those are lifestyle injuries. Which ones are the deserving unwell?
A good friend of mine who is a consultant anaesthetist was sat on her arse at home for the majority of spring 2020 since almost all of the routine stuff at her hospital was cancelled due to NHS directives to keep the hospitals free for and because of Covid. Actually she wasn't sat on here arse, she was off out on her bike most days in the sunny weather we had at the time, but you know same thing.
Routine cancer screenings were mostly halted during this time too and it was made very difficult to see a GP face to face. Access to sports clubs and facilities was curtailed whilst fast food takeaways took advantage of eat out to help out schemes. 40,000 care workers were also fired for not getting a vaccine. Children forced to stay at home with abusive relatives and not in school where most of these problems are spotted, etc, etc.
And we wonder now why there is a huge backlog of patients on waiting lists, increased pressure on the NHS, bed blockers due to lack of onward social care, a mental health crisis amongst school aged children and more aggressive late stage cancers being reported etc.?
What an utter mis-managed shambles!
But hey, ignore that and crack on with the personal attacks.
To be fair this comment by you was a highly personal attack:
y’know, like some of the ebike riding **** on here
There are valid reasons why some people ride ebike, and not simply because they are lazy or don't care about their own health.
There is no need to describe them in terms which won't pass the swear filter.
you are soooo last health secretary.
Apologies, I must be suffering more after effects than I thought after I accidentally brutally cut my head off while combing my hair.
I got better by myself though.
sat on her arse at home for the majority of spring 2020
One of my relatives is a diagnostic radiographer who's normal work was suspended... she worked longer hours than ever in Spring 2020 as it was all hands on deck creating split wards etc. She had to live apart from her young family as well. Was you friend working for an NHS hospital trust?
kt360
Free MemberA good friend of mine who is a consultant anaesthetist was sat on her arse at home for the majority of spring 2020 since almost all of the routine stuff at her hospital was cancelled due to NHS directives to keep the hospitals free for and because of Covid.
Which previously banned troll are you?
Was you friend working for an NHS hospital trust?
No, because she doesn't exist. Check the age of the account.
Its also nonsense because a consultant anesthetist would usually have ITU responsibilities for ventilated patients of whom there were far more
Also even if that were not true she would still be in the hospital supporting colleagues
and more aggressive late stage cancers being reported etc.?
My Julie had a very aggressive metastatic cancer during covid. Zero delays in treatment / diagnosis
You’ve spelled losers wrong ya dickhead!
What a sad and pathetic bunch of stupid **** most of you lot on this forum are.
What a lovely way to start a post. Although I guess from your last sentence that you are expecting the imminent ban.
It's a fair point that the vaccine neither prevents catching Covid nor stops transmission.
My family were all double vacced and 8 out of 9 got Covid after a family lunch post lockdown.
Which negates the vacc the entire population to save granny line that was pushed.
Personally my Covid was not nearly as uncomfortable as the side effects of my second Jag.
Was you bout of Covid before or after your first vaccination?
Anyway... our hospitals still have additional load due to Covid... something that by now should have been expected, planned for, and the response properly funded.
Personally my Covid was not nearly as uncomfortable as the side effects of my second Jag.
I think you will find that was the intended aim. Although ideally not to catch Covid at all.
Whilst I do agree with some of what you've posted you're doing more harm by being abusive meaning less chance of anyone here wanting to listen. That's not the way to go about it and I speak as someone who's been given abuse on here for being unvaxxed. Also, please remember there are users here who've lost loved ones and would undoubtedly find your comments hurtful.
Whilst I do agree with some of what you’ve posted you’re doing more harm by being abusive meaning less chance of anyone here wanting to listen. That’s not the way to go about it and I speak as someone who’s been given abuse on here for being unvaxxed.
Abused for being un-vaxxed? Why, when the vaccines have actually been shown by the Cleveland, Ohio study to increase transmission and case numbers in the vaccinated. That's awful that people would stoop so low to abuse another for excersizing their right to bodily autonomy. Sorry to use profanity but if I'm going to be banned, which seems likely, may as well do it properly.
Also, please remember there are users here who’ve lost loved ones and would undoubtedly find your comments hurtful.
Thank you. And well put.
have all been strung a merry old yarn and those that still believe it need to wake up fast
You can take that to the Covid thread if you want. People will discuss it with you there.
But in this thread... there are thousands of people currently hospitalised by Covid right now, and that is one of multiple problems that hospitals (and the wider health and care sector) are currently facing that is having an effect on a&e (what this thread is about). It can't be ignored if you want to solve the current crisis.
But in this thread… there are thousands of people currently hospitalised by Covid right now,
Can I correct that for you. There are thousands of people currently hospitalised by Covid for something else but happen to have had a positive test for SarsCov2 whilst in hospital right now.
There we go, fixed it for you.
Young sportsmen dropping dead with heart conditions in record numbers. Google ‘died suddenly’ and see what comes up? Long Covid or Long vaccine injury?
So I’ve said my bit. Suggest you all need to man up and start living in the real world. Ditch your cloth comfort blankets that don’t even work. We will all die at some point so get over it! Start waking up before you all get ass-**** ed by the climate change bollocks being implemented by our great leaders who continue to fly around by private jet whilst you struggle to heat your home. Get used to owning nothing and being miserable.
Thats nearly a full house of unrelated conspiracy theories in just two short paragraphs, just need your opinion on cashless society and the JFK assassination for bingo
I think location is a factor, my mate took a tumble on the ice which out on a gravel ride, 30mins for the ambulance to get to and 45mins for the first service to come and get him off the ice and into the ambulance. slow speed tumble completely shattered his tibia and knee. a knee rebuild the next day and whopping scar. We live in the highlands of Scotland so i suppose population density is a factor....
Binners, I notice you can post stupid Meme’s but you don’t actually refute the points I made. Same as ever.
"Never wrestle with a pig. You both get covered in shit but the pig enjoys it"
EDIT: I see you've edited your post to remove the bit where you called me a ****, you old charmer, you
Is kt360 also going to try to slip in the opinion that this is also all because of illegal immigration before the ban? It would be remiss of them not to.
Yet a multitude of thick people still say .....
Well it might not be what they teach at Charm School but it is certainly in line with the widely held opinion on here - "if you don't agree with me you must be thick/stupid"
I caught covid exactly 6 weeks after my booster. For me Covid was milder than a mild cold, I did completely lose my sense of smell and taste but I have had worse hay fever.
Whilst it has always been recognised that covid isn't always severe for everyone I certainly expected to be at least as bad as a cold.
I will continue to follow medical advice concerning future booster jabs rather than the opinions of a random stranger on a MTB forum.
Although presumably in the eyes of some that makes me thick.
He hasn't used the term 'bedwetters' yet. Standards are slipping.
Does the govt actually know what contribute to the NHS problem(s) at the moment? If they don't know where the problem(s) originated from how can they provide solution(s)? Let's leave out the political intention of privatisation for now.
My questions are simple.
1. Does NHS have enough workers i.e. doctors and nursers etc?
2. Is the backlog or delay caused by the domino effect of Covid-19?
3. Is the problem caused by mismanagement of social care (got rid of all the social care now everyone just goes straight to A&E etc)?
4. Is the increased in the cost of living making it unsustainable to work in NHS for those earning below certain level? (meaning no shortage of workers but income just unsustainable)
5. What exactly are the main issues or problems facing NHS exactly?
Anyone?
I know everyone is saying lack of funding but leave that out for now.
Binners, I notice you can post stupid Meme’s but you don’t actually refute the points I made. Same as ever.
How do you know? You only joined this forum a couple of days ago and that's the first post I recall seeing from binners in that time
The recent Cleveland study has shown conclusively that you are more likely to get Covid the more vaccine doses you receive.
Link?
My questions are simple.
1. Does NHS have enough workers i.e. doctors and nursers etc? - No is the simple answer, and it will take between 5-10 yrs to get them. However unless you do something to encourage people to join these professions people will not.
2. Is the backlog or delay caused by the domino effect of Covid-19? - Yes and no. COVID has caused big backlogs in itself, however there were already shortages of theatre staff and theatres and beds. Add to this that consultants are less likely to want to do extra hours now as it literally cost them money to do it. It hasnt just got bad now, its been getting bad since 2015.
3. Is the problem caused by mismanagement of social care (got rid of all the social care now everyone just straight to A&E etc)? - Its a mixture of Brexit, Wages being low, contracts not making it cost effective, more complex patients.
4. Is the increased in the cost of living making it unsustainable to work in NHS for those earning below certain level? (meaning no shortage of workers). - Our Trust is offering free food to staff. No one in the NHS earns less than £20,270 for 37.5hrs work. This isnt so much about base pay, its about what you expect to pay 'professionals' and yes care staff (social care) are minimum wage, prob zero hr contract and doing very tough jobs. Would you prefer to wipe some ones arse all day or clean up sick, or work in Aldi/Amazon etc?
5. What exactly are the main issues or problems facing NHS exactly? - Staffing, Complex Patients, Backlog, Capacity
All of the above to some extent chewkw, but number 3 seems to be worst, as TJ said way back at the start of the thread. I only mention TJ so I can be on record as agreeing with him 🙂
For example, here's my own anecdote from the weekend.
I was on Skye, where I chatted to an old neighbour who works in the 12 bed Broadford hospital.
6 of those beds are currently occupied by long term oldies who should / would be better at home with care, or in a care home.
Of those six, several are demented, taking up huge amounts of nurse time and creating intolerable stress.
Property cost is a major issue on Skye too, there's not a chance of buying a house as a nurse. Locum docs are the routine now, at eye watering cost.
Checkw - multifactorial. Social care is a huge issue - up to 30% of acute beds in hospitals are patients awaiting social care, who do not need a hospital bed/hospital care but nowhere else to go. By definition if you run anything (whether hospital or fitting tyres or whatever) and 30-35% of your capacity to do work is lost you are snookered.
There are also staffing issues for multiple reasons with lots of unfilled posts due to pay/conditions/morale/burnout in non medical roles (nursing/support workers especially). Among senior consultants there have been a lot of early retirements/people refusing to do extra work that they did historically due to pension taxation. This is a complex issue but in effect taking on extra work can mean you pay far more in tax than you got paid, so bottom line you can have more money in the bank each month if you do less work. No one in their right mind would say yes I'll do an extra days work each week and earn less money than I had in the first place.
Flu/Covid are not actually that much of an issue but the numbers being admitted are still high enough to disrupt a system that was already struggling.
Our hospital had fewer empty beds in summer than we've ever had in winter in the last 20 years - some of this is a chronic problem that has just got slowly worse over 10+ years but a combination of factors some of which are pandemic related and some of which aren't have created a tipping point.
Thank you for the answers FunkyDunc, bedmaker & Jet26.
If others have different answers to FunkyDunc, Bedmaker and Jet26 please just post your answers.
I am trying to understand where the solution can start from because the problems are all related and very complex.
Didn't we do the credentials of John Campbell last time you were around?
https://en.wikipedia.org/wiki/John_Campbell_(YouTuber)
I notice you can post stupid Meme’s but you don’t actually refute the points I made. Same as ever.
Ever used to be a long time, now = 2 days. Must be related to inflation.
I strongly believe that the NHS cannot do everything and we need an honest conversation as a country about what it should and should not cover
For example – when I did my stint in A&E many years ago Saturday evenings was drunks falling over or fighting. Sunday morning however was full of amateur sporting injuries. christmas day was full of old ladies falling over after too much food and sherry
all of those are lifestyle injuries. Which ones are the deserving unwell?
Tj - good questions but not necessarily simple answers. Don’t treat the drunks and then people either lie about the cause or don’t seek treatment, then some either need much more complex treatment later or become long term sick/disabled costing them state in other ways.
don’t treat the sports people - but then we discourage activity and long term nhs costs rise from fat people on the couch.
don’t treat granny - but then she end up in social care earlier which someone has to pay for.
obviously don’t treat might mean - treat but charge for, but some will not be able to afford it, others will be a pita about it (I pay your wages gone mad) and the nhs isn’t set up with the admin infrastructure for charging - so you end up adding more cost across the board to recover from some.
