buctootim

http://iwradio.co.uk/2017/04/06/isle-wight-nhs-trust-staff-pay-tribute-former-colleague/ https://www.jobs4medical.co.uk/jobs/5825548/sho-general-surgery-isle-of-wight-locum-3-months.asp?utm_source=Indeed&utm_medium=organic&utm_campaign=Indeed

You're way off if you think low taxes make people happy. Whats far more important is good quality schools, healthcare, public space, transport etc. That's why, in part, low tax Americans are so miserable and Danes are the happiest people on the planet.

Either way its the result of political interference - not an intrinsic fault of the NHS

I'm sure its true. What should the management be doing differently? They cant recruit permanent staff to reduce the reliance on overtime and agencies because the Tories cut the number of training places, froze wages and Brexit has caused an exodus of EU nursing staff. What is it exactly you think management should be doing differently? http://www.telegraph.co.uk/news/2017/01/19/96-per-cent-hospitals-have-nurse-shortages-official-figures/ http://www.bbc.co.uk/news/health-38640068

Its a pity you don't let facts interfere with the opinions you want to hold. Why don't you post up some evidence to justify your opinions? Where are the healthcare systems which achieve more with less? The NHS is efficient and effective in terms of the gains it gets for every pound spent. Its extremely good by all international comparators and half the cost of its private UK competitors which dont carry the overheads of such inconveniences like crash teams, ambulances and intensive care to bale them out when their operations go wrong - they rely on the NHS to do that for them. But you don't want to do the reading and aren't going to swayed away from the view its all broken and crap and your precious tax which you uniquely deserve more than scroungers is being wasted. Zero sum game

It's true people tend not to value free things as much. The trick is how to make sure people turn up for appointments without introducing a new level of admin which wipes out any savings. The NHS is, of course not perfect. However the health outcomes of Britain measured by indicators such as neo-natal mortality, life expectancy etc are good. When compared with the amount we spend the pound for benefit ratio is extremely good. That's not to say it can't be further improved but the idea that we can get a much better service just by changing the system and without putting in more money is an illusion.

Free at the point of delivery makes more sense than it sounds. Billing people is an expensive and time consuming business. For small amounts it is often more trouble and expense than its worth. The reason people treat the NHS as sacrosanct is because previous reforms have been so doctrinaire, ideology driven rather than efficiency. Sure the NHS can learn tweaks from elsewhere but let's not pretend it's fundamentally broken just so we can impose another ill informed review on it. It's just underfunded or overstretched, depending on your view.

1. Yes the French pay (a modest fee) to visit a GP or outpatients appointment, but they are reimbursed by the government 2. There are for-profit hospital groups in the UK already. Never heard of BMI, Spire or Circle? 3. French top up insurance is mainly for things the government dont reimburse - just as the UK. You can pay top up insurance here for dental plans, or jumping waiting lists.

The US is held up as an example because it is the epitome of a private system - expensive and not very good. The US has health outcomes equivalent to middle income countries like Costa Rica and Chile. Its the kind of service we would actually get with privatised healthcare, not what the Mail tells you we would. France and Germany are excellent services, probably among the best. They are also universal socialised systems. In fact all the best healthcare services are. What makes them better than the NHS is mainly that they put more cash in. I dont really mind what the Gov does. Either stump up the extra cash and get a better service, or have some kind of informed debate about healthcare rationing. What I despise is this dishonest and immature argument we only seem to have in this country which is that the NHS is crap and badly run and if we sorted out the workshy incompetents everyone could get the best healthcare in the world for the price Mexico pays. Flavour of the month moan is that its the systems fault - it dates from the 1950s and not fit for purpose. Really? what have the endless reforms for the past three decades been about then? How come France's system which dates from 1945 is the best in the world? https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthcaresystem/bulletins/ukhealthaccounts/2015#international-comparisons-of-healthcare-expenditure https://www.jobs4medical.co.uk/jobs/5825548/sho-general-surgery-isle-of-wight-locum-3-months.asp?utm_source=Indeed&utm_medium=organic&utm_campaign=Indeed

I always thought of him as an accountant promoted to keep things ticking over internally at a time when the chairman was doing the external sales stuff. Maybe Ralph is dialling back and they need a more outward focussed CEO.

Most managerial posts only exist because of the internal market introduced by the Tories which has done nothing other than add a new level of complexity and expense. In any event it casts the private sector in a very poor light. Why is it that, in the internal market trumpeted by the Tories, budget holders have the power to use any hospital but NHS hospitals still account for 98% of procedures? Is it because 1. the NHS are grossly inefficient or 2. Because they are amongst the lowest cost in the Western world, around half of what a private UK hospital charges? Average cost for private hospital hip replacement is £11,000, about the same for knee replacements. The NHS is typically half of this. http://www.privatehealth.co.uk/conditions-and-treatments/hip-replacement-total/costs/ https://www.theguardian.com/society/ng-interactive/2016/feb/08/how-much-have-i-cost-the-nhs An interesting (anecdotal) comparison of US and UK emergency room (A&E) waiting times. The UK performs better, despite the US being a private service and consuming more than twice the share of GDP http://uk.businessinsider.com/comparison-uk-nhs-v-us-private-heathcare-2015-1

Seems that way. Its BAND 5 and its not a managerial job. https://www.healthcareers.nhs.uk/about/careers-nhs/nhs-pay-and-benefits/agenda-change-pay-rates

Ah mythical waste. Just cut the waste and everything will be free, probably enough left over to fund a tax cut even.

Throwing cash at it isnt the solution. There needs to be some kind of prioritisation. You will never ever be able to do everything in an age where you can keep pretty much everybody alive if you throw enough technology at it. However what reallt really irritates me is the idea that the private system is the answer and is more efficient. tbh it just shows ignorance. Sure there is waste in the NHS, there is waste in every organisation. However the cost per treatment per patient is far lower, usually about the half the cost, of private hospitals. Nicer food and a private room do not account for that difference. Its ignorant views of the NHS which will destroy it. There used to be wholehearted commitment from the people who worked there because they felt appreciated as a public service. Ignorant sniping, like yours, has progressively destroyed that feeling. You will end up with a private service, like the US, which will cost you double what the NHS does, and will do far less for you. Hopefully you won't end up like my friends in their 60s who are selling their home to meet the cost of her cancer treatment, after the insurance company cancelled her cover after one round of treatment because she was too high risk.

Might be marginally less obviously made up if there was such thing as a level 5 NHS manager

Simply not true. Compare the cost per procedure between NHS hospitals and private UK ones. Its called BUPA

You just end up skewing the market. How can British Costa compete on an equal playing field when they pay tax and international Starbuck dont. Why should Next pay and Amazon not?

The bottom line is people are living longer but the number of healthy years they live isnt increasing. Essentially the more successfully you treat illness the more illness you have to treat next time. I used to work for the NHS trying to find out how people want to limit services - the answer is they don't, but they don't want to pay for the consequences of that decision either. We need someone to challenge that illusion - but anyone who did would get mullered at the polls.

A whole module huh? You must be vastly experienced. And the answer to your question is 'no'. The important metric is corporate taxes as share of national income and as a percentage of total tax take. Otherwise it enables the disingenuous to portray the effects of inflation and an economy recovering from recession as the laffer curve effect actually being real.

Lib Lab Dems next

You're not good at this stuff are you?

Dumbo's in charge?

Still banging on a about the specious laffer curve? The problem isnt taxation rates, its the loopholes the Gov deliberately write into the legislation which enables tax to be optional for multinational companies. The NHS is in crisis. for real, not newspaper headlines. Its in crisis because 1. People are living longer and old people need more care 2. the population is growing 3. More diseases are treatable so sick people live longer (linked to but separate from point 1) 4. We dont train enough doctors and nurses. Labour's pledge to spend more isnt the long term solution but it does at least ease the current situation. Its better than doing nothing, which is what the Tories are doing - not funding at the level needed to meet demand but refusing to make hard decisions about rationing / prioritising.

Virtually all hospitals in deficit http://www.bbc.co.uk/news/health-35608992 NHS has worst winter on record, as long waits for operations soar http://www.telegraph.co.uk/news/2017/04/13/nhs-has-worst-winter-record-number-surgery-waiting-lists-soars/ Bedblocking and waiting times reach record levels: NHS endures worst-ever winter crisis with 200,000 patients forced to wait longer than four hours at A&E Read more: http://www.dailymail.co.uk/health/article-4410668/NHS-endures-worst-winter-crisis-E.html#ixzz4gIDLqatZ Staffing crisis as nurses quit NHS http://www.express.co.uk/life-style/health/653954/Staffing-crisis-nurses-quit-NHS-health-Britain-mental-health

Ha! bit of different picture