Just another thought.

onebigvoice

Two thoughts?

1.  Have I missed something? I thought the NHS was run for the benefit of getting Health Care to people who in theory live in Britain.

So can you tell me why the NHS is so underfunded? Why are there longer waiting lists for treatment? If the government is contracting parts of the NHS to others to release our Doctors to do meaningful work and not have to do the paperwork, then why are these contractors being paid more for "assessing" claimants for benefits and doing everything in their power to not pay anything to a claimant when they need it the most?

2.  The police in Wales (and I should imagine every where) are now using Artificial Intelegence to catch drivers out.  Why is that? are thery not intelegent enough to do it for them selves? 

66Mustang

I'm not defending the current government at all, not actually trying to make this political, but I know a few people who work for the NHS in various roles and if you knew how money was treated by that organisation I think maybe people would reconsider just giving them a blank cheque

I'm not talking paying 10 or 20% over the odds for things, I mean literally adding a 0 to the end of what a reasonable quote would be, paying over £30,000 for something that should cost £1,500-2,000 at most, paying a 7 figure sum to upgrade a small building that has been condemned and is going to be bulldozed in less than 12 months

This is just one area, if you extrapolate that across the country it's a lot of waste

Not dismissing that they may well be underfunded, they may well be, but the case is that they can help themselves at the same time

I'm with you on the other bit though ... why deny us the healthcare that may prevent us from needing benefits, but then try to deny us the benefits as well?  

onebigvoice

And again I agree with you.  This is why we need accountability.  The biggest culprit of this, and in MY OPINION is the Medical Board, and the HSE.  Being accountable for the Budget is "being accountable for the Budget"  1.  Let me explain.  The Chief Medical Officer in Parliament (Health Minister) has been given a Budget in each area for allocating funds.  Lets say £2.0bn pounds, from that they have "associates" who help allocate funding to those that place requests for increases in Wage budget, Building Maintenance, purchasing of new equipment, up grading skills within that area, you get the gist.
  The allocation is then given to them but the person that makes the final decision is the Health Minister, as he is being paid for his skills and expertise in keeping the NHS afloat.
As I said, parts are being given to outside contractors that would allow the NHS to function as an NHS and stop unnecessary reems of paper to produce an assessment when the assessment has already been done at source, by either your GP, Consultant or Hospital.  (this list is not definitave) After all the "assessment" we require is for Health Reasons, so the care that is needed has already been allocated at source, and that includes A & E.  So why does it take so many people to allocate any financial help?  All the information about the claimant is already on a central computer with the DWP as this is how you get UC, Dole, Sickness Benefits, Housing benefits, Council Tax Reductions, Gas and Water bills, and still have to have another assessment to get help financially.
  Were the HSE not involved in the building of the Nightingale Hospitals, the kitting out of the equipment fit for purpose, making sure that the skills and expertise used to build these units was of a level that complemented the Risk assessments and method statements used by these contract company's abided by the British Kite Mark we all use, yet no one even thinks about.
  And why is this?  Its because STANDARDS are set in stone, risk and method statements are made BEFORE a single brick is laid or a person is allowed on site.  The company asking for what ever it is that is being build or altered will have a design or board that has put out the tender and colated all those tenders.  They will review every one and it is not always the lowest tender that gets the job, I understand this.
  BUT, once statrted the review of the budget and target given by the contractor are ON GOING, this is because the Risk assessment and method statements change as each part of the contract is achieved.
  If the original bedget is becoming an over spend it is for the contractor to say why not just ask for more money.  That's why its called a contract.  If the materials being used are not of a standard required in the manifesto, then again it is the contract company that needs to put a case forward as to why.  Otherwise that is their responsibility.
  Look at ATOS, they were contracted to do a job and £850 MILLION a YEAR WAS NOT ENOUGH.
  NEED I SAY MORE, and bought out of the contract for an undisclosed sum?  It is our money being spent and look how they handled that.  How many others have done the same job, and still asking for more money for a job that was done by the NHS.    
   

rubin16

66Mustang said:

I'm not defending the current government at all, not actually trying to make this political, but I know a few people who work for the NHS in various roles and if you knew how money was treated by that organisation I think maybe people would reconsider just giving them a blank cheque

I'm not talking paying 10 or 20% over the odds for things, I mean literally adding a 0 to the end of what a reasonable quote would be, paying over £30,000 for something that should cost £1,500-2,000 at most, paying a 7 figure sum to upgrade a small building that has been condemned and is going to be bulldozed in less than 12 months

This is just one area, if you extrapolate that across the country it's a lot of waste

Not dismissing that they may well be underfunded, they may well be, but the case is that they can help themselves at the same time

I'm with you on the other bit though ... why deny us the healthcare that may prevent us from needing benefits, but then try to deny us the benefits as well?  

When I was in hospital a few years ago for my crohn's and about to get discharged someone (I think from pals or a volunteer) gave out a flyer stating to refuse to get paracetamol from the hospital on discharge as the NHS pay £100's for them where they only cost 35p at the supermarket. They pay rediculas amount for medication and other things whereby they could save so much money.

onebigvoice

@rubin16.  Yet again I agree.  This again points to accountability, and the ability of the Medical Board in each NHS industry to revisit contracts to see where we are getting value for money.  this is not only value for money in Tablets but in Care.  It is not the NHS that is in trouble, it's the people who decide which care gets funding and which doesn't or gets reduced funding.
  The skills of these people are just as important as the assessment itself.  I feel sorry for those who have their hands tied by the higher-ups and don't allow for the contracts to be reviewed on the grounds for instance, Paracetamol.  I also buy them at 35P, the same strength, so when buying in bulk as the NHS does, don't they get a discount on them?
  I would review every drug and say to the supplier, if you don't come up with a good price for this then I will buy direct from Tescos myself and you lose the contract. 
  Apply this one thing across the board and see how much can be saved.
  If the government remember its not the NHS that is causing long waiting lists or costings its when the Private sector decide to charge more for operations that they can be done on the NHS?  The NHS pay to get lists down, but the people on the Private Sector are trained by the NHS, use NHS Hospitals, and NHS Equipment and have ancillary staff support during and after the operations at NHS Facilities.  Private sector do not train anyone the poach staff from the NHS by paying more money, and less hours.

MW123

@onebigvoice

I completely agree with the points you raised. Improving accountability, contract management, and the relationship between the NHS and private sector are all critical to ensuring value for money and high-quality care. The expertise and decision-making of those overseeing the system is just as important as the assessments themselves. Proactively reviewing drug pricing and contracts, while addressing systemic issues rather than just symptoms, are sensible ways forward. 

onebigvoice

I agree, as all I have asked for is a fair assessment, as I don't want anything that I am not entitled to and just want a fair assessment system for all.  But "some contractors" are just doing what they are told to do.
  As for police I have been driving for over 50 years, and my rcent quote for insurance has gone from £430 Fully Comp to £1230 a year.  Is this not Highway robery?  Why should I pay for other peoples claims.
  My insurance should be based on me since they will only take 9+ discount, so because they had a bad year I pay?  My 260Z Datsun under classic insurance is £53. 

onebigvoice

@MW123 This is what I have been saying from Day one.  What people have forgotten:
The NHS was in trouble before the Pandemic.  This gave the government a respite from being continually being asked what is happening to our NHS.
  Laws were changed to coincide with what was happening at that time.
  We are no longer in a Pandemic, yet now we are asking about accountability and what could have been done differently, and also are we ready for another one should it occur?
  What we are not doing is saying everything goes back to the Status quo, not having to have Doctors and Nurses on Strike to get better conditions and an increase in Wages.  The Basic Wage increase that came into play today was because EVERYONE WAS ON WAGES that did not represent a decent living wage.
  This government makes it look like they are resolving issues, but they are not, because all the rises, including pension rises were long overdue.  How can you tell me that you can only deserve a 5% pay rise after what they did for this country, and THEN AWARD YOUR SELF 12% PAY RISE YEAR ON YEAR?  You should be ashamed and should instead of sending money in aid to pay for Bullets and Rockets, be looking at your home country and explain what you have done for OUR NHS since the end of the Pandemic.
  You dismantled all the Nightingale hospitals which were kitted out and ready to go but never used. 

rubin16

The conservatives are a shambles of a government, I can't wait for the general election and get a new government put in place.

michael57

rubin16 said:

The conservatives are a shambles of a government, I can't wait for the general election and get a new government put in place.

ah soon be time for a new bunch of fluffles to [Word removed by moderator] the poor to line there pockets 

michael57

michael57 said:

rubin16 said:

The conservatives are a shambles of a government, I can't wait for the general election and get a new government put in place.

ah soon be time for a new bunch of fluffles to [Word removed by moderator] the poor to line there pockets 

oh i have been told off sorry 

onebigvoice

To make a point there is no need to become the victim of your own terminology.
  Murder of people here go unnoticed every day by the support that this government gives.  MY opinion.

michael57

haha i dont take being chastised for my terminology personal being an old ex farmer i say things as i see them always have always will much to dawnies dismay fields of that yellow stuff in early summer do look very nice tho 

onebigvoice

New rules I am afraid.  The politically correct brigade have a lot to live up to.
  But that said, tyhis site is quite liberal and does allow freedom, so my problem is I have ADHD and cannot post with out explaining everything.  No Grey areas with me.

Albus_Scope

Hi @onebigvoice we had to censor the comment as we felt the word in question as it could be triggering to some.  We want to keep this a safe place for all. 

michael57

Albus_Scope said:

Hi @onebigvoice we had to censor the comment as we felt the word in question as it could be triggering to some.  We want to keep this a safe place for all. 

hey i dont have a problem with it being removed i find politics triggering to my warped sense of humor

CATP

rubin16 said:

66Mustang said:

I'm not defending the current government at all, not actually trying to make this political, but I know a few people who work for the NHS in various roles and if you knew how money was treated by that organisation I think maybe people would reconsider just giving them a blank cheque

I'm not talking paying 10 or 20% over the odds for things, I mean literally adding a 0 to the end of what a reasonable quote would be, paying over £30,000 for something that should cost £1,500-2,000 at most, paying a 7 figure sum to upgrade a small building that has been condemned and is going to be bulldozed in less than 12 months

This is just one area, if you extrapolate that across the country it's a lot of waste

Not dismissing that they may well be underfunded, they may well be, but the case is that they can help themselves at the same time

I'm with you on the other bit though ... why deny us the healthcare that may prevent us from needing benefits, but then try to deny us the benefits as well?  

When I was in hospital a few years ago for my crohn's and about to get discharged someone (I think from pals or a volunteer) gave out a flyer stating to refuse to get paracetamol from the hospital on discharge as the NHS pay £100's for them where they only cost 35p at the supermarket. They pay rediculas amount for medication and other things whereby they could save so much money.

hi, there is a argument to not getting things like paracetemol or ibuprofen on the NHS as it woud save a lot of money but a lot of people in society are often not aware of how it woud afect people in 24 hour care services such as suported living services or residential care homes for adults with learning disability and/or autism,where you need to have every form of suplement or medication prescribed by the NHS,you arent allowed to just take 'over the counter' stuff,staff are told to ring 111 to get advice and also go log it as a safe guarding if you take OTC stuff without them knowing-by OTC stuff,im thinking basic anti histamines for an example as well as paracetemol and ibuprofen (im prescribed a stronger form of this called naproxen).

onebigvoice

@CAPT yes again I agree.  Since the only prescribed drugs that can be taken on a regular basis is NONE.
  If you require help for that niggly headache, or dry skin then its your body's way of saying somethings wrong and you feel pain.
  I take a cocktail of drugs which when reading the paper inside state not for prolonged use and my cause liver and blood function problems or death?
  I have been taking them for over 10 years, and every now and then, (more so recently) stopped taking them as I hate the sickness in even thinking about them, it makes my mouth froth.  I have told the doctor BEFORE doing this as some I take, or don't take cause bad side affects, where things shut down, not just headaches and feeling sick.
  I do not recomend taking tablets, but if you are worried or you think the tablets are causing more harm than good, THEN SEE YOUR DOCTOR.  Tell them and there could be an alternative that does not clash with others.
  The other point about price is that again if the NHS are going to prescribe tablets ON PRESCRIPTION then why pay more from their suppliers than you can get from TESCO's?  Its just not good sense, as some will always buy from tescos anyway as they don't want to go to the doctors with a headache.  But this could be underlying causes of High Blood pressure, dizzy spells affecting balance, and even breathing like asthma when exerting your self at even the most simple tasks.
  If you have been taking over the counter drugs for more than a week or two and you still are having problems then see your Doctor and get it checked out.
  My Wife is the worlds worse, says nothing, won't see a doctor, and won't change.  But I read her like a book after 52 years of marridge, and see every change.
  The NHS is their for a reason and their are many who are walking around with undiagnosed illnesses and put it down to OLD AGE.  So why was my father working on his farm until he was 86?