| NHS in slow retreat 17:38 - Aug 17 with 6149 views | SullutaCreturned |
Well here is another one, a lack of staff meaning a cutting of service,
https://www.walesonline.co.uk/
Then what happens to those who attend the MIU, they will be redirected to where? They'll probably end up at Morriston A&E putting further pressure on that already hard pressed unit.
Where will the Welsh NHS get these staff from, is the Senedd giving them more money? |  | | |  |
| NHS in slow retreat on 17:35 - Aug 27 with 993 views | SullutaCreturned |
| NHS in slow retreat on 17:24 - Aug 27 by Gwyn737 |
I’m sure there are rubbish ones, Cat but my point is about numbers.
Private sector management runs at about 15% and the NHS At around 5%.
You can have as meany clinical staff as you like, but it’s not going to run well without decent coordination, administration, procurement, tech departments etc.
It amazes me that the systems are so antiquated that even something like accessing patient records in different sites seems so difficult 🤷🏻 |
The NHS does need massive reform but when the government tried that, it made a complete mess of it.
I'll accept your stats about managers but I think my point still stands, it doesn't matter if you have exactly the right amount of managers if they are rubbish.
My wife is always moaning about how hard it an be to get someone's records. Also, many GP surgeries still use a FAX and it is so slow and unwieldy. | | | |
| NHS in slow retreat on 17:38 - Aug 27 with 993 views | Wingstandwood |
| NHS in slow retreat on 16:29 - Aug 27 by SullutaCreturned |
My wife works for the NHS and she would disagree. The other problem is too many of these managers aren't promoted by ability so we end up with rubbish management as well as too many of them.
That applies to the very top too, we see people chosen by politicians to run trusts who aren't good enough. Money is spent on things that aren't needed. In Morriston the former female CEO, 2 CEO's back I think, spent thousands on LGBT things like a massive flag to fly at the front entrance. All money should be spent on what patients need, not minority causes.
Patients need good facilities, good staff and enough of them. |
LGBT flags? Just goes to show that some belong in 'cloud-cuckoo-land' when it comes to finance and priorities. The Welsh NHS has to rely on the services of St Johns Ambulance paramedics who travel from Bridgend to do emergency responses in places like (some distance to travel hey!) Gower. The Welsh NHS has had to rely on charities to provide vital assistance. Worrying times!
And having to use the Red Cross as an ambulance service also.
HTV Wales reporting this week described a Welsh NHS ambulance service that's in a state of demoralisation. But hey, we live in times where 'virtue signaling' seems to be money better spent!!!!
And the more pressure that is put on NHS staff, the more will leave, meaning even more will leave after that because of job stress.
https://www.itv.com/news/wales |  |
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| NHS in slow retreat on 18:20 - Aug 27 with 962 views | Gwyn737 |
| NHS in slow retreat on 17:38 - Aug 27 by Wingstandwood |
LGBT flags? Just goes to show that some belong in 'cloud-cuckoo-land' when it comes to finance and priorities. The Welsh NHS has to rely on the services of St Johns Ambulance paramedics who travel from Bridgend to do emergency responses in places like (some distance to travel hey!) Gower. The Welsh NHS has had to rely on charities to provide vital assistance. Worrying times!
And having to use the Red Cross as an ambulance service also.
HTV Wales reporting this week described a Welsh NHS ambulance service that's in a state of demoralisation. But hey, we live in times where 'virtue signaling' seems to be money better spent!!!!
And the more pressure that is put on NHS staff, the more will leave, meaning even more will leave after that because of job stress.
https://www.itv.com/news/wales |
Nothing in that article mentions buying flags as a reason the NHS is struggling.
Lots of higher profile things than that.
In fact, there’ll be members of the LBGT community in the service. Maybe CEOs displaying their support make those workers feel valued and they stay in the job. Who knows? | | | |
| NHS in slow retreat on 18:49 - Aug 27 with 956 views | Wingstandwood |
| NHS in slow retreat on 18:20 - Aug 27 by Gwyn737 |
Nothing in that article mentions buying flags as a reason the NHS is struggling.
Lots of higher profile things than that.
In fact, there’ll be members of the LBGT community in the service. Maybe CEOs displaying their support make those workers feel valued and they stay in the job. Who knows? |
I think you will find that LBGT staff aren't precious to the extent that they require management patronisation with LBGT flags to continue their service. I think you will find that is the least of their worries.
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| NHS in slow retreat on 19:02 - Aug 27 with 944 views | Gwyn737 |
| NHS in slow retreat on 18:49 - Aug 27 by Wingstandwood |
I think you will find that LBGT staff aren't precious to the extent that they require management patronisation with LBGT flags to continue their service. I think you will find that is the least of their worries.
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Maybe it’ll help with recruitment 🤷🏻 | | | |
| NHS in slow retreat on 20:00 - Aug 27 with 901 views | majorraglan |
| NHS in slow retreat on 18:49 - Aug 27 by Wingstandwood |
I think you will find that LBGT staff aren't precious to the extent that they require management patronisation with LBGT flags to continue their service. I think you will find that is the least of their worries.
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I’ve worked in a number of organisations where the workforce have been drawn from across a diverse spectrum including the LGBT community, the amount of hate and bigotry a large proportion of the staff have experienced is appalling. I can tell you that the staff do appreciate support from their managers and the wider organisation and flying the flag every now and again is welcomed by as a supportive act.
In the grand scheme of things purchasing a couple of flags is neither here nor there, there’s a lot of staff turnover in the NHS and any initiatives which will assist and improve staff retention should be welcomed. | | | |
| NHS in slow retreat on 20:06 - Aug 27 with 895 views | Dr_Winston |
One of the simplest yet silliest things you can do is to sweep all "LGBT" people into one pile.
One of my closest friends is a Pride attending, Rainbow flag waving full on militant lesbian. I also work with a gay guy so far to the Right he'd have been big buddies with Ernst Rohm back in the 30's and wouldn't attend a Pride march if you paid him thousands.
People are people no matter their orientation. |  |
| Pain or damage don't end the world. Or despair, or f*cking beatings. The world ends when you're dead. Until then, you got more punishment in store. Stand it like a man... and give some back. |
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| NHS in slow retreat on 20:13 - Aug 27 with 889 views | Gwyn737 |
| NHS in slow retreat on 20:06 - Aug 27 by Dr_Winston |
One of the simplest yet silliest things you can do is to sweep all "LGBT" people into one pile.
One of my closest friends is a Pride attending, Rainbow flag waving full on militant lesbian. I also work with a gay guy so far to the Right he'd have been big buddies with Ernst Rohm back in the 30's and wouldn't attend a Pride march if you paid him thousands.
People are people no matter their orientation. |
Ernst Rohm 🤣
Brilliant reference, fair play 👏 | | | |
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| NHS in slow retreat on 20:49 - Aug 27 with 863 views | Dr_Winston |
| NHS in slow retreat on 20:45 - Aug 27 by Gwyn737 |
I don’t disagree.
My issue (and it’s largely facilitated by the right wing printed press) is constantly blaming the wrong people for what are massive systemic issues.
I can’t bear the punching down. |
I certainly agree with you about as much as is possible about the systemic issues. We probably don't agree about how best to fix them.
For me, as long as NHS treatment remains free at the point of service then nothing else is off the table. I think as a society we could probably stand to spending a few more billion on it, but in return huge steps need to be made in delivering far more bang for that buck.
Having spent most of my working life seeing how the public sector does things, it would have to be a poorly run private enterprise indeed to manage processes worse. | |
| Pain or damage don't end the world. Or despair, or f*cking beatings. The world ends when you're dead. Until then, you got more punishment in store. Stand it like a man... and give some back. |
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| NHS in slow retreat on 21:03 - Aug 27 with 857 views | Gwyn737 |
| NHS in slow retreat on 20:49 - Aug 27 by Dr_Winston |
I certainly agree with you about as much as is possible about the systemic issues. We probably don't agree about how best to fix them.
For me, as long as NHS treatment remains free at the point of service then nothing else is off the table. I think as a society we could probably stand to spending a few more billion on it, but in return huge steps need to be made in delivering far more bang for that buck.
Having spent most of my working life seeing how the public sector does things, it would have to be a poorly run private enterprise indeed to manage processes worse. |
Like the trains or the water? 😉
I’ve said in here before that the NHS cannot carry on in its current role. I’d go a little further than you in as well as free at point of service, I see a national role for preventative work and support.
It just needs a strong government to have a go at it.
Daft thing is we can see what not to do (US) but there are other better examples of how to do it. | | | |
| NHS in slow retreat on 21:10 - Aug 27 with 852 views | Gwyn737 |
| NHS in slow retreat on 21:06 - Aug 27 by Wingstandwood |
Singleton Hospital has sent senior professionals/clinicians from oncology dept out to Ireland by private charter flight(s) using twin engine propeller aircraft as opposed to more expensive commercial flights.
This is to save money, despite the fact that it's an extremely jittery and uncomfortable experience crossing the (all that water below!) rough Irish Sea in a smaller light aircraft like that. Talk about turbulence!!! Not thinking about it's employees psychological wellbeing in that particular incidence.
Then on the other hand you've got others in the public sector who'll (always have an excuse!) waste money on lesser priority things like the money does not belong to them.....Hang on mmmmm |
Can you not see that demonstrating you are a diverse employer might aid recruitment?
Cat mentioned above about the use of fax machines. Much more expensive than a few flags. Why aren’t you furious about that?
We all should be. | | | |
| NHS in slow retreat on 21:37 - Aug 27 with 834 views | ReslovenSwan1 |
| NHS in slow retreat on 21:10 - Aug 27 by Gwyn737 |
Can you not see that demonstrating you are a diverse employer might aid recruitment?
Cat mentioned above about the use of fax machines. Much more expensive than a few flags. Why aren’t you furious about that?
We all should be. |
I work on the basis that what people do in their own bedroom is of no interest to me. I am simply not interested. I would not discriminate because it is a subject of no relevance. I see no point in Pride marches or flags or promotion of a private lifestyle route. |  |
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| NHS in slow retreat on 21:46 - Aug 27 with 835 views | Wingstandwood |
| NHS in slow retreat on 21:10 - Aug 27 by Gwyn737 |
Can you not see that demonstrating you are a diverse employer might aid recruitment?
Cat mentioned above about the use of fax machines. Much more expensive than a few flags. Why aren’t you furious about that?
We all should be. |
I think the scrapping of stressful 'revalidation' for G.P's, hospital doctors, and nurses etc would aid recruitment and retention far more. Oh and save money and give more time for patient care.
Far more important than virtue signaling stunts!
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| NHS in slow retreat on 22:18 - Aug 27 with 808 views | Gwyn737 |
| NHS in slow retreat on 21:46 - Aug 27 by Wingstandwood |
I think the scrapping of stressful 'revalidation' for G.P's, hospital doctors, and nurses etc would aid recruitment and retention far more. Oh and save money and give more time for patient care.
Far more important than virtue signaling stunts!
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I completely agree that there are many things more important than worrying about a few flags that may or may not have had a positive impact. | | | |
| NHS in slow retreat on 08:35 - Aug 28 with 776 views | SullutaCreturned |
| NHS in slow retreat on 21:10 - Aug 27 by Gwyn737 |
Can you not see that demonstrating you are a diverse employer might aid recruitment?
Cat mentioned above about the use of fax machines. Much more expensive than a few flags. Why aren’t you furious about that?
We all should be. |
Gwyn, I'm furious about EVERY penny I see as wasted, not just the mre expensive ideas.
Lets start at the top, the CEO gets a massive wage AND a company car on expenses, surely they can afford their own car. When they manage things so badly why do they deserve the penny AND the bun.
Also, for myself at least, if you want to be more appealing to LGBT then have a recruitment drive and spend the money targetting LGBT+ there, not on a flag.
Dr W, Roehm would probably have organised the Welsh NHS far better than our health sec but I'm not sure how far she'd go to protect her position  | | | |
| NHS in slow retreat on 09:05 - Aug 28 with 769 views | JACKMANANDBOY |
| NHS in slow retreat on 08:35 - Aug 28 by SullutaCreturned |
Gwyn, I'm furious about EVERY penny I see as wasted, not just the mre expensive ideas.
Lets start at the top, the CEO gets a massive wage AND a company car on expenses, surely they can afford their own car. When they manage things so badly why do they deserve the penny AND the bun.
Also, for myself at least, if you want to be more appealing to LGBT then have a recruitment drive and spend the money targetting LGBT+ there, not on a flag.
Dr W, Roehm would probably have organised the Welsh NHS far better than our health sec but I'm not sure how far she'd go to protect her position |
The core NHS strategy at present is to divert as much resource as possible to the longest waits and most severe cases.
This creates more demand, milder cases get worse, people who are incapacitated in any way lose fitness and are at more risk of developing other conditions and seeing their mental health decline. In time there are more and more severe cases more and more demand.
To tackle any back log in whatever industry you have to find ways of tackling the issue from both sides to prevent today's minor issues becoming tomorrow's severe problems and so reduce overall demand on the system.
There is some more movement in this direction with more diagnostic centres planned. I know what you are thinking, so what would you do. Well, the millions being spent on 20 mph road signs could have been used for cancer screening for example. In every industry I've worked in where there has been a production problem, the strategy has always been divert money from any activity that can be delayed or stopped to address problems before they escalate and drown the business. |  |
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| NHS in slow retreat on 09:15 - Aug 28 with 765 views | SullutaCreturned |
| NHS in slow retreat on 09:05 - Aug 28 by JACKMANANDBOY |
The core NHS strategy at present is to divert as much resource as possible to the longest waits and most severe cases.
This creates more demand, milder cases get worse, people who are incapacitated in any way lose fitness and are at more risk of developing other conditions and seeing their mental health decline. In time there are more and more severe cases more and more demand.
To tackle any back log in whatever industry you have to find ways of tackling the issue from both sides to prevent today's minor issues becoming tomorrow's severe problems and so reduce overall demand on the system.
There is some more movement in this direction with more diagnostic centres planned. I know what you are thinking, so what would you do. Well, the millions being spent on 20 mph road signs could have been used for cancer screening for example. In every industry I've worked in where there has been a production problem, the strategy has always been divert money from any activity that can be delayed or stopped to address problems before they escalate and drown the business. |
Totally agree. As Dr W keeps saying, it's the management that is the biggest problem. | | | |
| NHS in slow retreat on 09:47 - Aug 28 with 759 views | controversial_jack |
| NHS in slow retreat on 09:15 - Aug 28 by SullutaCreturned |
Totally agree. As Dr W keeps saying, it's the management that is the biggest problem. |
Wrong! It's very efficient in comparison to the private sector
According to the Office for National Statistics, the proportion of managers in the UK workforce as a whole in June 2010 was 15.4 per cent. These statistics also show that there were 77,000 hospital and health service managers across the United Kingdom, or 4.8 per cent of the NHS workforce. In other words, the NHS has a managerial workforce that is one-third the size of that across the economy as a whole. | | | |
| NHS in slow retreat on 09:59 - Aug 28 with 757 views | Gwyn737 |
| NHS in slow retreat on 09:47 - Aug 28 by controversial_jack |
Wrong! It's very efficient in comparison to the private sector
According to the Office for National Statistics, the proportion of managers in the UK workforce as a whole in June 2010 was 15.4 per cent. These statistics also show that there were 77,000 hospital and health service managers across the United Kingdom, or 4.8 per cent of the NHS workforce. In other words, the NHS has a managerial workforce that is one-third the size of that across the economy as a whole. |
I mentioned that stat earlier.
I have no doubt that there are poor managers and poor practices but there’s a real lack of numbers for such a monolith of an organisation.
What we’ve ended up with is pretty much a monopoly run on the good will of many.
Unfortunately it’s the good will that makes it such a scared cow amongst the general public. | | | |
| NHS in slow retreat on 10:11 - Aug 28 with 753 views | Gwyn737 |
| NHS in slow retreat on 09:05 - Aug 28 by JACKMANANDBOY |
The core NHS strategy at present is to divert as much resource as possible to the longest waits and most severe cases.
This creates more demand, milder cases get worse, people who are incapacitated in any way lose fitness and are at more risk of developing other conditions and seeing their mental health decline. In time there are more and more severe cases more and more demand.
To tackle any back log in whatever industry you have to find ways of tackling the issue from both sides to prevent today's minor issues becoming tomorrow's severe problems and so reduce overall demand on the system.
There is some more movement in this direction with more diagnostic centres planned. I know what you are thinking, so what would you do. Well, the millions being spent on 20 mph road signs could have been used for cancer screening for example. In every industry I've worked in where there has been a production problem, the strategy has always been divert money from any activity that can be delayed or stopped to address problems before they escalate and drown the business. |
Great post and I always wonder if it’s treasury brain here and budget headings.
I don’t know this that is true but it’s possible but the money spent on the 20mph plan (no comment on its worthiness) was allocated for environment or transport 🤷🏻.
It’s really easy to look at spending you don’t agree with and say it should be spent on doctors, nurses etc. but it’s rarely that simple.
It could be that the LGBT flags were paid for from an allocated budget heading for recruitment, diversity or equality for example.
Same in schools. When the inspectors come, we have to prove that diversity is woven through the curriculum and what we to to ensure there is support for children to feel comfortable whatever their characteristics.
I’m not trying to make a right or wrong point, just saying how it is. That makes it a central government issue, not a school, hospital or health board. [Post edited 28 Aug 2023 10:22]
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| NHS in slow retreat on 12:59 - Aug 28 with 723 views | JACKMANANDBOY |
| NHS in slow retreat on 10:11 - Aug 28 by Gwyn737 |
Great post and I always wonder if it’s treasury brain here and budget headings.
I don’t know this that is true but it’s possible but the money spent on the 20mph plan (no comment on its worthiness) was allocated for environment or transport 🤷🏻.
It’s really easy to look at spending you don’t agree with and say it should be spent on doctors, nurses etc. but it’s rarely that simple.
It could be that the LGBT flags were paid for from an allocated budget heading for recruitment, diversity or equality for example.
Same in schools. When the inspectors come, we have to prove that diversity is woven through the curriculum and what we to to ensure there is support for children to feel comfortable whatever their characteristics.
I’m not trying to make a right or wrong point, just saying how it is. That makes it a central government issue, not a school, hospital or health board. [Post edited 28 Aug 2023 10:22]
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Yes, if you change your strategy you have to be prepared to make whole system changes including budgets across the whole system. | |
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| NHS in slow retreat on 13:06 - Aug 28 with 723 views | SullutaCreturned |
| NHS in slow retreat on 10:11 - Aug 28 by Gwyn737 |
Great post and I always wonder if it’s treasury brain here and budget headings.
I don’t know this that is true but it’s possible but the money spent on the 20mph plan (no comment on its worthiness) was allocated for environment or transport 🤷🏻.
It’s really easy to look at spending you don’t agree with and say it should be spent on doctors, nurses etc. but it’s rarely that simple.
It could be that the LGBT flags were paid for from an allocated budget heading for recruitment, diversity or equality for example.
Same in schools. When the inspectors come, we have to prove that diversity is woven through the curriculum and what we to to ensure there is support for children to feel comfortable whatever their characteristics.
I’m not trying to make a right or wrong point, just saying how it is. That makes it a central government issue, not a school, hospital or health board. [Post edited 28 Aug 2023 10:22]
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It's still a problem when so much money is diverted from the NHS raison d'etre.
Here's another issue, whistleblowers. They are supposed to be protected but I know a person who blew her whistle and instead of the problem she raised being addressed she was hounded out and offered a pay off as long as she signed an NDA.
Good staff are leaving because they'd rather get rid and shut them up. Lucy Letby is a very relevant example, 2 doctors who brought her up were told to apologise when she was murdering babies. | | | |
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