| NHS in slow retreat 17:38 - Aug 17 with 6139 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 17:52 - Aug 17 with 3711 views | Whiterockin |
Cat as you know I am one of the biggest critics of the Senedd, but they are not solely to blame for the staff shortage. There are over 4,000 vacancies in the Welsh NHS unfilled, the problem is far deeper.
https://www.gov.wales/nhs-wale |  | | |
| NHS in slow retreat on 18:46 - Aug 17 with 3679 views | SullutaCreturned |
| NHS in slow retreat on 17:52 - Aug 17 by Whiterockin |
Cat as you know I am one of the biggest critics of the Senedd, but they are not solely to blame for the staff shortage. There are over 4,000 vacancies in the Welsh NHS unfilled, the problem is far deeper.
https://www.gov.wales/nhs-wale |
Well there's the underfunding and they admitted to spending some of the NHS busget on other things.
There's the mismanagement that goes all the way back to when Drakeford was health minister, Gething was just as bad and the current post holder?
The problem is far deeper but if it's not the Senedd's fault then who's fault is it? | | | |
| NHS in slow retreat on 19:09 - Aug 17 with 3663 views | Whiterockin |
| NHS in slow retreat on 18:46 - Aug 17 by SullutaCreturned |
Well there's the underfunding and they admitted to spending some of the NHS busget on other things.
There's the mismanagement that goes all the way back to when Drakeford was health minister, Gething was just as bad and the current post holder?
The problem is far deeper but if it's not the Senedd's fault then who's fault is it? |
Without knowing the breakdown between the vacancy rates between England and Wales and the pay rates it's hard to judge. I do know some nurses who live in Pontypool and Newport who prefer to work in Bristol and there are many working in Swansea who live in the Cardiff area. The incentive must be there to travel particularly if coming off a long night shift. | | | |
| NHS in slow retreat on 22:26 - Aug 17 with 3597 views | Luther27 |
It’s all about money isn’t it. The lack of it from Government….the demand for more from the medical profession. I never ever thought I’d see the day the Hippocratic Oath was deemed a quaint idealism of the past.
Does it matter who’s to blame? It only becomes important when you turn up at a medical facility desperate for help only to find the doors locked and no lights on. | | | |
| NHS in slow retreat on 01:08 - Aug 18 with 3579 views | majorraglan |
It’s a huge issue and there are many problems at different levels.
An Aging population who cost more to treat, Wales has a proportionality higher number of oldies so that eats up the budget.
Lack of staff - it’s been a problem for a long time but it’s even worse post Covid - lots of staff have had a guts full after Covid. My mate’s daughter is a highly trained nurse, she’s just jacked her job in and gone to the UAE to work.
Whatever we think of West Wales - lots of people don’t agree with our views and persuading nurses, doctors and consultants to make the move down these ways is difficult. In my local hospital, a large number of the doctors and consultants have come from abroad because of the difficulty in filling jobs.
Hospitals are struggling to deliver health care, investment in infrastructure is falling by the wayside.
More people, less beds, less cash.
There were 112,000 vacancies across the NHS earlier this year, over 40,000 were nursing vacancies and over 8,000 were doctors. The rest would be in areas like healthcare assistants (who do most of the hands on stuff with patients) physios, pharmacists, radiographers, ambulance drivers, technicians, porters, admin staff and managers etc. | | | |
| NHS in slow retreat on 09:41 - Aug 18 with 3536 views | controversial_jack |
| NHS in slow retreat on 01:08 - Aug 18 by majorraglan |
It’s a huge issue and there are many problems at different levels.
An Aging population who cost more to treat, Wales has a proportionality higher number of oldies so that eats up the budget.
Lack of staff - it’s been a problem for a long time but it’s even worse post Covid - lots of staff have had a guts full after Covid. My mate’s daughter is a highly trained nurse, she’s just jacked her job in and gone to the UAE to work.
Whatever we think of West Wales - lots of people don’t agree with our views and persuading nurses, doctors and consultants to make the move down these ways is difficult. In my local hospital, a large number of the doctors and consultants have come from abroad because of the difficulty in filling jobs.
Hospitals are struggling to deliver health care, investment in infrastructure is falling by the wayside.
More people, less beds, less cash.
There were 112,000 vacancies across the NHS earlier this year, over 40,000 were nursing vacancies and over 8,000 were doctors. The rest would be in areas like healthcare assistants (who do most of the hands on stuff with patients) physios, pharmacists, radiographers, ambulance drivers, technicians, porters, admin staff and managers etc. |
Good post and very apt. We may love in in Wales, but medical personell don't always feel the same. Jobs need to be made more attractive and rewarding, but that's not just in the medical profession | | | |
| NHS in slow retreat on 19:07 - Aug 18 with 3473 views | AnotherJohn |
Part of the problem for many years was that governments, both at the UK and Welsh Assembly levels capped the numbers of funded places on university medicine and nursing degree courses. The number of nursing places was actually reduced in 2011 on the mistaken theory that this would prevent a future over-supply of qualified nurses. There were always adequate numbers of applicants. The Welsh policy of continuing with nursing bursaries when England went to loans in 2017 probably helped in that respect, but even in England applications exceeded available places. | | | |
| NHS in slow retreat on 19:22 - Aug 19 with 3373 views | Dr_Winston |
The NHS is the fifth largest employer in the World. More than 1.5m people work for it. More than Amazon & the Indian Railways. The problem is not the lack of staff. It's shite management, as evidenced by the arse covering tossers exposed by the Lucy Letby situation.
There is a fundamental problem at the heart of UK public services, exemplified but not limited to the way the NHS is run. |  |
| 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 19:41 - Aug 19 with 3354 views | SullutaCreturned |
| NHS in slow retreat on 19:22 - Aug 19 by Dr_Winston |
The NHS is the fifth largest employer in the World. More than 1.5m people work for it. More than Amazon & the Indian Railways. The problem is not the lack of staff. It's shite management, as evidenced by the arse covering tossers exposed by the Lucy Letby situation.
There is a fundamental problem at the heart of UK public services, exemplified but not limited to the way the NHS is run. |
And the lawyers have said there should be an investigation into why the NHS trust prioritised reputation over child safety.
They aren't the only trust who do this, if I told you what I know about SBUHB it's send shivers down your spine. it'd get those members of staf who told me these things into trouble though. | | | |
| NHS in slow retreat on 20:05 - Aug 19 with 3345 views | Dr_Winston |
| NHS in slow retreat on 19:41 - Aug 19 by SullutaCreturned |
And the lawyers have said there should be an investigation into why the NHS trust prioritised reputation over child safety.
They aren't the only trust who do this, if I told you what I know about SBUHB it's send shivers down your spine. it'd get those members of staf who told me these things into trouble though. |
Sadly it probably wouldn't. I am unfortunately quite familiar with the methodologies employed by public sector management. | |
| 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 09:00 - Aug 20 with 3277 views | Gwyn737 |
| NHS in slow retreat on 19:22 - Aug 19 by Dr_Winston |
The NHS is the fifth largest employer in the World. More than 1.5m people work for it. More than Amazon & the Indian Railways. The problem is not the lack of staff. It's shite management, as evidenced by the arse covering tossers exposed by the Lucy Letby situation.
There is a fundamental problem at the heart of UK public services, exemplified but not limited to the way the NHS is run. |
It would be wonderful if the future of the NHS could be fleshed out by proper cross party cooperation.
We’re still some way IMO from the public accepting that it is sadly no longer fit for purpose, so a single party won’t touch it. | | | |
| NHS in slow retreat on 15:56 - Aug 20 with 3232 views | SullutaCreturned |
| NHS in slow retreat on 09:00 - Aug 20 by Gwyn737 |
It would be wonderful if the future of the NHS could be fleshed out by proper cross party cooperation.
We’re still some way IMO from the public accepting that it is sadly no longer fit for purpose, so a single party won’t touch it. |
The NHS would be better off if all our current politicians gave up and went home so we could start again, with new rules for the MP's. | | | |
| NHS in slow retreat on 18:48 - Aug 20 with 3201 views | Gwyn737 |
| NHS in slow retreat on 15:56 - Aug 20 by SullutaCreturned |
The NHS would be better off if all our current politicians gave up and went home so we could start again, with new rules for the MP's. |
I just wish Labour would be a bit stronger with their policies, Cat. I get why they’re being shy but it’s frustrating.
There’s real talent on the shadow bench but as thing are I don’t yet know what they stand for. | | | |
| NHS in slow retreat on 22:10 - Aug 20 with 3170 views | felixstowe_jack |
| NHS in slow retreat on 22:26 - Aug 17 by Luther27 |
It’s all about money isn’t it. The lack of it from Government….the demand for more from the medical profession. I never ever thought I’d see the day the Hippocratic Oath was deemed a quaint idealism of the past.
Does it matter who’s to blame? It only becomes important when you turn up at a medical facility desperate for help only to find the doors locked and no lights on. |
Record money being sent on the NHS. Record mismanagement. Record numbers employed by NHS 1.3 million including an extra 51,000 in the last year. Trouble is less than 500,000 are Doctors and nurses. Makes you wonder what the other 800,000 are doing. The NHS needs major reforms but no government has the nerve to do it. | |
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| NHS in slow retreat on 22:22 - Aug 20 with 3166 views | Gwyn737 |
| NHS in slow retreat on 22:10 - Aug 20 by felixstowe_jack |
Record money being sent on the NHS. Record mismanagement. Record numbers employed by NHS 1.3 million including an extra 51,000 in the last year. Trouble is less than 500,000 are Doctors and nurses. Makes you wonder what the other 800,000 are doing. The NHS needs major reforms but no government has the nerve to do it. |
This page looks good for explaining it (although 18 months out of date)
https://www.nuffieldtrust.org. | | | |
| NHS in slow retreat on 23:10 - Aug 20 with 3157 views | Dr_Winston |
I think you'd have to be spectacularly disingenuous to push the idea that something like the NHS can run only by employing Doctors and Nurses. Cleaners, Porters and Maintenance staff are essential too.
I suspect the problem lies in processes. For example, in my part of the Civil Service, if I decided that I needed some USB flash drives I would have to order them via official channels, where they would undoubtedly cost at least twice as much than they would if I just nipped to Currys. Possibly three times as much.
Sure, you're probably only talking a difference of £15-20, but extrapolate that Civil Service wide and you'll rapidly run into the Billions. This is what I mean when I talk about management processes. It's not hard to imagine that a significant percentage of the overall NHS budget is simply pissed away due to nonsense like this. | |
| 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 23:43 - Aug 20 with 3144 views | Gwyn737 |
| NHS in slow retreat on 23:10 - Aug 20 by Dr_Winston |
I think you'd have to be spectacularly disingenuous to push the idea that something like the NHS can run only by employing Doctors and Nurses. Cleaners, Porters and Maintenance staff are essential too.
I suspect the problem lies in processes. For example, in my part of the Civil Service, if I decided that I needed some USB flash drives I would have to order them via official channels, where they would undoubtedly cost at least twice as much than they would if I just nipped to Currys. Possibly three times as much.
Sure, you're probably only talking a difference of £15-20, but extrapolate that Civil Service wide and you'll rapidly run into the Billions. This is what I mean when I talk about management processes. It's not hard to imagine that a significant percentage of the overall NHS budget is simply pissed away due to nonsense like this. |
Spot on.
For me to by a pencil for work requires three people and at lease two bits of paperwork if ordered online.
Bought with personal cash or card at a supermarket with reimbursement is even more complicated. | | | |
| NHS in slow retreat on 23:53 - Aug 20 with 3143 views | majorraglan |
| NHS in slow retreat on 22:10 - Aug 20 by felixstowe_jack |
Record money being sent on the NHS. Record mismanagement. Record numbers employed by NHS 1.3 million including an extra 51,000 in the last year. Trouble is less than 500,000 are Doctors and nurses. Makes you wonder what the other 800,000 are doing. The NHS needs major reforms but no government has the nerve to do it. |
A fair proportion will be healthcare support workers who do the bulk of the day to day patient care in hospitals on most wards they are there in almost identical numbers to nurses, then you’ve got the physiotherapists, podiatrists, porters, cleaners, scientists who test bloods etc, radiographers, dieticians, technicians who repair machines, phlebotomists, large numbers of pharmacists and assistant pharmacists doing the patient meds etc, occupational therapists to get patients out of hospital, cooks then in the admin side each ward will have an admin clerk, then there will be things like service managers trying to improve efficiency, clerks, doctors secretary’s.
Outside of the hospitals you’ll have Primary care, GP’s etc, more nurses, doctors receptionists etc, ambulances teams, control rooms and host of other stuff. You’ll also have pay roll teams, fraud investigators accounts teams to pay invoices etc etc.
A lot of the NHS issues are related to social care, that’s the area that needs to be sorted then things in the NHS will improve. Our politicians are useless. | | | |
| NHS in slow retreat on 00:02 - Aug 21 with 3140 views | Dr_Winston |
| NHS in slow retreat on 23:43 - Aug 20 by Gwyn737 |
Spot on.
For me to by a pencil for work requires three people and at lease two bits of paperwork if ordered online.
Bought with personal cash or card at a supermarket with reimbursement is even more complicated. |
We used to have a petty cash balance when I first started, but that is long gone now.
When I die I want to come back as a Government contractor. The markups on basically everything are absurd. | |
| 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 09:42 - Aug 21 with 3104 views | Gwyn737 |
| NHS in slow retreat on 00:02 - Aug 21 by Dr_Winston |
We used to have a petty cash balance when I first started, but that is long gone now.
When I die I want to come back as a Government contractor. The markups on basically everything are absurd. |
There seems to be a big differences between employees and contractors.
Employees have hyper-accountability yet being a contractor is a licence to print money. | | | |
| NHS in slow retreat on 19:35 - Aug 22 with 3006 views | SullutaCreturned |
| NHS in slow retreat on 23:10 - Aug 20 by Dr_Winston |
I think you'd have to be spectacularly disingenuous to push the idea that something like the NHS can run only by employing Doctors and Nurses. Cleaners, Porters and Maintenance staff are essential too.
I suspect the problem lies in processes. For example, in my part of the Civil Service, if I decided that I needed some USB flash drives I would have to order them via official channels, where they would undoubtedly cost at least twice as much than they would if I just nipped to Currys. Possibly three times as much.
Sure, you're probably only talking a difference of £15-20, but extrapolate that Civil Service wide and you'll rapidly run into the Billions. This is what I mean when I talk about management processes. It's not hard to imagine that a significant percentage of the overall NHS budget is simply pissed away due to nonsense like this. |
That is very true Doc. All the NHS trusts purchase their own meds and they pay well ver the odds for things like paracetamol, weve discussed this before. Who signed these contracts and which big pharma comany do they now work for?
The NHS should be NATIONAL, no devolved nonsense and it should have one purchasing office which every trust issues it's needs too and they disburse it as needed.
The remark about the 800k others, if you removed the cleaners and porters the NHS would grind to a halt in 24 hours or less. HCA's are now doing a lot that nurses used to do. My sister got very frustrated last time she was in hospital because nurses are no longer expected or trained to do things that were routine training when she started. Some things she learned in her first year that nurses cannot do now when fully qualified. | | | |
| NHS in slow retreat on 11:42 - Aug 27 with 2889 views | Gwyn737 |
I appreciate this post will send some on here nuts but here goes….
There are nowhere near enough managers in the NHS to enable it to function well.
Tin hat on! | | | |
| NHS in slow retreat on 16:29 - Aug 27 with 2867 views | SullutaCreturned |
| NHS in slow retreat on 11:42 - Aug 27 by Gwyn737 |
I appreciate this post will send some on here nuts but here goes….
There are nowhere near enough managers in the NHS to enable it to function well.
Tin hat on! |
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. | | | |
| NHS in slow retreat on 17:12 - Aug 27 with 2860 views | Dr_Winston |
I would say it needed more good managers. Like most other parts of the civil service, I doubt promotion within the NHS has anything to do with actual ability.
It's entirely possible for complete morons to advance up the ladder if they can wangle their way through the application and interview process. I've seen it happen often enough. | |
| 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 17:24 - Aug 27 with 2855 views | Gwyn737 |
| 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. |
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 🤷🏻 | | | |
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