The Student Room Group

Problems with the NHS!

Hi

I dont know too much about the NHS and its problems. I know the obvious things such as budgeting problems, and did read about the news to do with the willful neglect of patients in Stratford.

I also know that GP's have more responsibility with the budget as they will be referring patients down the line.

But what are some of the current problems with the NHS? Where can I find this information?

Cheers
Reply 1
Original post by A random human
Hi

I dont know too much about the NHS and its problems. I know the obvious things such as budgeting problems, and did read about the news to do with the willful neglect of patients in Stratford.

I also know that GP's have more responsibility with the budget as they will be referring patients down the line.

But what are some of the current problems with the NHS? Where can I find this information?

Cheers


http://www.bbc.co.uk/news/health/
Cheers yeah I do follow that from time to time.

Can you give me some more general issues though? I already see some such as bed blocking, delayed hospital charges etc...
(edited 10 years ago)
Reply 3
Hi!

If you can get hold of it: 'God Bless the NHS' By Roger Taylor is a good read, it's current and highlights many of the major issues.

A summary of some of the main ones:

In order to increase efficiency the structure of the NHS will change so that there are fewer, more specialised hospitals (called centres for excellence), meaning that patients will have to travel further for specific treatments, but when they get there (or, in the case of trauma centres, IF they get there), they will get much better care, which is more efficient money-wise. There's a lot more to it which is easily available. Community health care will probably need to step up, treating people at home, more proactively.

One of the main issues with money is that as health care gets better with more complex treatments/ procedures such as radiosurgery, more people will survive when they wouldn't have ten years ago, increasing spending per person. A suggested technique is the use of 'top up payments' where patients pay for extra treatment, especially if the NHS is unwilling to provide it, obviously this is very controversial and goes against the idea of universally equal health care.

There are so many issues, something very topical at the moment is winter pressure on A&Es, go onto the health section of the BBC and there are some excellent videos.

By the way, it was STAFFORD hospitals that had the criticism not Stratford!

Good luck :smile:
Reply 4
Original post by Hens48
Hi!

If you can get hold of it: 'God Bless the NHS' By Roger Taylor is a good read, it's current and highlights many of the major issues.

A summary of some of the main ones:

In order to increase efficiency the structure of the NHS will change so that there are fewer, more specialised hospitals (called centres for excellence), meaning that patients will have to travel further for specific treatments, but when they get there (or, in the case of trauma centres, IF they get there), they will get much better care, which is more efficient money-wise. There's a lot more to it which is easily available. Community health care will probably need to step up, treating people at home, more proactively.

One of the main issues with money is that as health care gets better with more complex treatments/ procedures such as radiosurgery, more people will survive when they wouldn't have ten years ago, increasing spending per person. A suggested technique is the use of 'top up payments' where patients pay for extra treatment, especially if the NHS is unwilling to provide it, obviously this is very controversial and goes against the idea of universally equal health care.

There are so many issues, something very topical at the moment is winter pressure on A&Es, go onto the health section of the BBC and there are some excellent videos.

By the way, it was STAFFORD hospitals that had the criticism not Stratford!

Good luck :smile:


Would you recommend buying that book?
Reply 5
Original post by A random human
Cheers yeah I do follow that from time to time.

Can you give me some more general issues though? I already see some such as bed blocking, delayed hospital charges etc...


Bed blocking and delayed discharges are pretty much the same thing. With Stafford it was a wee bit more complicated than just the wilful neglect of patients, though that did happen there were organisational pressures that led to it getting to the point where this happened.

As Meenu has already suggested the BBC's health news section is pretty good for an overview of things, or one of the more decent quality newspaper's sites.
(edited 10 years ago)
There are a lot of things at the moment:

The hideously expensive (and failed) attempt to centralise all patient records in an electronic format;

Calls to scrap the GP contract in it's current form and require GP surgeries to be open later, and at weekends;

The "crisis" in maternity care (The government responded to calls by the Royal College to increase the number of midwives, but has not increased the number of posts so now there are loads of qualified but unemployed midwives).

A&E departments under unsustainable pressure, partly cused by the issue above where people default to A&E because they cannot get a GP appointment.

The botched implementation of the 111 non-emergency number

The dissolution of primary care trusts with nothing to replace them (yet) so GP surgeries have lost their managerial and administrative support.....

Is that enough to be going along with?


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Reply 7
Original post by star10159
Would you recommend buying that book?


All the information you need is online, in a format which is not 300 pages long. But, if you think you'd enjoy learning a little extra about the politics and NHS as a whole, then it's worth getting. I enjoyed it - although a lot of it is his opinion and certainly not what I agree with!
Original post by A random human
Hi

I dont know too much about the NHS and its problems. I know the obvious things such as budgeting problems, and did read about the news to do with the willful neglect of patients in Stratford.

I also know that GP's have more responsibility with the budget as they will be referring patients down the line.

But what are some of the current problems with the NHS? Where can I find this information?

Cheers


*Stafford.

Recently had a lecture on the surrounding issues concerning Stafford, and were told the trust was trying to meet 'targets' and cut financial corners rather than putting the patient first.
Reply 9
Original post by A random human
Hi

I dont know too much about the NHS and its problems. I know the obvious things such as budgeting problems, and did read about the news to do with the willful neglect of patients in Stratford.

I also know that GP's have more responsibility with the budget as they will be referring patients down the line.

But what are some of the current problems with the NHS? Where can I find this information?

Cheers


The fact the NHS recognises weekends, I think that in order to provide a better service to patients we should not recognise weekends, we should be able to run 7 days a week with the same amount of admin/clinical staff on hand in order to deal with any problems.

-Coming from a current member of admin staff and potential medical student-

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