The Student Room Group

Private vs NHS

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Original post by l'etranger
Provided you have the money, it's literally the best in the world.


You can get some of the best healthcare but it is an atrocious healthcare system and not a lot of people have the money.
Original post by l'etranger
People will say that the same doctors who work in NHS clinics work in private clinics on the side, well maybe that's true, but I'm sure the better half of NHS doctors are the ones who are recruited to work privately. Also there's a lot to be said for not having a hectic schedule, people make more mistakes when they're stressed, even otherwise competent folk. What are you worried about anyway?



I'm not some rabid anti-private type person, but know enough about the behind the scenes dirty secrets to shock most doctors.
Private healthcare is increibly loosely regulated. Some of the poor practice that goes on in these shiney hospitals is outrageous. Tests ordered as mone making exercises, people kept in hospital unnecessarily. RMOs (junior doctors) running around doing most the work whilst a consultant flips a coin, makes a decision and then writes a line in the notes. Cancer patients dying on the end of the chemo needle because the doctors wont have an honest discussion with them. Patients literally being dumped outside the hospital and told to call 999 when they have run out of money.

Speed, quality, cost.
Private medicine gets speed very quickly. And can give you good quality. But the quality measures and outcomes accessible to the public rarely reflect what really matters.
ermmmmmm.. yes obviously you'd get better waiting times, probably more attention, quicker operations and better after care in private heath care. Please, if you do have the money, GO PRIVATE! please. The NHS cannot afford to treat people who have the option to go elsewhere. Don't get me wrong, the NHS is absolutely incredible, wonderful doctors and everything about it is amazing but if you do have the choice, go private.
Original post by Jamie
I'm not some rabid anti-private type person, but know enough about the behind the scenes dirty secrets to shock most doctors.
Private healthcare is increibly loosely regulated. Some of the poor practice that goes on in these shiney hospitals is outrageous. Tests ordered as mone making exercises, people kept in hospital unnecessarily. RMOs (junior doctors) running around doing most the work whilst a consultant flips a coin, makes a decision and then writes a line in the notes. Cancer patients dying on the end of the chemo needle because the doctors wont have an honest discussion with them. Patients literally being dumped outside the hospital and told to call 999 when they have run out of money.

Speed, quality, cost.
Private medicine gets speed very quickly. And can give you good quality. But the quality measures and outcomes accessible to the public rarely reflect what really matters.


This is really helpful.

Lets say I did go private. Is harley street to be trusted?
Original post by saraxh
This is really helpful.

Lets say I did go private. Is harley street to be trusted?


I know its awful but I'm going to say this

Harley street is neither to be trusted or NOT trusted.

You could see a world class physician or surgeon there.
You could also see a doctor who dropped out after his first year, has been doing odd jobs here and there but labels himself an expert in whatever.
And you could see someone who is a doctor of badger history. So long as they dont claim to be a registered medical professional they can mislead you legally.

Anyone can get offices in Harley Street. Just google it
(example below)
https://www.gumtree.com/p/office-space-offered/1-harley-street-w1-beautiful-affordable-office-therapy-room/1083764200

Never be misled by the location you are seeing someone, or how swanky the offices are nor the testamonials on their website.
Healthcare is one of those services that can be provided efficiently in the free-market. The NHS is, and always has been, a train-wreck of a system.
Original post by Jamie
I know its awful but I'm going to say this

Harley street is neither to be trusted or NOT trusted.

You could see a world class physician or surgeon there.
You could also see a doctor who dropped out after his first year, has been doing odd jobs here and there but labels himself an expert in whatever.
And you could see someone who is a doctor of badger history. So long as they dont claim to be a registered medical professional they can mislead you legally.

Anyone can get offices in Harley Street. Just google it
(example below)
https://www.gumtree.com/p/office-space-offered/1-harley-street-w1-beautiful-affordable-office-therapy-room/1083764200

Never be misled by the location you are seeing someone, or how swanky the offices are nor the testamonials on their website.


Is there any private clinic/hospital that's good/trustworthy because I don't really get along with my GP?


Wow, i'm shocked.

Spoiler

in the uk if you need urgent care the nhs. if its an elective and you can afford it or are insured then private, but that does not mean its a better level of treatment your just spoiled more.
Original post by Joel 96
Healthcare is one of those services that can be provided efficiently in the free-market. The NHS is, and always has been, a train-wreck of a system.


Healthcare is one of those services where many people have an opinion and few have a clue.

The NHS is outrageously efficient overall but relies hugely upon staff essentially donating free time and putting up with poor conditions to keep it ticking. Private medicine would not and cannot achieve this. Hence why so many contracts gien to private companies have been handed back as they are not profitable.
The only thing the private sector do more efficiently is value based healthcare of minor ops like cataract surgery. Except of course when they get cancelled due to too many complications...
Original post by saraxh
Is there any private clinic/hospital that's good/trustworthy because I don't really get along with my GP?


Wow, i'm shocked.

Spoiler




You need a new GP practice then.
If you don't get on with your GP and likely therefore don't trust them then your relationship with them is pointless and you need a new one.
Original post by saraxh
This is really helpful.

Lets say I did go private. Is harley street to be trusted?


Harley Street is not one institution. It is just a street where lots of different doctors/clinics have offices. Some will be excellent (though it is not the case that all the best doctors are in the private sector - many stay within the NHS and many do both), some will sell you snake oil for £££.

As for the original question, if it was a straightforward elective operation, I'd consider going private. If it was a major risky op, or if I was critically unwell, NHS every time.
I go private for my dentists and I use tax payers money for stuff like checks
Original post by saraxh
I know the experience(waiting time) is better but are the doctors more experienced? No offence to NHS doctors .


Could be less experienced.
Original post by asiangcse
Depends on what you mean by private. There are two types, one is where the patient pays either to a private health insurance company or from their own funds, but the other type is when treatment is still free at point of access e.g the government sells elective surgery to private firms as its more cost effective and unloads the nhs waiting list. As soon as you mention privatisation the public start thinking about the U.S system and don't want to listen to any of it as they fear it will mean that they may not be able to pay for essential treatment.
But currently, the NHS must change.


This is the problem with these kinds of discussions.

it is entirely and totally possible to have a free at the point of clinical need, tax funded healthcare system without the state owning any of the providers.

One of the awkward facts that really upsets the clause4istas is that only a minority ( by a quite significant) amount of NHS funded patient interactiosn take place in NHS owned providers .

People also try and divert the attention from this by claiming that GPs aren't a real private business etc even though they plainly are. ... which quietly ignores that NHS community pharmacy has always been in the handsof private businesses, ditto general optical services and generl dental services ...
Semi-privatisation for non-emergency services.
Original post by Cherub012
Could be less experienced.


no difference in the levels of experience ,

any doctor with full and unrestricted registration can set up in private practice ( and full and unrestricted registration means qualified pre-foundation programme, holds a foundation completion document, or for the very newset of new docs it'll be at first revalidation - so a couple of years after foundation - generally around the break point in nonelinmear specialist training, or at the point of qualification if 3 year VTS continues.

ETA all they can;t do is call themselves a Consultant if they dont have CCT/CCST or call themselves a GP if they don;t have a GP CCT
(edited 7 years ago)
Original post by Joel 96
Healthcare is one of those services that can be provided efficiently in the free-market. The NHS is, and always has been, a train-wreck of a system.


Until it treats one of your relatives, or even yourself who is dying of cancer with care, humility, respect and dignity. Oh, and saves your life. People tend to consider it to be less of a 'train wreck' then.

There is not 'perfect' healthcare system. But it's a damn sight better than a lot of the world has to endure. That's not to say that if we continue to underfund it it can survive.
Original post by zippyRN
no difference in the levels of experience ,

any doctor with full and unrestrcited registration can set up in private practice ( and full and unrestricted registration means qualified pre-foundation programme, holds a foundation completion document, or for the very newset of new docs it'll be at first revalidation - so a couple of years after foundation - generally around the break point in nonelinmear specialist training, or at the point of qualification if 3 year VTS continues


Did not know that. Thanks.
Original post by Jamie
Healthcare is one of those services where many people have an opinion and few have a clue.

The NHS is outrageously efficient overall but relies hugely upon staff essentially donating free time and putting up with poor conditions to keep it ticking. Private medicine would not and cannot achieve this. Hence why so many contracts gien to private companies have been handed back as they are not profitable.
The only thing the private sector do more efficiently is value based healthcare of minor ops like cataract surgery. Except of course when they get cancelled due to too many complications...


the NHS is not outrageously efficient, clinical services particularly Nursing . midwifery and medic\l are very efficient , despite the system not because of them

Medicla imaging has woken up in recent years to the way it has to work to deliver the service needed to support clinicians in decision making.

Physio / OT /SaLT can still be incredibley 'seagull like' in the way they work ...

the ambulance service is panic driven at a senior mangement levle, but that is down to ORCON being the be all and end all of performance measures.
Lmao @ defining the level of healthcare you'll receive by a freely available address that anyone can rent and the quality of furniture in the waiting room.

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