Can the NHS Cope?

#1
True or False? I heard a little dickie talking about how allegedly there is a trawl for ITU & Theatre staff to enable the NHS to be able to provide surgical and specialist support for our injured troops.

Surely, this only puts yet more pressure on the Medical Services staff; Operational Committments, Various Standby Committments and now, if it is true, standby to reinforce the NHS.

Don’t get me wrong, the support and treatment our troops are receiving on Ops and for those who are injured and subsequently flown back to the UK is excellent however, who would be footing the bill for extra military staff??? The NHS?
 
#2
I had a cardiac catheter ablation/PVI op tuesday and there were at least 7 staff/technicians in there under the electrophysioligist who was piloting the catheter. Some of the staff were just observing. Several others came in and out during the 7 hour procedure to help with various things and observe too.

My op was cancelled and brought forward a week, and was 100% succesful, and will not be requiring a 2nd procedure. I was told that that was likely for my condition (persistent AF!)

So I'm a little biased and think the NHS and its staff worthy of canonisation. And if ops are being brought forward for non life threatening conditions, then there surely must be slack in the system!
 
S

stabradop

Guest
#3
The medical staff definitely, although I do wonder about the admin side. I subscribe to their website as there is a hospital up the road and I am looking for work. I came across a clerical job and was scanning through it with a view to applying, I stopped when I discovered the job title was "Breast Feeding Co-ordinator".

I mean WTF is that all about ffs?
 
#4
stabradop said:
The medical staff definitely, although I do wonder about the admin side. I subscribe to their website as there is a hospital up the road and I am looking for work. I came across a clerical job and was scanning through it with a view to applying, I stopped when I discovered the job title was "Breast Feeding Co-ordinator".

I mean WTF is that all about ffs?
FEEDING BREASTS simples
 
S

stabradop

Guest
#6
walt_of_the_walts said:
Well, Stab, if you don't submit your application you're a fcuking hermer!

Ifyou don't want the job, can you forward the details to me.

'Bitty'
Trouble is mate I probably would have ended up working with a load of fat bints with an odour problem - and that's just the staff :lol:
 
#7
stabradop said:
walt_of_the_walts said:
Well, Stab, if you don't submit your application you're a fcuking hermer!

Ifyou don't want the job, can you forward the details to me.

'Bitty'
Trouble is mate I probably would have ended up working with a load of fat bints with an odour problem - and that's just the staff :lol:
Yeah, you don't want to go back to that. It'd be like working for the IND again.
 

Forastero

LE
Moderator
#8
Eyes_Wide_Shut said:
True or False? I heard a little dickie talking about how allegedly there is a trawl for ITU & Theatre staff to enable the NHS to be able to provide surgical and specialist support for our injured troops.

Surely, this only puts yet more pressure on the Medical Services staff; Operational Committments, Various Standby Committments and now, if it is true, standby to reinforce the NHS.

Don’t get me wrong, the support and treatment our troops are receiving on Ops and for those who are injured and subsequently flown back to the UK is excellent however, who would be footing the bill for extra military staff??? The NHS?
It's a complicated set-up and as ever, not everything is as it seems. At the root of all these things are contracts and these little beasties dictate what can be expected from the military in an NHS environment. For example, one military ITU nurse will be expected to care for a military patient for, lets say, 75% percent of their time and the other 25% will be devoted to NHS work. The NHS cannot then demand or expect to go over an agreed contribution without negotiating contracts, etc. This protects our military staff and also maintains operational effectiveness with deployments, etc. Now thats not to say that at a local level Cpl Military Nurse can't help out his department for an hour or two every now and then but its important not to set a precedent.

So, it may well be that the NHS are looking for more specialised staff but I'll wager that its no different than it ever has been. Historically, the NHS has always been short of specialised staff particularly ITU so I'm struggling to see whats new about this.

Bottom line is we don't reinforce the NHS and nor do they expect us to (although there are a few anecdotes flying around about some civ Consultants who believe otherwise) and if the contarcts were re-negotiated then the NHS would pay. Simple really, isn't it?!
 
#9
walt_of_the_walts said:
I had a cardiac catheter ablation/PVI op tuesday and there were at least 7 staff/technicians in there under the electrophysioligist who was piloting the catheter. Some of the staff were just observing. Several others came in and out during the 7 hour procedure to help with various things and observe too.

My op was cancelled and brought forward a week, and was 100% succesful, and will not be requiring a 2nd procedure. I was told that that was likely for my condition (persistent AF!)

So I'm a little biased and think the NHS and its staff worthy of canonisation. And if ops are being brought forward for non life threatening conditions, then there surely must be slack in the system!
Have to agree that on the whole the NHS does an excellent job.

Re my bold, there may be a bit of slack in parts but a cardiology team aren't much good to a patient with severe trauma. However obtained.

That apart, glad your procedure was 100% successful, I wish you a speedy recovery.
 
#10
General_Layabout said:
glad your procedure was 100% successful, I wish you a speedy recovery.
Thanks GL. I was discharged yesterday and should be back at work in a week or shortly thereafter. The most pain I had was from the trans oesophagal endoscope they pushed down my cakehole before commencing the procedure! I have been prescribed 'lots of ice cream' to bring down the soreness and swelling!
 
#15
I thought long and hard about this reply as I don't want to fan the flames so to speak.
There are elements of truth, as so often is the case in this thread.
Those bits are not suitable for discussion on this forum. So, it's a topic probably best left alone (Moderator PM me if you wish).
Suffice to say the NHS are coping magnificently in the sp they provide to us, if you hear anything different it is wrong!
Nuff Said!
 
#16
Scholesy said:
Suffice to say the NHS are coping magnificently in the sp they provide to us, if you hear anything different it is wrong!
So the Trust are able to provide all the beds, theatre time and care needed from their own resources (or have paid for agency staff), and no units have had to send staff to reinforce, with consequent disruption to MDHUs and so on, then?
 
#17
It isn't a matter of if the NHS can cope... it is a fact that they have NO choice but to cope. :roll:

There are NO military alternatives as successive Governments castrated the Defence Medical Services by closing all of the military hospitals, and downsizing the numbers of Doctors, Nurses and Medics we have.

Much of the funding saved on Defence went straight into... the NHS. 8O

This short sighted approach to cost cutting when it comes to defence is nothing new. :pissedoff:
 

Goatman

ADC
Book Reviewer
#18
Given the amount of cynicism flying about it takes a brave man to buck the trend.......but for the sake of the hardworking DMS and NHS folk down in Selly Oak ( and courtesy of Lcpl Ritchie's Dad, the brave man in question) check this:

http://www.thecourier.co.uk/output/2009/08/14/newsstory13612149t0.asp

THE FATHER of a Carnoustie soldier seriously injured in a mine blast in Afghanistan last week has publicly praised the army and its medical staff for the care and compassion shown to his son.

Mark Ritchie said he wanted to pay tribute to the level of care shown to both his son, Lance Corporal Jack Ritchie (21), and to his entire family.

Mr Ritchie explained that his son was very badly injured last Thursday in Afghanistan after standing on a land mine while attempting to secure a school perimeter.

“His injuries, albeit not life threatening, are going to mean that he will be in hospital for a long time and have to undergo numerous operations, having lost a leg due to the blast and the shrapnel damage to other parts of his body,” said Mr Ritchie.

“He is at Selly Oak Hospital in Birmingham and when he is well enough to travel he will be transferred to Hedley Court in Epsom for prosthetic rehabilitation and physiotherapy.

“Prior to this, all I have heard via the media are negative comments and bad publicity regarding the handling of the troops and feel this is unjustified by my experiences of the aftercare attention my son and family have received since the incident, both from his regiment, The Scots Guards, and the welfare and nursing staff at Selly Oak where Jack is currently within the critical ward.

“Selly Oak is bursting at the seams, with a huge influx of injured personnel following the recent publicised operation in Afghanistan, but the nursing staff there are coping admirably.

“Although Jack is badly injured and by no means out of the woods yet, they are managing to keep his spirits up and he is already talking about when he can resume his army career.”

Mr Ritchie said he also wanted to record his gratitude to The Scots Guards who he described as being “faultless.”

“Since this happened they have been absolutely brilliant with us,” he continued.

“Nothing is too much trouble...I just have to pick up the phone and arrangements are made.

“Travel and accommodation arrangements have been made without any haggling or question.

“The only thing we’ve had to worry about is Jack because his regiment has taken care of everything else.

“I think it’s important that people know how the army takes care of its people against some of the recent bad publicity from some quarters,” he went on.

“I can only describe it as first class, absolutely faultless.”


Mr Ritchie said his son had volunteered for operations in Afghanistan and was attached to Prince of Wales Coy, 1st Battalion, Welsh Guards, when the incident occurred.

“This was his third tour in Afghanistan and one that he had volunteered himself for,” he explained.

“He didn’t even need to be there but he wanted to go and do his job and do his best.”

Latest statistics from the Ministry of Defence indicate that between January 1 and June 30 this year, there were 476 patients from Operation Herrick treated at either Selly Oak or Headley Court (239 were battle injuries, 149 were non-battle injuries and 88 were natural causes).

Of these, 275 were new patients who had not previously been treated at either hospital for this injury or illness (95 were battle injuries, 100 were non-battle injuries and 80 were natural causes)
Well done 1 SG too....obviously doing everything right, good on 'em.

For what it's worth Eyes_Wide_Shut........be interesting to see if this report from a provinicial newspaper gets any wider circulation....or won't you be quoting Mr Ritchie in your article ?

Lee Shaver
 
#19
The article above is mostly about the way in which the military system manages casualties than whether or not the NHS is coping with the numbers of casualties. It doesn't address the question of whether the NHS is providing all the ICU and theatre staff needed, or whether the DMS has had to move staff from other locations to bail them out, with the consequent disruption.

Not that there's anything wrong with military staff helping, of course - it's a noble cause - but it's hardly the 'Selly Oak can cope with anything' image that Media Ops puts out.

In any case, the negative aspects of Selly Oak were largely ironed-out some time ago, and RCDM is far better resourced (certainly in welfare terms), than anywhere else.
 

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