RAMC-v-NHS : The Differences

#1
Hi all,

Have seen it mentioned in a lot of posts that after your time as an a/RMO, there are very few differences between the RAMC and the NHS.

I am thinking that there must be some differences (both clinically and non-clinically), would anybody be able to set me straight?
 
#2
This is very similar to a question that I'd wished to ask so might I add:
Do soldiers or civilians make better patients?
 
#3
nqemt-p said:
Hi all,

Have seen it mentioned in a lot of posts that after your time as an a/RMO, there are very few differences between the RAMC and the NHS.

I am thinking that there must be some differences (both clinically and non-clinically), would anybody be able to set me straight?
There's no fun in the NHS! There's no respect in the NHS, only rights!

The NHS is just rubbish to work in! The patients in ths NHS feel they own you! It sticks in your throat when a bloke or woman who has never worked in his/her life, turn up late for their appointments, never adhere let alone comply with treatments then look down their noses at you when you are just trying to help! I am just finishing a specialist training period in the NHS and I fecking can't stand the place!
 
#4
EX_STAB said:
This is very similar to a question that I'd wished to ask so might I add:
Do soldiers or civilians make better patients?
Soldiers and civilians in hospital are the same, they are patients.
Now weather either make better patients depends on how they are treated.
Being both a Medic (RAMC) and Medic/Logistics (NHS) I can see the problems from both sides.

Its not the patient that makes the difference, its the system.

Phredd
 
#5
but the NHS is toss compared to somewhere like the CMH or QEMH used to be.
 
#6
Don't forget

BMH Munster
BMH Hannover
BMH Rhinteln
BMH Iserlon
BMH Hong Kong
and the rest :)
 
#7
I miss the good old days!
 
#8
Patients Attitude depends an awful lot on your approach and often mirrors that of your own. Your patients in the Military will often be acute presentations rather than chronic illnesses; plenty of sports, mil training injury, mil trauma etc.

As an RMO you do have respect; it extends as far as your clinical knowledge! Trust your Med SNCO to deliver the rest of the Mil skills required to make yours an effective RAP; watching and learning though is advised. This is not a line in the sand twixt ranks, you have lives to think about, we will get you there and THEN do what you say once we have set up and receive casualties.

Mil patients in the main are genuine, some are interesting, some are blatently skivers; if they are skivers, you can at least discuss their ability to serve and cut short their leeching where you are able to.
 
#11
nurse_ratched said:
Which one's which!
NPfIT is the NHS one, its the most expensive civilian IT project. Read a piece in the Private Eye today and the future looks extremely bad. See NPfIT - Private Eye current edition

DMICP in the DMS equivalent, its been installed at two primary care centres so far, all AMS should have been installed within the year. From what I've heard the DMS/DMICP is having none of the problems mentioned in Private Eye and so the DMS project will really embarrass the NHS.
 
#12
LtTrousersnake said:
There's no fun in the NHS! There's no respect in the NHS, only rights!

The NHS is just rubbish to work in! The patients in ths NHS feel they own you! It sticks in your throat when a bloke or woman who has never worked in his/her life, turn up late for their appointments, never adhere let alone comply with treatments then look down their noses at you when you are just trying to help! I am just finishing a specialist training period in the NHS and I fecking can't stand the place!
Have a fair idea what you mean. I work as a paramedic, and it can be downright irritating when people won't scratch their own arrse to cure themselves. I call it the "magic wand syndrome," as they expect you to put on Merlin's magic hat, wave your wand, and hey presto, they can go back to killing themselves with fags and drink. Still though, at least some of them are intent on removing each other from the shallow end of the gene pool, which is an admirable task if you ask me.

Patients Attitude depends an awful lot on your approach and often mirrors that of your own.
Very true, but a minority of people will be rude and abusive no matter how you treat them. They confuse being angry with being in control. It can be sad to watch as they probably learned this behaviour from their parents, the vicious circle. But sympathy tends to go out the window once you have been the target of that abuse. We are only human afterall.

Your patients in the Military will often be acute presentations rather than chronic illnesses; plenty of sports, mil training injury, mil trauma etc
That sounds pretty interesting. I have another question, although it's kind of off this topic- what are the opportunities for, what we would call "pre-hospital emergency care" in civilian healthcare. Is there much opportunity for work outside of the clinics or field hospitals, or are you pretty much tied to the bedside? (if you have a nurse that's into that sort of thing, of course :thumright: )
 
#14
Filbert Fox said:
I miss the good old days!
me three Foxy

even in the early 90's before MDHUs were born - the locals used to bribe the local Ambi drivers to take them to CMH instead of grimley Dark!

It was called Grimley Dark before we started working in it
 
#15
polar said:
nurse_ratched said:
I miss the good old days!
Me too!

Come on GP3.... its easy, one has a modern integrated ICS solution and the other has a complete disaster which will fall apart in the coming months
Which one's which!
We will just have to await Aug 1st - was planned to be this Mon/Tues, meanwhile Granger comes clean - internet link Granger says he is 'ashamed' of some systems provided
The crux is soon everybody will be able to use www.healthspace.nhs.uk - now then where is my EMIS terminal
 
#16
there are very few differences between the RAMC and the NHS.

thats true
haveing worked for one unit that i wont say.
 
#17
The main diference between the NHS and the RAMC are the age ranges dealt with the majority of the Army are fit young people on the whole where as in the NHS it has to deal with the full spectrum of society from the very young to the very old and the very rich to the ver very smelly. Both organisations do work on the same principal of doing the best for their patients no questions asked.
 
#18
In my experience of working in the NHS and AMS the patients are rarely a problem, although one of the worst I ever looked after was an ex QA. I always found the visitors were more of a problem. However visitors to the military hospitals were always very respectful of the rules there (eg visiting hours), whereas visitors to NHS hospitals have no respect at all and think nothing of arriving wherever they want, en masse and sitting or lying all over the beds. I once came across a visitor asleep in bed while his wife, who had just given birth, was having to sit in a chair. Can you imagine what the old army matrons would have had to say about that?
 

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