RAMC-v-NHS : The Differences

Discussion in 'Professionally Qualified, RAMC and QARANC' started by nqemt-p, Mar 6, 2007.

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  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. 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. 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.

  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.
  9. 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 :cyclopsani:
  10. Me too!

    Which one's which!
  11. 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. 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.

    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.

    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: )
  13. 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
  14. 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. The crux is soon everybody will be able to use www.healthspace.nhs.uk - now then where is my EMIS terminal