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What do people actually expect from the NHS?

#1
What sort of service do people expect from the NHS?
One of the feelings I have about the NHS is that the expecations far outweigh the ability to provide. Essentially, can we provide every "essential" operation and who decides that? Every medication? Service? Mental Health/Learning Disability/Community nursing/Community Mental Health?
Where do we stop?
This is a serious question so try not to get to excited about how blair and brown have done this or that, this is about expectations?
 
#2
I dont want to lie wounded in a bed, full of my own excrement without help, surrounded by screaming muslim women complaining that the army shouldnt be in Iraq.
Is that expecting too much?

Oh, and fluffier pillows and BJs from nurses obviously.
 
#4
From NHS – Nicer food please!

From NHS staff - I would like to be seen to when I’m lying in the waiting room in and out of consciousness and not forced to be taken to another hospital.

After having a baby and being unable to move I would like you too answer the bell when I ring it.

I would like you to spend more time working that sitting in the staff area slagging off the patients.
 
#5
I think people exect the NHS to be a general sticking plaster for their lives.

Got diabetes and chest-pains 'coz you're too fat? The NHS'll fix it.

Got depression because your dog died/wife divorced you/sister gave you the clap? The NHS'll fix it.

Cancer 'coz you've smoked and drank yourself into an early grave? The NHS ought to fix it, 'coz you're entitled, like, aren't you...

Add in the vastly increased range and cost of treatments, the general increase in population, the move to a socal model of health care (5 A Day Coordinators, etc.), and a general widespread belief that "someone ought to do something" filtering into every facet of life and you get an organisation the original NHS was never intended to be.
 
#6
To be fair, most people do pay for that service in tax so why shouldnt they expect it to give some kind of return?

I am happy to go private, on the proviso that the government allow me to opt of of paying National Insurance.


Like that'll happen. Cnuts.
 
#7
From the NHS I'd like to see the money the tax paying person who's lived and breathed here all their life, or has come in and put into the system, get something back out of it. Or I'd like to see them produce bills to the medical tourists like our American or even closer European counter parts do.

I'd also like to see the poor GP's on a paltry £110k stop moaning about how badly off they are and asking for £20 per hour to see patients who can't see them for appointments out of hours as it would effect their minimum wage jobs.

Also reverting to free dental care for afore mentioned tax payers to be reintroduced so we don't have a civillian population of people with teeth like they had in the dark ages.

To much to ask for? Probably.... after all this is Britain.
 
#8
Moodybitch said:
To be fair, most people do pay for that service in tax so why shouldnt they expect it to give some kind of return?

I am happy to go private, on the proviso that the government allow me to opt of of paying National Insurance.


Like that'll happen. Cnuts.
I'd be interested to know what the reply to that would be. I can imagine, but would love to hear what they would say to that.
 

Grownup_Rafbrat

LE
Book Reviewer
#9
I don't care about artificial markets, fundholder GPs or artificial 'choice', I'd like all local hospitals to be good hospitals. I'm lucky in that the two nearest to me are clean, efficient, well-staffed and effective but I know that doesn't apply to everyone.

I'd like the Government to think about combining their transport policy (reducing the dependence on cars) with their NHS policy (fewer hospitals further apart).

I'd like the stupidity of PFI not to wreck excellent hospitals like Hinchingbrooke - an efficient low-cost hospital, being penalised an probably closed because its costs aren't as high as its near neighbours in Peterborough and Cambridge.

I'd like doctors and surgeons to be able to say 'look, I told you to lose weight /stop smoking / stop overfeeding your children - you don't get surgery / treatment until you do. Here's a diet sheet / nicotine patch. Now go away and don't come back until you can take responsibility for your life'. (Thing is, do I also say - you crashed your BMW by driving like an arrse, I'm not re-building you?)

I'd like people to realise that we all die in the end, and that we are often as responsible for how and when that happens as our doctors are.

I'd like nurses not to have bad backs and rheumatism through lifting 36 stone people. I'd like those people to pay the £100 per day it costs for the extra strong bed they need.

I'd like people to be able to share the cost of their treatment - if they need a therapy which the NHS doesn't fund, they can fund it themselves without losing the right to other treatment being free.

I'd like all the target setters, administrators, managers, and measurers to spend the rest of their lives as ward orderlies, changing dressings, cleaning up poo and wee and mopping floors. (Add various Ministers of Health for the last thirty years to that list).

I'd like midwife-led maternity units available to everyone, military casualties treated together and everyone to be treated without risk of being harassed by others who don't like them/what they do.

I'd like the money spent on translating information into umpteen languages in the NHS (and my local authority) spent on English Lessons, and an immigration services which doesn't allow residence or access to MY NHS unless adequate English is spoken.

Oh, and I'd like nurses to be paid half as much as politicians, and to enjoy the same pension benefits.
 
#10
I'd like them not to kill my relatives and friends through utter incompetence at basics like keeping clean. Not too much to ask for - Ms Nightingale managed it in the Crimea, but the NHS has forgotten how to.
 
#11
botfeckid said:
I'd like them not to kill my relatives and friends through utter incompetence at basics like keeping clean. Not too much to ask for - Ms Nightingale managed it in the Crimea, but the NHS has forgotten how to.
Good point. Too hard for one hospital in Devon I had to visit too often last year. My relative with diabetes and cancer was given a dose of MRSA to go with them.

Still with all those politicians mopping the floor, that should improve things. Once they're trained of course. Or at least bringing the cleaning back into the hospitals, rather than being done by the cheapest outside contractor with the least interested or trained staff.
 

ugly

LE
Moderator
#12
I'd like after a car crash in which the throbber who hit me head whilst he was trying to overtake a lorry on a blind bend at 60mph not to be put into the bed next to me. I'd also have preferred to have been xrayed where I told them it hurt rather than where they felt like until the consultant hit the roof and I was subjected to more radiation than a submariner. I wuld also like after lying there unable to move my arms for 3 days dueto the fractured sternum to have been fed as leaving even NHS food just out of reach was feckin cruel. I also would like to have been given a nurse call that worked or one that I could use in my state. Serve them right cleaning my turds up! I am glad for the treatment I received in the CCU as they were top bananas. I am also glad that they didnt know about MRSA otherwise that would have been issue along with humourless idle foreign and agency nursing staff.
Not going back in there again, its full of sick people!
 
#13
scaleybint said:
From the NHS I'd like to see the money the tax paying person who's lived and breathed here all their life, or has come in and put into the system, get something back out of it. Or I'd like to see them produce bills to the medical tourists like our American or even closer European counter parts do.

Great idea. Quite agree.

I'd also like to see the poor GP's on a paltry £110k stop moaning about how badly off they are and asking for £20 per hour to see patients who can't see them for appointments out of hours as it would affect their minimum wage jobs.

I don't mind how much GPs earn. They train for a long time, work very hard, and in the old days, my GP often looked worse than I did after he'd done a night on call and had to be in surgery for 8.30 a.m. My surgery is open from 8.30 a.m. to 6.30 p.m. Most people can get in during those hours, even in a rural area with minimal public transport.

Also reverting to free dental care for afore mentioned tax payers to be reintroduced so we don't have a civillian population of people with teeth like they had in the dark ages.

Essential. Although people who live on sweets, crisps and cola or don't clean their teeth should be made to pay for their treatment (with the money they save on the sweets, crisps and cola?)

I'd like to see all the McKinsey, Accenture, EDS, BT, CSC and other 'consultants' pay back all the money they've robbed from the NHS to deliver non-functioning IT systems. I think the publicity around GP Contracts is a smokescreen to hide where the real waste of money is.

edited because no-one's invented miniman transport yet. Or even a miniman!
 
#14
If you watch any daytime TV its full of Doctors answering questions from hyperchondriact "Trisha Trash" who "Feel a bit down!" or "My skin isnt as smooth as the cow next door"

The answer they give is always "Go to your GP" even women who change their diet are told this, and I bet the silly sods go straight to the docs. I change my diet at every meal, I would feel a bit silly saying "Doc, I hasd Frosties this morning then I changed my diet to fish fingers, chips and alphabetty spaggetti for lunch.

I bet surgeries are full of people who watch This Morning
 
#15
I think people with some sort of service related injury/illness should get some form of priority for treatment.
Obese people/smokers/heavy drinkers should be made to illustrate that they are actively trying to improve their health themselves prior to receiving treatment for related conditions.
There should be adequate dentists availble for all, after 12 months of being out the army I still havent got a dentist, none of them in my local area are taking on NHS patients.
Before people receive treatment (except in an emergency) they should be made to complete eligability questionaire i.e something which would stop so called NHS tourists.
Other than that, if I or any of my family are sick to the extent that we cant help ourseleves out, provide assistance when needed and I will be happy.
 
#16
I have to say on my wishlist for the NHS is for doctors hours to be more patient friendly. It's all very nice for those who belong to a surgery that's open long hours, but my surgery is only open 8.30-5.30. Seeing that I work 8-5 that leaves one appointment slot in the day that i can possibly get to without taking time off (and its next to impossible to get that slot). In the meantime if you come into the surgery during the day, it is mostly dead because people are at work (or school).

To add to this there are now walk-in clinics in my area where you don't need any appointments. Now most are open 24hrs but when are the doctors in, yes you guessed it, 9-5. The rest of the time there are just nurses there who give you treatment to last you until you can see a GP.

This isn't a new moan from me, I've been annoyed about it from before there were walk-in clinics (which despite my moan, have made things better), but I'm now having to see my doctor every 2 weeks and its becoming a right pain trying to get good appointment times that even vaguely suit me.

While I'm here, a point about GPs' contracts. Under the new contract they can opt out from being on night call for a slight reduction in pay. However as the contract increased their wages more than this slight reduction, most are quite happy to opt out of night calls.

Sorry about all that, but I was in the mood for a good moan, I'm actually quite happy with the NHS normally.
 
#17
You cant make an appointment at my doctors, you have to call them after 8am on the day you need to go.

Bearing in mind I am on a train at 7.30am to go to work, this is quite difficult, especially annoying when you take the day off only to be told they cant see you that day and to call again tomorrow ffs.

Oh, and GP's who get sh itty when you call for an emergency call out for your child amd tell you "if you are that worried, go straight to A&E". Nice. W@nkers.
 
#18
As many of You know, I am a frequent customer of the NHS at several levels. I have been extremely satisfied with the aid I get and have received in the past. I do however have a wish list.

I would like the NHS to stop the short sighted and stupid rationalisation of A&E and maternity departments, I would like heart surgery to be given back to hospitals in the provinces (my father had a triple heart bypass in a Leeds hospital - 30 miles away from His home) as well as the many other specialities that have suffered the centralisation process.

Most of all, I would like to see all dentists, doctors and nurses have to serve 5 years in the NHS before they are allowed to go private
 
#19
Sven said:
As many of You know, I am a frequent customer of the NHS at several levels. I have been extremely satisfied with the aid I get and have received in the past. I do however have a wish list.

I would like the NHS to stop the short sighted and stupid rationalisation of A&E and maternity departments, I would like heart surgery to be given back to hospitals in the provinces (my father had a triple heart bypass in a Leeds hospital - 30 miles away from His home) as well as the many other specialities that have suffered the centralisation process.

Most of all, I would like to see all dentists, doctors and nurses have to serve 5 years in the NHS before they are allowed to go private
Thus meaning all of the least experienced people will be working for the NHS whilst anyone with over 5 years naffs off to BUPA, plus putting people off going into medicine at all, at the moment private Doctors dentists and nurses sometimes still work for the NHS wheather part time or through agency work, shackles will just put people off
 
#20
Moodybitch said:
You cant make an appointment at my doctors, you have to call them after 8am on the day you need to go.

Bearing in mind I am on a train at 7.30am to go to work, this is quite difficult, especially annoying when you take the day off only to be told they cant see you that day and to call again tomorrow ffs.

Oh, and GP's who get sh itty when you call for an emergency call out for your child and tell you "if you are that worried, go straight to A&E". Nice. W@nkers.
Perhaps what we need is the good practice exhibited at some Practices, like mine, imposed across all of them.

My lad has tonsillitis this week. I called at 8.30 a.m. yesterday morning and got him an appointment at 5.30 that evening. He saw the quack at that time, got the pills, job done.

In April when I was ill I called at 8.45 a.m. for an appointment, got the appointment for 10.30 a.m., and was admitted at 11.30 a.m. to an A&E that was expecting me. Apart from starving me for three days whilst they worked out what was wrong, the service was excellent - I had 3 consultants and their staff running around after me, nurses were all capable, friendly and had time to look after all the patients (one was grumpy, but it was bearable). The ward was cleaned twice a day, and the barrier nursing on one bed with a very sick lady was admirable.

I have always been able to get a GP appointment when I need one, usually with my own doctor, and can even book 2-3 weeks in advance when I need to. Which is unusual, because some practices are interpreting the 'target' of getting to your GP within 2 days of your call by only allowing you to book 48 hours ahead. No use at all when you need to fit appointments between your girly cycles.

What I'd like is for everybody's NHS experience to be like mine!
 

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