why are there so many of these? if you read down, 2k for a consultant from India for a week end. BBC News - Health boards spend £82m on locum doctors
If people spend time in pain, awaiting medical attention, because the system does not account for spikes in demand, on what basis are you calling the service "effective"? Sorry to be thick.
Are they spikes? Really? We have a growing and aging population, diabetes is a modern epidemic, not like it burst from no where. It can be, shouod have been, predicted and equally a plan put in. It wasnt, it isnt, it wont be
Mostly agree. Nothing wrong with slapping nurses bottoms and enjoying a Scottish and a smoke from your hospital bed but I'm not sure I want Hattie Jacques wrenching off my Y-fronts and giving me a bed bath though..
Triage is efficient, and by some measures, effective when applied properly. Those who will die without attention but who can be saved are treated first. Lesser priorities are dealt with as time allows. Is this the level of effectiveness you are satisfied with?
At peak times, yes. Bear in mind that under the current system you are more likely to die in hospital if you are admitted at a weekend than if you are admitted mid week; is this the level of effectiveness you are satisfied with ?
No, I'm not satisfied with that level of "effectiveness". Perhaps the balance is tipped too far over towards efficiency (as defined in-thread) and away from effectiveness (as similarly defined).
Fin, you're a very strange person. First Nicola Sturgeon and now Hattie Jacques. There may be therapy available for you on the NHS.
The measure of efficiency doesn't apply only to scale, coverage and capacity. If it did that would imply that the organisation is being run perfectly which it patently is not. There is the question of human resources and how the NHS is managed. Many large hospitals still have more administrators than beds. Thousands of clinical staff have left the NHS to work abroad to escape the frustration of bureaucratic inefficiency. As many more have complained of wasted resources and of time and medical expertise squandered by an excessively bureaucratic tick-box mentality. Anyone who has stayed or had a relative stay in hospital recently for any length of time has heard it every day from doctors and ward staff. The NHS is abysmally run because it is politicised. It is pointless to talk about efficiency or of funding and capacity while that elephant remains in the room.
Every postcode. Try it. There will be an ambulance. There will be a paramedic. There will be an A&E. There will be a Dr and nurses to attend to you.
All the managers and directors will probably be off on their extended christmas holiday though...........
And the hospital will be being run on a skeleton staff. I know this because my father was admitted to hospital on christmas morning in 2011 and received abysmal care. Clearly the NHS runs 24/7/365 but it doesn't offer the same level of service throughout. It is run for the benefit of it's staff.
