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How quickly should we expect NHS improvements?

Discussion in 'Personal' started by colacao17, Jan 24, 2020.

  1. grumpydogwoman

    grumpydogwoman Star commenter

    My fellow chemo patients yesterday were waiting in the corridor for hours before being hooked up. One lady had an appointment at 13:00 and was brought in at 16:30. It's well known that, if you have an appointment for chemo, you always ring and ask if they can book you in for opening at 08:30.

    I've never managed to get mine brought forward though. I was just lucky to have 09:15 for mine yesterday. I got a chair at 09:45 but you have to wait for a nurse to cannulate you and chemo patients often struggle to provide a good vein. It took 3 goes yesterday. So I finally got set up at 11:00 and finished at 16:45. That was the fastest I've been out of 4 times.

    Compared to the other times? A lot fewer staff. Quite a few who were probably agency as they were making mistakes like leaving a clamp on and had to be supervised so there'd often be 2 nurses when only 1 was needed but it became clear that the new nurse didn't know how to do things correctly.

    And that was just me! They have the tech, they have the know-how. They don't have the staff! Oh, and get this, There was no doctor on the chemo ward the whole day. So the take-home prescriptions had to be run past some random somewhere. Not too bad for repeats but anyone who reported a new side-effect that needed a new drug? I don't how that worked. Presumably the doc just asked the nurse what s/he would recommend and went along with that. Which isn't fair to the nurses.
     
    bombaysapphire and emerald52 like this.
  2. towncryer

    towncryer Lead commenter

    Coronovirus will probably take hold far faster in the UK than in many other countries...less to do with lack of hospital places (which is appalling in itself) but because of the disgraceful lack of access to a Dr's surgery. If people simply can't get seen in surgeries or A and E then they might just shrug their shoulders and convince themselves its just flu and grin and bear it as we all tend to do.That way it will spread through the community very quickly. A frightening scenario.
     
  3. florian gassmann

    florian gassmann Star commenter

    Although described as a 'hospital', it is actually a temporary isolation hostel, put together from pre-built modules. Very impressive, nonetheless.

    Well, given that we don't have even one confirmed case of coronavirus, 1000-bed isolation units might be just a wee bit premature. In any case, we already have a number of smaller isolation units that can be used if necessary.
     
    emerald52 likes this.
  4. emerald52

    emerald52 Star commenter

    At the start of the Second World War the government made provision for lots of mental health beds to cope with people overcome with the bombing threats etc. They should have made provision for beds for injury victims and air raid shelters.
     
  5. smilingisgoodforyou

    smilingisgoodforyou Occasional commenter

    Can you tell us more @Corvuscorax? Which city was that? What was the predicted emergency? What preparations did you see happening?
     
  6. Morninglover

    Morninglover Lead commenter


    This virus is, currently, much less easily spread than others (like SARS), so 'Don't Panic!! For 99.9% (or more) in the UK with the symptoms it WILL just be flu!
     
  7. smilingisgoodforyou

    smilingisgoodforyou Occasional commenter

    Current advice is NOT to rush out to the GP surgery as if you do have the virus you could potentially infect others. The advice is to ring in for advice.
     
    Lara mfl 05 and sparklepig2002 like this.
  8. BelleDuJour

    BelleDuJour Star commenter

    Back in 20something (can't remeber exactly when) my Mum was a bed blocker. She had Allzheimers and was hospitalised for UTI and chest infection. She had been living at home, with carers and me helping maintain her independence. However, after this episdoe of illness it was apparent she'd never be able to go home and had to go into care. We found her a place in a lovely home but she remained a bed blocker for a couple of weeks because social services 'HAD' to get involved, which delayed things. My Mum didn't need SS involved. We had the help of the local Dementia Nurse, fabulous carers and, of course, me. But no, that wasn't enough for them. They had boxes to tick. I suggested, politely, they put their efforts into helping those who did not have a loving family and support network but no....they had boxes to tick.
    This pointless, endless beurocracy holds things up and blocks beds.
    Ok, Mum only blocked a couple of weeks but if this is happening to many other patients, all over the country, the knock on effect is enormous.
    I had to fight to get Mum out and into care (which we/she paid for in full, no help.................not a penny). This is wrong.0
    Then, when my daughter was first taken to hospital with MS (undiagnosed) she was told she needed an MRI scan, told it would be done quickly ifan inpatient, but much longer as an outpatient, then she was sent home.Every time we or GP contacted the hospital we were sent in, then home and back to bottom of the list. Whenn she needed urgwnt hospitalisation as unable to even walk, the GP could not get in touch with neurology, who initially sent her home. We couldn't take her to A&E or call and ambulance, as we'd have gone back to stage 1 again...bottom of pile. I ended up paying to take her privately, from where she was admitted on NHS. But I still had to fight like a tigress once she was on the ward to get her the MRI she so despertely needed. Even our lovely GP told me 'the NHS has let you down, badly'. This needs not happen.
     
  9. Jamvic

    Jamvic Star commenter

    @BelleDuJour Sorry to hear that your family had to endure such ridiculous and upsetting situations. The NHS could save millions, if not billions, tomorrow if such box ticking, back watching, pettifogging were addressed at source.

    I bet many people have similar tales to tell of a seeming lack of any common sense or efficiency within NHS systems. In both cases you outline a risk averse culture actually increased the risk of harm or discomfort to the patients involved. It’s nonsensical!
     
  10. marymoocow

    marymoocow Star commenter

    The main problem with bedblocking is often finding suitable care homes, now most if not all in some areas are privatised. Care homes have to come in to assess the patient and then you wait a few days for their decision whether to accept them. If they have dementia or complex medical needs, they are hard to place because no one wants them when they can get the same money for an easier patient. Even the few specialist dementia homes dont want dementia patients that have behavioural issues. We only have 2 specialist elderly mental homes in our area, both of which are cerap. Many of our patients are already in nursing homes who have wrongly been sent in with a spurious infection that they could have been treated with at home. Once they have dumped them in hospital and the patient is ready for discharge, they suddenly say that their home isnt the right place for them.
     
    bombaysapphire, cissy3 and Jamvic like this.
  11. grumpydogwoman

    grumpydogwoman Star commenter

    That's the bright side of my ovarian cancer. I don't think I'll make it to the care home stage! I'm highly unlikely to make it to 70 and, apart from the cancer, I'm fit and healthy!

    Radio 4 just now. In terms of GDP? Our spending compared to other countries is poor.

    Here are some countries that spend more of GDP. Zimbabwe, Sweden, Switzerland, Sierra Leone, Palau, Norway, Netherlands, Micronesia, Maldives, Malawi, Kiribati, Japan, Germany, France, Denmark, Cuba, Canada, Brazil, Belgium, Austria, Andorra, Afghanistan.

    The European countries? That doesn't surprise me. I think it's shameful though that they "beat" us. And some surprises there. To me anyway. Again. We should be spending more!
     
    monicabilongame and Jamvic like this.
  12. Jamvic

    Jamvic Star commenter

    It’s a strong & resilient personality that can make a statement like this. You’re obviously a glass half full sort of person.
     
    Lara mfl 05, BelleDuJour and install like this.
  13. Aquamarina1234

    Aquamarina1234 Star commenter

    My mother had all her marbles and a supportive family when she was hospitalised with MRSA. She was too weak to return to her own home so a care home was arranged and paid for out of her own pocket. Rule at the time was you can't be discharged into a community home with an active MRSA infection. So she, like thousands of others, blocked beds until she was infection-free.

    The rise in MRSA cases meant this was becoming a serious problem for the hospitals. Did they get more beds? No, they simply changed the rule. Out you go into an overheated, closed community of vulnerable people with your still-active infection. You will be carefully nursed (so it now has to be a much more expensive nursing home) to minimise transmission risk. Nursing homes were happy to take your money.

    I'm not aware of a study looking at the rise in MRSA amongst nursing home populations but I wouldn't be surprised if it rose.
     
    Jamvic and BelleDuJour like this.
  14. smoothnewt

    smoothnewt Star commenter

    My mother was sent home from hospital before her MRSA had cleared up. I turned up to her house one day to find her sitting on a chair in her front room half-naked and covered in her own sh.it.
    She had to go back in and was there for some time until she was infection free. She went down to skin and bones. I’m amazed she actually survived.
     
  15. BelleDuJour

    BelleDuJour Star commenter

    We continue to experience eye watering inefficiency. Baby Belle has to have regular blood tests, either at GP or local hospital, to monitor lots of things, but in particular her thyroid function as her MS treatment damaged her thyroid and she now has hypothyroidism.
    Her neurogolist and endocrinologist are based in Southampton, we are Basingstoke.
    Yet when we go to see either consultant at Southampton, the bloods results from Basingstoke are unavailable, so she has to have more blood tests. So in this age of everything computerised, one PCT cannot access results from another for the same patient. Crazy!!!
     
    Aquamarina1234 and Jamvic like this.
  16. smoothnewt

    smoothnewt Star commenter

    Shocking situation. There’s got to be a better way!
     
    Jamvic likes this.
  17. Jamvic

    Jamvic Star commenter

    These stories are simply horrifying. How stressful for patients & families. I’m not scared of dying particularly but I am frightened out of my wits at the thought of ever being old and/or ill & NHS/care system dependant.
     
    Lara mfl 05 and smoothnewt like this.
  18. Burndenpark

    Burndenpark Star commenter

    NO!!!!!

    Keep quiet, say nothing, don't ask, nothing to see here.

    For Ebola our Infectious diseases ward had to set aside two side rooms just incase any one in the city showed symptoms. No one did. That's 2 beds out of use for 3-6 months, and after it the equipment they had borrowed to set them up migrated - at least one item vanished for 2 years.

    I don't know if the government, in its panic, told all trusts to set up this contingency, or just those with specialist Infectious Diseases wards. I am just hoping that they are too panicked about Brexit to interfere this time.
     
    pseudohym and Jamvic like this.
  19. Lara mfl 05

    Lara mfl 05 Star commenter

    I think after our experiences with elderly relatives, many of us feel the same.
     
    smoothnewt and Jamvic like this.
  20. ajrowing

    ajrowing Established commenter

    I'm going to go to the GP on 1st February so I can test the new EU free NHS and all its benefits.
    Haven't decided what ails me yet.
     

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