Blog · corpus.blog/blogs/nhsreality.wordpress.com/posts
nhsreality.wordpress.com
nhsreality.wordpress.com
2021
We are not ready for the mental illness (including dementia) epidemic to come after Covid-19. We dont have staff with enough time/experience/power to ensure care follows patient instructions…original ↗
7 Apr 2021
Comparing apples and pears will not make it easier for the devolved citizens to know how their system compares. If devolution has failed, equity has failed even more.original ↗
7 Apr 2021
Covid has accellerated the process to Americanisation of drug, alcohol and “despair” deaths.original ↗
6 Apr 2021
Unfortunately, due to poor staffing levels, reduced experience & training standards, poor leadership, dishonesty and poor long term planning, there will be more cases like these two. Once allowed back visitors should make sure their relatives have a bedside advocate.original ↗
5 Apr 2021
NHSreality is conflicted. The 4 health services are incompetent to handle data securely, yet vaccination passports are badly needed. Surely we need to take the risk, learn on the job, and stop any system if adequate safeguards cannot be found?original ↗
5 Apr 2021
Consultants have abdicated their responsibilities more in the UK than anywhere else. Our successful vaccination programme was despite rather than because of the 4 health services.original ↗
5 Apr 2021
2 Apr 2021
Water quality needs to be on the agenda for Health Boards, and possibly for us all. Open government demands more information to be available on quality and pollution, and fines need to increase.original ↗
1 Apr 2021
“Irrational and unjustified support” for the NHS and “its performance nothing special”. Kristian Niemietz – Institute of Economic affairs.original ↗
1 Apr 2021
We all need to be examined to make a proper diagnosis without wasting resources. Private Practice returning soon?original ↗
29 Mar 2021
No national agreement on pay.Could it be cynically political if staff are paid differently in different dispensations?original ↗
26 Mar 2021
Watch this space – will our rulers make sustainable changes to Social Care (and by implication health care) this year? There’s no way without bottom up discussion and community consent..original ↗
25 Mar 2021
The increase in complaints reflects system failure. Unfortunately the complaints are aimed at the staff because they are easier targets than the managers or politicians who created the systems.original ↗
24 Mar 2021
The damage was done well before covid, and there was no “reserve” or capacity to withstand the assault. The British Academy is being at best kind and at worst disingenious: health and social care decay began well before covid.original ↗
24 Mar 2021
Collateral damage, DNRs, cancer…. its important to be honest about rationing, and the inevitable collateral damageoriginal ↗
22 Mar 2021
More money just to catch up, and it won’t solve the ongoing problem of denial and collusion to avoid the debate needed.original ↗
17 Mar 2021
Should we increase diversity at risk of losing quality? A suggestion that apprentice training will be good enough needs debating..original ↗
17 Mar 2021
World gene laws needed: Laws in some countries are unethical if they allow everlasting profits on patent…original ↗
16 Mar 2021
No change since 1992. No restraint on demand & not enough incentive for patient self-care after 5 GP contract revisions.original ↗
16 Mar 2021
There is a case for UK governments in charge of health obliging private hospitals to fill with state cases. This should also apply to American owned hospitals.original ↗
15 Mar 2021
Proton beam therapy to become an option for everyone? Not likely in our randomly post code rationed system….original ↗
14 Mar 2021
Short term or long term planning for health – and everything else. What will the populist solution be..original ↗
6 Mar 2021
The payment for staff in the 4 health services.. Not enough in the short term, much too little in the long term. Exit interviews needed…original ↗
6 Mar 2021
Will cultural change be possible? Will free speech, exit interviews, and open debate about the future of the 4 UK health services be possible? Sickness and absenteeism levels suggest not.original ↗
5 Mar 2021
“If health has stopped improving it is a sign that society has stopped improving.” 20 years ago the government set Health Inequality targets!! Gone with the wind and worse after the virus?original ↗
5 Mar 2021
The “Joke” of Workforce (Manpower) planning falls flat as Mr Hunt admits he and his predecessors all failed.. an “immoral rationing scandal”.original ↗
4 Mar 2021
Doctors in the UK have not been treated well. They are paid enough, and it’s other issues that lead them away. The drop off after graduation, the emigration, and the part time working all need addressing…original ↗
3 Mar 2021
In the UK’s health system, rationing isn’t a dirty word – The view from covid hit USA democratic thinkers…In reality Neither country’s politicians acknowledge rationing.original ↗
3 Mar 2021
Pre-pandemic the Health Services were fossilized. Now they can change, but will it be for the better? Community based care is the secret.original ↗
2 Mar 2021
Poor reporting on health matters. Nothing is overt and we all have to read between the lines especially in the proposed new reforms… No trust remains..original ↗
1 Mar 2021
Dentistry is in crisis. Learn to repair and pull out your own..? Scotland just the canary in the mine..original ↗
1 Mar 2021
We have to begin to improve our fertility or all sorts of problems will ensue. Health and Pensions for starters..original ↗
1 Mar 2021
There are and will be many more deaths like this allegory Barriers to getting examined need to come down as soon as they can. Telephone calls need to be recorded properly in the notes.original ↗
26 Feb 2021
NHS app is ONLY for England . We need one app for one UK in order to gain power over epidemics and for good public health. Meanwhile inequality rules ..original ↗
24 Feb 2021
The waiting list problem will continue for years. If we stop rationing places in medical schools now, we might have enough capacity in 10 years’ time.original ↗
24 Feb 2021
“Social Determinants of Health” should be included in the medical history and in the medical record. The health divide is worsening, but as usual “deny, delay, defer and defend the status quo, deflect the truth” is the order of the day.original ↗
23 Feb 2021
Honesty and Transparency are nowhere in the 4 health systems, and waiting lists only tell half the story. The “Miners of Tredegar” have no private policies, and the “Bankers of London” are awash with them.original ↗
21 Feb 2021
A debate about “freedom of speech”, is, de facto, also about gagging for Hospital and Primary Care staff. Without proper insight the politicians have no idea of reality.original ↗
17 Feb 2021
Knowing the truth when he looks back: Mr Hunt regrets his mistakes, but he is not accountable!original ↗
15 Feb 2021
14 Feb 2021
Mr Hancock’s reforms are irrelevant to the longer term and bigger issues… Drs failed or were disbarred from involvement in management many years ago. Part of the reason was that they realised the system was broken – and their efforts would be futile. Wales and Scotland are free to differ – of course, as there is no NHS.original ↗
12 Feb 2021
Private sector to have a “valuable ongoing role”. Inevitable now that 1 year waits are routine. An honest conversation….!!? “…there was no plan for capital, there wasn’t a plan for public health, there wasn’t a plan for workforce, there was no plan for social care”. What sort of government was so unprepared?original ↗
10 Feb 2021
Boris will be a historical pariah – but he does have one chance to balance the leger if he can be honest and creative in an affordable solution for social care.original ↗
9 Feb 2021
WHO says UK may be correct in delaying vaccinations, but there is no “proof”. The updating of vaccines will arrive anyway.. and we have to be patient.original ↗
8 Feb 2021
Palliative care: Experts call for major reforms as pandemic accelerates demand by 20 yearsoriginal ↗
7 Feb 2021
The minister will do anything to disguise lack of staff.. E-consulting will help short term..but the litigation may increase.original ↗
7 Feb 2021
7 Feb 2021
Easy to appreciate that the Regions are suffering from not having the choices of the English, despite having more money per capita,original ↗
6 Feb 2021
The reform of Social Care means an honest debate: something far beyond every political party today.original ↗
2 Feb 2021
Rationing of Oxygen is necessary in Essex, and long term covid patients are for GP care: why not?original ↗
31 Jan 2021
Midwifery in Crisis. A disgraceful reflection on the declining standards and tribalism across the health services. This is not confined to one trust but is endemic, and especially at unpopular and remote District General Hospitals.original ↗
31 Jan 2021
29 Jan 2021
We have reached an unintended target! And different health outcomes and resources now divide us all. The profession knows how incompetent our rulers are..original ↗
27 Jan 2021
Pride is no reason to vote Nationalistically. The money IS important..and so are the outcomes..original ↗
25 Jan 2021
Where does the money come from, and who gets most for health per capita? An English backlash is possible: a movement to separate England away form its percieved “ingrate” neighbours..original ↗
24 Jan 2021
Fear of Covid-19 is delaying treatment for cancer patients, leading to complications and a lower survival rateoriginal ↗
22 Jan 2021
Will we look back in anger? “There will be nothing to celebrate (if) delaying the second dose reduces the protection given to recipients of the jab. “original ↗
22 Jan 2021
Breaking up the Health Service could be a foretaste to breaking up the UK. An open letter to the “Media”.original ↗
22 Jan 2021
Throwing money at the drug problem without changing the rules is not effective, despite the Home Office bragging.original ↗
20 Jan 2021
We were bad boy scouts: unprepared for Covid. Now we have a shortage of staff, beds, oxygen and we cannot correct it short term. Deaths may exceed 100k and possibly even twice that …original ↗
19 Jan 2021
Lord Sumption tells woman with stage four cancer her life is ‘less valuable’, and Mrs James replies. This is the real debate … We should all be involved before we get ill and find out the truth..original ↗
18 Jan 2021
THE VACCINE IS NOT ENOUGH – and its not a race. This is a Test Match, against an unrelenting and adaptable virus, and not a Twenty Twenty..original ↗
17 Jan 2021
Why is there variation in treatment and outcomes in different trusts? Could some be rationing more effectively (and covertly) than others? It may be the best are those spending least!original ↗
16 Jan 2021
Medics at risk of being accused of “unlawful killing”, and of “moral injury and long-term psychological damage” to themselves. Leadership is needed to take a war-like approach to satisficing and rationing care.original ↗
16 Jan 2021
13 Jan 2021