My own MOT

[Gazza]

Literally just got back from my lunch, checked this group as standard, and this headline appeared on my internet feed..... either coincidence or Algorythms at work


https://news.sky.com/story/continual-st ... w-13102633

[magpie]

I saw that today as well and again i agree, the NHS needs a lot more funding thrown at it in my opinion. Why do MPs get a lot more than junior Drs and nurses

[Keyolder]

Great news magpie, I’m glad your results are good

I’m due my annual MOT next month, I also suffer from white coat syndrome and get apprehensive just sitting in the waiting room waiting for my call. Every year they tell me my BP is high, so I’m asked to submit 5 days readings from home.

When you get to a certain age you start to worry about mortality, at least I do. Two of my school classmates are no longer around plus a few others are not in the best of health…

I also find the care the National Health give when you are being treated to be fine, it’s the emergency appointments that are difficult to come by.

[EBJ]

I am also a white coat syndrome person and recently it was exaggerated more from sitting in the waiting room and picking up the only magazine in there that was for women, so loads of under wear and bras etc and really nice looking ladies that adde to my problem and blow me when i go into the doctor it is a big busty doctor with buttons undone showing a bright blue top of her bra, and she says your blood pressure is very high.

ARE YOU SUPRISED OR WHAT AT THE OUTCOME LOL

[magpie]

I am also a white coat syndrome person and recently it was exaggerated more from sitting in the waiting room and picking up the only magazine in there that was for women, so loads of under wear and bras etc and really nice looking ladies that adde to my problem and blow me when i go into the doctor it is a big busty doctor with buttons undone showing a bright blue top of her bra, and she says your blood pressure is very high.

ARE YOU SUPRISED OR WHAT AT THE OUTCOME LOL

Class EBJ

[HarleyPete]

Hba1c is from memory to do with diabetese.

[Vera]

Got my annual (well it's not been for a few years (Covid etc.) Heart check ups this week followed by a chat with the specialist at some point after the results.
ECG and 24 hour trace coming up the ECG is fine but the trace is a pain with all the wires etc.

[NEITTech]

The NHS is fantastic once you have access to it.
The issue is funding and working conditions for doctors nurses and other NHS staff. (please don't add Management to this as they are overpaid and unecessary)
With more funding and better working conditions the NHS would again become an attractive employer and with more people working in the service the waiting times will reduce.

It really is quite simple.

I appreciate this post was months ago, but I've just seen it and feel the need to comment on it. So, in your opinion, NHS 'management' funding and working conditions shouldn't be considered because they are overpaid and unnecessary? In an organisation the size of the NHS, and even the individual NHS trusts, you need good, effective management. You are not going to get that by paying peanuts. You need the best people, and the only way to get that is by offering a good salary and good working conditions. Otherwise you're going to get rubbish.

Furthermore, there's this idea that the NHS needs less 'management' and 'admin' staff. This couldn't be further from the truth. You need more of these staff, not less, and higher quality. This then lets the medical staff do what they should be doing rather than things that can be done by those who are not medically trained. Ask any police officer and they'll tell you they are burdened by the paperworkside of things. They'd much rather be out of the office investigating crimes, responding to incidents, promoting crime prevention etc.

Something to think about.

[Vera]

I appreciate this post was months ago, but I've just seen it and feel the need to comment on it. So, in your opinion, NHS 'management' funding and working conditions shouldn't be considered because they are overpaid and unnecessary? In an organisation the size of the NHS, and even the individual NHS trusts, you need good, effective management. You are not going to get that by paying peanuts. You need the best people, and the only way to get that is by offering a good salary and good working conditions. Otherwise you're going to get rubbish.

Furthermore, there's this idea that the NHS needs less 'management' and 'admin' staff. This couldn't be further from the truth. You need more of these staff, not less, and higher quality. This then lets the medical staff do what they should be doing rather than things that can be done by those who are not medically trained. Ask any police officer and they'll tell you they are burdened by the paperworkside of things. They'd much rather be out of the office investigating crimes, responding to incidents, promoting crime prevention etc.

Something to think about.

Ok, my original post was a little simplified and harsh however, There is too much management within the NHS.

For a start Higher management should be centralised as it was originally, the Trust system was introduced to make it easier to sell off sections of the NHS (when we get to that point) to the private sector at which time the system follows the American blueprint. We know where that particular branch ends up..
There are 215 NHS trusts in the UK that's 215 sets of higher level management, I know more than one set would be necessary in a centralised system but the savings in the many high earning posts would be considerable.

Secondly the Trust system is something we are all familiar with in education, my personal viewpoint is that the management at trust level is unnecessary and is only there to manage the "business". The old way of doing things was underfunded to the degree that the services provided to state schools became so poor forcing many schools into the academy /trust system, indeed at one point it was government policy to place schools into academies or trusts.
I suspect that the NHS trust system is somewhat similar in that there are layers of Management that are simply there to run the "business" and have very little to do with medical provision.
(You will note my use of the word "business" there, have a quick look at the news and the post office debacle, you will find that word used many times in the inquiry and not in a good way)

Also procurement is wasteful and in many cases the trusts simply have to pay whatever the big pharma companies demand with very little bargaining power which is where a centralised system could be more effective.

You are quite right, more admin staff are needed to free medical personnel to concentrate on patients but this is not management level this is purely admin.

To compare the workload of the police is slightly wide of the mark, mostly it is not admin work that the police do, but more to record and present evidence to secure prosecutions and where necessary attend court to give evidence in person (which all must be documented).
This work simply cannot be done by others in an admin department, unlike the NHS.

All of this is just my point of view. I'm sure there are many others who may think differently.