Take care of your health

Pound Coin said:
All media is biased. I try and read as many as possible. Unfortunately the Telegraph is behind a paywall and I don’t want to give them any money. The Mail is a disgrace. The Express, more so. It is good to read different sides of arguments, seeing the slants, and biases.
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Curiously I agree, but my opinion came from talking to people in the NHS.
 
Ah, OK. Well, my experience is probably deeper than that.
 
Pound Coin said:
The shortage of Drs is down to various causes.

Those brought in from Africa and Asia retiring
Better paid Drs at the end of their careers retiring earlier than expected, because of the effect on their pensions of the higher pay from the settlement
Not enough modelling (and response to it) to make sure we are training the Drs we need
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The system of training doctors in the UK is steeped with nepotism & cronyism, it's often a case of who you know not what you know. My niece trained as a doctor in the UK. She wanted to specialise as a plastic surgeon but as the first doctor in our extended family she didn't have the necessary family contacts in the profession to help her secure a training place so she went to New Zealand where she was welcomed with open arms and is now working as a plastic surgeon.....
 
My experience started with providing a test that would reduce the need for amniocentesis and CVS, both significant procedures that are expensive and kill unborn babies in small numbers. Getting the test in place was problematic because clinical chemistry don't want the extra cost, but the money saved not doing the procedures was siloed and could not be re-allocated. Etc etc.
 
ancient_mariner said:
Some of the nurses I know think a significant issue with caring more generally is that nurses are now graduates who do less of the hands-on care for patients, and are thus much less able to understand their patients problems because they don't bath them or take them to the toilet etc.
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That's true. My wife tells me that it's called "Too posh to wash". She entererd nursing when matron ruled the roost.That was at Glasgow Western. She was brought up in Kilmarnock and told me that when she went to the Western to train she found it difficult to understand Glaswegian.Lol.
 
cambsno said:
The whole thing needs a rocket up it - NHS needs to be non political and be run by a cross section of MPs with people who know what they are doing
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Pound Coin said:
constant changes from people that are trying to make a political name for themselves. Here Today, Gone Tomorrow Health Secretaries, I'm looking at you.
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I think these two posts hit the nail on the head. Every time there's a new Govt or secretary of health or whatever, they try to make an impression by introducing some sort of change or shake up and they are gone before the outcome is known. It can takes for the effects of a change to become fully appreciated.

lindsay said:
General Practice started going downhill when it was subjected to grouping up and clinical commissionag hubs etc.
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We have I think three large practice groups or clusters. When you ring for an appointment, you're up against the other patients from all the other practices in that same cluster. When I spoke to a GP about it, he said that's the way the Govt is pushing things - money goes to a large group, not to individual practices. This means an individual practice just doesn't get the resources it needs. I'm with a small practice. It was nice, easy to get an appointment, see the same GP but since the new change, it's much harder to get an appointment.
Craig1912 said:
Saying that the GP service isn’t really the NHS as they are private companies and the system in many areas is shambolic.
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When I spoke to my GP about seeing him privately, he said he's not allowed to offer private services to his NHS patients. So it sounds as though whilst they have a contract with the Govt to provide GP services, they can't walk away or find another customer.
 
omens said:
When I spoke to my GP about seeing him privately, he said he's not allowed to offer private services to his NHS patients. So it sounds as though whilst they have a contract with the Govt to provide GP services, they can't walk away or find another customer.
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No but there are plenty of private GPS you can see. I believe the contract is with the GP practice not the GPs themselves so they could walk away and set up privately.
Many people with Private Medical Insurance now have access (Video and or phone) to a private GP who can prescribe or do referrals.
 
sphexx said:
Maybe it won’t be a doctor you see:

www.bbc.co.uk

UK’s biggest GP chain replacing doctors with less qualified staff

BBC Panorama went undercover at a surgery run by the UK's biggest provider of GP services to the NHS.
www.bbc.co.uk
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I recently had that experience. Ie not seeing a doctor. Here's a write-up from the surgery web page of the Physician Associate I saw . It was just to check that a neck pain I had wasn't anything more than a sprain after a fall. I won't go into how I fell..:D No alcohol involved as I don't drink it. A case of not looking behind me as I stepped back whilst out oin a walk.:) I went to the surgery 6 weeks after it happened so rather a long time. All ok now. I was surprised when he suggested acapuncture,though. I'm sure one of the doctors wouldn't have suggested that.

My bold.

"I studied a Masters at Worcester University and recently completed my studies to become a Physician Associate. This relatively new profession is an exciting venture to support the diverse challenges of medicine within the NHS"

Sounds like management speak to me. :D
 
JohnC6 said:
I recently had that experience. Ie not seeing a doctor. Here's a write-up from the surgery web page of the Physician Associate I saw . It was just to check that a neck pain I had wasn't anything more than a sprain after a fall. I won't go into how I fell..:D No alcohol involved as I don't drink it. A case of not looking behind me as I stepped back whilst out oin a walk.:) I went to the surgery 6 weeks after it happened so rather a long time. All ok now. I was surprised when he suggested acapuncture,though. I'm sure one of the doctors wouldn't have suggested that.

My bold.

"I studied a Masters at Worcester University and recently completed my studies to become a Physician Associate. This relatively new profession is an exciting venture to support the diverse challenges of medicine within the NHS"

Sounds like management speak to me. :D
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I feel there’s a possibility that something like this could work as triage in a surgery, which function is practised (if at all) by the receptionists who as far as I know are completely unqualified.
 
Sometimes, doctors and nurses are constrained by their training and ignore less conventional treatments that can work for some people (but not for others).

In my thirties, I suffered a great deal of back pain, which didn't respond to the conventional treatments which the GP prescribed. Someone mentioned the Alexander Technique in an article I read and by coincidence I noticed an advert in the library for a course on the subject, so I gave it a try.

It worked for me and I've had no problems for 40 years.

Please be clear: I'm not recommending this and I'm not claiming any magic properties for it.
 
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