The British NHS is in desperate need
of being De-Centralized and Reformed. It is the System itself that is failing.
I wonder that we have forgotten what the NHS was originally set up to do - that is to
provide good quality patient care. I have two children working as
medical health professionals in the British NHS and I am both shocked and
saddened by what they tell me. Patient notes are lost and basic care is
neglected - such as patients being unable to reach their drinking water - and staff
moral is very low.
When the
National health service was originally conceived I am sure it met a clear
public service. Sadly today it appears to be a gigantic and badly managed
business with ever increasing demands. The first step required, as I see it, is
to de-centralised this over-bloated industry. Centralized control does not work
with such a massive operation - and how can local requirements be met that way?
We urgently
need to take a look at health care systems worldwide that do work for patient
care and work with no waiting lists. How
on earth can they achieve this? I don't
view America as having the
perfect health care model though - I lived there for ten years and I had two
children there and one child here in Scotland. It is vitally important
we look at countries where the health systems ARE working for good quality care
- such as in France, Sweden or Germany. One way to make
improvements is that those who can afford to pay do pay. This happens in France
where there are no waiting lists. This happens already in dentistry and
dentists are not under such severe pressures.
That's not
to say that there are not pockets of top quality care in the service. I know
several who have received excellent treatment for serious illness.
The reality
is that if young medics are treated like robotic slaves and expected to work 12
hour shifts with no toilet breaks or food breaks - the system is in crisis. As
they only have 4 monthly contracts now they are unable to rent accommodation
near the hospitals and then they are expected to drive long distances home at
dawn after such long shifts - what are we asking them to do? One young girl was
killed recent in Ayrshire driving home after her 13 hour shift. Another young
medic had to have a catheter fitted because she had been unable to take a
toilet break. I ask myself what on earth is going on?
How can well
meaning medical staff provide the best care when they are treated badly
by a management that sits in its ivory
towers and never comes down to see how it all works at the ground floor? I'd like to tell Mr Cameron - medical staff
are practically shedding blood to provide as decent a health service that they
can while they are hampered by an inadequate management system.
I read that
there is now an untrained army of medical assistants who are basically doing
what nurses used to do, but with no skills to do it. While nursing staff is burdened with paper work. Why were the nursing bosses (the matrons) scrapped and I hear that the new ward managers are not clinically trained.
The
socialist ideology is that competition doesn't work (?) and that instead we
should all be motivated by Targets. Now these targets require a huge amount of
paperwork that no one ever reads (and this happens in education also). Well in the
real world that I live in, what drives and motivates people to do better and
achieve higher standards is 'competition' - sorry academics.
Another
issue that needs addressed – to inform patients perhaps with leaflets or
posters about when they should be contacting their doctor and that if they take
up the doctors time for no real reason it takes services away from those in
real need. Medical treatment is NOT
limitless or free! If we as patients
waste these resources, if we waste hospitals and doctors time with unnecessary
visits, it takes away from critical medical treatments.
Our
out-of-date and over protected health service is desperately in need of
improved management which includes better treatment of medical staff. The
politicians like to blame the medical professionals...it is time to sit up and
realise it's the System itself that is failing!
The NHS is
not free either, someone has to pay for all the equipment, training for staff
and ever more expensive drugs! The
recent scandal of neglect for patients at Staffordshire hospital has brought
all this into focus. Who dares to speak
up?