Merseymike
Independent
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Post by Merseymike on May 14, 2021 22:03:45 GMT
Question to those who believe in the NHS At what level of GDP per capita would the NHS be adequately funded ? Funding isn’t necessarily the question, most medical professionals will tell you that the structure is more of a problem than funding, particularly since Lansley’s disastrous “reorganisation” Act. For a start, and yes Labour got this wrong, PFI is a disaster and will continue to be a millstone around the neck for decades. Commissioning is way too fragmented and CCG’s need abolishing and the old District Health Authority’s recreated. Staffing is a ticking time bomb post Brexit; and not just at nursing level. However on the subject of nursing it’s a simple change to increase the staffing budget to employ Agency nurses as part of the NHS. Another cousin was a senior nurse before retiring with MS and his job was purely to book Agency nurses to plug gaps at a major South Wales hospital. Trusts should not be fined for missing artificial targets, it’s self defeating. Adult social care needs to be a part of the NHS; my local hospital has to try and negotiate discharge care packages with at least 15 local authorities, including some in Wales, leading to a December 2019 figure of 479 patients medically fit for discharge but unable to be sent home because local authorities couldn’t/wouldn’t fund a required care package. That’s just page 1 of my own observations as someone who relies daily on the NHS and adult social care, and has multiple members of my family and other friends working in/retired from in the NHS. It’s non partisan, I don’t care who introduces them, as long as they’re introduced. And, like the overwhelming majority of the population I won’t entertain those amateurs, usually the same ones who deny Covid is serious, who advocate for an alternative system. Perhaps remove the internal market and commissioning altogether. The NHS used to be one of the best value systems in terms of administrative costs. It isn't now. Locum doctors are as costly as agency nurses.... As for social care, Government have got to make some decisions. There have been at least two reports with alternative funding plans - full integration into the NHS would mean tax increases and that has been something Governments have shied away from. But doing nothing isn't providing any solution.
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Crimson King
Lib Dem
Be nice to each other and sing in tune
Posts: 9,846
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Post by Crimson King on May 15, 2021 7:51:05 GMT
I went into town today I collected two more Salbutamol Inhalers. I don't really need them, but it feels reassuring to have them lying around. I also bought some lambs leaf lettuce of my tortoise and a case of Henry Weston. NHS, free at the point of need. if you dont need them why are the last two not still lying around.
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Post by mysticrobin on May 15, 2021 8:06:15 GMT
I don't understand this either. Boogieeck now has four inhalers lying about that he doesn't need but someone that is desperate for one can't obtain it because he has four?
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andrea
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Post by andrea on May 15, 2021 8:43:38 GMT
Shabir Pandor is backing Kim Leadbeater for Labour selection here
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andrewp
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Post by andrewp on May 15, 2021 8:48:38 GMT
Shabir Pandor is backing Kim Leadbeater for Labour selection here I wonder if that is a voluntary backing. I would be surprised if she isn’t the candidate now.
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Post by andrew111 on May 15, 2021 14:24:25 GMT
Shabir Pandor is backing Kim Leadbeater for Labour selection here I wonder if that is a voluntary backing. I would be surprised if she isn’t the candidate now. She did say in the paper she was really encouraged by all the people asking her to stand! Maybe that included a certain London lawyer?
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Post by redweeg on May 15, 2021 20:33:12 GMT
I went into town today I collected two more Salbutamol Inhalers. I don't really need them, but it feels reassuring to have them lying around. I also bought some lambs leaf lettuce of my tortoise and a case of Henry Weston. NHS, free at the point of need. Your tortoise sold you some lettuce ?
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Post by andrew111 on May 15, 2021 21:38:46 GMT
I went into town today I collected two more Salbutamol Inhalers. I don't really need them, but it feels reassuring to have them lying around. I also bought some lambs, leaf lettuce off my tortoise and a case of Henry Weston. NHS, free at the point of need. Your tortoise sold you some lettuce ? Bought some lambs as well (I added the missing comma and f)
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neilm
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Post by neilm on May 15, 2021 21:48:46 GMT
I went into town today I collected two more Salbutamol Inhalers. I don't really need them, but it feels reassuring to have them lying around. I also bought some lambs leaf lettuce of my tortoise and a case of Henry Weston. NHS, free at the point of need. if you dont need them why are the last two not still lying around. I have five, on the advice of my previous and current GP. Pocket, car, home, work, spare/in rarely used work laptop bag. Seemed pointless until I realised I'd lost the one in my pocket and needed one pronto.
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neilm
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Post by neilm on May 15, 2021 21:52:39 GMT
I can't be bothered quoting, but: if you have an issue with your signature, make it an X or other mark. No legal issues.
As for there soon to be no non-emergency maxillo-facial surgery between Birmingham and Hull, I assume that is in a straight line via Lincoln or Scunthorpe because I'm seeing a consultant here in Manchester in June with a view to surgery sooner rather than later.
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timmullen1
Labour
Closing account as BossMan declines to respond to messages seeking support.
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Post by timmullen1 on May 15, 2021 22:04:23 GMT
I can't be bothered quoting, but: if you have an issue with your signature, make it an X or other mark. No legal issues. As for there soon to be no non-emergency maxillo-facial surgery between Birmingham and Hull, I assume that is in a straight line via Lincoln or Scunthorpe because I'm seeing a consultant here in Manchester in June with a view to surgery sooner rather than later. My cousin’s consultant is retiring (may have retired) and isn’t being replaced and the Department closed. He was at Bassetlaw hospital, which is part of Hull Uni Trust. There may be a Department at Sheffield, there is one at Leeds where my cousin now is. I’m guessing there’s not one at Scunthorpe, one of my carer’s parents live somewhere in Lincolnshire and from what she’s said Scunthorpe sounds little more than a cottage hospital with Grimsby the main one.
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Post by carlton43 on May 15, 2021 22:57:28 GMT
It is creaking at the knees though. It has creaked at the knees almost since it was founded. Colour of government seems to make little difference. Because the majority refuse to fund the costs of what we basically 'need' and we could never possibly afford what the majority actually 'want'.
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WJ
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Post by WJ on May 16, 2021 10:19:40 GMT
Systems such as the NHS need to have the threat of collapse hanging over their heads, to reduce profligacy.
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Post by andrew111 on May 16, 2021 11:15:51 GMT
Systems such as the NHS need to have the threat of collapse hanging over their heads, to reduce profligacy. Ah yes that life saving profligacy. Terrible!
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Merseymike
Independent
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Post by Merseymike on May 16, 2021 11:31:42 GMT
Systems such as the NHS need to have the threat of collapse hanging over their heads, to reduce profligacy. Ah yes that life saving profligacy. Terrible! And in reality it doesn't work like that. It just leads to short termist firefighting as a mentality.
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Merseymike
Independent
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Post by Merseymike on May 16, 2021 11:33:06 GMT
It has creaked at the knees almost since it was founded. Colour of government seems to make little difference. Because the majority refuse to fund the costs of what we basically 'need' and we could never possibly afford what the majority actually 'want'. Well, we could, as long as we accept that means Danish taxation rates. What we want is Danish level services at American level of taxation
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Clark
Forum Regular
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Post by Clark on May 16, 2021 11:40:00 GMT
Labour obtained 68% in a 5 way content in Batley East last week
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hengo
Conservative
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Post by hengo on May 16, 2021 11:45:21 GMT
Because the majority refuse to fund the costs of what we basically 'need' and we could never possibly afford what the majority actually 'want'. Well, we could, as long as we accept that means Danish taxation rates. What we want is Danish level services at American level of taxation In terms of public expenditure as a proportion of GDP we are somewhere between US and Denmark. Compared with other European countries higher than some, lower than others. What we spend it on of course varies.
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Post by carlton43 on May 16, 2021 11:50:48 GMT
Because the majority refuse to fund the costs of what we basically 'need' and we could never possibly afford what the majority actually 'want'. Well, we could, as long as we accept that means Danish taxation rates. What we want is Danish level services at American level of taxation No. There is not enough GDP to ever afford what people want which is the very best of all possible achieveable healthcare, the sort of cover available to world leaders and the super rich. Just as we can't all have haut cuisine for every meal and the fineist wines with every meal and a Bugatti outside the house.
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Merseymike
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Post by Merseymike on May 16, 2021 11:56:46 GMT
Well, we could, as long as we accept that means Danish taxation rates. What we want is Danish level services at American level of taxation No. There is not enough GDP to ever afford what people want which is the very best of all possible achieveable healthcare, the sort of cover available to world leaders and the super rich. Just as we can't all have haut cuisine for every meal and the fineist wines with every meal and a Bugatti outside the house. I'm not convinced that is what is expected, though. I think not being on waiting lists for supposedly minor operations which leave people in pain are the sort of things which people want. And that is perfectly affordable.
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