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They really aren’t. I’ve presented in Switzerland and reviewed health systems in a number of European countries, and they have taken ideas from the UK. Scandinavia was impressive but not due to care, but more culturally and how they managed things like lunch breaks, and dietary options. In...

I know these are examples, but….. (and I’m sure you know this). Point 1 - so frustrating, the number of times I actually say “read the notes”…. For me and slightly off subject, consultants do not carry the gravitas they once did, and there is little fear factor amongst juniors, so they don’t...

This example feels more like an example of not knowing who to go to initially to me…😃. (I know it’s not that simple). I would argue it is incumbent on the decision makers to have an understanding of what the workers actually do, so any issues can be discussed and resolved at a local level...

presumably you’ve complained about this? I would suggest you raise it with the Patient Advice and Liaison Service.

Absolute nonsense. Another report published by Institute of Public Policy Research, highlights a significant shortage.

not just the last 13 years. New Drugs and new treatments come at a cost, so do specialist workforce, plus social care places, training grants etc…..

The GP would have got you a direct admission anyway, apologies, my previous comment was intended more generic, but doesn’t read that way. In terms of the patient, though that is the point of 111, and they will say if symptoms persist etc.. Perhaps GPs should start triaging via A&E, to protect...

Every government writes a new white paper and have ‘great ideas’ reform, but none of them are particularly transformational, and some even send the service backwards.

It’s feckin appalling….. Having reviewed hospitals in Scandinavia and Germany, I have to say it is a completely different environment to the NHS. In fact they wanted to replicate some of what we do, from a scrutiny and review perspective.

Be interested to hear the examples, a lot of it is automated. There are a lot of staff under significant pressure, that includes fairly junior administrative staff. ‘Absolutely shocking’ seems extreme. Edit: Not aimed at your post. @Commander but the whole ‘there are too many admin staff in...

But the front line staff in A&E are often Junior Doctors, so you’ve actually achieved very little and normally would be better off waiting for a GP. In my experience the senior A&E nurse is usually the person with the best advice and can often support junior staff. The A&E consultant will have...

So true. Perhaps the public have become more stupid….. or just pathetic….. It really is a thin line. Don’t get me started on DNAs (did not attend) outpatient appointments. I really would start charging people who fail to show. Booking Team. Reception Team. Outpatient Nurse. Wasted diagnostic...

What’s East Lanc CQC rating? Usually, hospitals do not get away with sustained poor performance and poor outcomes. In terms of patients knowing what is minor, a common cold is minor, a sore throat is minor, earache is minor. All of these complaints I have seen being triaged, before being sent...

They had money before that as well from the 3Ts project. They want to be a trauma centre, which is why neurosurgery was moved from Haywards Heath. I really wouldn’t hold your breath.

But people are irresponsible and frankly a number of GP practices adopt lazy practices, encouraging people to go to hospital instead of correctly policing it. As for Mental Health, yes agree, and COVID has only increased pressure, but is A&E the right entry point?

Most if not all NHS staff have to pay parking. Certainly, locally, that has been in the place for 30 years.

To be fair it’s been like it a long time, arguably from the 90s onwards, I used to do a lot of work in A&E. In the last few years undoubtedly it has worsened, but that is basically because more people are coming through the front door, and not enough patients leaving to free up beds, due to a...

Actually, the higher you go like any employer, the harder it gets, as there are fewer roles and it’s more competitive.

Very good pension, for those of us on the 95 scheme.

Yes, but longer than a decade.