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Well It Seems To Be Working Well Then
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//bobinwales,check out the cancer research uk website,they say MILLIONS of potentially life saving scans have had to be cancelled for
all efforts to be given to covid.//
Sounds a bit excessive to me but obvs. many scans have beenpostponed. But what's the alternative. Leave serious covid (and other more urgent ) patients in the car park or send them home untreated?
all efforts to be given to covid.//
Sounds a bit excessive to me but obvs. many scans have beenpostponed. But what's the alternative. Leave serious covid (and other more urgent ) patients in the car park or send them home untreated?
//...or have sheduled urgent cancer treatment.//
There are NHS trusts now - some in London and the South East - where surgery of "level 2" urgency has been cancelled for the foreseeable future. Level 2 surgery is that which is deemed necessary within 28 days. If that isn't urgent I don't know what is.
As for "bean counters" I do not use it as a derogatory term for the individuals concerned. I use it to describe some of the functions which thousands of NHS staff undertake which contribute little or nothing towards healing the sick. Here's an example of a current vacancy. It is for a "Quality Strategy Manager", salary £45,753 to £51,668:
"The post holder will be responsible for the following functions, as appropriate to their role within the Directorate (these may be subject to change over time):
Support the organisation’s Statutory Duties for quality by ensuring a clear narrative for quality and strong governance arrangements both nationally and locally.
Lead on quality policy, including national policy for quality governance and surveillance.
Lead Secretariat and governance arrangements for the National Quality Board (NQB)and/or Executive Quality Group (EQG). This will include leading on the processes for national meetings and associated working groups. Key Tasks involve: liaising with senior stakeholders; commissioning, coordinating and writing board papers; taking detailed meeting minutes, producing and leading a chair’s brief; agreeing the agenda; keeping an up to date risk register and action log, maintaining good working relationships with a wide variety of staff both senior and junior; organising meetings and related logistics."
It continues for another page and a half. It's basically a secretarial post to a couple of obscure sounding committees. There are dozens of them, all with similarly sounding job titles and job descriptions. That's what I mean by "bean counters". Good luck to anybody who can screw £50k from the NHS for this nonsense. Personally I'd prefer them to recruit a couple of nurses or porters.
Individual front line NHS workers work their socks off in poor, understaffed conditions. But the organisation itself is unfit for purpose. The headcount for jobs like the one above proliferates whilst the bedcount for patients decreases accordingly to pay for the bureaucracy. It doesn't need reform. It needs complete reconstruction.
There are NHS trusts now - some in London and the South East - where surgery of "level 2" urgency has been cancelled for the foreseeable future. Level 2 surgery is that which is deemed necessary within 28 days. If that isn't urgent I don't know what is.
As for "bean counters" I do not use it as a derogatory term for the individuals concerned. I use it to describe some of the functions which thousands of NHS staff undertake which contribute little or nothing towards healing the sick. Here's an example of a current vacancy. It is for a "Quality Strategy Manager", salary £45,753 to £51,668:
"The post holder will be responsible for the following functions, as appropriate to their role within the Directorate (these may be subject to change over time):
Support the organisation’s Statutory Duties for quality by ensuring a clear narrative for quality and strong governance arrangements both nationally and locally.
Lead on quality policy, including national policy for quality governance and surveillance.
Lead Secretariat and governance arrangements for the National Quality Board (NQB)and/or Executive Quality Group (EQG). This will include leading on the processes for national meetings and associated working groups. Key Tasks involve: liaising with senior stakeholders; commissioning, coordinating and writing board papers; taking detailed meeting minutes, producing and leading a chair’s brief; agreeing the agenda; keeping an up to date risk register and action log, maintaining good working relationships with a wide variety of staff both senior and junior; organising meetings and related logistics."
It continues for another page and a half. It's basically a secretarial post to a couple of obscure sounding committees. There are dozens of them, all with similarly sounding job titles and job descriptions. That's what I mean by "bean counters". Good luck to anybody who can screw £50k from the NHS for this nonsense. Personally I'd prefer them to recruit a couple of nurses or porters.
Individual front line NHS workers work their socks off in poor, understaffed conditions. But the organisation itself is unfit for purpose. The headcount for jobs like the one above proliferates whilst the bedcount for patients decreases accordingly to pay for the bureaucracy. It doesn't need reform. It needs complete reconstruction.
At least the consensus seems to be that the nhs is unable to cope with demand and most here agreeing its badly run and managed
... so am sure we must all agree that we need to maintain social distancing, have lockdown restrictions, follow rules and guidance, until the infections and deaths slow right down, vaccinnes take effect and someone can quickly transform the health service without losing an election and without crippling the economy with the cost of transforming are NHS. Simple
... so am sure we must all agree that we need to maintain social distancing, have lockdown restrictions, follow rules and guidance, until the infections and deaths slow right down, vaccinnes take effect and someone can quickly transform the health service without losing an election and without crippling the economy with the cost of transforming are NHS. Simple
A possibility, nj... but also, the problem is that everything has got more and more bureaucratic. The one thing that put me off being a nurse, was the amount of paperwork. And I don't even mind paperwork.
If you can get someone else to do it, it leaves others to get on with their jobs. And to be fair, a lot of what you posted there, is needed nowadays. Better than wasting the time of doctors or nurses.
If you can get someone else to do it, it leaves others to get on with their jobs. And to be fair, a lot of what you posted there, is needed nowadays. Better than wasting the time of doctors or nurses.
Its not just litigation. One of the problems I had to address as a manager and clinician in the NHS is a tendency to do things because they have always been done, because the patient or relative feels like something is being done even though what is being done may not be of any benefit or may even be detrimental. An oversight of what staff are actually doing and making sure that its what they should be doing is definitely needed and that requires more record keeping than would be the case if there was no oversight....but I am not sure if that job is the best way to go about it.....its been a problem since the time of Florence Nightingale
"Let whoever is in charge keep this simple question in her head (not how can I always do this right thing myself) but how can I provide for thsi right thing always to be done?"
Florence Nightingale Notes on Nursing. What it is and What it is Not.
"Let whoever is in charge keep this simple question in her head (not how can I always do this right thing myself) but how can I provide for thsi right thing always to be done?"
Florence Nightingale Notes on Nursing. What it is and What it is Not.
Yes, fair enough woof. But is that not the same reason in the end? The need not to be blamed...
We have had many situations where one thing is clearly beneficial for an individual, but because it is "common sense" and not "by the book", there is no chance.
A lot of it, including your example, seems to be more a problem of what others might think, than what is genuinely best for the person?
We have had many situations where one thing is clearly beneficial for an individual, but because it is "common sense" and not "by the book", there is no chance.
A lot of it, including your example, seems to be more a problem of what others might think, than what is genuinely best for the person?
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