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Old 14 July 2014, 09:48 PM
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bustaMOVEs
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Default Pay 150% for HHS care

About time this got sorted, maybe now the trend will change.
http://www.eveningexpress.co.uk/news...r-nhs-1.471670
Old 14 July 2014, 10:13 PM
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Dingdongler
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Doesn't really touch a large part of the problem. I could tell you some stories about the health tourism I see every day.....
Old 14 July 2014, 10:38 PM
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Why not charge everybody on a consumption basis, only paying for what you use?
Old 14 July 2014, 11:50 PM
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Originally Posted by SJ_Skyline
Why not charge everybody on a consumption basis, only paying for what you use?
When you say everbody do you mean the uk as well? Because if so let's hope you don't get sick then. If not I suspect the 150% may be due to the fact that the NHS is none profit and if it didn't charge more they would still come for the discount if nothing else and put added pressure on the system as they already do.

Last edited by Carnut; 14 July 2014 at 11:56 PM.
Old 15 July 2014, 06:12 AM
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And therein is part of the problem. On one side there's no concept of profit which leads to no incentive to improve practice and drive efficiencies. On the other side there's no value placed on the service leading to missed appointments and, ironically over-use of the system for unnecessary visits.
Old 15 July 2014, 07:39 AM
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Originally Posted by Dingdongler
Doesn't really touch a large part of the problem. I could tell you some stories about the health tourism I see every day.....
Daily?! Please do.
Old 15 July 2014, 10:02 AM
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Originally Posted by SJ_Skyline
And therein is part of the problem. On one side there's no concept of profit which leads to no incentive to improve practice and drive efficiencies. On the other side there's no value placed on the service leading to missed appointments and, ironically over-use of the system for unnecessary visits.
One of those "hit the nail on the head" posts.
Old 15 July 2014, 10:03 AM
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Originally Posted by SJ_Skyline
And therein is part of the problem. On one side there's no concept of profit which leads to no incentive to improve practice and drive efficiencies. On the other side there's no value placed on the service leading to missed appointments and, ironically over-use of the system for unnecessary visits.
Precisely and this leads me to a very low tolerance of moaning public sector workers who would last about three seconds in the "real" World.
Old 15 July 2014, 10:49 AM
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Originally Posted by Matteeboy
Precisely and this leads me to a very low tolerance of moaning public sector workers who would last about three seconds in the "real" World.
IMO unlike the private sector there's no boss at the top that will take it personally when his staff under perform. The private sector is made up of people shifting the blame and covering their own ****.
Old 15 July 2014, 10:55 AM
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Originally Posted by chris j t
IMO unlike the private sector there's no boss at the top that will take it personally when his staff under perform. The private sector is made up of people shifting the blame and covering their own ****.
Eh? There's always someone at the top.

The lack of commercial awareness in the public sector is staggering. And depressing.

Anyway we can't afford the NHS; it need radical re-structuring starting with looking at which of the 8000 managers on over £100k are actually worth that money. Probably about 50 of them.
Old 15 July 2014, 01:24 PM
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Originally Posted by SJ_Skyline
And therein is part of the problem. On one side there's no concept of profit which leads to no incentive to improve practice and drive efficiencies. On the other side there's no value placed on the service leading to missed appointments and, ironically over-use of the system for unnecessary visits.
Originally Posted by Matteeboy
Precisely and this leads me to a very low tolerance of moaning public sector workers who would last about three seconds in the "real" World.
Originally Posted by Matteeboy
Eh? There's always someone at the top.

The lack of commercial awareness in the public sector is staggering. And depressing.

Anyway we can't afford the NHS; it need radical re-structuring starting with looking at which of the 8000 managers on over £100k are actually worth that money. Probably about 50 of them.
100% agree with you guys on this.
Old 15 July 2014, 04:22 PM
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Originally Posted by Matteeboy
Precisely and this leads me to a very low tolerance of moaning public sector workers who would last about three seconds in the "real" World.


Quite a sweeping statement Mattee. I wonder how long some of you private sector workers would last in the conditions I've worked in over the years.
Old 15 July 2014, 04:45 PM
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Originally Posted by Matteeboy
Eh? There's always someone at the top.

The lack of commercial awareness in the public sector is staggering. And depressing.

Anyway we can't afford the NHS; it need radical re-structuring starting with looking at which of the 8000 managers on over £100k are actually worth that money. Probably about 50 of them.
I was suggesting that in the public sector the boss at the top won't loose his business if it goes wrong.

In the public sector the boss at the top has the opportunity to pass the blame or cover such problems up, where in the private sector theres no where to hide if it goes wrong, you lose your business.
Old 15 July 2014, 05:55 PM
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Originally Posted by chris j t
where in the private sector theres no where to hide if it goes wrong, you lose your business.
The private sector incoporates more types of boss than simply the "owner of his own business" btw

There are no simple solutions to the NHS - and in part there is a culture of "it,s free so I'll take two"

I suspect were are moving to some sort of payment model - maybe a fee to see the GP and hospital accommodation costs
Old 15 July 2014, 06:13 PM
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Originally Posted by Dingdongler
Quite a sweeping statement Mattee. I wonder how long some of you private sector workers would last in the conditions I've worked in over the years.
Ding, my wife worked in the NHS (HR) in the 1990's for nearly 10 years.
For the last 15 years she's worked in the private sector at director level and above.

She's always said that most of those she worked with in the NHS would never survive in the private sector - of course she was talking about management and not those at the front line like, I presume, yourself.

Some of those she worked with are still there today - readying themselves for a nice retirement or 'redundancy' package.

I can't speak for the last 15 years but certainly when she worked in the NHS the people who were supposedly top management and in an organisational role really didn't seem able to organise a fcukfest in a brothel.

The money wasted on non-jobs must be staggering.
Old 15 July 2014, 08:33 PM
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Human Remains (HR) whether public or private is the biggest waste of time "non job" full stop
Old 15 July 2014, 09:06 PM
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Originally Posted by hodgy0_2
Human Remains (HR) whether public or private is the biggest waste of time "non job" full stop

If it was a 'non job' do you really think private companies would be paying people £100k's to do it?

The HR in the NHS during her time there was just a pi$$ take though.
People sat on their ***** all day doing nothing, taking endless sick leave, arriving late/going early....you know the kind of thing.

These people were unsackable and they knew it, just creaming the cash that should / could have gone to front line services.

Last edited by zip106; 15 July 2014 at 09:13 PM.
Old 15 July 2014, 09:12 PM
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great then, obviously the way out of our economic sh!thole is for companies to employ more and more people in HR

that'll fix it
Old 15 July 2014, 09:28 PM
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No - you don't need loads of people.
Just a few good ones

Let's not forget that most of these money-sucking management non jobs in the public sector were created by the Socialists.

There, that'll bring unemployment down.
Great idea that was.

Last edited by zip106; 15 July 2014 at 09:30 PM.
Old 15 July 2014, 09:30 PM
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Originally Posted by Dingdongler
Quite a sweeping statement Mattee. I wonder how long some of you private sector workers would last in the conditions I've worked in over the years.
What with near total job security, an extremely good salary and pension and an endless stream of guaranteed work?

I can think of worse situations to be in.

Not saying all public sector workers are bad; I've seen some very good ones, but as far as robust attitudes go, public sector is football to the private sectors rugby.
Old 15 July 2014, 10:45 PM
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Originally Posted by Matteeboy
What with near total job security, an extremely good salary and pension and an endless stream of guaranteed work?

I can think of worse situations to be in.

Not saying all public sector workers are bad; I've seen some very good ones, but as far as robust attitudes go, public sector is football to the private sectors rugby.

Matt, again that is a sweeping generalisation. I'm just not sure I can be bothered to get into an argument about it.

However if you think the life of a hospital doctor is some big jolly you are seriously deluded. And though I make 'decent' money trust me when I say if I told you how much it was you wouldn't be jealous.

As for 'near job security'? Maybe. But then I could also be facing manslaughter charges if I really fecked up. Is that something you might encounter in the world of PR??

I do wonder how you guys who live 'in the real world' would have coped with the 72hrs+ I used to work continuously and a 90hrs+ week.

It ain't no picnic son....

Last edited by Dingdongler; 15 July 2014 at 10:50 PM.
Old 15 July 2014, 10:46 PM
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Originally Posted by zip106
Ding, my wife worked in the NHS (HR) in the 1990's for nearly 10 years.
For the last 15 years she's worked in the private sector at director level and above.

She's always said that most of those she worked with in the NHS would never survive in the private sector - of course she was talking about management and not those at the front line like, I presume, yourself.

Some of those she worked with are still there today - readying themselves for a nice retirement or 'redundancy' package.

I can't speak for the last 15 years but certainly when she worked in the NHS the people who were supposedly top management and in an organisational role really didn't seem able to organise a fcukfest in a brothel.

The money wasted on non-jobs must be staggering.

Trust me, nothing has changed.
Old 16 July 2014, 12:54 AM
  #23  
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Originally Posted by hodgy0_2
The private sector incoporates more types of boss than simply the "owner of his own business" btw

There are no simple solutions to the NHS - and in part there is a culture of "it,s free so I'll take two"

I suspect were are moving to some sort of payment model - maybe a fee to see the GP and hospital accommodation costs
Yes iam aware that there is more than one boss than simply the owner (used to run my own business with plenty of staff) but the affects of the owner can IMO be felt in the private sector all the way to the bottom.

But your right there is no simple answer and hope it doesn't get privatised bit by bit.

It doesn't need to be privatised, take the Gp's for example, they say it costs lots of money with people missing appointments, rubbish, every time I have been to see the gp which is ALOT all over the country I have had to wait a long time. If people are not turning up on time then why do you have to wait so long, surly people missing appointments gives them the opportunity to catch up and in some small way is doing them a favour.

And while I rant about appointments, its a VERY easy fix. My current GP used to have long waiting times but now have a first come first served basis. You phone up in the morning first thing and ALWAYS get a appointment that day. A few practices have done this with great success but for some unbelievable reason the knowledge is not passed through out the NHS.

I use Salford royal hospital for very special part of the hospital were they are the best in the world, but as for the rest of the hospital, they used to be not so good.

A new man has come in and turned a not so good hospital into one of the best in the country if not the world and its not magic, it just good management.

I have spent alot of time in hospitals over the country with one of my many stays being a full year. The difference between a good hospital is the man/woman at the top. It filters its way to the bottom, the staff are the same kind of people that work at all hospitals, the people in Salford aren't nicer than the people at Shrewsbury for example. But despite the staff at the two said hospitals being the same kind of person the two are world's apart. You can feel the bad management coming through to the nurses in the way they act and there attitude at Shrewsbury , Salford on the other hand are great and relaxed which is passed to the patient.

The only bad thing with the NHS is the management, not the money or the system but the people doing a crap job at the top.
Old 16 July 2014, 12:59 AM
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Originally Posted by zip106
If it was a 'non job' do you really think private companies would be paying people £100k's to do it?

The HR in the NHS during her time there was just a pi$$ take though.
People sat on their ***** all day doing nothing, taking endless sick leave, arriving late/going early....you know the kind of thing.

These people were unsackable and they knew it, just creaming the cash that should / could have gone to front line services.
This is very true and is not allowed to continue in the private sector, good post.

p.s not just HR etc but the nurses to.
Old 16 July 2014, 01:03 AM
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Originally Posted by zip106
No - you don't need loads of people.
Just a few good ones

Let's not forget that most of these money-sucking management non jobs in the public sector were created by the Socialists.

There, that'll bring unemployment down.
Great idea that was.
Originally Posted by Matteeboy
What with near total job security, an extremely good salary and pension and an endless stream of guaranteed work?

I can think of worse situations to be in.

Not saying all public sector workers are bad; I've seen some very good ones, but as far as robust attitudes go, public sector is football to the private sectors rugby.
Two more very good posts.
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