Lets hope in the end, we can work towards getting citizens back to normal because lives have been put at risk but the blame falls squarely on the government.
People want everything for nothing forgotten what it is to pull their weight and expect the government to take full responsibility stop spending your money on drink, drugs, holidays, fashion embrace a transparent financial system that generate incomes.
Since the crash, I've been in the red. I'm playing the long term game, so I'm not too worried but Jim Cramer mentioned there are still a lot of great opportunities, though stocks has been down a lot. also heard news of a guy that made $250k from about $110k since the crash and I would really look to know how to go about this.
@@craigpotter1262 There are actually a lot of ways to make high yields in a crisis, but such trades are best done under the supervision of Financial advisor.
@@henrymiller_ I'm sure the idea of a coach might sound generic or controversial to a few, but new study by investopedia found that demand for portfolio-coaches sky-rocketed by over 41.8% since the pandemic and based on firsthand encounter, I can say for certain their skillsets are topnotch, I've raised over $650k from an initially stagnant reserve of $150K all within 14months.
@@williamadams2361 That's impressive, my portfolio have been tanking all year, tried learning new strategies to gain in the current market but all of that flew right over head, please would you mind recommending the invt-adviser you're using?
I work in the NHS and I've seen the wheels are coming off for years now. It's just got bad enough in 2023 for most people to become aware of it. Yes, the NHS is in crisis, but it's so important to realise that this is by design. The crisis is the direct result of 12 years of deliberate underfunding by successive Tory governments, combined with harmful 'reforms'. I say deliberate, because the situation we are in now is what they have been planning all along: underfund the NHS so it falls into crisis, proclaim that the NHS isn't working, announce the solution - yet more privatisation, more private healthcare providers. They tell you this will 'save the NHS' - it's all lies. I've seen how private providers provide a rubbish service at much greater cost. We could do a better job in-house, but the funds are not there for the staff and equipment needed. But there seems to be no shortage of money for outsourcing. Alas, the Labour Party are not going to come to the rescue - just listen to Wes Streeting spouting nonsense right out of the Tory copybook.
Interesting, you may like to see my reply to Robert Talbot. The decline has been going on for years. Too much management, and you are right about in-house services and the costs of using agency nurses. There just so much been going wrong and for so long I think the wheels might soon be overtaking the bus.......
@@tarmactracker Save NHS Import Indian Doctors and Management.... (promote all English out of direct contact with patients) Import Filipino Nurses. Check the NHS employment statistics since 1960's these 2 are the most Robust and Consistent but they are retiring and dying combo with Brexit so the system is going back to the British. (Dangerous as we can see) Remove all entitled lazy British SIMPS from employment they endanger lives more than save. Import Indian Doctors Import Filipino Nurses These 2 are in the top 5 of Medical Care Globally 👏🏽 Import them before they all end up in Dubai. BOTTOM LINE SAVE BRITISH LIVES We shall end up Privitised paying entitled British a fee to kill us with their Service.
You: ''deliberate underfunding'' The reality: 2022, the NHS received the biggest budget in history. You: ''this is by design, from the tories'' The reality: tony blair opened the floodgates to immigration in '98, and was warned, and knew, this would cause huge social damage: NHS, schools, housing within a generation. Oh look, a generation later, 80% of our population growth since has been from non-uk born immigrants, but we don't have 80% more infrastructure do we? So yes, all by design, by your left wing overlords. Defund the NHS. Abolish the NHS. Return to Darwinism.
As someone who works in the US healthcare system, we are in a poly-crisis as well. We just pay an exorbitant amount of money for horrible health care. Health care is basically a mafia run system in the United States.
As a Paramedic working for the NHS, some portions of this made me cry. The anxiety I feel before a shift is crippling, I have never suffered anxiety. It’s evident that people in poverty rely on the health service more, and I work in one of the more deprived areas of Greater Manchester. I am physically and mentally exhausted. Burnt out. I feel as if a news outlet has finally spent time and given a platform to someone who understands. After seeing broadcast upon broadcast describing me as lazy, greedy, thoughtless and putting patients lives at risk, it’s a weight off my shoulders to have these things somewhat straightened out by someone as knowledgeable and articulate as her. So thank you Victoria Macdonald. Can I just point out though, every hospital in my area finds rooms to put some patients in as soon as they are aware that media outlets are arriving. So the picture you see, is somewhat glossed over.
Yes I agree you should move to a less stressful job. I’m a retired nurse, left early, thank god. Physically and mentally no good to you ……I’ve now learnt my lesson ……🫢
Thank you to the two of you. It’s an abusive job. Abusive to your physical health, mental health and social health which in turn all damage each other. The trifecta of poor health. I have seriously considered it. But much like an abusive relationship, it love bombs me in other ways that make it difficult to leave. I love the patients. Helping people who are in genuine need are why I started. That’s what keeps me going.
@@caitlingregory4340 You're not exactly telling the full truth. I am informed that paramedics earn very decent overtime pay. Which are salary top ups. I am also aware that they deposit the patient off to hospitals, where others do most of the work. Therefore the pay is really rather good, for quite a low level of responsibility. The elephant in the room is 'junior' doctor remuneration. Junior doctors are the golden goose of the NHS. Everyone eats their labour.
Wow Eloi. Seriously misinformed hot take. Paramedics arrive on scene to keep people alive in directly life threatening situations then drive them to the nearest, relevant critical care centre. I promise you, paramedics don’t really want the overtime. It’s a dangerous and exhausting job that puts both patient and paramedic at greater risk with increased hours. Frankly, the overtime pay isn’t very good anyway. People earn more running printing presses for far less stress in factories
How can the Tory excuse be that “lives are being put at risk”, when it’s those very same Tories who haven’t been providing funding over the past decade (and more)?
@@Nickle314 the nurses wage between 2009 and 2014 is almost the same ( difference of something like 300£ pa) while inflation diminished the purchasing power. Since then , wages grew bellow or just about the same as inflation therefore, compared to the 2008 and prior years , nhs wages as a whole , went down in terms of purchasing power and in relation to the general wages on the market. Ergo , underfunded. Also , how many of the extra 65k nurses have joined so far? How many of the promised 40 new hospitals have been built and not renamed? How much of that 350 million pounds a week that allegedly, or not allegedly, went to the NHS, just about covers the inflation? I could go on all day but you get the point
I trained in the nhs in late 70s. But it wasn’t until I worked overseas I realised that are many countries with infinitely better health systems. The whole world is currently experiencing shortages in health care staff and sadly the uk has become dependent on this . And not training enough of its own. We have even been recruiting professionals who are desperately needed in their own country. Nursing has always been a very challenging profession and the traditional type training has always had a percentage of students that dropped out. Now how ever they often don’t realise what nursing is really about until later on. One thing that’s not often spoken about is the way that some of the general public treat health care staff. You only have to enter A and E to see that. Pay and conditions are not the only reasons that nobody wants to do it anymore.
Poland has no shortages but they have a strict immigration policy it goes hand in hand it cant be run properly if it isn't funded and run properly. It's stretched because of incompetent directors they should be sacked and jailed for thier incompetent idiocy in they way they run it.
@christinefiedor3518. NB. By the way isn't your surname Polish? And the biggest problem with the NHS is foreigners as quoted last year. And the name Chris basically stands for narcissist anyway. I wouldn't trust you with a barge pole.
@@karendegenerous8044 my name is polish courtesy of my ex husband but I’m Scottish through and through. What’s that that got to do with the price of eggs? And you are extremely judgemental. And not very objective.
A lot of nurses in those countries are chronically unemployed. Some of them get all their post-nursing school experience in the UK because they were never able to get a job in their home country.
Medicine Treatment operating rooms staff all that is expensive and the best way to pay for it and run is the NHS. The issue is a government that is not willing to found it.
When the nhs is seen in the context of “the end of the service”, I do worry that that is unhelpful and normalises the idea of a future without the nhs We should demand better for our nhs, and not allow the idea of a future without the nhs It’s not important, because the nhs is everyone’s, but I will say that I have a senior role within the nhs and so I am not without experience/understanding
I seen a bloke today,collapsed on the floor with bleeding nose, he was attended by an ASDA employee, nursed with a makeshift screen around him,then transfered to a POST OFFICE ,they gave him space in corner whilst the public were standing in queues at post office? Why all this ? Because no ambulance came out, to care for him, an ASDA employee done that on her " break time from work". This is disgusting,. Sunak needs to be prosecuted. It there fault people are vunerable to death
Why does Sunak need to to be prosecuted? The NHS has been failing for many years and it's failures have been covered up or whitewashed over. Why is it failing? Lots of reasons, far too many to mention. I don't want to see it fail, neither would I like to see it sold off to American Insurance Companies etc. Maybe it's been run down on purpose, to prepare it for sell off and maybe we are being sold out. Nothing new there either. Your first point of contact with health 'care' has long been with a GP but I don't like being lied to, ignored, misled, incorrectly diagnosed and treated, and I don't like those who can't even follow guidelines for prescribing in the BNF. I used to work in the NHS starting out as an assistant nurse. After almost a year I became a student nurse. I worked in a psychiatric hospital and also worked for a period on a male medical ward and a mixed surgical ward in a general hospital. I qualified after three years training. I will not be telling any stories from the crypt but I know a few which some people have long been aware of. The NHS has been failing under numerous governments, Labour and Conservative plus the Conservative/Lib Dem coalition. It's been going downhill for a very long time, it's nothing new, certainly not something that has just occurred. Sunak has had nothing to do with it, he's just been dropped right in it, and what's worse is that it's not just the NHS..............
@@tarmactracker well,yes, it was really bad even before the virus, sunak it's not directly his fault,but he is the so called leader so he will be blamed, an overall picture is they don't care about our health, they just speechmake and take things for granted cos let's face it they have private care, they don't struggle like us, there is not enough staff to cope and conditions towards patient care is not sufficient,but it's fact that it's in meltdown,strikes will make it worse, I hope you read about my comment about the bloke lying in street etc,. That is the facts, and that could be you or me, there is no room for improvement in anybodies lives going forward in all departments, people will and are looking after themselves nowadays, that's the reality,just it's not visible in practice.
@@tarmactracker this has been a mess in the making the NHS has been strangled to death, its funding cut off an not even increased with inflation, and pay freezes to all staff, doctors to nurses for the sake of austerity, by the Tory government for the last decade and a half. Richie Sunak, Boris Johnson, etc and their ilk have been the cause for this, and they deserve all the hate they get
I'm a bit late to this conversation I have a similar story, I work overnights in a hotel and we had a severely autistic child (11) non verbal staying with his mother who didn't drive. He had a very serious fall and destroyed his whole left leg, I phoned an ambulance at 9pm for him and let the operator know that this child was non verbal autistic have his name and they confirmed that he was and that he was top priority. I phoned them again just after 1am (4 hours later) asking where the ambulance was and was told by the operator again that he was top priority and one would be with us shortly... It didn't show until just after 5am. Now I understand a broken leg isn't a major issue but with the child being severely autistic and on a top priority list of anything was to happen shows the NHS is a joke. He screamed the hotel down for just over 8 hours. I gave a rant with my own personal issues with this fraudulent malpractices that is called the NHS under this same video of more serious issues and problems with me and family.
@tarmactracker. During the time of present Prime Minister Sunak he has tried to employee around another 300,000 INDIAN doctors even though it was declared at the end of last year by the professional information accumulators that the NHS is failing mainly because we have INDIAN Drs. And where does he come from?? Yeah, India!!! Work it out, stop backing up corruption.
Couldn't agree more. They've been caught amongst how much corruption. When labour get in they need to order a fully independent investigation into these scumbags
@@simongigney2138 don't hold your breath. Neoliberal Blue New Labour will only pick up where they left off. Both are as bad and incompetent as each other.
Labour will invite another 10 million people into the UK putting unnecessary pressure on the NHS. Also Labour will probably launch another illegal war like last time. Where is is Labour’s apology for that illegal war??
GREAT INTERVIEW! THANK YOU! I really appreciate an interview in which the host covers all the relevant areas in a complex arena and gives a well-informed expert in the field ample opportunity to explain micro-, meso and macro aspects of a multi-disciplinary arena as Health Care to a broader public. This was not a politician reading a prepared statement from a teleprompter at a press conference. I repeat, "Thank you and keep up the good work!" On a parting note: Herewith an expression of my SOLIDARITY with the NHS and with Channel Four!
Why did the Tories close all the rural hospitals? What are they doing about the thousands of staff we’ve lost due to that plus all those who died at the front lines keeping us all alive through out the covid lockdowns? Why is no news caster asking this?!
Because your politicians are just corporate sock puppets. Can't totally destroy their creditability otherwise nobody would vote for them. As far as closing hospitals and staff shortages.....how do you get more sick and elderly people off the govt dole? Kill all the sick and elderly people but blame it on the NHS.
They want to privatise the NHS to sell to Amercian Health Insurance, it's obvious. That's what the Tories do, they run down funding, investment, staffing, make things collapse so the naton thinks privatisation on behalf of thei Tories own self-interests and shareholders (and the companies who lobbied them) is a better option than public well-run organisations paid for socially.
As a life long healthcare worker, I’d agree it’s a poly crisis. Whenever cuts are made, it’s always to staff actually doing direct patient care. However in the face of these challenges, people are ever more dependent on medical workers, not trusting any knowledge that’s medical unless it comes out of a consultants mouth. Not willing to go to chemist or walk in centres or call 111, nor are they willing to make any changes to their lifestyle that will help take the pressure off of the system.
What cuts? Pre covid post leaving the taxpayers had stumped up another 1,538 million a week [the bus only promised 350million]. Why has the NHS wasted it?
Tried 111 it was a complete fail. No walk ins where I live. Pharmacists can usually only give out over the counter meds. It takes 3 weeks to see a gp. With very limited financial resources a lot of lifestyle choices are not available and if you are ill you probably can't make them anyway. You probably see all this as excuses, I see them as reasons why people need and have a right to medical support by the most qualified medical workers.
@@Nickle314 whenever I’ve worked in any healthcare setting, management have always had to reduce numbers of staff on the floor. Never of those upstairs. Would that extra money have been needed if people didn’t miss endless appointments and looked after themselves better and took more personal responsibility. Now people want to be seen by an a&e consultant before they’ll take ANY advice about the smallest issue. Surely you see that’s a problem? That’s where the money goes. Propping people up who are working harder then you to do the opposite
Correction: This is the end of the FREE health service. All that is happening is literally step by step privatisation: 1. Defund 2. Wait until it stops working properly 3. Blame it on ineffective government management 4. Suggest privatisation as a solution 5. Sell it to the private sector and swim in the money
There are additional steps, as illustrated by the US: 6. Keep prices low enough until there is a point of no return for the public system and only private option remains. 7. Once no alternative exists, you can keep increasing prices to no limit, and increase profits every quarter, for every earnings call. 8. To justify a system where the poor cannot afford care, as a society you need to demonize them to the point where it is believed they are not really deserving of it, and your character and right to not die from treatable illness is judged based on your income.
The NHS aid not FREE, every man woman and child pays over 3500 GBP to find the NHS in taxes and it’s collapsing. I pay less than that in insurance in the US. The British are clueless on what good looks like and how competition drives up service and ability to serve the public.
@@jmaster911 American spending on healthcare per person is significantly higher in America compared to UK, but the outcomes are similar. America’s spending on billing alone is 33% typically. In the NHS is less than 3%. I’m not saying either system is better. Just comparing. The populations are roughly as unhealthy as each other, and UK obesity rates are leveling up to USA- so outcomes are roughly comparable.
@@lifetimeexpat3905 The US offers Medicaid (free healthcare) for the poor. Everyone is seen by federal law for emergency care - whether you have insurance or not. I know it's popular to criticize the US (the entire world loves to do it 24/7 - most of it is ignorance) but at least in the US you will get seen by a medical professional. I've never had to wait or been on crazy waiting lists like what happens in many parts of Europe.
With the right political will and resources the NHS could be fixed. It doesn't need 'reform' (privatisation) it needs resources. Richard Murphy on his Tax Research UK blog shows many ways of providing the necessary funding. The NHS is in a sorry state as a result of the priorities and choices made by politicians, many of whom are ideologically opposed to doing what needs to be done to save and optimise the NHS. Just listen to Wes Streeting - he doesn't exactly inspire confidence that a Labour govt would be the answer - they just seem to want to continue the ongoing process of outsourcing and privatisation.
@@LCD72 it’s not just governments to blame , biggest reason why the NHS has failed is because of people , employees and patients , but mainly employees. NHS nowadays is just a recruiting agency for the Labour Party , with most employees hard hearted uncaring militant labour activists , employees who are also incompetent and purposely underperforming , because they do not want the NHS to be run better under a Conservative Government , and because nobody has a boss these militant activists are allowed to get away with it .
The NHS is being used to provide and prioritise private healthcare over that given to everyone else. Health insurers are making money at our expense, and their profits are why we have to wait sometimes years for diagnoses and treatments. Don't blame the NHS, blame successive governments who've been privatising it.
you have to ask, what is the outcome of the government winning this battle with the health unions? If the government is able to break the morale of nurses and paramedics, and junior doctors sufficiently that they give up and stop striking without getting a fair deal, what then? Are those demoralised and embittered staff going to happily go back to working 14 hour shifts in crumbling and overcrowded hospitals without enough colleagues and equipment to let them do their jobs properly? Or are they just going to leave and get other jobs that pay better while also having shorter hours, less stress and better conditions? Obviously. So there are only two outcomes, either the unions win and the NHS continuous working for people, or the government win and there are mass staff resignations resulting tens of thousands of people dying for lack of treatment and hundreds of thousands more leaving the workforce because of disabling health conditions that could have been prevented or cured by a functioning health system.
You are right of course. It’s really important that healthcare wins this, or the Tories final legacy will be that they put the final mail in the coffin of the NHS. Losing this will cost so many lives.
NHS is really struggling! When i was in Poland for Christams, I collapsed because of horrible period pain. I had emergency ultrasound in Poland and they told me that i might have endometriosis! I was absolutely shocked and scared. I got back from Poland and immediately i phoned my GP to book an appointment as I wanted more test to diagnose me. I was told that my case is not emergency and i was given an appointment in over 3 weeks time 😭 Since doctors in Poland told that i might have endometriosis I cant sleep, i cant eat, i have anxiety and i feel helpless crying every day. I cant live like that waiting for basic appointment with GP so i decided to diagnose myself privately! It shouldnt be like that, we pay taxes to get public health care but we are actually getting nothing.
Tbf the formal diagnosis for endometriosis is an operation and it isn’t an emergency (a 3 week wait won’t change a thing). The big wait for you that will be the issue is the wait for the surgery because currently there are so many emergencies that elective, non emergency surgeries have very long waiting lists
I live in the U.S. and it would be hard to get into see my OB/GYN in less than 3 weeks time for endometriosis. However if I was really worried I would go to a gp and get a script for an ultrasound and my private insurance would pay for the ultrasound. I could read the report in my patient portal. Insurance is expensive in the U.S. if you don't get it through your employer.
I don't mean to sound cruel because I know that not knowing if you have a condition or not and not knowing all the implications that might cause IS stressful and horrible. However, what you describe doesn't sound like an actual medical emergency from a clinical perspective. The 3 weeks to see the GP is really extremely unlikely to make ANY difference at all in what happens next! They will likely take a verbal history of what happened in Poland, possibly ask for copies of any test results or a letter or any documents given to you in Poland, and they might ask you to lay down so they can give a brief physical examination of your abdomen. They'll probably ask you a few other questions too which might seem irrelevant or weird but will be to enable them to rule in or out the possibility of certain problems and help guide them on what they do next. They might do a blood test to make sure you aren't anaemic as you say you collapsed which I think you mean like you fainted? From what you said, you went to the hospital in Poland at Christmas, a month ago now, with severe period pain. They provided emergency care by performing the ultrasound to ensure you didn't have an ectopic pregnancy, Triple A, ruptured cyst, appendicitis etc etc etc. You didn't have any of those things, so it sounds like they suggested the possibility of endometriosis to explain the degree of pain you were suffering, and to follow it up so that nothing would be missed. Presumably UK is your home base which is why you made appointment with your GP when you got back. I would have thought that if the medics in Poland were concerned they would have taken steps to ensure you were seen more urgently by a specialist of whatever type, or for you to book your appointment with your GP right away so you wouldn't have to wait when you returned. They must have been satisfied that there was nothing immediately concerning at least from their (clinical) perspective. From what you describe you have not deteriorated in that time, the pain has not continued at the level that led you to seek emergency care, and the only other major symptom you have described is an onset of severe anxiety about the possibility of endometriosis. Take these good signs for what they are, good, positive, reassuring! In some ways the 3 week wait after you returned from Poland is better as you'll likely have had your period again by then and will know if the pain returned or not which will likely aid in diagnosis. Of course I hope you don't have endometriosis, or any other kind of health problems. I just thought breaking it down, and going over it might help with the anxiety you are suffering, and to give some perspective
Can we please look at what they do in France as its health service is consistently voted the best in terms of cost, service, and outcomes. Why would we not do the same?
Far better to look at Holland and Switzerland. 1 and 2 in the rankings. The NHS isn't even in the top 20. So what you need to research is Bismark health systems, compared to Beveridge health systems like the NHS. But look at the issue. Class warfare, and religious beliefs in the NHS. How do you change that? First, 20,000 a year are killed by avoidable errors. Start with some manslaughter cases. Lots of them. Then people will demand change. The cover up enables the bad model to continue
Thankyou so much C4 News, for this calm, measured, responsible discussion. After so much politicisation and media hyperbole and propagandisation of government talking-points, adding adrenaline to an already over-stressed area, this felt like at last hearing grown ups talking about an awful situation that has been happening like a train-wreck in slow motion. I think the measure of how successful a piece of communication this was, is that I (a senior Dr in a busy A&E department for over 20 years), have watched it calmly, and am not crying, shaking, shouting at the TV, or wanting to scream. Its not because the reality was painted over, just that it was dealt with honestly, and responsibly. Well done to all of you involved in making this, and thankyou.
Pay NHS staff well, for God's sake, even if it means taxing me twice as much; by the way, I'm from the working class! Speaking from personal experience, you don't realise how valuable they are until you end up in the hospital.
@@loryteck 😀 it’s all lies … the best way to see this is …. There’s No borders , no religion, no race …. It’s been merely a class war between haves and have nots … and it always will be .
It grinds my gears when politicians bring up productivity in the NHS. If nurses and doctors are taking on the work of 2 or 3 people in a shift, working flat out, skipping breaks , and staying late unpaid to finish paperwork, how exactly are we expected to be more productive? Should we all be catheterised and wear pads so we don't need toilet breaks? Amphetamines to make us run faster? The NHS runs on goodwill. STFU about productivity and think for a moment about what the last 3 years have been like for NHS staff.
I wont return to work in the NHS. An organisation that cannot prove the existence of a bug but stops eveything else for said alleged bug has lost my respect.
Our PM before he became our PM was in the USA talking to health firms about privatising our NHS, the Conservative have had 13 years to help the NHS and hae done nothing except blame Labour. We need to build 2 new training colleges for doctors and nurses. The Conservatives say they want a free market but in a FM if you have staff shortage you encorage people by paying more and improving the job.
The importance of GP-patient interaction has been understated. Lack of chronic disease management over years eventually results in acute care need and Emergency Department attendance. Jeremy Hunt pledged 5000 more GPs in five years, back in 2015, then admitted defeat. BoJo promised more, and failed. Since then, more GPs have retired. Solve the care-in-the-community issue to enable safe discharge from hospital and the GP time issue, and you’ll have a smooth-running secondary care system. Labour’s idea of employing all GPs will only result in backlash and striking in the future. It’s not the answer. Proper remuneration without the expectation of a 60+ hour working week will help. Signed, a GP, British trained, working in NZ.
@@stefis6 so they say. I literally live next to a GP, you see about 10 people go in a day. How is that too booked up? Though I work so not home everyday, just when I have been it doesn't look all too busy. Receptionists chatting away bout the weekend while phones are ringing 😂🙄
Tax the billionaires and multi-millionaires until they do not exist. Too much wealth hoarded at the top! Seize their ill-gotten gains and return them to the public- take back what is ours and get it out of the hands of the greedy and into those of the needy!
@@davefish8107 They'd kick up a fuss but in the end most would pay up. Because that'd still be their best option, as opposed to losing access to a marketplace. Look at it like this, you could either pay a larger percentage of an income source back into the system or you could not get that income source entirely. You're a smart businessperson. What do you do?
@@davefish8107 exported their mother company to another country and still sell their services in the country like many brexit politicians did already in 2016 before 2020 when brexit was valid, I think what is missing in UK is education, you want to tax the rich but who? They just appear on TV but have double citizenships in the country where their business pay very low taxes, hope you understand is very difficult to tax them because of law holes they use to get away with taxes, and this is only one example
Please remember the US have long sought the dismantling of the NHS. I hope we're not that naive to believe that the Tory position of the situation is unrelated to Uncle Sam.
Sunak and other major Tories have already been to the US for discussions with US health "care" companies and insurers. Big Pharma also has a lot of money to make from the demise of the NHS as we currently pay a fraction of the prices that people in the States do because of the NHS bulk buying medicines.
Well, not actually. The UK has amongst the worst health outcomes for the flagship illnesses (cancer and heart disease) in the 'developed' world, including many countries which spend a good deal less on health than we do.
I am scared of getting sick in the UK, the system is not working, time to get rid of the NHS and replace it with private care options. Citizens who can’t afford are offered government subsidies the same as in all EU country's. please do something enough talk more action.
The NHS is already in a dreadful mess with unsackable nurses praying on hard working colleagues. Pay up and get the doctors back to the demanding job that is vital. Patients have suffered to much already
@@jeffaddis5715 Of course it doesn't reflect small towns and the phenomenon will be cyclical. Right now, my brother is waiting to get out of ICU into a step down unit. They can't transfer him because the units are full. This back up always starts in the emergency departments.
What the government doesn't seem to realise is that the NHS is dependant on the goodwill of its staff. Ask any member of the medical or nursing teams of all levels, approximately how many extra hours they've given in the last year and you'll be surprised by the answers. When morale goes down, so does the goodwill
@@Bevrinton count the actual number of different vids then work out how many nurses work for the nhs. Then figure out how far you're blowing things out of proportion to deflect from the conversation Go out and smell some flowers
@@Bevrinton your comment shows the level of ignorance you have. During a very difficult and traumatic period, there were some nurses, who wanted to cheer their colleagues up, danced (during their break time or after their shift), and posted it on TikTok. This kind gesture has been used and abused ever since by ignorant people, who haven't a clue of how difficult is to work within the NHS and why the video was made at the first place. So sad.
Couldn’t agree more. There is no defence you can rely on if you voted for brexit and you voted for the tories. Genuinely get what you deserve. It’s just a shame so many of us have to sink with the rats.
@@HappyAwesomePower and over half the working age population of British people didn't even vote for the tories or for brexit. We certainly didn't vote for [insert name of this weeks PM]. For a start all the "Gen Z" young adults who have come of age into this awful post-brexit time but who were not quite 18 at the time of the referendum, considering how big a deal it is/was and would have on people's lives, I think voting should have been lowered to 16 on that occasion (I mean personally don't think they should have had it at all tbh but there you go) Also they should have set parameters before the vote, such as a majority of x amount needed. but thats a different matter. And been held accountable for their blatant lies. But hey ho. As for the actual gov't, again, they certainly did not receive 50%+ of votes cast, let alone 50%+ of the eligible voting population. We really need some decent form of proportional representation that would actually work, and actually reflect more realistically the will of the people At this point it seems like almost anything would be better than this current - oh what was the term they used in this, not omnishambles, not clusterfuck, was it polycrisis or something?
Victoria Macdonald is brilliant. She certainly shows the Tories up as being uncaring, selfish, lazy and ignorant when it comes to the NHS. She done a gud job. ❤❤❤❤❤
I'm scared by this, because of some serious mental health issues I'm long term unemployed there's no way I could ever afford health insurance or to even pay for the medications I need to keep me healthy and sane.
@@bigbensmith9504 No they're not, it took a while to find the right combination but my meds work and have improved my life hugely. Do you have any evidence to back up your claims, can you cite any peer reviewed studies? Somehow I doubt it.
@@adrianh332 Yes I can. I work in the NHS in the UK. Seeing as you are the one suffering I would guess you have the motivation to research. There are many things I could cite from the fact that anti depressants are well known to be a cause of depression and worse. You do not need this rubbish pharmacology for any mental health issues. The bastards just want you hooked on it and they have no other solutions. Most of America seems medicated up to the eyeballs. Someone is getting very rich.
@@adrianh332 You want peer reviewed? Peer review is an awful system. Its a big club slapping each other on the back and reviewers rarely do anything to confirm a papers findings. Former editors of the Lancet and NEJM stated that at least 50% of all published medical papers were flat out wrong and the main motivation was money, funding and ego.
@@bigbensmith9504 I'm also from Britain. What do you do in the NHS? I was a registered nurse for years before my mental health went bad. I don't mean to be rude but you sound like a conspiracy theorist, I don't need the motivation to research because the meds work for me, you are the one making the claim so it's incumbent on you to provide the evidence for those claims, what's clear to me is your understanding of pharmacology is at best poor. SSRI's can under certain circumstances cause depression to deepen before improving, is that what you mean? In the past each county in Britain had at least one or two asylums of a thousand+ beds, they date from a time before effective psychiatric medications and now they're all shut and the timeline for their decline and closure exactly matches the development of effective meds. If as you suggest the meds don't work why don't we still have these asylums?
Fantastic analysis by Victoria McDonald - especially on the two points of this being a polycrisis and the lack of innovation/copying successful initiatives right across the board.
I'm glad I had my stroke at Christmas 2008. I had great treatment, saved my life twice. Then, 2010, Tories get in and the NHS starts to go very bad. In 2021 I waited at A&E after being brought in by Ambulance, and I waited over 2 hours before the first doctor. But with all the pressure, the magnificent staff, who had come from all over the world to help me, remained in great humour and attitude. I think that all the Tory MPs should be made to do work in A&E at least 4 days a week. Let them deal with the pain and the reality.
I have no sympathy for the stressed and stretched out staff because during the plandemic they all collectively agreed to shun down and alienate those who refused to conform. They made their own bed. They're reaping what they sowed 🥰
@@scottbarnett3566 yeah, from EU, UK gets them from Middle East / Far East, Africa etc.., that's why NHS is f***ed and you get 3rd World standards.. 😁😁😁
If demand (mainly due to non-communicable, i.e. preventable, disease) is increasing at a faster rate than supply ever can, the issues will never be fixed without addressing denmand. Yet demand is not on the agenda. Am I missing something?
Absolutely brilliant to hear an unbiased view that really spells out the reality of how the NHS currently functions and how key the staffing issues are. Some will say we can't afford a pay rise, I would say that if you want an NHS you can't afford not to give a pay rise because not only do you need to stop current staff going off and getting twice the money doing agency shifts which then cost the NHS a fortune, you also need to make sure that the careers in the NHS look appealing to young people. I love my career in the main, but it gets harder and harder to keep up every year and more and more is expected for less and less. You can only cut so much red tape, you can only make so many efficiency savings before there is nothing left. Put the money in or the NHS as we know it is done for.
@@Lucky-wt6fg When you say 'they' I assume you mean the Tories. But here's the rub, they don't get to decide. The public do. Trash them at every poll and vote in a new government with a different agenda and things will change. But as I said the public with need to put their money where their mouth is.
@@LCD72 I agree with you. I think Starmer is happy to play politics and has no real principles at all. I don't expect any real change for the NHS and I fear that whatever the parties' intentions really are we might be seeing the end of the line for the NHS in its current form. I fully expect the name to last but we won't recognise the system.
A lot of staff are now leaving (the ones I know), due to how their peers, managers & NHS Trusts treated them during the whole vaxx mandate debacle. It showed people's true colours and how cowardly and vile they are.
If GPs were doing their job properly instead of phone consults, they should be physically seeing their patients and picking up illnesses before they get to the stage they need to go to hospital. The biggest problem on the hospitals is bedblocking because their is not enough social care available. We need to bring back convalescent homes, where those who are not sick enough to be in hospital but can't go home as there is not care in the community.
That’s neither here nor there about gps consulting via telephone or face to face. Each of those consultation methods has its use and are just as good depending on the context of the problem. To distill the entire issue down to that massively ignorant and inaccurate anyway. Hospital consultants are also still consulting many patients via telephone where feasible. A&E has been at breaking point especially in the winter months for years now, even before the pandemic. The problems discussed with the nhs in this video have been years in the making. Chronic underfunding, understaffing and rise in demands and pressures and generally the culture of consulting a doctor about anything are what have contributed to the problems.
@@elizaann1888 that’s an issue to do with supply/demand, not one to do with the mode of consultation. It was /is/and will be a struggle to see a GP regardless of the consultation mode unless things at the roots are changed (funding, number of drs, etc) - an issue entirely separate to the topic of method of consulting. I recall being able to see a GP being an issue before Covid as well - its not a new one. The public will always find something to be unhappy and moan about. Your experience of being on antibiotics for eczema is a personal one - if you sent photos of your skin in, the doctor reviewed those and decided on the best method of treatment then that was his/her clinical decision. I don’t see how that would be suboptimal in any way compared to if you were seen face to face unless your photo quality was poor (in which case I agree the dr should ask you to come in). But to simply feel indignant or short changed merely due to not being seen in person or until you have a tactile physical encounter with a doctor is a notion that needs to be dispelled.
I’m a Dutch trained salaried GP in the Uk. I work full time. The demand outstrips supply and we offer at times three times the average clinician consultations. I’m leaving the NHS. At least for 12 months. I want to work in a system that works. None of my colleagues are lazy. We work flat out every single day. The uk has the amongst the lowest number of doctors per 10000 in Europe and amongst the worst outcomes of cancer. I struggle that despite my hard work Gp’s are blamed for near night every failing in the NHS. I do exactly the same job and work just as hard as I did in Holland but was never vilified in the press and on social media. The uk relies on 42% of her doctors as foreign trained. THAT is the problem. Train more doctors. Improve working conditions. Don’t blame GP’s for the failings of government and political choices. I’m looking forward to time out in a health system that works. I will miss my colleagues and the patients but won’t miss being the scapegoat.
This is what the tories want - a private health care service like in the USA. Best advice for everyone is focus on growing your money cause at this point it looks like you truly need it to stay alive and well and things could get worse….before it gets better. And grand daddy government doesn’t care about you.
@@Nickle314 NONSENSE! The US system has 2x the cost to the country than the NHS (pre tory destruction) and the European average has and half the quality of healthcare, disgraceful. Costs $1000s just for the ambulance call out, people left to die on the streets, the US has the least cost effective healthcare in the developed world (up to 40% of funding goes straight into accountancy and insurance costs!) and has the worst health outcomes in the developed world. Truly the worst system there is without doubt, Cuba has better healthcare than the US
@@funbarsolaris2822 THe avoidable death rate in the US under obamacare is just, and I mean just under the level in the NHS. The NHS isn't top 20. Top health care systems, european, are Holland and Swiss. So why not adopt that model?
@@funbarsolaris2822 That's why you don't pick the US model. You pick the Dutch Model. Number 1 in the world. Why do you want to force a second division health system on the UK? ie. The NHS
@@Nickle314 there are many, many thousands more factors than avoidable deaths you idiot, that's why you choose to mention that one single factor only and its still worse than the NHS! Means nothing to say Dutch system is more efficient now... the NHS has been undermined for 12 years to make it ready for privatisation... 12 years ago the NHS was on par or outperformed the Dutch system and European average in most areas, which is an end to your argument
People have no idea what good looks like, as a British expat now in the US, I would NEVER go back to the UK jay on health care alone. It’s an embarrassment
U.S. health care is generally good if you make decent money or are really poor. The problem is if you work for a low wage, you can't afford your employer's plan or can't qualify for Medicaid. I also heard NHS will totally ignore screening and ancillary testing.
4:30 People are slow at going to check their problems because preventive medicine is not a concept in the UK. We are actively discouraged from going doing checkups.
On more than one occasion the neighbouring fire service was roped into providing transport as the hospital transport was unable to, although the fire service is also struggling & undermaned.
This is what happens when common people don’t stand in support of Doctors and Nurses. Why don’t the common people start strike on road and stand along with Nurses and Ambulance driver. Ask government to solve it asap. Rich politicians have their personal facilities provided from taxpayers money. If treasury is out, then take loan and get up to it. But they won’t 😂 Why government is letting people die and live on their taxes. People should ask politicians to stop putting food in their mouth till they solve this health care issue, only then it would solve in 2days time. Hopping best for common peoples.
If the government invested in helping people to adopt and maintain a healthy lifestyle (mental and physical), it will save the NHS a lot of money. Not just 5 a day but getting into the nitty gritty.
The root cause is austerity and brexit. ...Keith will change nothing, and it's deliberately. I'm astonished why profiteering and outsourcing haven't been discussed.
Too much spent on new and expensive IT systems! Im a district nurse. They are currently forcing us to use a useless system called ecommunity..im fed up and ill soon be leaving. Just let us do our job and stop wasting our time with nonsense even though they get their palms nicely greased for accepting this new stuff!!!
The NHS has never been good, I saw this immediately when I moved to the US, it’s terribly run and people die by the thousands due to substandard care and lack of access to modern drugs
The only way to help the NHS is for people to change their lifestyles, viz. fitness, diet, and general lifestyle. Treating the symptoms, will not stop the causes. But let’s not forget, the healthcare system is a franchise.
Britain has Europes biggest nanny state. I don’t think even they have the appetite to force people to exercise more or eat a certain way. They’ve implemented sugar taxes, but forcing granny to jog in a circle… it’s not North Korea.
People are not slow to see there GP's. They just cant see them as every single time people call then there isn't any space to be seen" apparently". I know someone that was trying to get an appointment for mental health for 2 years but they could never get an appointment untill so.ething serous happened then magically they had an appointment.
It’s not ‘apparently’. There genuinely isn’t the appointments spare. In medical school I was placed at 3 different GP surgeries, in different areas. All 3 has GP’s staying 1 to 4 hours late, EVERYDAY. In a 10 minute appointment they would book in 3 different patients which just meant the GP stayed hours late. And still people were moaning at reception everyday that the GP’s were lazy and it was too hard to get an appointment. There is not enough GP’s in this country
@user-me5wt9sm5r then explain how when someone makes an official complaint about not being seen there suddenly are appointments available. Or how we are all told that appointments are made on the day to call as soon as the GP surgery opens to be told that there are no appointments available. Well where did all the appointment slots go if i am the first to call. You can't say that your experience of working in 3 practices is representative of the GP's all over the uk. I have had points in my life when i have been sent to a hospital for the staff there to tell me that it was something that could have been dealt with at a GP surgery. This has been going on for a long time now so cant be blamed on low wages or over population. At the end of the day if i have a concern then i should be able to see my GP. That is how i fined out if i have something serious. If i cant see one then i could die from lack of treatment.
@user-me5wt9sm5r so if i call for a cough that i have had for a long time but i cant get a dr apointment on the day as when i call the moment the dr opens i am not the first to call how am i ment to be seen. Oh and you dont know wether it is cancer or not untill you see me but by the way you just answered my last coment i would say that you dont even care to fined that out as "someone else needs the appointment more than me" by your own words. Let me ask you this then. Why would you move someone els that would need the appointment more to make room for me after i made an official complaint if i didnt need the appointment. And how do you make a decision wether i need an appointment or not without seeing me first.
@user-me5wt9sm5r i also work in an industry that is heavily reliant on overtime. Do you know what i will do it i dont accept that......... get another job. You can't complain that you are working overtime to help make someone's life better. My comments are not aimed at nurses though so dont get it twisted. I am just talking about GP's.
@@danielhooper8138 you seem to want everyone to be triaged and seen by a doctor. Which would work great in a fantasy world. But this is reality. Because a child with a temperature of 40 degrees is FAR more urgent and life threatening then a cough. If you’ve had a cough for weeks then waiting a few more days won’t kill you. Cancer doesn’t kill like that. But a kid with a temperature, an elderly person with a pneumonia… now that can kill them if they are made to wait even 1 day. And you comment about people getting another job. They are. It’s making it worse. SO many doctors are fleeing to other countries. It’s one of the MANY reasons we have this crisis. The staff are fleeing the sinking ship, and people like you would rather it sink further and blame those who have stuck around to do what they can
Nope. The problems are pay both in the NHS and Social Care plus working conditions. The government made a political choice in 2010 to not keep NHS funding at inflation plus 4%. Nothing to do with not paying income tax and national insurance. Capital Gains tax needs to be on parity with income tax - the wealthy need to contribute more.
Written 2005, Jeremy Hunt co-authored a policy pamphlet that called for the NHS to be replaced by an insurance system. The 2005 policy book, called Direct Democracy: An Agenda For A New Model Party, was a collection of writings authored by a group of Tory MPs.
If the nhs is broken as it evidently is then they should be telling people to have other arrangements in place for health care. I'm 40 with no health problems and been paying national insurance for 22 years and iv never used the service. I do however take it for granted that if I'm ill then the nhs will care for me. If this isn't going to be the case in the future then please stop taking my national insurance and let me put thus money towards private healthcare. The nhs was doomed the moment it started caring for people that don't, or have never paid into the system. We have mass immigration and record numbers of people out of work and on benefits using the service. This paired with greedy governments and lack of nhs staff has led to its demise
Even if we went to a private system we would still have to pay for free healthcare for those that don’t pay in (even in the USA, the most extreme private system, the still pay loads from their taxes towards people who get it for free)
NHS is free. Anything that is free will have unlimited demand. No amount of supply side management (doctors, nurses, beds etc) will work. They will provide only short term fix.
7:56 It [NHS] will never collapse. Past performance is not a guide to future performance. Although if the decline noted since 2011 and the tenure of Jeremy Hunt continues along its current trajectory the NHS is doomed within 5 years. The last 3 years has been really really bad. Save 26 mins of your life. This is not an expert talking. There is no understanding of the structural issues affecting the NHS. The gender shift from mostly male doctors to mostly female doctors and the drop off in overall productivity. The pensions issue which means specialists won’t do extra sessions as the tax liability means they end up with a net loss. The long-standing poor pay settlement for junior doctors which was exacerbated by their last pay settlement of 2% per year for 5 years. They’ve had a massive real terms pay cut. More than 40% are apparently actively looking to leave the NHS either for other professions or to go abroad. 10,000 doctors left the NHS in the last year, 5000 went abroad and 5000 left the NHS but stayed in the country. It’s already happening. They’ve been leaving since the great pensions robbery of 2012. You won’t hear about any of that from this “expert.” Tube drivers earn more than many doctors. Yes that is really true. The BMA is fecking useless. This is objectively true from their work product and not an opinion. It has people operating in it that think they can get more out of the government using honey. Having failed to do so for decades has not changed their mindset or philosophy. General practice is in its knees partly due to feminisation. A massive change in the percentage of Women GPs, which is great. However many don’t want to work full time. Many Will have 6 months maternity leave at full pay followed by 6 months at half pay x however many children they choose to have. This is their right however it does have an impact on service provision. Doctors don’t grow on trees. It takes a long time to train them up. You can just find enough to cover all the maternity locums. You won’t hear about that. Nor will you hear about the massive shift of work from hospitals to general practice since 2011 despite no extra staffing or funding to support it. Why can’t you get an appointment with your GP? There aren’t enough of them. Those in charge will tell you the country is 4000 GPs short. That’s bullshit to stop you getting too scared and to cover up their abject failures. The real number is well over 8000. Most of them will be women and most of them won’t want to work full time. The population has rocketed. Just google the numbers 2011 and 2023. Doctor numbers haven’t increased to accomodate that growth. You won’t hear that from this expert. Too lefty to blame the immigrants. Although It’s not the immigrants fault. It’s the governments fault. Immigrants will do the best they can for themselves and their families. The population has not only aged but gotten sicker. People can’t be told what to do or not do. The largest city in the UK is obesity. It’s not polite to blame the individual glutton. However on a population basis it has a huge cost impact on the NHS. Very few can actually blame their “glands”. For the vast majority it is pure gluttony. Energy cannot be created or destroyed but merely converted from one form to another. But we can’t criticise people for their poor choices these days. It’s not their fault. Fairies are shoving cake down their cake holes. So I’ll shut up about that. I’ll ignore all the other health issues as I don’t want to be boring. Nurses are on such low wages that despite working full time and living frugally they can’t make ends meet. Many are using food banks to survive. It is their own stupid faults for not being prepared to strike years go. They’ve been such a pushover and their union has been so shite it’s ludicrous. They should have all joined the tube drivers union they’d have done so much better. Now many are leaving nursing altogether and some who have some get up and go are getting up and moving abroad. I could go on and be more entertaining than this pair. They’re drier than An Egyptian mummy.
I'd like to understand how did it happen that the very same people who HAD expertise on how "to flatten the curve" during the Coronavirus-19 Pandemic, Suddenly became unable of doing exactly the same? Fellows, are you at least going to "flatten the curve" of the rising inflation? Can any of these lovely people the least tell us what is the value of the expected local extremum, i.e. when do we declare bankruptcy - practically when will you put the Bank of England in the exact same place where the NHS is now?
Nurses are generally well payed with good pensions and certainly don’t use food banks, many in the hospitality and retail get far less money and don’t use food banks,
Can’t speak for nurses but I’m a doctor, I get £2 more per hour then when I worked in retail, £2.50 more then when I worked in hospitality (although in hospitality I got tips so maybe the pay evened out to the exact same, god that’s depressing to think about). The pay really isn’t that different. HOWEVER cost of being a doctor compared to when I worked in retail is very different. Forgetting about the student loan money that comes out of my wage every month, I also have to pay for GMC registration, indemnity cover (insurance), BMA membership, for exams (most cost hundreds), for conferences for my portfolio etc. If I had a child I’d also have to be working out the cost of childcare OVERNIGHT for 14 hours. God knows how much that costs.
@@Bringon-dw8dx maybe you can help me understand some of the GP side of things. Last month I went into the pharmacy to collect a repeat prescription that was put in before Christmas. This was put in 4 days earlier than usual due to Christmas time, strikes, higher pain management. It wasn’t there so I headed to the Dr surgery to find out what had happened. I was told the gp (someone who has never met me, not my own gp, nor has any indication of my recent health) had not filled it and would not until 4th January. I explained this is a medication that cannot be missed, I have now run out completely and due to current health issues (awaiting major surgery to fix) my own gp knows I’m taking more than usual. Therefore have been advised to continue to do so until further appointments at hospital can be scheduled. I was told tough! I explained again that this medication cannot be missed, I put it in early for Christmas etc, the side effects of not taking this can be life threatening. Again tough. The receptionist explained she had no medical experience therefore could not comment. By this point I was ANGRY that a GP has made such a decision, has not even made me aware of this until I came looking for it and that he is knowingly putting me in a position where I will become extremely ill and in agony. I’m telling you my life is in danger, I’ve done everything to get my medicine and your telling me tough….I was then advised to go to hospital. I said that was ridiculous and completely an excuse to pass the problem to an already strained hospital….for a repeat prescription. This gp either has to fill it or face me himself to explain why patient safety is not being taken into consideration. I will be bk at 6pm if I do not hear from you, I will go to his office uninvited if needed. Do you know what they done? Barred me and sent police to my door!!!!!!!!!! Apparently that’s threatening……but you deliberately putting life’s in danger isn’t?! Police couldn’t believe it when I told them why they were out and someone’s home who is seriously ill!! I work as an accountant, I’ve paid a TON in taxes and N.I. just like a lot of people, I’m fully behind paying more. But I am DONE with GP’s excuses tbh. I would have left this but I’m now speaking to PASS and the ombudsman about this due to how severe they acted over this. To remove me completely for challenging them and have it claimed as threatening and abusive is absurd.
@UCwJoYt0JgcI7e7ep0K2753w I understand the backlog however this was not the issue regarding this one. I assure you, they checked and the GP had it, but refused to give it until 4 days later. It was purely due to the discrepancy of it being put in 4 days early. So a Dr that has no previous knowledge of my history, current health status or agreement with another gp in the same practice decided no, she can go without any until then. It was put in early to prevent this exact issue. Especially due to it being around the Christmas time. Surely it would make more sense to give the repeat prescription that I’ve been on a decade 4 days early at a time when the public is being advised to do exactly that? It’s the fact he refused entirely to speak in any way and that they actually advised A&E was my next step. Both the practice manager and the GP involved are damaging to an already broken system. I went through this with PASS today and they agree this is something that should be addressed. If need be I will speak to a lawyer. I cannot tell you how behind Drs I am. It infuriates me what is happening at the moment. I was a Yorkhill baby, they were miracle workers (born with a diaphragmatic hernia, repaired at 7 hours old! Also correctly diagnosed with a genetic metabolic disorder at 7 months). The attitude of this GP has forever changed my perspective on what all Drs stand for. Both him and the manager attempting to name me as aggressive and removing me from the practice altogether was malicious behaviour.
@@nicolahall27 it just doesn’t make any sense. I’m not saying the GP didn’t have it, I’m saying maybe you weren’t next in the list. If you were prescription 200 on the list the GP would still ‘have it’ but wouldn’t yet file it. Putting medications in ‘early’ isn’t really a thing, people put them in all different times. It honestly just looks like a case of poor communication with the admin/reception staff. I don’t think a doctor just randomly suspended a medication. I’d understand if they stopped it because of a specific concern, but it makes no sense a random GP would postpone it for just a week? (Also most people don’t have a set GP anymore, there would be adequate information in your notes for medical decisions to be made by any GP)
@@Bringon-dw8dx this is also part of the issue tbh. How I have written it is what happened. I understand how bizarre and over reaction sounds, I really really do. Honestly I’ve never seen such a reaction to merely challenging/questioning a Dr, and for very good reason. Yes he did refuse it and gave the receptionist the reason ‘it was 4 days early’. I have a letter from them stating this and that I was aggressive etc. Again no aggression, just refusing to accept that I would be left with no medication during a time I have ill health. At my GP’s, I’m able to place it online straight to the surgery. It is then filled and sent to pharmacy. I remember when I went to the surgery wondering why it wasn’t at the pharmacy, the receptionist looked it up, stated GP left a note saying it was 4 days early. This is when the dance began shall we say. She then emailed him when I stated what I have to you earlier. He still refused knowing I now had absolutely no medication left at all. The type of medication it is he would know exactly the type of state I would have been in, especially on top of already severe abdominal pains due to the surgery needed. I’m now trying to understand the practicalities of going private. Even a repeat prescription via this route seems impossible without NHS practice registry somewhere. If I run out before I find a new GP, I could end up possibly dying due to the current complications. Oh and I meant mention…if he didn’t ‘have it’ he wouldn’t have then sent it straight to pharmacy immediately after calling the police and removing me from the practice register!
I'm an American as well. Our healthcare system is flawed but in many ways much better. Many British people view the NHS as a religion. Suggesting restructuring is blasphemy to many.
It isn't officially healthcare in America ranks worse in the NHS. With the exception of cancer care America ranks by far dead last in the first world for every other health aspect and outcome. America has the worst disease burden and disease death rates, the worst hospital mortality rates, including the worst maternal and infant death rates and the worst/lowest general life expectancy.
Not all American healthcare is a nightmare. My county (Snohomish) has a number of clinics specifically for lower income people. The county funded the clinics and gets doctors and dentists by helping them pay back medical school. I also go to a leading research hospital in Seattle for some of my care which is paid for by a mix of Medicare, Medicaid and private insurance. I do have to pay fees for the Seattle hospital, but my care is excellent. The mix of private and public healthcare works well in this area (Everett to Seattle) but this is probably unusual and this area is known for being quite liberal.
American healthcare is not a nightmare, I agree. I’m an expat living in the US from the UK and EVERY expat I know will take the US system over the NHS. Brit’s have no idea what good looks like
Its been destroyed & as one of those already in personal crisis due to long running illnesses, & given the damage already done Its unlikely I'll survive this!
I had to get a bed in A&E last month. Waited 5 hours for a bed with a drip in the waiting room in agony. After getting a bed there were no blankets left for me or the old man admitted after me It’s like a third world country In the end up they were so under pressure they gave me pain relief and told me to just come back when it gets worse
I am having a total hysterectomy privately because I was not even on the list for one via nhs because I did not have cancer which is obviously great. I do have polyps, fibroids & ovarian cysts & my uterus is equivalent to 7months pregnancy. Fibroids pressing on spinal nerves so have to take anti inflammatory pain killers every day especially before work. Not diet or lack of exercise caused it.
It will take perhaps longer than a decade to recover from a lack of preventive health services and will mean significant wait times for everyone and result in serious conditions as people do not receive care in a timely way. This is true before you factor in a collapsing care system with exhausted workers…
Lower paid need a boost .The higher paid less so. 140.000 vacant posts covered by existing thus use the savings to pay nurses and ambulance . Need desperately to recover 2000. Beds . That would take the pressure off privately run care and at home care,and allow full operation of the assembly line of patients. Is that a plan ?? Everything is being run on a shoestring by not having fully filled numbers . Same in teaching and on Railways where overtime is needed just run normally. Where is all the saved money going ??
NHS is gone! useless ! Waste of time and money. I have been having stabbing heart pains to the point of near collapse for sometime now and I have to wait for 36 weeks min for a cardio gram. Told by GP doctor it was an Urgent case and was issued as such to the hospital. GP Receptionist said off the record ‘go Private’. So much for having anything left for a pension…
Public services, utilities and house building simply can't keep up with such unprecedented population growth over such a short period of time. We can't even have an objective conversation about it. We're screwed.
At this point an effort almost as great as it took to build the NHS is needed to save it. Brave, economically and socially radical, and compassionate popular effort.
I think they should return the nursing bursary system to train more nurses and treat them well with good pay and recognition for their hard work to keep them in their jobs, nursing is not an easy job mentally and physically.
The future for the US medical system has been brewing in Great Britain for generations. This is coming sooner rather than later for the fantasyland of "free" medical care for all that has been promoted to the uninformed of the US. Medical care, be it family practice or specialty care is a LIMITED resource. Just so many hospital beds and medical professionals will ever be available. As such this "limited resource" adheres to the strict laws of economics, like it or not. That is, you can allocate this limited resource through only two mechanisms - pricing the service or rationing. There is no other way to accomplish these empty political promises. Time and reality will prove this to be the case.
Lets hope in the end, we can work towards getting citizens back to normal because lives have been put at risk but the blame falls squarely on the government.
People want everything for nothing forgotten what it is to pull their weight and expect the government to take full responsibility stop spending your money on drink, drugs, holidays, fashion embrace a transparent financial system that generate incomes.
Since the crash, I've been in the red. I'm playing the long term game, so I'm not too worried but Jim Cramer mentioned there are still a lot of great opportunities, though stocks has been down a lot. also heard news of a guy that made $250k from about $110k since the crash and I would really look to know how to go about this.
@@craigpotter1262 There are actually a lot of ways to make high yields in a crisis, but such trades are best done under the supervision of Financial advisor.
@@henrymiller_ I'm sure the idea of a coach might sound generic or controversial to a few, but new study by investopedia found that demand for portfolio-coaches sky-rocketed by over 41.8% since the pandemic and based on firsthand encounter, I can say for certain their skillsets are topnotch, I've raised over $650k from an initially stagnant reserve of $150K all within 14months.
@@williamadams2361 That's impressive, my portfolio have
been tanking all year, tried learning new strategies to gain in the current market but all of that flew right over head, please would you mind recommending the invt-adviser you're using?
I work in the NHS and I've seen the wheels are coming off for years now. It's just got bad enough in 2023 for most people to become aware of it. Yes, the NHS is in crisis, but it's so important to realise that this is by design. The crisis is the direct result of 12 years of deliberate underfunding by successive Tory governments, combined with harmful 'reforms'. I say deliberate, because the situation we are in now is what they have been planning all along: underfund the NHS so it falls into crisis, proclaim that the NHS isn't working, announce the solution - yet more privatisation, more private healthcare providers. They tell you this will 'save the NHS' - it's all lies. I've seen how private providers provide a rubbish service at much greater cost. We could do a better job in-house, but the funds are not there for the staff and equipment needed. But there seems to be no shortage of money for outsourcing. Alas, the Labour Party are not going to come to the rescue - just listen to Wes Streeting spouting nonsense right out of the Tory copybook.
Interesting, you may like to see my reply to Robert Talbot. The decline has been going on for years. Too much management, and you are right about in-house services and the costs of using agency nurses. There just so much been going wrong and for so long I think the wheels might soon be overtaking the bus.......
@@tarmactracker Save NHS
Import Indian Doctors and Management.... (promote all English out of direct contact with patients)
Import Filipino Nurses.
Check the NHS employment statistics since 1960's these 2 are the most Robust and Consistent but they are retiring and dying combo with Brexit so the system is going back to the British. (Dangerous as we can see)
Remove all entitled lazy British SIMPS from employment they endanger lives more than save.
Import Indian Doctors
Import Filipino Nurses
These 2 are in the top 5 of Medical Care Globally 👏🏽 Import them before they all end up in Dubai.
BOTTOM LINE SAVE BRITISH LIVES
We shall end up Privitised paying entitled British a fee to kill us with their Service.
You: ''deliberate underfunding''
The reality: 2022, the NHS received the biggest budget in history.
You: ''this is by design, from the tories''
The reality: tony blair opened the floodgates to immigration in '98, and was warned, and knew, this would cause huge social damage: NHS, schools, housing within a generation. Oh look, a generation later, 80% of our population growth since has been from non-uk born immigrants, but we don't have 80% more infrastructure do we?
So yes, all by design, by your left wing overlords.
Defund the NHS. Abolish the NHS.
Return to Darwinism.
The wheels came off in March 2020, not in 2023.
As someone who works in the US healthcare system, we are in a poly-crisis as well. We just pay an exorbitant amount of money for horrible health care. Health care is basically a mafia run system in the United States.
As a Paramedic working for the NHS, some portions of this made me cry.
The anxiety I feel before a shift is crippling, I have never suffered anxiety.
It’s evident that people in poverty rely on the health service more, and I work in one of the more deprived areas of Greater Manchester.
I am physically and mentally exhausted. Burnt out.
I feel as if a news outlet has finally spent time and given a platform to someone who understands.
After seeing broadcast upon broadcast describing me as lazy, greedy, thoughtless and putting patients lives at risk, it’s a weight off my shoulders to have these things somewhat straightened out by someone as knowledgeable and articulate as her. So thank you Victoria Macdonald.
Can I just point out though, every hospital in my area finds rooms to put some patients in as soon as they are aware that media outlets are arriving. So the picture you see, is somewhat glossed over.
You should seriously consider to move to another field or job. The job is actively harming your health.
Yes I agree you should move to a less stressful job. I’m a retired nurse, left early, thank god. Physically and mentally no good to you ……I’ve now learnt my lesson ……🫢
Thank you to the two of you.
It’s an abusive job. Abusive to your physical health, mental health and social health which in turn all damage each other. The trifecta of poor health.
I have seriously considered it. But much like an abusive relationship, it love bombs me in other ways that make it difficult to leave. I love the patients. Helping people who are in genuine need are why I started. That’s what keeps me going.
@@caitlingregory4340 You're not exactly telling the full truth. I am informed that paramedics earn very decent overtime pay. Which are salary top ups. I am also aware that they deposit the patient off to hospitals, where others do most of the work. Therefore the pay is really rather good, for quite a low level of responsibility. The elephant in the room is 'junior' doctor remuneration. Junior doctors are the golden goose of the NHS. Everyone eats their labour.
Wow Eloi. Seriously misinformed hot take.
Paramedics arrive on scene to keep people alive in directly life threatening situations then drive them to the nearest, relevant critical care centre. I promise you, paramedics don’t really want the overtime. It’s a dangerous and exhausting job that puts both patient and paramedic at greater risk with increased hours. Frankly, the overtime pay isn’t very good anyway.
People earn more running printing presses for far less stress in factories
How can the Tory excuse be that “lives are being put at risk”, when it’s those very same Tories who haven’t been providing funding over the past decade (and more)?
What's your evidence for the funding claim?
All politicians have the luxury to use private healthcare, they only care about corporate profits, not peasants' lives
Tbf the funding has been there its just been seriously mismanaged and pushed into places that should've never had the funding.
@@Nickle314 the nurses wage between 2009 and 2014 is almost the same ( difference of something like 300£ pa) while inflation diminished the purchasing power. Since then , wages grew bellow or just about the same as inflation therefore, compared to the 2008 and prior years , nhs wages as a whole , went down in terms of purchasing power and in relation to the general wages on the market. Ergo , underfunded.
Also , how many of the extra 65k nurses have joined so far? How many of the promised 40 new hospitals have been built and not renamed? How much of that 350 million pounds a week that allegedly, or not allegedly, went to the NHS, just about covers the inflation? I could go on all day but you get the point
@@buk3695 tory fans got muted after this 🤣
I trained in the nhs in late 70s. But it wasn’t until I worked overseas I realised that are many countries with infinitely better health systems. The whole world is currently experiencing shortages in health care staff and sadly the uk has become dependent on this . And not training enough of its own. We have even been recruiting professionals who are desperately needed in their own country.
Nursing has always been a very challenging profession and the traditional type training has always had a percentage of students that dropped out. Now how ever they often don’t realise what nursing is really about until later on. One thing that’s not often spoken about is the way that some of the general public treat health care staff. You only have to enter A and E to see that. Pay and conditions are not the only reasons that nobody wants to do it anymore.
But everyone clapped !!
Poland has no shortages but they have a strict immigration policy it goes hand in hand it cant be run properly if it isn't funded and run properly. It's stretched because of incompetent directors they should be sacked and jailed for thier incompetent idiocy in they way they run it.
@christinefiedor3518.
NB. By the way isn't your surname Polish? And the biggest problem with the NHS is foreigners as quoted last year. And the name Chris basically stands for narcissist anyway. I wouldn't trust you with a barge pole.
@@karendegenerous8044 my name is polish courtesy of my ex husband but I’m Scottish through and through. What’s that that got to do with the price of eggs? And you are extremely judgemental. And not very objective.
A lot of nurses in those countries are chronically unemployed. Some of them get all their post-nursing school experience in the UK because they were never able to get a job in their home country.
Most Medical staff in Australia are from the UK. They all say the money is too low in 🇬🇧 sadly
Truth
Medicine Treatment operating rooms staff all that is expensive and the best way to pay for it and run is the NHS.
The issue is a government that is not willing to found it.
When the nhs is seen in the context of “the end of the service”, I do worry that that is unhelpful and normalises the idea of a future without the nhs
We should demand better for our nhs, and not allow the idea of a future without the nhs
It’s not important, because the nhs is everyone’s, but I will say that I have a senior role within the nhs and so I am not without experience/understanding
I seen a bloke today,collapsed on the floor with bleeding nose, he was attended by an ASDA employee, nursed with a makeshift screen around him,then transfered to a POST OFFICE ,they gave him space in corner whilst the public were standing in queues at post office? Why all this ? Because no ambulance came out, to care for him, an ASDA employee done that on her " break time from work". This is disgusting,. Sunak needs to be prosecuted. It there fault people are vunerable to death
Why does Sunak need to to be prosecuted? The NHS has been failing for many years and it's failures have been covered up or whitewashed over. Why is it failing? Lots of reasons, far too many to mention. I don't want to see it fail, neither would I like to see it sold off to American Insurance Companies etc. Maybe it's been run down on purpose, to prepare it for sell off and maybe we are being sold out. Nothing new there either. Your first point of contact with health 'care' has long been with a GP but I don't like being lied to, ignored, misled, incorrectly diagnosed and treated, and I don't like those who can't even follow guidelines for prescribing in the BNF. I used to work in the NHS starting out as an assistant nurse. After almost a year I became a student nurse. I worked in a psychiatric hospital and also worked for a period on a male medical ward and a mixed surgical ward in a general hospital. I qualified after three years training. I will not be telling any stories from the crypt but I know a few which some people have long been aware of. The NHS has been failing under numerous governments, Labour and Conservative plus the Conservative/Lib Dem coalition. It's been going downhill for a very long time, it's nothing new, certainly not something that has just occurred. Sunak has had nothing to do with it, he's just been dropped right in it, and what's worse is that it's not just the NHS..............
@@tarmactracker well,yes, it was really bad even before the virus, sunak it's not directly his fault,but he is the so called leader so he will be blamed, an overall picture is they don't care about our health, they just speechmake and take things for granted cos let's face it they have private care, they don't struggle like us, there is not enough staff to cope and conditions towards patient care is not sufficient,but it's fact that it's in meltdown,strikes will make it worse, I hope you read about my comment about the bloke lying in street etc,. That is the facts, and that could be you or me, there is no room for improvement in anybodies lives going forward in all departments, people will and are looking after themselves nowadays, that's the reality,just it's not visible in practice.
@@tarmactracker this has been a mess in the making the NHS has been strangled to death, its funding cut off an not even increased with inflation, and pay freezes to all staff, doctors to nurses for the sake of austerity, by the Tory government for the last decade and a half. Richie Sunak, Boris Johnson, etc and their ilk have been the cause for this, and they deserve all the hate they get
I'm a bit late to this conversation I have a similar story, I work overnights in a hotel and we had a severely autistic child (11) non verbal staying with his mother who didn't drive. He had a very serious fall and destroyed his whole left leg, I phoned an ambulance at 9pm for him and let the operator know that this child was non verbal autistic have his name and they confirmed that he was and that he was top priority. I phoned them again just after 1am (4 hours later) asking where the ambulance was and was told by the operator again that he was top priority and one would be with us shortly... It didn't show until just after 5am. Now I understand a broken leg isn't a major issue but with the child being severely autistic and on a top priority list of anything was to happen shows the NHS is a joke. He screamed the hotel down for just over 8 hours. I gave a rant with my own personal issues with this fraudulent malpractices that is called the NHS under this same video of more serious issues and problems with me and family.
@tarmactracker.
During the time of present Prime Minister Sunak he has tried to employee around another 300,000 INDIAN doctors even though it was declared at the end of last year by the professional information accumulators that the NHS is failing mainly because we have INDIAN Drs. And where does he come from?? Yeah, India!!! Work it out, stop backing up corruption.
The Tories are just a disgrace. Kick them out . Saclk them. Freeze their accounts and their funds.
Couldn't agree more. They've been caught amongst how much corruption. When labour get in they need to order a fully independent investigation into these scumbags
@@simongigney2138 don't hold your breath.
Neoliberal Blue New Labour will only pick up where they left off.
Both are as bad and incompetent as each other.
Labour will invite another 10 million people into the UK putting unnecessary pressure on the NHS. Also Labour will probably launch another illegal war like last time. Where is is Labour’s apology for that illegal war??
Where are the trillions the workers have paid the socialist welfare state?
@@simongigney2138 Labour itself is corrupt AF, watch the Al Jazeera documentary on the Labour Files. Complete silence by the British media on it.
So good to hear someone who understands the problem and explains it clearly. Thank you.
@@Seriouslyseen Nope. They're mainly staffing it.
@@Seriouslyseen You clearly have no idea what you're talking about, to prevent furthering your own embarrassment I suggest maybe stop talking now!
GREAT INTERVIEW! THANK YOU! I really appreciate an interview in which the host covers all the relevant areas in a complex arena and gives a well-informed expert in the field ample opportunity to explain micro-, meso and macro aspects of a multi-disciplinary arena as Health Care to a broader public. This was not a politician reading a prepared statement from a teleprompter at a press conference. I repeat, "Thank you and keep up the good work!" On a parting note: Herewith an expression of my SOLIDARITY with the NHS and with Channel Four!
Why did the Tories close all the rural hospitals? What are they doing about the thousands of staff we’ve lost due to that plus all those who died at the front lines keeping us all alive through out the covid lockdowns? Why is no news caster asking this?!
What about the new hospitals that were promised.
They are too worried to ask ……
Because your politicians are just corporate sock puppets. Can't totally destroy their creditability otherwise nobody would vote for them.
As far as closing hospitals and staff shortages.....how do you get more sick and elderly people off the govt dole? Kill all the sick and elderly people but blame it on the NHS.
They want to privatise the NHS to sell to Amercian Health Insurance, it's obvious. That's what the Tories do, they run down funding, investment, staffing, make things collapse so the naton thinks privatisation on behalf of thei Tories own self-interests and shareholders (and the companies who lobbied them) is a better option than public well-run organisations paid for socially.
Because if you have medical conditions and want to live, move closer to the hospital! It’s not rocket science
As a life long healthcare worker, I’d agree it’s a poly crisis. Whenever cuts are made, it’s always to staff actually doing direct patient care. However in the face of these challenges, people are ever more dependent on medical workers, not trusting any knowledge that’s medical unless it comes out of a consultants mouth. Not willing to go to chemist or walk in centres or call 111, nor are they willing to make any changes to their lifestyle that will help take the pressure off of the system.
What cuts? Pre covid post leaving the taxpayers had stumped up another 1,538 million a week [the bus only promised 350million]. Why has the NHS wasted it?
@@Nickle314 So right! Why?
@@elizaann1888 Beveridge versus Bismark health system. Search the difference
Tried 111 it was a complete fail. No walk ins where I live. Pharmacists can usually only give out over the counter meds. It takes 3 weeks to see a gp. With very limited financial resources a lot of lifestyle choices are not available and if you are ill you probably can't make them anyway. You probably see all this as excuses, I see them as reasons why people need and have a right to medical support by the most qualified medical workers.
@@Nickle314 whenever I’ve worked in any healthcare setting, management have always had to reduce numbers of staff on the floor. Never of those upstairs. Would that extra money have been needed if people didn’t miss endless appointments and looked after themselves better and took more personal responsibility. Now people want to be seen by an a&e consultant before they’ll take ANY advice about the smallest issue. Surely you see that’s a problem? That’s where the money goes. Propping people up who are working harder then you to do the opposite
Correction: This is the end of the FREE health service. All that is happening is literally step by step privatisation:
1. Defund
2. Wait until it stops working properly
3. Blame it on ineffective government management
4. Suggest privatisation as a solution
5. Sell it to the private sector and swim in the money
There are additional steps, as illustrated by the US:
6. Keep prices low enough until there is a point of no return for the public system and only private option remains.
7. Once no alternative exists, you can keep increasing prices to no limit, and increase profits every quarter, for every earnings call.
8. To justify a system where the poor cannot afford care, as a society you need to demonize them to the point where it is believed they are not really deserving of it, and your character and right to not die from treatable illness is judged based on your income.
The NHS aid not FREE, every man woman and child pays over 3500 GBP to find the NHS in taxes and it’s collapsing. I pay less than that in insurance in the US. The British are clueless on what good looks like and how competition drives up service and ability to serve the public.
@@lifetimeexpat3905 most people can afford critical healthcare in the US, they choose not to. Privatization is the only way out of this mess
@@jmaster911 American spending on healthcare per person is significantly higher in America compared to UK, but the outcomes are similar. America’s spending on billing alone is 33% typically. In the NHS is less than 3%. I’m not saying either system is better. Just comparing. The populations are roughly as unhealthy as each other, and UK obesity rates are leveling up to USA- so outcomes are roughly comparable.
@@lifetimeexpat3905 The US offers Medicaid (free healthcare) for the poor. Everyone is seen by federal law for emergency care - whether you have insurance or not. I know it's popular to criticize the US (the entire world loves to do it 24/7 - most of it is ignorance) but at least in the US you will get seen by a medical professional. I've never had to wait or been on crazy waiting lists like what happens in many parts of Europe.
Underfunded and neglected for decades the NHS is almost beyond repair ...
*13 years. NL ran the service well.
Also abused……
Nearly £200bn a year is not underfunded
With the right political will and resources the NHS could be fixed. It doesn't need 'reform' (privatisation) it needs resources. Richard Murphy on his Tax Research UK blog shows many ways of providing the necessary funding. The NHS is in a sorry state as a result of the priorities and choices made by politicians, many of whom are ideologically opposed to doing what needs to be done to save and optimise the NHS. Just listen to Wes Streeting - he doesn't exactly inspire confidence that a Labour govt would be the answer - they just seem to want to continue the ongoing process of outsourcing and privatisation.
@@LCD72 it’s not just governments to blame , biggest reason why the NHS has failed is because of people , employees and patients , but mainly employees.
NHS nowadays is just a recruiting agency for the Labour Party , with most employees hard hearted uncaring militant labour activists , employees who are also incompetent and purposely underperforming , because they do not want the NHS to be run better under a Conservative Government , and because nobody has a boss these militant activists are allowed to get away with it .
The NHS has already fallen over the cliff and is now in free fall. It’s not collapsing, it has collapsed.
The NHS is being used to provide and prioritise private healthcare over that given to everyone else. Health insurers are making money at our expense, and their profits are why we have to wait sometimes years for diagnoses and treatments. Don't blame the NHS, blame successive governments who've been privatising it.
you have to ask, what is the outcome of the government winning this battle with the health unions? If the government is able to break the morale of nurses and paramedics, and junior doctors sufficiently that they give up and stop striking without getting a fair deal, what then? Are those demoralised and embittered staff going to happily go back to working 14 hour shifts in crumbling and overcrowded hospitals without enough colleagues and equipment to let them do their jobs properly? Or are they just going to leave and get other jobs that pay better while also having shorter hours, less stress and better conditions? Obviously. So there are only two outcomes, either the unions win and the NHS continuous working for people, or the government win and there are mass staff resignations resulting tens of thousands of people dying for lack of treatment and hundreds of thousands more leaving the workforce because of disabling health conditions that could have been prevented or cured by a functioning health system.
You are right of course. It’s really important that healthcare wins this, or the Tories final legacy will be that they put the final mail in the coffin of the NHS. Losing this will cost so many lives.
NHS is really struggling! When i was in Poland for Christams, I collapsed because of horrible period pain. I had emergency ultrasound in Poland and they told me that i might have endometriosis! I was absolutely shocked and scared. I got back from Poland and immediately i phoned my GP to book an appointment as I wanted more test to diagnose me. I was told that my case is not emergency and i was given an appointment in over 3 weeks time 😭
Since doctors in Poland told that i might have endometriosis I cant sleep, i cant eat, i have anxiety and i feel helpless crying every day. I cant live like that waiting for basic appointment with GP so i decided to diagnose myself privately!
It shouldnt be like that, we pay taxes to get public health care but we are actually getting nothing.
Tbf the formal diagnosis for endometriosis is an operation and it isn’t an emergency (a 3 week wait won’t change a thing).
The big wait for you that will be the issue is the wait for the surgery because currently there are so many emergencies that elective, non emergency surgeries have very long waiting lists
I live in the U.S. and it would be hard to get into see my OB/GYN in less than 3 weeks time for endometriosis. However if I was really worried I would go to a gp and get a script for an ultrasound and my private insurance would pay for the ultrasound. I could read the report in my patient portal. Insurance is expensive in the U.S. if you don't get it through your employer.
Praying for you x
you should go back to your country then for medical help. it will make it easier for everyone
I don't mean to sound cruel because I know that not knowing if you have a condition or not and not knowing all the implications that might cause IS stressful and horrible.
However, what you describe doesn't sound like an actual medical emergency from a clinical perspective.
The 3 weeks to see the GP is really extremely unlikely to make ANY difference at all in what happens next!
They will likely take a verbal history of what happened in Poland, possibly ask for copies of any test results or a letter or any documents given to you in Poland, and they might ask you to lay down so they can give a brief physical examination of your abdomen. They'll probably ask you a few other questions too which might seem irrelevant or weird but will be to enable them to rule in or out the possibility of certain problems and help guide them on what they do next. They might do a blood test to make sure you aren't anaemic as you say you collapsed which I think you mean like you fainted?
From what you said, you went to the hospital in Poland at Christmas, a month ago now, with severe period pain. They provided emergency care by performing the ultrasound to ensure you didn't have an ectopic pregnancy, Triple A, ruptured cyst, appendicitis etc etc etc. You didn't have any of those things, so it sounds like they suggested the possibility of endometriosis to explain the degree of pain you were suffering, and to follow it up so that nothing would be missed.
Presumably UK is your home base which is why you made appointment with your GP when you got back. I would have thought that if the medics in Poland were concerned they would have taken steps to ensure you were seen more urgently by a specialist of whatever type, or for you to book your appointment with your GP right away so you wouldn't have to wait when you returned. They must have been satisfied that there was nothing immediately concerning at least from their (clinical) perspective.
From what you describe you have not deteriorated in that time, the pain has not continued at the level that led you to seek emergency care, and the only other major symptom you have described is an onset of severe anxiety about the possibility of endometriosis. Take these good signs for what they are, good, positive, reassuring!
In some ways the 3 week wait after you returned from Poland is better as you'll likely have had your period again by then and will know if the pain returned or not which will likely aid in diagnosis.
Of course I hope you don't have endometriosis, or any other kind of health problems. I just thought breaking it down, and going over it might help with the anxiety you are suffering, and to give some perspective
Can we please look at what they do in France as its health service is consistently voted the best in terms of cost, service, and outcomes. Why would we not do the same?
tories.
@@Deathwish026 would Labour change the NHS model to the one used in France?
Far better to look at Holland and Switzerland. 1 and 2 in the rankings. The NHS isn't even in the top 20.
So what you need to research is Bismark health systems, compared to Beveridge health systems like the NHS.
But look at the issue. Class warfare, and religious beliefs in the NHS. How do you change that?
First, 20,000 a year are killed by avoidable errors. Start with some manslaughter cases. Lots of them. Then people will demand change. The cover up enables the bad model to continue
@@Nickle314 it does feel that the NHS has become some sort of "holy idol" that must not be fundamentally altered under any circumstance.
@@FarObserver though I know what you mean, it has been altered over the years. Mainly though underfunding and stealth privatisation
Thankyou so much C4 News, for this calm, measured, responsible discussion. After so much politicisation and media hyperbole and propagandisation of government talking-points, adding adrenaline to an already over-stressed area, this felt like at last hearing grown ups talking about an awful situation that has been happening like a train-wreck in slow motion. I think the measure of how successful a piece of communication this was, is that I (a senior Dr in a busy A&E department for over 20 years), have watched it calmly, and am not crying, shaking, shouting at the TV, or wanting to scream. Its not because the reality was painted over, just that it was dealt with honestly, and responsibly. Well done to all of you involved in making this, and thankyou.
Hear hear!
Pay NHS staff well, for God's sake, even if it means taxing me twice as much; by the way, I'm from the working class! Speaking from personal experience, you don't realise how valuable they are until you end up in the hospital.
Well said
Don't worry tory said we have 350 millions x week because of brexit so no more tax need it right?
@@loryteck 😀 it’s all lies … the best way to see this is …. There’s No borders , no religion, no race …. It’s been merely a class war between haves and have nots … and it always will be .
That money is needed to attract talented banksters!
@@loryteck £350million in NHS money would be squandered and wasted in under 4 minutes.
Welcome to Quebec!!! It is EXACTLY the same story here. Horrible!
It grinds my gears when politicians bring up productivity in the NHS. If nurses and doctors are taking on the work of 2 or 3 people in a shift, working flat out, skipping breaks , and staying late unpaid to finish paperwork, how exactly are we expected to be more productive? Should we all be catheterised and wear pads so we don't need toilet breaks? Amphetamines to make us run faster?
The NHS runs on goodwill. STFU about productivity and think for a moment about what the last 3 years have been like for NHS staff.
I wont return to work in the NHS. An organisation that cannot prove the existence of a bug but stops eveything else for said alleged bug has lost my respect.
Our PM before he became our PM was in the USA talking to health firms about privatising our NHS, the Conservative have had 13 years to help the NHS and hae done nothing except blame Labour. We need to build 2 new training colleges for doctors and nurses. The Conservatives say they want a free market but in a FM if you have staff shortage you encorage people by paying more and improving the job.
Unfortunately we could not hold your pm . 🇺🇸😆
South Korea has the best HealthCare System in the world. He should have went there not USA!.
Nail it. Exactly what I thought.
Renationalize everything the Tories privatised, and force them to pay for it.
The importance of GP-patient interaction has been understated.
Lack of chronic disease management over years eventually results in acute care need and Emergency Department attendance.
Jeremy Hunt pledged 5000 more GPs in five years, back in 2015, then admitted defeat. BoJo promised more, and failed. Since then, more GPs have retired.
Solve the care-in-the-community issue to enable safe discharge from hospital and the GP time issue, and you’ll have a smooth-running secondary care system.
Labour’s idea of employing all GPs will only result in backlash and striking in the future. It’s not the answer.
Proper remuneration without the expectation of a 60+ hour working week will help.
Signed, a GP, British trained, working in NZ.
I still can't see how you are hitting 60 hour weeks when no one is being seen
@@-j308 well of course people are being seen by GPs, appointment books are full for weeks. There just isn’t enough GP time available for the demand.
@@stefis6 so they say. I literally live next to a GP, you see about 10 people go in a day. How is that too booked up? Though I work so not home everyday, just when I have been it doesn't look all too busy. Receptionists chatting away bout the weekend while phones are ringing 😂🙄
@@-j308 I’d say your observation falls significantly short of an audit 😂
@@stefis6 Yeah possibly just a tad 😂😂
The French health system is far better than the NHS and is part nationalised and private, the NHS is badly run and needs major reform.
Tax the billionaires and multi-millionaires until they do not exist. Too much wealth hoarded at the top! Seize their ill-gotten gains and return them to the public- take back what is ours and get it out of the hands of the greedy and into those of the needy!
Stop ordering from amazon then, as well drinking the cheap pint at weather spoon and so on if you don't want to see billionaires
London
So make life harder for them to live in the UK, wonder what they would do
@@davefish8107 They'd kick up a fuss but in the end most would pay up. Because that'd still be their best option, as opposed to losing access to a marketplace.
Look at it like this, you could either pay a larger percentage of an income source back into the system or you could not get that income source entirely. You're a smart businessperson. What do you do?
@@davefish8107 exported their mother company to another country and still sell their services in the country like many brexit politicians did already in 2016 before 2020 when brexit was valid, I think what is missing in UK is education, you want to tax the rich but who? They just appear on TV but have double citizenships in the country where their business pay very low taxes, hope you understand is very difficult to tax them because of law holes they use to get away with taxes, and this is only one example
Could the government intentionally self inflicting the damage to NHS so that private could be brought in?
They won't say so directly but this is implicitly what the government is doing.
Yes. It's been the plan all along.
And so it should be. Privatization is the only way out of this mess. There does need to be massive tax cuts though to help people pay for insurance
Oh Steve. You’re so deluded
Please remember the US have long sought the dismantling of the NHS. I hope we're not that naive to believe that the Tory position of the situation is unrelated to Uncle Sam.
Sunak and other major Tories have already been to the US for discussions with US health "care" companies and insurers. Big Pharma also has a lot of money to make from the demise of the NHS as we currently pay a fraction of the prices that people in the States do because of the NHS bulk buying medicines.
The sooner these bastards are voted out, the better.
Britain is a sinking ship
It's more of a submarine with a hole in it's side at this point...
They know everything so they deserved what is the impact
The NHS is such a heroic and inspiring system, lets hope the unions and the govt can find a way out of all the staffing and funding issues.
Well, not actually. The UK has amongst the worst health outcomes for the flagship illnesses (cancer and heart disease) in the 'developed' world, including many countries which spend a good deal less on health than we do.
Heroic? Not corrupt? Its a vulnerable,weak system liable to be abused by others. Exploited by others for their own personal selfish gain.
I am scared of getting sick in the UK, the system is not working, time to get rid of the NHS and replace it with private care options. Citizens who can’t afford are offered government subsidies the same as in all EU country's. please do something enough talk more action.
The NHS is already in a dreadful mess with unsackable nurses praying on hard working colleagues. Pay up and get the doctors back to the demanding job that is vital. Patients have suffered to much already
Why the focus on nurses? There are bad eggs in every profession.
This is happening in the US as well. Patients are being boarded in the ER hallways for days because the hospital floors are full.
Your government spends on war that's your problem
not where i live. your experience doesn't reflect everyone's in a country the size of the usa
@@jeffaddis5715 Of course it doesn't reflect small towns and the phenomenon will be cyclical. Right now, my brother is waiting to get out of ICU into a step down unit. They can't transfer him because the units are full. This back up always starts in the emergency departments.
good luck to your brother.@@MNP208
What the government doesn't seem to realise is that the NHS is dependant on the goodwill of its staff. Ask any member of the medical or nursing teams of all levels, approximately how many extra hours they've given in the last year and you'll be surprised by the answers. When morale goes down, so does the goodwill
To boost morale and receive a hand clap banging of a pot one would suggest making some more dancing videos for TikTok
@@Bevrinton count the actual number of different vids then work out how many nurses work for the nhs. Then figure out how far you're blowing things out of proportion to deflect from the conversation
Go out and smell some flowers
@@Bevrinton your comment shows the level of ignorance you have. During a very difficult and traumatic period, there were some nurses, who wanted to cheer their colleagues up, danced (during their break time or after their shift), and posted it on TikTok. This kind gesture has been used and abused ever since by ignorant people, who haven't a clue of how difficult is to work within the NHS and why the video was made at the first place. So sad.
Remember Britain, you get the healthcare system you voted for. This is the exact system you deserve.
Couldn’t agree more. There is no defence you can rely on if you voted for brexit and you voted for the tories. Genuinely get what you deserve. It’s just a shame so many of us have to sink with the rats.
@@HappyAwesomePower and over half the working age population of British people didn't even vote for the tories or for brexit. We certainly didn't vote for [insert name of this weeks PM].
For a start all the "Gen Z" young adults who have come of age into this awful post-brexit time but who were not quite 18 at the time of the referendum, considering how big a deal it is/was and would have on people's lives, I think voting should have been lowered to 16 on that occasion (I mean personally don't think they should have had it at all tbh but there you go) Also they should have set parameters before the vote, such as a majority of x amount needed. but thats a different matter. And been held accountable for their blatant lies. But hey ho.
As for the actual gov't, again, they certainly did not receive 50%+ of votes cast, let alone 50%+ of the eligible voting population. We really need some decent form of proportional representation that would actually work, and actually reflect more realistically the will of the people
At this point it seems like almost anything would be better than this current - oh what was the term they used in this, not omnishambles, not clusterfuck, was it polycrisis or something?
Seen by a large number of doctors in hospital.This duplication has rarely happened in general practice , which is being wrecked .
Victoria Macdonald is brilliant. She certainly shows the Tories up as being uncaring, selfish, lazy and ignorant when it comes to the NHS. She done a gud job. ❤❤❤❤❤
I'm scared by this, because of some serious mental health issues I'm long term unemployed there's no way I could ever afford health insurance or to even pay for the medications I need to keep me healthy and sane.
You don't need any pharmaceutical medications. They are what is causing your problems.
@@bigbensmith9504 No they're not, it took a while to find the right combination but my meds work and have improved my life hugely. Do you have any evidence to back up your claims, can you cite any peer reviewed studies? Somehow I doubt it.
@@adrianh332 Yes I can. I work in the NHS in the UK. Seeing as you are the one suffering I would guess you have the motivation to research. There are many things I could cite from the fact that anti depressants are well known to be a cause of depression and worse. You do not need this rubbish pharmacology for any mental health issues. The bastards just want you hooked on it and they have no other solutions. Most of America seems medicated up to the eyeballs. Someone is getting very rich.
@@adrianh332 You want peer reviewed? Peer review is an awful system. Its a big club slapping each other on the back and reviewers rarely do anything to confirm a papers findings. Former editors of the Lancet and NEJM stated that at least 50% of all published medical papers were flat out wrong and the main motivation was money, funding and ego.
@@bigbensmith9504 I'm also from Britain. What do you do in the NHS? I was a registered nurse for years before my mental health went bad. I don't mean to be rude but you sound like a conspiracy theorist, I don't need the motivation to research because the meds work for me, you are the one making the claim so it's incumbent on you to provide the evidence for those claims, what's clear to me is your understanding of pharmacology is at best poor. SSRI's can under certain circumstances cause depression to deepen before improving, is that what you mean? In the past each county in Britain had at least one or two asylums of a thousand+ beds, they date from a time before effective psychiatric medications and now they're all shut and the timeline for their decline and closure exactly matches the development of effective meds. If as you suggest the meds don't work why don't we still have these asylums?
The nursing bursary being taken away was such a big factor, you really should’ve expanded on this point.
Agreed. Immediate huge drop in applications over night
Fantastic analysis by Victoria McDonald - especially on the two points of this being a polycrisis and the lack of innovation/copying successful initiatives right across the board.
I'm glad I had my stroke at Christmas 2008. I had great treatment, saved my life twice. Then, 2010, Tories get in and the NHS starts to go very bad. In 2021 I waited at A&E after being brought in by Ambulance, and I waited over 2 hours before the first doctor. But with all the pressure, the magnificent staff, who had come from all over the world to help me, remained in great humour and attitude. I think that all the Tory MPs should be made to do work in A&E at least 4 days a week. Let them deal with the pain and the reality.
Here in the US a I I’ve been waiting 18 months for an upper endoscopy and a gastroenterologist appointment! And BOTH were booked as Stat appointments!
She's talked a lot but not said much.
She doesn't seem to know much. Why not get a staff member on?
I have no sympathy for the stressed and stretched out staff because during the plandemic they all collectively agreed to shun down and alienate those who refused to conform. They made their own bed. They're reaping what they sowed 🥰
..waiting time for GP 1 month or more in UK?! in EU 1 to 6 hours, dentist no more than 5 days, specialists from 1 to 4 weeks.., says it all..
Because they keep getting all of your transients to care for too..
..says it all
@@scottbarnett3566 yeah, from EU, UK gets them from Middle East / Far East, Africa etc.., that's why NHS is f***ed and you get 3rd World standards.. 😁😁😁
If demand (mainly due to non-communicable, i.e. preventable, disease) is increasing at a faster rate than supply ever can, the issues will never be fixed without addressing denmand. Yet demand is not on the agenda. Am I missing something?
Absolutely brilliant to hear an unbiased view that really spells out the reality of how the NHS currently functions and how key the staffing issues are.
Some will say we can't afford a pay rise, I would say that if you want an NHS you can't afford not to give a pay rise because not only do you need to stop current staff going off and getting twice the money doing agency shifts which then cost the NHS a fortune, you also need to make sure that the careers in the NHS look appealing to young people.
I love my career in the main, but it gets harder and harder to keep up every year and more and more is expected for less and less.
You can only cut so much red tape, you can only make so many efficiency savings before there is nothing left.
Put the money in or the NHS as we know it is done for.
They don’t want an nhs……they want private health care, so they don’t care.
@@Lucky-wt6fg When you say 'they' I assume you mean the Tories. But here's the rub, they don't get to decide. The public do.
Trash them at every poll and vote in a new government with a different agenda and things will change. But as I said the public with need to put their money where their mouth is.
@@Astro_Gorilla Unfortunately it seems that the Labour Party now has a very similar agenda to the Tories when it comes to the NHS.
@@LCD72 I agree with you. I think Starmer is happy to play politics and has no real principles at all.
I don't expect any real change for the NHS and I fear that whatever the parties' intentions really are we might be seeing the end of the line for the NHS in its current form.
I fully expect the name to last but we won't recognise the system.
Govt has no money of its own. Pay more taxes. Everyone.
A lot of staff are now leaving (the ones I know), due to how their peers, managers & NHS Trusts treated them during the whole vaxx mandate debacle. It showed people's true colours and how cowardly and vile they are.
If GPs were doing their job properly instead of phone consults, they should be physically seeing their patients and picking up illnesses before they get to the stage they need to go to hospital.
The biggest problem on the hospitals is bedblocking because their is not enough social care available.
We need to bring back convalescent homes, where those who are not sick enough to be in hospital but can't go home as there is not care in the community.
That’s neither here nor there about gps consulting via telephone or face to face. Each of those consultation methods has its use and are just as good depending on the context of the problem. To distill the entire issue down to that massively ignorant and inaccurate anyway. Hospital consultants are also still consulting many patients via telephone where feasible. A&E has been at breaking point especially in the winter months for years now, even before the pandemic.
The problems discussed with the nhs in this video have been years in the making. Chronic underfunding, understaffing and rise in demands and pressures and generally the culture of consulting a doctor about anything are what have contributed to the problems.
Completely agree with this, GP’s in the UK are terrible
@@elizaann1888 that’s an issue to do with supply/demand, not one to do with the mode of consultation. It was /is/and will be a struggle to see a GP regardless of the consultation mode unless things at the roots are changed (funding, number of drs, etc) - an issue entirely separate to the topic of method of consulting. I recall being able to see a GP being an issue before Covid as well - its not a new one. The public will always find something to be unhappy and moan about.
Your experience of being on antibiotics for eczema is a personal one - if you sent photos of your skin in, the doctor reviewed those and decided on the best method of treatment then that was his/her clinical decision. I don’t see how that would be suboptimal in any way compared to if you were seen face to face unless your photo quality was poor (in which case I agree the dr should ask you to come in). But to simply feel indignant or short changed merely due to not being seen in person or until you have a tactile physical encounter with a doctor is a notion that needs to be dispelled.
I’m a Dutch trained salaried GP in the Uk. I work full time. The demand outstrips supply and we offer at times three times the average clinician consultations. I’m leaving the NHS. At least for 12 months. I want to work in a system that works. None of my colleagues are lazy. We work flat out every single day. The uk has the amongst the lowest number of doctors per 10000 in Europe and amongst the worst outcomes of cancer. I struggle that despite my hard work Gp’s are blamed for near night every failing in the NHS. I do exactly the same job and work just as hard as I did in Holland but was never vilified in the press and on social media. The uk relies on 42% of her doctors as foreign trained. THAT is the problem. Train more doctors. Improve working conditions. Don’t blame GP’s for the failings of government and political choices. I’m looking forward to time out in a health system that works. I will miss my colleagues and the patients but won’t miss being the scapegoat.
This is what the tories want - a private health care service like in the USA. Best advice for everyone is focus on growing your money cause at this point it looks like you truly need it to stay alive and well and things could get worse….before it gets better. And grand daddy government doesn’t care about you.
But the avoidable death rate in the US is lower then the NHS.
@@Nickle314 NONSENSE! The US system has 2x the cost to the country than the NHS (pre tory destruction) and the European average has and half the quality of healthcare, disgraceful. Costs $1000s just for the ambulance call out, people left to die on the streets, the US has the least cost effective healthcare in the developed world (up to 40% of funding goes straight into accountancy and insurance costs!) and has the worst health outcomes in the developed world. Truly the worst system there is without doubt, Cuba has better healthcare than the US
@@funbarsolaris2822 THe avoidable death rate in the US under obamacare is just, and I mean just under the level in the NHS.
The NHS isn't top 20. Top health care systems, european, are Holland and Swiss.
So why not adopt that model?
@@funbarsolaris2822 That's why you don't pick the US model. You pick the Dutch Model. Number 1 in the world.
Why do you want to force a second division health system on the UK? ie. The NHS
@@Nickle314 there are many, many thousands more factors than avoidable deaths you idiot, that's why you choose to mention that one single factor only and its still worse than the NHS! Means nothing to say Dutch system is more efficient now... the NHS has been undermined for 12 years to make it ready for privatisation... 12 years ago the NHS was on par or outperformed the Dutch system and European average in most areas, which is an end to your argument
Tldr: it's worse.
What is tldr?
@@ko6el too long didn't read
People have no idea what good looks like, as a British expat now in the US, I would NEVER go back to the UK jay on health care alone. It’s an embarrassment
U.S. health care is generally good if you make decent money or are really poor. The problem is if you work for a low wage, you can't afford your employer's plan or can't qualify for Medicaid. I also heard NHS will totally ignore screening and ancillary testing.
I remember when US health tourists came to the UK en masse for free hip,knee,cardiac bypass operations which cost a fortune in the US.
@@mikesmith8313 not any more though, you’ll die of old age before you would be seen now!!
Last points are wrong. ‘You’ve heard’ is the poorest metric of all time
4:30 People are slow at going to check their problems because preventive medicine is not a concept in the UK. We are actively discouraged from going doing checkups.
True
On more than one occasion the neighbouring fire service was roped into providing transport as the hospital transport was unable to, although the fire service is also struggling & undermaned.
This is what happens when common people don’t stand in support of Doctors and Nurses. Why don’t the common people start strike on road and stand along with Nurses and Ambulance driver. Ask government to solve it asap.
Rich politicians have their personal facilities provided from taxpayers money.
If treasury is out, then take loan and get up to it.
But they won’t 😂
Why government is letting people die and live on their taxes.
People should ask politicians to stop putting food in their mouth till they solve this health care issue, only then it would solve in 2days time.
Hopping best for common peoples.
I think a lot of the public are with the nurses etc……
Who, exactly, are the "common people"? Please elucidate.
If the government invested in helping people to adopt and maintain a healthy lifestyle (mental and physical), it will save the NHS a lot of money. Not just 5 a day but getting into the nitty gritty.
6 a day you mean? Ludicrous!No I jest, I agree completely
@@rhinoboy6603 Lol!
The goodwill has been displayed for decades - it’s not a new phenomenon!
The root cause is austerity and brexit. ...Keith will change nothing, and it's deliberately. I'm astonished why profiteering and outsourcing haven't been discussed.
Too much spent on new and expensive IT systems! Im a district nurse. They are currently forcing us to use a useless system called ecommunity..im fed up and ill soon be leaving. Just let us do our job and stop wasting our time with nonsense even though they get their palms nicely greased for accepting this new stuff!!!
The Total Lack of Immigration Control is a Major Factor on the NHS Crisis.
This is the end of the government
@@Craig121000 f ing tories!
@@Craig121000 you need to get a life
One can only hope so.
a million times better system than the USA at least
Government you have destroyed are fantastic NHS shame on you !!!.... thank you each and every health professionals we stand with you ❤
Blame the employees not the government.
The NHS has never been good, I saw this immediately when I moved to the US, it’s terribly run and people die by the thousands due to substandard care and lack of access to modern drugs
UK HEALTH REFUGEES TURN UP IN EUROPEAN HOSPITALS FOR TREATMENT
The only way to help the NHS is for people to change their lifestyles, viz. fitness, diet, and general lifestyle. Treating the symptoms, will not stop the causes. But let’s not forget, the healthcare system is a franchise.
Britain has Europes biggest nanny state. I don’t think even they have the appetite to force people to exercise more or eat a certain way. They’ve implemented sugar taxes, but forcing granny to jog in a circle… it’s not North Korea.
Privitisation is the answer.
People are not slow to see there GP's. They just cant see them as every single time people call then there isn't any space to be seen" apparently". I know someone that was trying to get an appointment for mental health for 2 years but they could never get an appointment untill so.ething serous happened then magically they had an appointment.
It’s not ‘apparently’. There genuinely isn’t the appointments spare.
In medical school I was placed at 3 different GP surgeries, in different areas. All 3 has GP’s staying 1 to 4 hours late, EVERYDAY. In a 10 minute appointment they would book in 3 different patients which just meant the GP stayed hours late.
And still people were moaning at reception everyday that the GP’s were lazy and it was too hard to get an appointment.
There is not enough GP’s in this country
@user-me5wt9sm5r then explain how when someone makes an official complaint about not being seen there suddenly are appointments available. Or how we are all told that appointments are made on the day to call as soon as the GP surgery opens to be told that there are no appointments available. Well where did all the appointment slots go if i am the first to call. You can't say that your experience of working in 3 practices is representative of the GP's all over the uk. I have had points in my life when i have been sent to a hospital for the staff there to tell me that it was something that could have been dealt with at a GP surgery. This has been going on for a long time now so cant be blamed on low wages or over population. At the end of the day if i have a concern then i should be able to see my GP. That is how i fined out if i have something serious. If i cant see one then i could die from lack of treatment.
@user-me5wt9sm5r so if i call for a cough that i have had for a long time but i cant get a dr apointment on the day as when i call the moment the dr opens i am not the first to call how am i ment to be seen. Oh and you dont know wether it is cancer or not untill you see me but by the way you just answered my last coment i would say that you dont even care to fined that out as "someone else needs the appointment more than me" by your own words.
Let me ask you this then. Why would you move someone els that would need the appointment more to make room for me after i made an official complaint if i didnt need the appointment. And how do you make a decision wether i need an appointment or not without seeing me first.
@user-me5wt9sm5r i also work in an industry that is heavily reliant on overtime. Do you know what i will do it i dont accept that......... get another job. You can't complain that you are working overtime to help make someone's life better. My comments are not aimed at nurses though so dont get it twisted. I am just talking about GP's.
@@danielhooper8138 you seem to want everyone to be triaged and seen by a doctor. Which would work great in a fantasy world. But this is reality.
Because a child with a temperature of 40 degrees is FAR more urgent and life threatening then a cough. If you’ve had a cough for weeks then waiting a few more days won’t kill you. Cancer doesn’t kill like that. But a kid with a temperature, an elderly person with a pneumonia… now that can kill them if they are made to wait even 1 day.
And you comment about people getting another job. They are. It’s making it worse. SO many doctors are fleeing to other countries. It’s one of the MANY reasons we have this crisis. The staff are fleeing the sinking ship, and people like you would rather it sink further and blame those who have stuck around to do what they can
Too many people using it that have never paid into the system.
Nope. The problems are pay both in the NHS and Social Care plus working conditions. The government made a political choice in 2010 to not keep NHS funding at inflation plus 4%. Nothing to do with not paying income tax and national insurance.
Capital Gains tax needs to be on parity with income tax - the wealthy need to contribute more.
The NHS is simply no longer fit for purpose.
Written 2005, Jeremy Hunt co-authored a policy pamphlet that called for the NHS to be replaced by an insurance system.
The 2005 policy book, called Direct Democracy: An Agenda For A New Model Party, was a collection of writings authored by a group of Tory MPs.
@Hope Green person is just being honest about it. I don’t think they are insulting staff.
If the nhs is broken as it evidently is then they should be telling people to have other arrangements in place for health care. I'm 40 with no health problems and been paying national insurance for 22 years and iv never used the service. I do however take it for granted that if I'm ill then the nhs will care for me. If this isn't going to be the case in the future then please stop taking my national insurance and let me put thus money towards private healthcare. The nhs was doomed the moment it started caring for people that don't, or have never paid into the system. We have mass immigration and record numbers of people out of work and on benefits using the service. This paired with greedy governments and lack of nhs staff has led to its demise
Even if we went to a private system we would still have to pay for free healthcare for those that don’t pay in (even in the USA, the most extreme private system, the still pay loads from their taxes towards people who get it for free)
Oh my, let the immigrants, poor and unemployed suffer them. What a self centered view of the world.
NHS is free. Anything that is free will have unlimited demand. No amount of supply side management (doctors, nurses, beds etc) will work. They will provide only short term fix.
point of us free...........paid by taxes on all
Half of the money I pay i tax goes to tot NHS and I still struggle to get a doctors appointment. And still wait 12 hours in a&e
7:56 It [NHS] will never collapse. Past performance is not a guide to future performance. Although if the decline noted since 2011 and the tenure of Jeremy Hunt continues along its current trajectory the NHS is doomed within 5 years. The last 3 years has been really really bad.
Save 26 mins of your life. This is not an expert talking. There is no understanding of the structural issues affecting the NHS. The gender shift from mostly male doctors to mostly female doctors and the drop off in overall productivity. The pensions issue which means specialists won’t do extra sessions as the tax liability means they end up with a net loss. The long-standing poor pay settlement for junior doctors which was exacerbated by their last pay settlement of 2% per year for 5 years. They’ve had a massive real terms pay cut. More than 40% are apparently actively looking to leave the NHS either for other professions or to go abroad. 10,000 doctors left the NHS in the last year, 5000 went abroad and 5000 left the NHS but stayed in the country. It’s already happening. They’ve been leaving since the great pensions robbery of 2012. You won’t hear about any of that from this “expert.”
Tube drivers earn more than many doctors. Yes that is really true. The BMA is fecking useless. This is objectively true from their work product and not an opinion. It has people operating in it that think they can get more out of the government using honey. Having failed to do so for decades has not changed their mindset or philosophy.
General practice is in its knees partly due to feminisation. A massive change in the percentage of Women GPs, which is great. However many don’t want to work full time. Many Will have 6 months maternity leave at full pay followed by 6 months at half pay x however many children they choose to have. This is their right however it does have an impact on service provision. Doctors don’t grow on trees. It takes a long time to train them up. You can just find enough to cover all the maternity locums. You won’t hear about that. Nor will you hear about the massive shift of work from hospitals to general practice since 2011 despite no extra staffing or funding to support it. Why can’t you get an appointment with your GP? There aren’t enough of them. Those in charge will tell you the country is 4000 GPs short. That’s bullshit to stop you getting too scared and to cover up their abject failures. The real number is well over 8000. Most of them will be women and most of them won’t want to work full time.
The population has rocketed. Just google the numbers 2011 and 2023. Doctor numbers haven’t increased to accomodate that growth. You won’t hear that from this expert. Too lefty to blame the immigrants. Although It’s not the immigrants fault. It’s the governments fault. Immigrants will do the best they can for themselves and their families.
The population has not only aged but gotten sicker. People can’t be told what to do or not do. The largest city in the UK is obesity. It’s not polite to blame the individual glutton. However on a population basis it has a huge cost impact on the NHS. Very few can actually blame their “glands”. For the vast majority it is pure gluttony. Energy cannot be created or destroyed but merely converted from one form to another. But we can’t criticise people for their poor choices these days. It’s not their fault. Fairies are shoving cake down their cake holes. So I’ll shut up about that. I’ll ignore all the other health issues as I don’t want to be boring.
Nurses are on such low wages that despite working full time and living frugally they can’t make ends meet. Many are using food banks to survive. It is their own stupid faults for not being prepared to strike years go. They’ve been such a pushover and their union has been so shite it’s ludicrous. They should have all joined the tube drivers union they’d have done so much better. Now many are leaving nursing altogether and some who have some get up and go are getting up and moving abroad.
I could go on and be more entertaining than this pair. They’re drier than An Egyptian mummy.
Please keep going, I'd like to read more of it.
I'd like to understand how did it happen that the very same people who HAD expertise on how "to flatten the curve" during the Coronavirus-19 Pandemic, Suddenly became unable of doing exactly the same?
Fellows, are you at least going to "flatten the curve" of the rising inflation? Can any of these lovely people the least tell us what is the value of the expected local extremum, i.e. when do we declare bankruptcy - practically when will you put the Bank of England in the exact same place where the NHS is now?
Nurses are generally well payed with good pensions and certainly don’t use food banks, many in the hospitality and retail get far less money and don’t use food banks,
Can’t speak for nurses but I’m a doctor, I get £2 more per hour then when I worked in retail, £2.50 more then when I worked in hospitality (although in hospitality I got tips so maybe the pay evened out to the exact same, god that’s depressing to think about). The pay really isn’t that different.
HOWEVER cost of being a doctor compared to when I worked in retail is very different. Forgetting about the student loan money that comes out of my wage every month, I also have to pay for GMC registration, indemnity cover (insurance), BMA membership, for exams (most cost hundreds), for conferences for my portfolio etc.
If I had a child I’d also have to be working out the cost of childcare OVERNIGHT for 14 hours. God knows how much that costs.
@@Bringon-dw8dx maybe you can help me understand some of the GP side of things.
Last month I went into the pharmacy to collect a repeat prescription that was put in before Christmas. This was put in 4 days earlier than usual due to Christmas time, strikes, higher pain management. It wasn’t there so I headed to the Dr surgery to find out what had happened. I was told the gp (someone who has never met me, not my own gp, nor has any indication of my recent health) had not filled it and would not until 4th January. I explained this is a medication that cannot be missed, I have now run out completely and due to current health issues (awaiting major surgery to fix) my own gp knows I’m taking more than usual. Therefore have been advised to continue to do so until further appointments at hospital can be scheduled. I was told tough! I explained again that this medication cannot be missed, I put it in early for Christmas etc, the side effects of not taking this can be life threatening. Again tough. The receptionist explained she had no medical experience therefore could not comment. By this point I was ANGRY that a GP has made such a decision, has not even made me aware of this until I came looking for it and that he is knowingly putting me in a position where I will become extremely ill and in agony. I’m telling you my life is in danger, I’ve done everything to get my medicine and your telling me tough….I was then advised to go to hospital. I said that was ridiculous and completely an excuse to pass the problem to an already strained hospital….for a repeat prescription. This gp either has to fill it or face me himself to explain why patient safety is not being taken into consideration. I will be bk at 6pm if I do not hear from you, I will go to his office uninvited if needed. Do you know what they done? Barred me and sent police to my door!!!!!!!!!! Apparently that’s threatening……but you deliberately putting life’s in danger isn’t?! Police couldn’t believe it when I told them why they were out and someone’s home who is seriously ill!! I work as an accountant, I’ve paid a TON in taxes and N.I. just like a lot of people, I’m fully behind paying more. But I am DONE with GP’s excuses tbh. I would have left this but I’m now speaking to PASS and the ombudsman about this due to how severe they acted over this. To remove me completely for challenging them and have it claimed as threatening and abusive is absurd.
@UCwJoYt0JgcI7e7ep0K2753w I understand the backlog however this was not the issue regarding this one. I assure you, they checked and the GP had it, but refused to give it until 4 days later. It was purely due to the discrepancy of it being put in 4 days early.
So a Dr that has no previous knowledge of my history, current health status or agreement with another gp in the same practice decided no, she can go without any until then. It was put in early to prevent this exact issue. Especially due to it being around the Christmas time.
Surely it would make more sense to give the repeat prescription that I’ve been on a decade 4 days early at a time when the public is being advised to do exactly that?
It’s the fact he refused entirely to speak in any way and that they actually advised A&E was my next step. Both the practice manager and the GP involved are damaging to an already broken system. I went through this with PASS today and they agree this is something that should be addressed. If need be I will speak to a lawyer.
I cannot tell you how behind Drs I am. It infuriates me what is happening at the moment. I was a Yorkhill baby, they were miracle workers (born with a diaphragmatic hernia, repaired at 7 hours old! Also correctly diagnosed with a genetic metabolic disorder at 7 months). The attitude of this GP has forever changed my perspective on what all Drs stand for. Both him and the manager attempting to name me as aggressive and removing me from the practice altogether was malicious behaviour.
@@nicolahall27 it just doesn’t make any sense. I’m not saying the GP didn’t have it, I’m saying maybe you weren’t next in the list. If you were prescription 200 on the list the GP would still ‘have it’ but wouldn’t yet file it. Putting medications in ‘early’ isn’t really a thing, people put them in all different times.
It honestly just looks like a case of poor communication with the admin/reception staff.
I don’t think a doctor just randomly suspended a medication. I’d understand if they stopped it because of a specific concern, but it makes no sense a random GP would postpone it for just a week? (Also most people don’t have a set GP anymore, there would be adequate information in your notes for medical decisions to be made by any GP)
@@Bringon-dw8dx this is also part of the issue tbh. How I have written it is what happened. I understand how bizarre and over reaction sounds, I really really do. Honestly I’ve never seen such a reaction to merely challenging/questioning a Dr, and for very good reason.
Yes he did refuse it and gave the receptionist the reason ‘it was 4 days early’. I have a letter from them stating this and that I was aggressive etc. Again no aggression, just refusing to accept that I would be left with no medication during a time I have ill health.
At my GP’s, I’m able to place it online straight to the surgery. It is then filled and sent to pharmacy. I remember when I went to the surgery wondering why it wasn’t at the pharmacy, the receptionist looked it up, stated GP left a note saying it was 4 days early. This is when the dance began shall we say. She then emailed him when I stated what I have to you earlier. He still refused knowing I now had absolutely no medication left at all. The type of medication it is he would know exactly the type of state I would have been in, especially on top of already severe abdominal pains due to the surgery needed. I’m now trying to understand the practicalities of going private. Even a repeat prescription via this route seems impossible without NHS practice registry somewhere. If I run out before I find a new GP, I could end up possibly dying due to the current complications.
Oh and I meant mention…if he didn’t ‘have it’ he wouldn’t have then sent it straight to pharmacy immediately after calling the police and removing me from the practice register!
Thank God I'm a proud yank born and raised ! Our health care is far from perfect . But it's a million times better. 🇺🇸
Good one
@@gnhonho I recently came out of the hospital.
I'm an American as well. Our healthcare system is flawed but in many ways much better. Many British people view the NHS as a religion. Suggesting restructuring is blasphemy to many.
It isn't officially healthcare in America ranks worse in the NHS. With the exception of cancer care America ranks by far dead last in the first world for every other health aspect and outcome. America has the worst disease burden and disease death rates, the worst hospital mortality rates, including the worst maternal and infant death rates and the worst/lowest general life expectancy.
Not all American healthcare is a nightmare. My county (Snohomish) has a number of clinics specifically for lower income people. The county funded the clinics and gets doctors and dentists by helping them pay back medical school. I also go to a leading research hospital in Seattle for some of my care which is paid for by a mix of Medicare, Medicaid and private insurance. I do have to pay fees for the Seattle hospital, but my care is excellent. The mix of private and public healthcare works well in this area (Everett to Seattle) but this is probably unusual and this area is known for being quite liberal.
American healthcare is not a nightmare, I agree. I’m an expat living in the US from the UK and EVERY expat I know will take the US system over the NHS. Brit’s have no idea what good looks like
I think the British public should be allowed to opt out of the NHS if they want to provide their own health care
Oh no Kyle. British ex-pat in the US here. You would do well to do everything in your power to fix the NHS. The alternative is utterly horrendous
Its been destroyed & as one of those already in personal crisis due to long running illnesses, & given the damage already done Its unlikely I'll survive this!
I had to get a bed in A&E last month. Waited 5 hours for a bed with a drip in the waiting room in agony. After getting a bed there were no blankets left for me or the old man admitted after me It’s like a third world country
In the end up they were so under pressure they gave me pain relief and told me to just come back when it gets worse
I am having a total hysterectomy privately because I was not even on the list for one via nhs because I did not have cancer which is obviously great. I do have polyps, fibroids & ovarian cysts & my uterus is equivalent to 7months pregnancy. Fibroids pressing on spinal nerves so have to take anti inflammatory pain killers every day especially before work. Not diet or lack of exercise caused it.
Oh bless you, wishing all the Best
Wow that sounds so hard to deal with, sorry you had to go privately but best wishes for the surgery and your recovery.
It will take perhaps longer than a decade to recover from a lack of preventive health services and will mean significant wait times for everyone and result in serious conditions as people do not receive care in a timely way. This is true before you factor in a collapsing care system with exhausted workers…
All our countries resources have gone into house.prices instead
In a cost of living crisis we all want a 35%pay rise - no no no no no definitely no!!!!
Lower paid need a boost .The higher paid less so. 140.000 vacant posts covered by existing thus use the savings to pay nurses and ambulance . Need desperately to recover 2000. Beds . That would take the pressure off privately run care and at home care,and allow full operation of the assembly line of patients. Is that a plan ?? Everything is being run on a shoestring by not having fully filled numbers . Same in teaching and on Railways where overtime is needed just run normally. Where is all the saved money going ??
Politicians are scrambling for short term measures to get reelected...
NHS is gone! useless ! Waste of time and money. I have been having stabbing heart pains to the point of near collapse for sometime now and I have to wait for 36 weeks min for a cardio gram. Told by GP doctor it was an Urgent case and was issued as such to the hospital.
GP Receptionist said off the record ‘go Private’. So much for having anything left for a pension…
Hospitals play a big role with social workers as the link weakens becomes a thread to CARE For others left thin. .
Very good report. Thank you. NHS Forever! Channel 4 Forever!
NHS provides 3rd world level of care and results in thousands of deaths annually, the NHS needs to be abolished
Public services, utilities and house building simply can't keep up with such unprecedented population growth over such a short period of time.
We can't even have an objective conversation about it.
We're screwed.
At this point an effort almost as great as it took to build the NHS is needed to save it. Brave, economically and socially radical, and compassionate popular effort.
I think they should return the nursing bursary system to train more nurses and treat them well with good pay and recognition for their hard work to keep them in their jobs, nursing is not an easy job mentally and physically.
Great fair reporting! How refreshing
We built and paid for a system fit for the British people, now the poor of the world come here to use it.
What did we expect would happen
She has no data. It feels difficult. What does that mean?
The future for the US medical system has been brewing in Great Britain for generations. This is coming sooner rather than later for the fantasyland of "free" medical care for all that has been promoted to the uninformed of the US. Medical care, be it family practice or specialty care is a LIMITED resource. Just so many hospital beds and medical professionals will ever be available. As such this "limited resource" adheres to the strict laws of economics, like it or not. That is, you can allocate this limited resource through only two mechanisms - pricing the service or rationing. There is no other way to accomplish these empty political promises. Time and reality will prove this to be the case.