Why the NHS Waiting List is So Long (and Sunak's Plan to Fix It)
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- Опубликовано: 25 май 2023
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At the start of the year, Sunak said cutting NHS waiting times as one of his 5 main priorities in government, but the despite their already record highs, they continue to rise. So in this video, we explain Sunak's proposed plans and whether they'll work.
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The GMC needs to take its share of responsibility here. My wife (A South African trained doctor) and I (British) were looking at the UK, we started the process beginning of 2022. She couldn't book the required exams for over 5 months, because their booking website (for 2-3 months) crashed and there was no availability until 2023. She finally wrote PLABs 1 yesterday in Belfast, then it's PLABs 2 (subject to passing and availability) and then she would still need to be registered. It's at least a 2 year process. So we've moved to Ireland, which took a couple of months for her to get registered.
In the meantime, doctors are burning out and leaving the country/industry - making the problem worse.
Should have gone to another country.
@ChineseKiwi Australia is still a shit hole, can't even buy a house because of ridiculous prices. All these countries are shit.
Here in Australia, a Band 5 nurse is paid (converted) £42,433 vs £27,055 in the NHS, or 56.8% MORE!! Gees, I wonder why the NHS waiting list is so long.....
Not only that, getting more sun and better perceived lifestyle in Australia, but also better working conditions with strong unions. And in the states of Victoria and Queensland, we are actively recruiting overseas health professionals, including from the UK. And Victoria even offers relocation reimbursement of at least AU $10k (£5281).
Actually supporting the nurses is not feel-good claps. IT IS PAYING THEM.
By the way, I didn't even mention the 15.4% ON TOP of wages towards their individual retirement portfolio in Australia nor the insane overtime rates..... Gees, I wonder why even before COVID, the ER was full of Brits when I had to go into the hospital here in Australia (don't worry, I'm fine now).
@@ChineseKiwi How much do junior doctors and consultants earn in Australia?
@@QH96 The position that is equal to a FY1 in the UK = £46,863 (converted) in Australia vs £29,384 on the NHS or **59.5% more**. The difference is even bigger if your factor in the 15.4% ON TOP of wages towards their individual retirement portfolio in Australia and the insane overtime rates
Diagnosed with Crohn's a year ago in May. First signs of fistulas on my arse, left undiagnosed until August when I had an MRI. Saw a registrar in January and was told I was going to have "emergency" surgery. Still waiting for it. Literal and figurative pain in the arse.
Problem is, waiting list delays compound the issue: I've needed to use the NHS GPs so much more to get new prescriptions for painkillers after tramadol stopped working, after new abscesses appeared, after pain became almost unbearable etc... had my surgery not been put on a waiting list, I wouldn't have required all those extra visits to the GP and the NHS would have saved so much money. It's such a snowball effect when you don't provide the NHS with the resources they need to begin with.
I completely get you there my man - I was diagnosed with Crohn’s in June 2020 - emergency surgery in august because I nearly ended up dying I waited so long for treatment!
I hope your Crohn’s journey improves from here on out!
I have chrons disease, if you're struggling I highly recommend the PKD diet ran out of PaleoMedicina. I'm UK based and did everything over skype. Works wonders
@@aituk thanks for the advice. I'm vegan and it's hard to know what's best because low fibre tends to be better during inflammation but adding more fibre helps keep sufferers in remission once they achieve it, so it's hard to eat low fibre when everything I'd usually eat contains some amount 😂 at the minute, the fistula is the biggest issue for me though. I've been told the waiting time is usually around 6 months, so hopefully I'll be booked in for surgery soon, as we creep towards that amount of time 🤞
@@gc31 jeez, hope everything is good now bro
@@baggaz167 I did a lot of research when I was diagnosed, spoke to people with the illness and stuff. All I can say is the current treatment for chrons is poor, it doesn't help fix the issue at all, it simply tries to reduce the effectiveness of your immune system in the hope it doesn't damage you too much.
Seriously mate, look up Dr. Zsofia Clemens, look up her practice at paleo medicina, look up the studies they've done on treating chrons patients with diet. Revolutionary stuff. No medication. All diet based. I'm 3 months in now, I noticed a massive difference in the scale of my symptoms after only 4 weeks. Hopefully this time next year I'll be in full remission.
You’re not in a waiting list if you’re dead.
- the actual tory plan to fix waiting lists
Yeap they put my mum on end of life for no reason. They could’ve saved her but didn’t.
@@shazbaz5695 this is awful, I'm so sorry that that happened.
fact is, they're cutting healthcare until they can replace it with a US style private system, and every way to do that involves us having Much worse healthcare than the US for a decade long transition period. I have friends who've had healthcare withdrawn with permanent consequences too, and as for mental healthcare... buy your own or get to fixing some waiting lists however you see fit.
TLDR - I'm a bit concerned about the 'separate briefings' and how they influence reporting 😬
I really appreciate TLDR's transparency of the government's separate briefings for RUclipsrs and appreciate your efforts to keep the news independent. I am a long-time follower and advocate of the channel.
However, it could be argued that the government is treating RUclips producers as their personal influencer network instead of the press.
Would it be reasonable for an episode exploring why the government is choosing to brief RUclipsrs separately?
How does a flattering meeting in no.10 affect the independence of news and the channel perspective? Even if the impact is marginal, over millions of views, what is the compound effect?
Would it not be more impartial for RUclipsrs to be invited to press briefings, with other media?
This seems like a government influence strategy, instead of respecting RUclipsrs as being independent journalists.
An episode on this would be very welcome.
I agree. Plus there will inevitably be conditions attached, such as not covering certain topics.
I don't recall TLDR ever covering the Forde Report or Al Jazeera's Labour Files, which are effectively blacklisted by the UK media. Same with the recent UN visit condemning the UK's hostility towards LGBTQ+ people.
Very well structured point, couldn't have said it better myself.
I would also like to see this.
I hear TLDR saying the visit doesn't influence coverage but then mention it at the end of most of their recent videos. Hypocrisy?
I really hope tldr reads this
Agree with this and I have had concerned about the sunak posts ever since they started this embedding
Very clever. I wonder how long until those 5 treatment options include private hospitals. Then a little longer and 4 of them are private with included costs, and one is NHS and free, with a waiting time of 5 years. Just like the dentistry system. Then they can claim everyone had access to free healthcare, while also claiming everyone has access to care within X weeks. They just don't mention that these things never intersect
This should be up voted you're making good points
Already happened I’m afraid.
BMI, Aspen health, etc already on the referral system, have been for years but they only accept the easy referrals, do the bare minimum and change a premium to the NHS for it.
By easy referrals I mean if they see so much as a isolated case of depression in a patient’s medical history, they’ll reject the referral for being too complex.
They already do.
But the "any qualified provider" policy, brought in by Blair mena s a lot of NHS services are already run by companies like Virgin
@@steph6109 ah yes, blame Labour for the problems caused by the conservatives. Good job. Blair was a centrist - he cared about two things: whether it worked and how much it costs. In the end that's all the public really care about. Now, the problem is that was storing up problems for the future, but the simple fact is that the labour goal was to provide free, good quality healthcare at as low a cost as possible, and the tories want to spend a little on healthcare as they can get away with, availability be damned
Sunak trying to fix nhs patient waitlists , is like trying to fix a gunshot wound by putting a plaster over it.
Yeah, by wrapping the plaster around the bullet
Their aim is to destroy the NHS entirely.
It's like fixing a gunshot wound by stabbing it with a knife.
Yep. Conservatives don't 'conserve' anything .They shoot things to pieces, and then sell the carcass to the highest bidder .
They would have gone with kill all the old people, but then they would be killing off their core voters.
On someone you hate...
you know what would help the NHS?
stop messing with their budget and structure constantly.
give them a chance to actually get organized, staff in place, clinics set up, etc without pulling the rug out from under them every time the Tories decide to change leaders
The Tories altogether have been a disaster, it hasn't mattered WHICH Tory has been in power. And when they claim they are putting money into healthcare? IT IS ALWAYS TO PRIVATE PROVIDERS, on purpose, so that they further the destruction of the NHS so they can make money off of introducing a health insurance system like the US that will actually cost the public THREE TIMES as much and ensure that many people will no longer be able to have health care at all.
Nah you need to keep messing with their budget. Just permanently in the upwards direction.
But how would the middle management justify themselves if they didn't keep having to move budgets around?
@@Wozza365 what’s middle management?
@@Snugggg Whilst I agree, there is a lot of bureaucracy coming from NHS Trusts. Clinicians are tired of management pushing efficiency savings on them, for example a trust telling Doctors they must bring their own pens from now on. But then top level management drives Doctors to suicide due to horrible working conditions. Lots of trusts need to be held to account, and unfortunately those are the leading hospitals in the UK. Eg. Barts, Kings College, QEHB, etc. The NHS needs restructuring for senior management at each trust, a lot of them are high paid admin positions.
More funding, more beds, more staff, more training posts, increase staff retention.
I'm looking into moving abroad once I finish this section of training because the demand, pressure and patient expectation is just too high. I desperately want to stay, but why would I when other countries offer higher pay, better working conditions and a better work/life balance?
best of luck to you @mmmeaks. Once you have a better life abroad and see first hand how things can and should be better here, you won't want to come back.
So you used the schools fundet by yout country then use the training and then flee because you you dont get ritch in your job
Ype a typical egeoist
I’m only 18 and sitting my a levels right now with the hopes to begin a 3 year degree that will get me a job in the NHS but i plan to leave this country too soon. It’s funny because my parents came to this country as immigrats to seek a better life for me but here I am seeking a better life elsewhere 😅
@@sashhhaa4874 So the next unpatriot
@@alexlehrersh9951 And proud
Why is the NHS waiting list so long? Isn't it obvious that when you cut budgets and reduce staff pay you increase staff turnover which decreases efficiency and increase the time procedures take? Also the fact that the NHS has to pay private practaces to do a lot of procedures actively reduces the overall funding of the NHS overall since private practaces have to make a profit and pay shareholders, adding extra costs to each procedure above what these procedures would cost if done by NHS staff.
It's long because you kicked out all the doctors in 2016
@@cliffsofmoher4220 Brexit?
Your statement is factually incorrect.
I’ll be the first to say that Brexit is and always was a complete disaster but it contributed comparatively little towards the current situation.
This situation is caused by 15 years of Tory “leadership”
Shame on everyone who voted for them.
maybe don't shut the nhs down for two years the next time a cold is going round
He cannot and will not fix it since he doesn't want to. Like all Toxies, he wants to crush the NHS to the point where he can claim "it's broken beyond repair, unfortunately, we now HAVE to change to a private system." Hypocrisy at its best.
@Casper's Studio There is also a third way as Germany shows: They introduced their health system already back in 1883 and since then, employers and employees pay a part of the health insurance but it is not attached to the employer, it is rather used like the tax based system in the UK. Everybody gets free treatment and waiting lists are much shorter than in the UK where the Tories actively work to destroy the NHS.
just like our tories here in canada with our health system
@@PEdulis 100% AGREE I'm German and living in the UK since 1991. Toxxies want money🤑
The thing you're not taking into account is that they might actually want to fix the NHS, because it's basically the only action they can take to gain back some voter trust. Not delivering on that promise would be a political death sentence, and they know it.
I trust that they will try their hardest to actually solve the issue. They're assholes, but not idiots.
Good outcomes, but for the wrong reasons.
@@yrosan Have they EVER tried to fix ANYTHING for ordinary Brits? They rely on the power of the mass media who turn every failure into a victory and also on their usual lamenting like "we may not have achieved our goals BUT just imagine if Labour was in power, how disastrous things would THEN be!" And all the brainwashed tabloid readers will keep voting for them - at least that is what they hope for. No, they will not fix anything but keep breaking the NHS on purpose as they did for the past 14 years. The best evidence for that is how they deal with the current strikes. Any rational government would have come to some kind of deal with doctors and nurses but they do not even want to negotiate and rather try to turn the public against them - which apparently does not really work but they boxed themselves into a corner and can't find a way out any more.
I recently did an assignment on this for my Physiotherapy Masters degree. There's many many different reasons why the waiting list is long but the main ones I concluded were staff shortages due to low pay/being overworked, and also faulty IT systems really slowing down productivity. Yes COVID has played a part, but the waiting lists have generally been going up since 2013, well before COVID.
I've tried to exercise my right to choose where to get care and had it be denied recently, the NHS is in such a completely an utter mess its mind-blowing
It's really not that mind-blowing. The Tories keep cutting the NHS budget, because there would be more money it for them if healthcare was private like the US. That's it. That's the whole problem. These are empty promises from Sunak.
Which is exactly what the Tories have done their best to design. THEY WANT THE NHS TO FAIL, so they can make a mint off of health insurance. It was on purpose, and idiots will hand them what they want and destroy free healthcare in the UK.
@@jenxao1737you wouldn't want our style it sucks
Think who gets rich if the NHS is privatised. Also the US healthcare costs around £1500 per month for a family. BUPA is insurance which works with the NHS, so private healthcare in the UK without the NHS will not be £100 per month.
Right to choose has been eroded steadily for the past 15 years. Hospitals restrict their services to catchment areas
(they’re not supposed to do that with nationally commissioned services) but NHS England knows about it and does nothing to stop them.
There are patients who can see the bloody hospital from their bedroom window but can’t be referred there because it’s over the border of the borough. Instead they have to go miles in the other direction to a hospital with a longer waiting list.
Hospitals who play by the rules end up with more referrals, more demand and longer waiting lists.
The return of the post code lottery.
NHS won't get better until the Tories are kicked out of the government. Vote, people.
I'm sure The Conservatives (Red Version) will do an excellent job, especially when the shadow health sec is funded by private healthcare lobbyists
You're naïve if you think another party can fix this.
@@abuibuyou’re helping the Conservative Party if you give up on the idea that the opposition can do things better. Don’t be a lap dog for the Conservatives, they purposely don’t improve public services because it means they can make more money from private services. Supporting labour may not fix every single issue, but it certainly will lead to improvements in public services
@@jackscott4772 Jack, I can say the same thing about you being a lapdog for Labour. I have faith in Sunak given he's already reduced 18 month waiting lists by 90 percent.
If you genuinely think an entire party which keeps getting voted in by the public is always actively working against the interests of the public, then you're pretty brainwashed like I once was growing up.
It is an economic principle, a mathematical certainty, a law of nature if you will, that anything which is free will always be in greater demand than there is supply. Even the most cursory of readings of old newspapers, or the watching of old TV shows, will quickly show you there has been a shortage of staff, equipment, beds, and funding for the NHS since practically the very same day it was created.
Here in Australia, a Band 5 nurse is paid (converted) £42,433 vs £27,055 in the NHS, or 56.8% MORE!! Gees, I wonder why the NHS waiting list is so long.....
Not only that, getting more sun and better perceived lifestyle in Australia, but also better working conditions with strong unions. And in the state of Victoria and Queensland, we are actively recruiting overseas health professionals, including from the UK. And Victoria even offers relocation reimbursement of at least AU $10k (£5281).
Actually supporting the nurses is not feel-good claps. IT IS PAYING THEM.
By the way, I didn't even mention the 15.4% *ON TOP* of wages towards their individual retirement portfolio in Australia nor the insane overtime rates..... Gees, I wonder why even before COVID, the ER was full of Brits when I had to go into the hospital here in Australia (don't worry, I'm fine now).
It's simple. The NHS needs money. No amount of shuffling resources around is going to fix the NHS. Tax must go up to fund the NHS, but as much as people say how much they love the NHS, nobody wants to pay more tax. This has been the case for the last 12 years, people would always vote for tax cuts. The Tories only have to dangle more tax cuts like the proverbial carrot to win votes. YOU GET THE NHS YOU DESERVE.
Couple things:
1) people absolutely are willing to pay higher taxes for the NHS, the tories just want the NHS to fail to justify privatisation, so they won't allocate any money to it
2) the people in this country vote about 60% left wing, 30% right, and only our rigged voting system means the tories win even if very few people support them
It would help if tax money was spent effectively by actually having industry experts running the show instead of MP's that rotate like washing machine with a full load, a view point that doesn't reach past the end of their nose and about as much industry knowledge as the bricks their mansions are made of. I'm sure we could make the current tax funds go a hell of a lot further if it wasn't spent socialising the rich and spaffing away billions on crony contracts.
I know someone who has been waiting around 4 years for a small surgery, so I guess those wait times are for maybe some more critical surgeries only? It might be underselling the problem. And I'm also curious if the problem has been getting worse for a decade that it might be underselling again to blame it largely on a post Covid spike? Maybe some other factors have contributed significantly to the waiting list increase such as loss of staff related to Brexit, underfunding (leading to nurse's strikes)...?
Catch a plane to Thailand - sorted in 1 week
One of the NHS's book-keeping tricks is to do an intake appointment. This moves a person out of the official waiting list figures, because the figures are just for the first appointment.
At an intake appointment they give the patient a form to fill out by hand, and that's it. An absolute waste of everyone's time and resources as that's something the patient could do online, and is information the hospital will already have, but it does make the waiting list go down.
That means the person you know is probably not being counted on the waiting times figures.
@@alexandralillywhite5997 This is exactly what happened! She had a few consultations in person then got ghosted. Thanks for the information :)
I was told that I have to wait 3 years for my first appointment at my local mental health clinic (I live in Tayside btw). One year later, I turned up at the A&E and I finally got seen, but then I was told that ADHD and PTSD assessments and therapy will have to wait until the review appointment, and I'm still waiting for that. And the best part is that just a few weeks ago my GP said I'll have to wait for three years for the review appointment because of how seriously understaffed the Tayside mental health team is, and ESPECIALLY the ADHD department.
Im probably gonna be dead by the time there's finally someone that can see me...
self treatable. why are you so LAZY.
What is this the waiting list for? A lot of mental health wait lists can be 2-5 years
It's for a first appointment with someone in secondary care (i.e. not in your GP's surgery) so if you had an intake appointment, a triage appointment, or any other appointment, you're off the official wait list figures.
"basically no one is waiting more than 2 years"
unless you're trans.
laughs sadly in my partners 12 year surgery estimate time
Pretty sure that almost all of that 10,000 waiting over 18 months is trans, and has been waiting over 2 years too.
@@alexandralillywhite5997 You think the Tories care enough about trans people to even bother including them in their stats?
My heart goes out to all the people that despite having your leadership actively fight against you, you work to help people when they are at their most vulnerable regardless ♥Sunaks plan? Spit in the face of everyone actually doing something remotely productive in society as always - the Tory rule book. Its far from conservative at this point. Pull funding even more, blame the NHS itself whilst giving it no tools, support or funds to operate - forgetting that he's in the position to provide all those things. Then hail privatisation as the saviour whilst handing crony contracts to their neighbours to socialise the public purse for their rich mates, whilst making everyones lives objectively worse and putting people into a future of medical debt.
❤️❤️❤️ trust me, from working in the NHS myself, we’re all fed up and there’s not one person who approves I’ve met
@@gc31 Thank you for all you guys do, keep fighting the good fight ♥(although you shouldn't have to)
Mental healthcare waits are also abysmal. I’ve been waiting 28 months for a specific thing. And the choice policy doesn’t help at all when online one or two hospitals in the entire country have the specialised help for this specific thing.
It's simple, it needs more money. And that's perfectly reasonable as the UK spends relatively little on healthcare compared to similar high developed countries.
That “fewer people wait for 18months” and “nobody waiting 2+ years” is firstly untrue, and MOST DEFINITELY nothing positive. Nice try!
One of the main problem that nhs is facing is that, it is taking the role of a hotel while a patient is awaiting suitable accommodation after the treatment. Some times they wait for weeks and months for getting an accommodation that means one bed less for patient in the waiting list. After waiting in the hospital for a while they will get hospital acquired pneumonia and they will come back to the system again. And this become a Viscous circle
Where are the 40 NEW Hospitals the toxi Tories promised 🤔
'Long' is an understatement. Its awful, I waited 7 months for 1 letter from the NHS. Now Im going private. Im lucky I can just about afford it, others arent so lucky. My mother waited for an operation on her eye and they operated on the WRONG eye. The whole thing is a complete mess, very underfunded and not supported by our current government. MP's all use private health care, and are ashamed to admit it, its awful. Maybe if they all had to wait a year for treatment they'd start priorizing the NHS.
And so their plan is working. Force people into going private to justify their actions of stripping back the NHS, a self fullfilling prophecy of the upmost degeneracy. I'm not blaming you, you need the support and when it comes to medical, you absolutely needed to make that call. I just hate seeing their plan working when its so detremental to the future of the country.
Im assuming when you say no one is waiting more than 2 years that's just for surgiries?
ADHD, autism, trans are all 3 yea plus waits for specialist assesments (in the north of England atleast)
Trans waiting list is 82 months average in SW England rn
@@tinylittlebabybat yeah :/ Newcastle is 101 months lol
yeah I'm waiting for all three lol, currently 3 years into waiting in the worst case and 1 in the best (for autism)
I'm not sure about ADHD and autism, but the waiting list for trans people is 5-10 years atm. They're opening new clinics up across the country (at least 3, last time I checked) but I doubt it will reduce the waiting list to below 2 years...
Exactly my thought. I'm pretty sure there must be 10,000 trans people who've been on the list more than 18 months, most more than 2 years.
The UK government is a currency issuer, not a user. The only thing stopping them from properly funding public services is political will and ideology.
Are you willing to increase the taxes you pay or will you moan about cost of living?
@@jommydavi2197 This is the biggest operational misunderstanding of how the UK exchequer operates. Taxes don't find fiscal policy. Fiscal policy is funded ex nihilo, and taxes are issued after the fact to reduce purchasing power. Those taxes are levied without proper scrutiny as to how it will actually affect aggregate demand; it's just the lazy way of doing things. The current government should be putting some effort into doing the job they've been hired to do. They're not, and they're using tax revenues as an excuse.
Sunak was the Chancellor who presided over crippling the NHS.
If anyone thinks he can or will fix it, I’ve got a bridge in Brooklyn to sell you.
(PS - Tories are openly calling for all Brits to pay health insurance, even though we already do)
(PPS - Health insurance will cost everybody £400 a month EACH)
This is not true. I get insurance from my workplace, and I can see they pay smth around 40 pounds a month for my policy with Bupa which covers virtually everything.
@@vorong2ru That is the case because Health Insurance have discounts if your company pays for you, but if you are just a single person, you got way fewer upsides,
@@vorong2ru You're ignoring the fact that that money would be in your pocket instead of theirs if they effectively supported the NHS. You shouldn't have to be buying private, no one should. At the moment you're paying your taxes to fund a health care system that should be supporting you. But instead, they're taking your money and spaffing it away socialising the rich with crony contracts, then telling you the only way to fix it is then to spend more of your money to go to more of their mates. You shouldn't have to be buying your way out of a broken system. Get angry its broken and demand your existing tax money get spent properly funding the NHS.
One of my friends was told that they need to see a neurologist urgently or be paralysed from the waist down. Their waiting list is 90 weeks.
😮😮😮😮😮😮
Wish your friend the best
patients cannot shop around.
More and more hospitals are putting in geographic restrictions to block out of area referrals.
in London there are patients who cannot go to their nearest hospital because its over the border of their borough.
Guys and St Thomas
St Barts
Homerton
Kings Collage
UCLH
Chelsea and westminster
to name a few.
all have geographic restrictions in place to block referrals from neighbouring area's.
This only refers to England snd Wales not Scotland and NI. You should have mentioned this.
I'm still waiting for my referal for an endochronologist appointment to come through
About 10% of the people who had been waiting for care longer than 18 months at the height were trans people at a handful of clinics. Before the pandemic they were the majority of people who had been on wait lists longer than 18 months, and are again the vast majority of the 10,000 remaining over 18 months (assuming the numbers are correct, it's close to 100%). Many will still wait more than several years, and years longer before seeing a specialist or receiving treatment. In other countries, the majority of trans healthcare is undertaken by primary care, but here it's pushed to expensive secondary care in order to prevent trans people from accessing healthcare.
On the claim that "basically nobody is waiting two years", I actually choked for a moment there. The time that trans people are waiting is averaging over 4 years, with the Exeter clinic averaging a shade under 7. This means the majority of people who have been waiting longer than 18 months, have also been waiting longer than 2 years.
Ask any trans person who is on the waiting list how long it's been, most will say over 2 years. This isn't a secret as the NHS was recently taken to court over this.
If Sunak wanted to slash that number waiting over 18 months, all he'd have to do is ask GPs to treat their trans patients. A shade under 100% of people who are on that wait list will go on to have the treatment, and HRT is something GPs prescribe routinely to their non-trans (cis) patients to the point that HRT is expected to be available over the counter at pharmacies; this would both save the NHS money and cut the wait list. Win-win.
At the moment, GPs won't prescribe the treatment unless the patient has an NHS diagnosis, so many people on that 2years+ wait list have already gotten a diagnosis and treatment privately.
As a note, without an NHS diagnosis *and* treatment, it is near impossible to get a Gender Recognition Certificate. This does mean that there is a political motivation to not address this wait list, as it also means reducing the number of trans people able to get legal recognition.
Edit: You don't even need to ask around, there are several trans people just in the comments here pointing out that they, themselves, (including me) have been on a wait list longer than 2 years.
Shouldn't the waiting list be nationally integrated and not hospital dependent? The patient getting the first slot in whatever hospital in their region unless there is a specific reason they cannot travel?
That would be the most efficient.
The latest NHS vacancy statistics found that the total number of vacancies in September 2022 was 133,446, a vacancy rate of 9.7%. This represented an increase from the previous year, when the number of vacancies was 103,809 and the vacancy rate 7.9%.
This may only help achieve a more evenly distributed waiting time.
Assuming that all clinics are working at their full capacity, it will not improve the average time to receive treatment as the throughput will remain the same.
The fact that the waiting list is still growing is a clear signal that the throughput of the NHS is not enough.
From what ive seen the numbers are being manipulated by giving people "first appointments" so then technically that have been seen and are now reffed over to the new place but still have a 100month wait for care.
Wish more Americans would watch this to understand free healthcare has major problems too.
This American is definitely watching and taking notes
It's not free, it's paid for by working people via taxes almost their whole lives, people in their sixties some of whom are still paying have paid for 40 plus years
The issue goes beyond NHS funding. Our overweight and obese society is massively accountable as well.
Really takes 8 minutes to say "tories"?
Congratulations on your recognition 👌
Govt should increase Doctors , Nurses & Health care staff pay if they genuinely think they want to make difference , otherwise Unsatisfied staff , underpaid staff this strategy wont work at all
I have been a nurse for over 10 years and worked in elective and emergency surgery. I had enough and looking to leave since I feel undervalued, overworked. I will only add to the problem by leaving is the only option I have left.
But, they rig the numbers by only declaring the number of people waiting for the first specialist appointment.
People need to complete the first appointment, attend diagnostics and get a follow-up appointment before they can get surgery.
This measure of allowing patients to choose their hospital is basically gilding a turd, unfortunately. It is quite abhorent that nearly 10% of the population is awaiting treatment at any time... 1 in 10 people! That is really the number to focus on. And that graph at 2:10 is very telling: that this number has only increased over 10 years. I wonder what it looks like going further back. The NHS is bloated with inefficiencies, and constantly being hamstrung by cuts. It has way too many politicians and ineffective managers making decisions with little knowledge of healthcare. This graph also doesn't weigh in on the suffering inflicted on hundred of thousands of people from cuts to social care. And this current government's PR campaing to distract from the sad fact that they are responsible for the current state of affairs is not fooling anyone.
Oh, you've been offered three hospital options, each more than an hour's drive away but you've got no car? Patient refused treatment, off the waiting list, problem solved.
Accurate. There is only one NHS hospital within an hour's travel of me, two within an hour's drive.
Only if “Fix” means prepare for sale.
Congratulations for becoming casual guests at N10 TLDR!!!
Sunak and Barclay - pay us properly and there will be more of an incentive to reduce the waiting list… along with all the other benefits of fair pay for us doctors, nurses and all other NHS staff!
I've got several family members who work in different parts of the NHS and I get the sense theres not nearly as much passion about it as there used to be, at least from an employee standpoint.
It's like the NHS was run on 'good-faith' in the early 2000s, my family loved working there because it felt like they were helping in an efficient , tangible way. Now they all seem so disenfranchised, with their wages shrinking - higher ups getting bigger and bigger wages, and a less understanding public due to wait times. It's pretty sad to think about but all the issues seem very big and I don't think any one PM can change it
i got a procedure in less than a months wait. i was seriously impressed tbh
The NHS is no longer fit for purpose. The interesting thing about using the private sector to help with the waiting lists, is the consultants you will see are NHS doctors anyway. It is a crazy system, making these consultants very rich by working part in the NHS on a full salary and the other part in the private sector.
Extreme form of capitalism
My only "to be fair..." on this, is that I tried to get a referral to a private clinic for persistent respiratory illness, and I couldn't get an appointment anywhere privately because they were all tied up in their NHS practices.
This being said... one of the worst offenders for wait times is in the gender identity clinics for trans people (most of that 10,000 waiting longer than 18 months is trans people, most of who will wait longer than 5 years and were referred before the pandemic).
Not only do the NHS specialists run private clinics instead of getting the wait time down, they also file GMC complaints against any non-NHS specialists who run private clinics for treating trans people, along with NHS GPs who treat trans people as well.
And in terms of being a money spinner, we're talking them charging thousands for about 2hrs work, a prescription that costs pennies, and a standard blood test.
Except thats not how it works. If you work part time in the NHS you earn a part time salary. If you work full time in the NHS you earn a full time salary. If you want to work in the private sector whilst holding a substantive NHS consultant position you must work your full NHS contracted hours plus an additionally 4 weekly hours on top before you are able to do private work. The NHS and public do not own doctors and do not dictate what a doctor does in their free time.
My GP never offered me any options and I've tried to alter my appointment before, only to be told that only the allocated hospital offers that service.
Because the NHS staff aren’t happy with the pay and are quitting! Many of these are past migrants that are doctors who replaced British doctors who quit before because of the same reason and our population is getting larger but our economy isn’t.
It’s not just the NHS that’s on strike because of this government
Let's have more UK doctors and nurses trained.
I agree but the pay rate is too low especially during cost of living crisis so they won’t hence why this government want these migrants for cheap labour but what’s it doing to British people and our nation ?
They aim for 18 weeks? That's ridiculous.
He does not want to.
No one waiting more than two years, simply not true. My Mother fell and broke her arm over five years ago. The first surgery was botched, leaving her with plates and bolts floating around and requiring their removal some months later. Two more surgeries, each more complicated than the last by the deterioration in her condition resulting from the delays in treatment. She has now been waiting more than 18 months since even the last unsuccessful operation, to have a complete new artificial elbow joint put in, the elbow having now deteriorated so badly. She remains in constant pain and has seen her quality of life completely destroyed, but even after two formal complaint procedures the NHS give every impression that they are simply waiting for her death to get her of the waiting list, at 92 years of age, they may not have to wait much longer!
Why not revert back to the old system pre 2014? The primary care was perfect and they're suffering with the backlog. I can't even book a meeting with a gp without waiting 4 weeks
All part of the plan. NHS isn't even the nhs anymore and you will all find out by watching dr bob gill on here. The tories have got private companies sitting on boards called integrated care systems or managed care and they control the budget's for 42 area's. Tories are deskilling the workforce. Getting rid of the ones that work hard because I work in the nhs and I've noticed. They are using point based value based questions and most of the time most of the staff make up a load of tosh, get the job and they can't even do the job or they end up off all the time or working from home which is also ridiculous because some staff will take the lend. No focus on skills or productivity. Just corporate values.
Our reporting has not been influenced by this access accompanied by a video of chumming it up with tories is peak late stage capitalism
Nobody is waiting 2 years? TWO YEARS!???!??!??! That shouldn't even be a cetagory!!
No. Next question.
Rather strange: I've been dealing with a hiatus hernia for a couple years so it's only been a bit painful until now. Since I alerted the NHS to my hernia a couple weeks ago, I've already been referred and I'm going for my assessment for my surgery next month. Not sure how long it'll take to actually have the surgery but it was definitely shorter than I thought to be referred to a specialist.
Just for reference; I'm a male in his 30s with no pre-existing conditions.
Hi, I’m 40 & live in Edinburgh I’ve got a hernia in my groin. I play bagpipes for a living so went to see my gp day 1 & was referred to hospital as an urgent. I’ve been told min of 1year to be seen. I called spire/ bupa 3weeks
It feels like they try to make the NHS system difficult and long waits to slowly move everything to private care (see dentists)
Nobody is waiting more than 2+ years? And here I am still waiting for now over 3 years for my operation
Isn't counted in those figures. Tl;Dr missed out an extremely important caveat on those numbers:
It only includes the wait list between GP referral, and a first appointment in secondary care. Not between referral and treatment, or even between referral *for* treatment and treatment.
@@alexandralillywhite5997 Oh so does that mean between referral and consultation? For me that was nearly two year and not long had my third consultation as the others "ran out" in the hospitals words
Not going to get any better. UK diets are very poor especially compared to the Mediterranean diet many Europeans eat. With the UK’s deregulation of food standards dropping it is likely that chronic illness will become more previous in the UK.
In Canada, they have a another option, and it's "quick".
I'm waiting on a neurology appointment to see if I might have MS (won't list all my symptoms and bore you but I've lost some basic functions as one issue) I've been waiting 5 months so far. Apparently could be waiting over a year... and all I blame is our government. If they funded things better and didn't actively work against free at point of care healthcare because they want to privatise and gain more money for themsleves,then the NHS wouldn't be in this state.
Focusing solely on patients already on the list, all energy being on getting the numbers down, is what has caused the situation in North Yorkshire, where you cannot be referred for an NHS autism diagnosis as an adult unless you are suicidal or in the middle of a court case. People who were already in the process of getting a referral from their GP, people who try to contact their GP about getting a referral, are still waiting, still in need; but the system says no, because they don't want the *number* on their list to go up
Here's my plan: Vote out the Tories.
Well, I've been trying to contact my GP for 2 months straight, every Monday and Friday. I never got through the receptionist. If i come in person they tell me to call since they have a call book in system. When i call, i am in line of callers until it disconnects... My issue is not urgent and can be solved relatively easily. In about a year it will become an actual issue. I bet that I'll just have to wait for it to become serious and then go to emergency...
What good is being willing to travel 30 minutes for other hospitals when in our town the hospital was turned into a downgraded a+e and we must travel over 30 minutes to another town anyway.
I see that the intention of free choice is to try to move demand to where it can be met, but why can't this process be centralised? This is far easier that putting this responsibility on already ill and struggling people.
The figures are a lie. My partner is waiting to get on the waiting list. Disgusting
Been waiting for 5 years for my treatment, doctor denied my private diagnosis, put me back on the waiting list for diagnosis, and it’s looking like 8 years of waiting before I get any treatment
This would be a great way to reduce NHS wait times - accept a private diagnosis.
perhaps you should open up the NHS for IMG a little more. I would love to work there, since here in Argentina things are going to get rough.
He has no intention of trying to fix the NHS ...
The answer is No
I want to refute the claim that basically no-one is waiting more than 2 years for healthcare, I'm already 3 years into my wait for gender affirming care from the NHS and am expected to be waiting for a good number more, I am not unique in this case. Thousands of trans people across the UK are still in medical limbo waiting sometimes upwards of a decade for life saving healthcare. I would NOT consider that basically no-one.
The numbers from the end of *2019* was 13,500, and many of them are still waiting. Along with nearly everyone else referred since. So the number of 10,000 waiting more than 18 months must be almost entirely trans people, most of which have been waiting more than 2 years.
I'm truly not trying to gloat here, but I would like to share this perspective with my friends across the pond - The feeling of shock you get when you read something about healthcare costs in the US is how I feel hearing how long you have to wait in the UK. The idea of having a bum knee for over a year while waiting for surgery astounds me.
I'm still waiting for even a first appointment! I have another 2 and a half years to go and that's on top of the 2 years and 6 months I've already spent on a list
Personally they should just bring it back to the beevan model, and do what the labour party shouldve done and turned the hospitals into worker coops.
what govt should do is empower patient to have more options to help themselve, rather than shut off all the doors and force patient to queue up for NHS.
Sure waiting list are down, still in my 5 years waiting list for a first appointement with a specialist then more yeah to receive treatments
TLDR say they are not biased to any political movement. But being an English company, they follow the bias against Wales. Ignoring them, no videos regarding the fall of Adam Price, former leader of Plaid Cymru and who may or may not succeeded him. Or the Betsi Cadwaladr University Health Board events.
that's noting. in Portugal I waited more than 4 years.
pls make the process of taking the plab easier and more accessible for foreign-trained doctors.
How about not having Richard Meddings be the chairman of NHS considering he is a *disgraced banker* from Credit Suisse - arguably one of the most disgraced banks? What a joke.
lt's like asking if Dianne Abbott can count to ten expecting Sunak to repair the NHS . Of course he can't . With he's track record as PM he'll probably make it worse .
Sunak couldn't wipe his own arse without an Haynes manual explaining how to do it
"18 weeks, 18 months.. that's all just semantics.." - Sunak, probably.
A huge question missed off - are the alternatives with the NHS or private?
It's not a big leap to have 5 locations listed and be told 'this place will see you 3 months earlier than all the rest, but it is private' pushing you in that direction. A simple click away from showing the patient a full blown advertisement with all the pros and diretly endorsed from your GP.
Or better still, using NHS funds to actively subsidise the private companies if they are selected without even telling the patient.
People funnelled into private, more investment into private, less for the NHS, staff forced to move to private, even longer waiting lists under NHS. Private gets bigger and bigger, costs start to creep up.... because private.
Nope; no one can with the current funding model and the attitudes of a big chunk of the UK public.
It's "good news no one is waiting more than 2 years" you say, you having a laugh....
No, but he will help destroy it and then sell it and privatise it. It’ll be just like in the USA
Please make a video about the cancellation of international students dependent visas
I will say Tldr. When you say basically no one is waiting over 2 years. There are so so many people on the waiting list for gender identity clinics that have waits that go for years. I signed onto them in 2018 with a 2 year wait. I only just got a phone call for them a couple weeks ago in 2023. places like the Sheffield clinic clearly show above 2 year wait times. Sheffield's clinic is only just onto their may referals from 2018. SO for context. There are a lot of people on the nhs waiting list with higher than 2 year waits
But if they say that then Rishi won’t invite them back and then they can’t get the warm fuzzy feeling of being “important”
This isn't a bad strategy to get started. If you can't increase capacity, increase efficiency.
Increasing capacity should also be a priority, but it takes a lot longer and costs a lot more, so it's got to be long term and it will be a while before any results begin to show up
Inefficiency isn't the problem with the NHS. Healthcare in general has these problems. The private healthcare system isn't faster because its more efficient, its just less overburdened than the nhs. Private hospitals in the uk often have more outdated systems than the nhs. Capacity is the main problem in the nhs.
@@ozzya9977 I don't see how this is in conflict with what I said at all
I like the idea of the NHS. But it is shameful people have to suffer in pain unless their ailment makes them bedridden. Like my in-laws knee. Same with an uncomfortable bump on my head. Apparently, because it isn't likely to kill me (yet) I can't be put on the waiting list to have it removed
i feel like sunak is a much more mature and proper prime minister than boris or theresa, but its too little too late.
Aiming for 18 weeks? That is absolutely insane
I'm on a 3 year waiting list. Its tough to believe that this isn't massively influenced by the government. Just because its not my experience doesn't mean its complete bollocks, but I'm gonna have to find the statistic behind "basically no-one is waiting over 2 years"
what is your issue for referral if you dont mind me asking?
@@wentoneisendon6502 I do I'm afraid. I would have included in my original comment if I wanted to. I presumed the lack of it would suggest I didn't want to disclose my health issues online.
@@CrazyBusDriverDave it's anonymous but okay