I worked in the NHS for years. Managers came in and restructured the departments, it went full circle. Even if we said ‘this is what it was like 4 years ago and it didn’t work then’ they went ahead and did it anyway. The managers were out for promotion and circled around the NHS doing different jobs. No one stayed to be accountable for the changes, except the medics and the staff on the ground. Same in government, they don’t stay long enough to fix their mess
I totally agree. This is exactly the point that some people on this site, most probably NHS Managers, are missing. Also not to confuse these with Admin and Clerical staff who are underpaid and all too often undervalued.
But didn’t the government ensure that profit was an element by creating Trusts? Dame Jenny Harries too has been well rewarded for her complicity in Johnson’s chaotic COVID handling (who can forget her laughable assertion ‘the NHS is an exemplar of preparedness’ even when she was fully aware that Hunt had ignored the findings of the Cygnus Report and there were not even enough basics) Fast forward to the shocking tales of money grabbing and the bottomless pit of millions dished out to all and sundry via the VIP lane, plus the cost of storing unusable PPE. Blame not those working in the NHS but the cabal of charlatans in control of funding.
I went to ER a few months ago, there were around 12 people or so where I waited, NOBODY was looked at for over 7 hours (from around 11pm till the morning) after being triage'd, including 2 people who were in beds and clearly agonizing, the nurses and 2 doctors kept walking in and out of some room, went on breaks (shouted to each other that they were), came back, were checking their phones, left the room doors open and sat around, I ended up being seen at around 9am but had to be taken private later that day so I can get the care I needed. I don't know whose fault it was but whoever is managing is doing a joke of a job.
Guess why this is happening ? Public services are a huge profit opportunity ! Corrupting them to make it look like they are failing, in hopes that will give enough reasons to turn them into for-profit commercial entities instead of government-funded endeavors makes a lot of sense! Capitalism is turning malignant
Bought out Narcissists run a gang at the top just like in Westminster and the Welsh and Scottish Assemblies and of course London Manchester and West Yorkshire where you have an elected mayor's post
Our government wants private companies to replace all our public institutions and this includes the NHS. We need a government that values public service more than private profit.
It's all about choices, British public prefers capitalism the best system that money can buy. Public services???? Oh now, that's communism, nobody wants that!
@@JeffHall-dd3cl No thanks. I've lived in both countries, used their systems extensively (as well as other European systems). Be careful what you wish for.
The Tories have been in power for over 40 years in last decades. If they really wanted to privatise it they would have done it decades ago. Furthermore, semi privatised healthcare is normal in Europe and we aren't hearing the utter Armageddon that so-called leftists say it would happen. In fact these countries have much lower waiting times, better quality of care and better value for money.
I am a Veterinarian in the US who owns a small hospital and who is doing my best to practice genuinely exceptional cost effective medicine and surgery. Veterinary Hospitals have gone about 85% (and increasing) corporately owned. I believe you can literally witness how all the issues that developed in human medicine occurred by watching the same current evolution in Veterinary Medicine. Non-doctor management takes over, revenue generation far outweighs the priority of patient care in everything said and done, the doctors w genuine morals who speak truth to power are removed from the system and it all becomes just a psychopathic sales pitch to the parasites whom plundered and conquered the true healers with the only intent of turning it into a sacrificial cash cow. It has been hard to see my once great profession willingly shackle themselves and become bribed pawns for the licenses they possess to exploit others.
This is also true in the UK, fly-by-night, seeking only a short-term profit investors have taken over more than half the vet practices in the UK and Netherlands now. I am privileged to have an independent vet still, but his books are full. Recent worldwide experiences have opened people's eyes to the criminal influence business now has over the medical and veterinary professions. Not only that but also the regulators of these professions - who should be independent - many are now almost completely funded by pharmaceutical companies. Also the leading journals have also fallen foul to their pernicious influence. And what have governments done? Stood by, watched and pocketed their share of the silver, and now allowing the WHO (funded in the same way) to creep their influence further into our lives. I really do not know what ordinary people can do.
Managers are the issue everywhere; mostly talentless with no one to check them they pay themselves top dollar and phase everyone else's say out bit by bit.
I live in North London and I witnessed how independent vets are falling one after one getting hovered by corps vets. Prices has ridiculously increased. Customer service has go down , its embarrassing how they treat us nowadays, barely time to speak to you but the money they take it straight away...
Sanjay, as a fellow consultant of many years experience, I totally agree, not only rotation of incompetent politicians but also the myriad of NHS managers who have proliferated over recent decades. Aside from there being three or more to change a lightbulb, they’re in post for 18 months then moved to the next level of questionable competence, in another speciality. They feel compelled to make their mark and will change perfectly working processes - if it ain’t bust they’ll fix it. When they fail, their record is wiped clean, no accountability. Cull cost consuming ‘managment’ and we might well see significant improvement.
The name escapes me but during the 1980s, the conservative government put a chairman with a dreadful business record in charge of British Rail. As predicted, he made a terrible mess and it gave the Tories the excuse to tell the public that state ownership wasn't working and that it was time to privatise the railway industry. It's an old Tory trick.
What do you make of "NHS managers make up circa 2 per cent of the workforce compared to 9.5 cent of the UK workforce." [I work in the NHS and while I have no lack of frustration with my own managers, I have been in quite a few places in the private sector where it was much worse. To be honest, when I hear things like your comment coming from doctors and staff who have likely never worked outside of the NHS in this country, I feel quite a lot of the management bashing comes down to being quite sheltered and having little to no experience of private sector management. People give these views too much weight too as if being a medical authority makes you an organisational authority, it doesn't. Of course you are likely to have a good level of insight into the running of the place you work, but that's not the equivalent. A manager would not become a doctor from sitting at a desk in a 6 bed ward room, vice versa applies.
My sister is having cancer treatment for tongue and neck and the administration is terrible with bookings for her daily treatment clashing. She was given mouth wash & spray and it burnt her mouth as she is allergic to NSAIDs and has to tell the medics each week as the software doesn’t update. She has not been able to eat for 9 days as it is like eating red hot glass. She has a stomach tube which should have only been used as last resort & has fortified drinks but is hungry, in pain and angry, all because the nurse didn’t read her notes.
My BIL was the CEO of a hospital in the south of England for three years. The stress nearly killed him. He left the hospital financially in the black and was replaced by a woman who brought in management consultants at a cost of millions and within a year the hospital was in the red.
Leading a healthy life doesn't necessarily mean no health problems and with 20% of the population already living in poverty how many do think will be able to afford the 1000 pounds a month that health care insurance will cost
The problem is management where there are too many managers and less operational staff. The managers are more than the nurses and care staff. It is such a mess. The salaries to nurses and carers who burn themselves out and work tirelessly are a mockery. There should be a job evaluation where everyone employed in the NHS should show what they do and whether they should be there in the first place. 70 % of management shouldn't be there in the first place. The managers have been given titles and they enjoy hefty perks for doing nothing. What does a bed manager do? Why continue to destroy the ailing health system. It's sad because millions continue to hoard medicines they do not use. Why should patients be given paracetamol, ibuprofen and other meds which can be bought cheaper over the counter. The politicians and leaders are benefiting from it all. Shame on us. What if people start paying for the health care? An obese patient does not need a scooter but dietary and lifestyle advice. The whole system is a mess
This is very, very sad, but true. I'm 66 and I remember how well the NHS looked after my diabetic mother, for all of her life. But the decline is there for all to see. The NHS has been deliberately and consistently run down by this government and I'm sad to say that I can't see it ever being saved. We are heading for dreadful times, where the rich survive and the poor die. Thank you, Dr Sanjay for all you do.
They've been saying the same since the 1960s about the elderly, in those days, our population was far smaller,. and we had huge wards with the elderly in them. Apart from that they stayed in hospital longer and then could go and stay at a convalescent home for operative recovery time that we don't have anymore. People would go to those lovely convalescent homes in the countryside to recuperate for at least 6-8 weeks. ICU units were much larger too, if our senior retired nurses are to be believed. The last time that the Labour party were in power, Tony Blair laid off 8,000 doctors, which is probably why we ended up having so many locums. I knew about the 1960s because a man that worked in the NHS, had collected old newspaper clippings and showed them to us at an evening event. Most people aren't aware that in the 80s, we had nearly 2/3rds more of the beds that we have now. It doesn't really make much difference who the minister for health is when you have N.I.C.E. NHS England, and other stakeholders involved in running the NHS. It was the Labour party that put in loads of quango's the last time they were in office, their intention was to find out what was happening in the NHS, so that they could privatise some of it afterwards. There were also the building contracts and debts that the Labour party got the NHS into. Basically, the Labour party did what the World Bank does to developing countries, making sure that they're always in debt. I will give you an example of bed space. My son was born in a maternity hospital with 35 beds in 1983. They decided to move maternity to the main hospital and in so doing sell off a prime site for property development. How many beds did they replace the 35 bed maternity hospital with? 11. Just 11 beds, for the fastest growing town in Europe. Because we only now have 11 beds, sometimes women have to go out of the county to another county to give birth, atrocious state of affairs. I heard that the ICU unit had been reduced to 4 beds. When in the 80s, there would have been whole wards that were larger than modern day wards. I agree with senior retired nurses, bring back the matron, train the nurses on the wards like we used to do. Let the medical professionals run the hospitals. If the NHS is doomed, it is more likely because too many medical professionals just followed orders, instead of saying NO, I will not comply. Just accepting orders was no excuse during the Nuremberg trials.
I remember the 60s, & family doctors, GPs, along with convalescent & nursing homes. I remember the 70s too. It’s been severely downhill ever since. More money does nothing. The concept & culture are wrong…along with ACCOUNTABILITY.
@@telephassarose3501 Indeed, the NHS doesn't like whistleblowers and nor does the BMA. It was the BMA that was threatening the coroners with legal action if they didn't do what the BMA told them to do during the plandemic. In the 80s, our GP at the time was still visiting us at home. She came out to visit my baby when he had croup. GPs knew their patients much better in those days. Agree with you on accountability. NHS staff should not have to live under threats from the BMA, NHS bosses or anyone else.
Exactly, well said. Let doctors be physicians and not like lame insurance agents that reject all the medical claims. I don’t know if we are actually living in the world of reality but I am sure it’s far away from what we intend. My say is that doctors should be champions of patient care and not policy protectors. If the policies are harming the patient, don’t implement them.
Government wants it to fail like they want all common health care to fail. The U.S. is an example of what they want, which is people having to mortgage everything they have just for simple medical care, i.e.) to become broke & broken and that would be the poor and aged on a basic income. It's being talked about in Canada. I moved to Canada in 1984 & I have never paid for anything but a pair of crutches. I had my child and received no bill and I stayed there for a week while my baby, who had jaundice stayed under the light; a whole week. Call it what you will, but I have no problem with part of my taxes going to pay for the care of all Canadians. And, I don't care if I have to wait 5 hours. I would rather that than to go into major debt and lose everything. They've been twisting the narrative for while now, creating exagerrations and lies about care, even creating those problems on purpose in order to get Canadians to beg for something they'll eventually regret, unless you're rich.
As a 65 year old retired UK GP whilst I loved my job, albeit in the old style of truly being a family doctor, through my career I saw all of the issues you refer to. But I also feel there are even deeper issues. When the NHS was set up the belief at the time was that the NHS would improve the health of the nation; the politicians even thought demand would decrease after everyone had been treated / "cured". As a result they even got the name of the organisation wrong - it should have been called the National Sickness Service (NSS). The name of an organisation can be akin to a mission statement and can have a big impact on the culture of the organisation and those it serves. Because of its name, the NHS, the public was lead to believe that whatever illness they developed the NHS would swoop in like Superman wearing his (or her) underpants on the outside, and 'put them right'. This concept is simply upside-down and I believe it has actually resulted in a lot of the health problems that are swamping the NHS today. The glamorisation of medicine and the medical profession, partly the fault of the profession itself, began to emerge in the 1960s & 70s with heart, kidney and liver transplants being hailed as simple human 'parts replacement' medical miracles. Having cared for numerous organ transplant patients that is a massive over simplification. We need a complete paradigm shift and a new social compact (~'contract') between the 'Health' Service, the medical profession and the public. Only then can a total re-design of healthcare and the way it is delivered begin. The time for re-arranging the deck-chairs should have ended decades ago, but it is beyond urgent now as the whole system is sinking fast. I believe that truly innovative thinking and highly competent leadership could still rescue the situation and lead to the transformation required. A CEO with the talent of those leading the top 3 or 5 companies in the world is required and justified as the NHS is the second biggest employer on the planet, employing 1.4 million people, 2nd only to the People's Liberation Army (PLA) of China.
What would you suggest? Part private and small monthly contributions by the public. I thought we had that with NI however it seems to work that way in some countries. Surely the devil is getting Insurance companies involved and of course management consultants.
CEOs from industry would not be good. Current 'vulture' capitalism is merely assett stripping and personel jettisoning designed so the CEO can look like they are achieving shortly before they take their overinflated pay and gargantuan bonuses and run to be replaced with more of the same as the industry goes down the pan. It needs people with a medical background who understand how it used to work when it was functional. Only once money, stable staffing and removal of greedy private elements have been achieved can we long term plan for a stable sustainable future service. Privatised public services have been a total disaster they are more inefficient, more expensive and dont honour their contracts to maintain and update infrastructure and are just broken apart to provide a means of gaining loans that are paid out as bonuses to bosses and shareholders. Private healthcare based on the USA model is also a disaster unless you like death or the loss of your home.
I'm glad a retired doctor has spoken on this,,,,ill tell you why,,we are very good friends with a also retired doctor who left after 35 years service,,,when he first applied for his position at our local surgery he said there were over 100 applicants,,,when he was leaving and advertised for a doctor to replace him ""Not one single person applied """ the position was open for over a year,,,nobody took his place,,,Not one....Now unfortunately the local surgery is staffed by ALL locums not one single local doctor now....As for funding the NHS it has had MORE money poured into it than ALL the other institutions like Education like Prisons etc than combined...My son who spent 5 years training to be an accountant (ATT Trained) could run the NHS better than the clowns who are in now....
I worked in sterile services on a zero hour contract whilst at uni. One day I went in to work and I was the only person in the room (doing the same job as everyone else) who wasn’t a team leader. There were six of us. A private company was brought in to save money. It didn’t take a genius to figure out where money was being wasted.
There is definitely a bit of an insular bubble mentality at the NHS. In my department some people genuinely think they have it hard if they have to do four ECGs in an afternoon and seem to resent every time they have to leave the office. It's this attitude that's killing the service, not a lack of funding.
My respect and admiration for your honest assessment is great. History has proven that the biggest cancer in the NHS is the bureaucratic structure that runs it. Health should be run by the most compitent and dedicated health professionals available, as they fully understand and comprehend the actual demands, plus the dynamics that are at play. It is far too easy for the bureaucrats to undermine the system as they cause such an incredible financial demand on the finances. Thank you for the refreshing opinion. I can feel hope that someone might respond to your words and thus initiate action.
You clearly haven't dealt with the incompetent medical staff employed throughout. BBC recently had an article up saying "teenagers - you are putting lives at risk by doing your parent's nursing qualifications for them". The medical care is appalling - like my friend with advanced AIDS (i.e. no immune system) put on a general ward, his bed just 3 feet away from someone with a highly contagious condition. When the medical staff decided to transfer him to another hospital, it was middle of January, snowing and they left us outside in the snow for 40 mins waiting for an ambulance, my dying friend in just a pair of pyjamas. They transferred him to another hospital, where the specialist he was to see was on holiday for 3 weeks. This was 18 years ago. NHS medical staff now routinely hide charts/medicine data to stop the family from checking to see the condition of loved ones. My friend was being missed during prescription rounds. I could go on and on about cancers, stomach ulcers, ruptured intestines, heart problems, schizophrenia -- all cases where the NHS medical treatment was appalling. In all those cases the person died. It's easy to blame the managers when you all have a fetish for the god-complex medics.
@@Everest_Climber Staff performance comes down to appropriate and good management of those staff. Staff also must be respected and suitably rewarded for their good work and commitment. However, insentives must be provided for high performance rating workers and wages must be adequate. Wastage must be monitored through proper accountable monitoring of all expenditure items. There are far too many administrators and not enough highly qualified worker, plus staff having to work too many hours. Easy fix. 😁
The revolving door as it is known ensures the needs of the corporate lobbyist including phama are met and the MPs are rewarded handsomely as a result. State Corruption is bleeding this country dry and when there is nothing left these parasitic people will continue with their lives with no remorse. Accountability is a rare feature in the public sector for these people who don't understand what it means to have pride in their work.
Back in the 1990’s I worked on theNHS “internal market” at KPMG. The NHS was structured to enable Fundholders (GP’s) to shop around for services by providers (hospitals) and the theory was that providers would become much more efficient in delivering services. This model failed because the GP’s didn’t play ball. However we still have the same structure, 100’s of trusts, clinical commissioning groups and the old regional health authorities to boot. Each having Chief Executives, administrators, HR departments and middle managers. Only one in four employees of the NHS deliver some kind of medical treatment, the rest are mostly barnacles that add no value. We need to restructure our NHS, cut out the administrative staff and pay our Doctors and Nurses a decent wage.
@@Trylobyte They simply didn’t support a market system for health. They had spent years referring to the same hospitals and consultants and were not prepared to change to a system where you would ring round for the “best price”. I would suggest this is not about whether your head is screwed on or not but rather a Political view, caring professionals are less likely to support free market economics. In 1995 even the John Major Tory Government said collaboration and not competition was the best approach to health care echoing the BMA. I agree.
God bless you. Finally someone with sense. Remove these operational middle managers. We need more feet on the ground and try to do the hard work. Pay staff a livable wage and maybe they would look for another higher paid job in a different country
Utter rubbish! The immigrants are younger, healthier and paying more tax than those who were here. The issue is that tax is being pilfered off by the richest Tory cronies and oligarchs.
@@KD-fh1on The Tories have ruined the country in the past 14 years there is no doubt. However immigrants aren't a benefit when they're coming in with the sheer numbers they are today. Our services cannot catch up... It takes many years to train doctors and nurses, but in one year a million immigrants alone came in. So that isn't a benefit for the people here and over 50 percent of social housing now is purely given to immigrants now. So how is that a benefit? Immigration is a benefit when it is 50K a year, not 1 million. Our native population is dying because they've been replaced, they're not having kids now because they cannot get housing thanks to immigration and their wages are static thanks to immigration. Why would companies pay you more if they can hire someone else for cheaper? I hate the argument "well if an immigrant can do your job, you must be stupid".... So you're racist now too? People coming here from Africa cannot be as smart as us? All the problems we have today is purely based on how fast our population is growing beyond our capacity. Increased tax is purely because the government has to pay for the catch up and it cannot catch up, which is why it's all failing.
100% correct. It isn’t just the NHS. In government, failure is rewarded. Anyone who is a doer won’t get a job because to be a doer you’d have to upset people
Do away with private healthcare and it would soon be fixed, if our movers and shakers have our healthcare and stand in line with the rest of us it’ll be sorted. The Royal family should lead the way with this instead of going private.
That is what wrong with the country we are all accountable but those at the top taking large salaries and pensions mess up get knighthoods for failing with no accountability - case in point the post office scandal
Exactly what nepotism and cronyism brings in. The people in Westminster don't have the same problems we have and they live in a bubble where they think they're better than us. Nothing will change until we change the people we elect.
Starts by changing the way you get to run, currently you just pay a fee, on average all in for your campaign it ends up costing 30k+. To fix it this needs to stop, no more deciding to run for office and paying a fee. Instead we should be taking nominations all year round for the best people in our local communities and at election time the top so many get the opportunity to put forward a manifesto, they are all given the same press coverage etc, and we then hold a traditional vote on who we'd like to see in office. Two party system replaced with good folk who have good ideas would do our nation so much good, but it could harm big business.
So sorry that must be incredibly frustrating . Thank you for your skill and care during this difficult these extremely difficult times . As someone who is 67 my hope is we can embrace quality over quantity in health and build a palliative care model and stop medicalising old age as we grow old and die 🙏
My experience: a team of NHS doctors left me in pain for 20 years. I had to give up on them and fix myself. All they would give me was a cocktail of painkillers. In the process I cured my lifelong asthma. When my "asthma expert" asked why I no longer saw him, he was silent when I told him Vit D cured it (I later found out this is in the medical literature). I've seen half a dozen people die (from the age babies to pensioners) because GPs or A&E dismissed serious conditions as trivial. My partner has a rare eye condition, was treated for years at Moorfields, and then they lost his records with all the photographic data & measurements of the progression of his eye problems. I've been waiting for blood tests, to hear the staff stand there calling out the names of dozens of people who didn't bother turn up for their appointment -- every single name was foreign. I personally know a surgeon from Nigeria whose English is so bad I can't understand him. My partner had a relative in hospital - and the doctors and nurses couldn't understand each other's English. The NHS literally murdered my brother. I avoid it like the plague it is.
Same here, suffered from asthma all my life ( now mid seventies) couldn’t go anywhere without the Ventolin and Fostair, over the last four years I’ve been taking vit D supplements… never use any of them now, amazing! Plandemic did me a huge favour. At my last asthma assessment , even though I explained that I wasn’t using their medication anymore, I was prescribed yet another powder type inhaler! Seems like they are encouraged to prescribe no matter what!? Hope you continue to have good health!
Another important factor is that people, largely, do not take responsibility for their own health. We spend eye watering amounts on the NHS but everyone still expects EVERYTHING TO COME AT NO COST TO THEMSELVES. We have recently imported hundreds of thousands of immigrants into the country, many of whom are in poor health, they take up time and resource. The only consistent health message over the last few years has been to quit smoking. But now people are eating themselves into illness. Where is the public health message about feeding yourself and children for good health?
Courageous of you to stick your head above the parapet! Have just left NHS after over 20 years. What you say is true especially about restructures. Saw restructures and new goals imposed on NHS so often with incomplete grasp of the problems. Never a chance to stabilize before new different systems and aims required of us.
A good few years ago a cartoon was circulated in which the first caption showed a lower grade worker (clerk, secretary or porter) rowing a boat with a single manager supervising the work with the words "how to improve efficiency the of staff". The 2nd caption showed the same lower grade worker with 3 managers supervising work with the words, "we need more efficiency here". The 3rd caption showed the same lower grade worker with 7 managers supervising her work, the managers all wore native American head dress with the words "too many chiefs, not enough Indians". Little did we know that this wasn't a joke but a warning of things to come.
@@Mimi-jn3fi It would be better than what the USA has now. We have the most expensive health care system in the world and we are nowhere near the top on results such as infant mortality, life expectancy and many other health markers. Our society pays a lot for poor results.
@@Catlily5 no, it really wouldn't be better than what the USA has now. only people unfamiliar with the differences between the systems make statements about how it would be somehow "better" but oddly enough they rarely ever specify exactly *what* aspects would be better and how the changes would be realistically implemented - without the same follies occurring. in the USA the majority of Medicare patients don't have to wait 3-6 months for primary care appointments.. unlike folks on the NHS. Getting into a specialist for cancer care is MUCH faster on Medicare than it ever is on the NHS. that's just the most basic differences, and those matter. A LOT.
@@y2ksurvivor And yet you have longer life expectancy and a lower infant mortality rates just to name two health metrics you perform better on than the USA. I have waited months for a primary care doctor visit as well, though not recently. The system here in the USA is great if you are rich. The number one reason Americans file for bankruptcy is medical costs. At least you don't lose your home oif you get cancer and your insurance is not great. Not that I think that the NHS is the greatest either. Like you say people tend to idolize the system that they don't have. Both in the USA and the UK.
@@Catlily5Do you know why infant mortality is higher and life expectancy is shorter? Is it truly about healthcare? Or are you just restating things you’ve heard and have no idea what biases were behind it?
It's a good thing. I'm in favour of a preventive approach rather than one where you are only treated once the problem has taken hold and tablets are the quick answer. So much has moved on with alternative health care that the NHS will not acknowledge and as such is holding us back. Maybe we can find cures to the problems rather than just managing them!
@@telephassarose3501 Agreed. We are scraping by on an antiquated system. Other countries are using genetic testing, detecting mutations, blood types, hereditary precursors and predispositions. They have a tailored approach to the individual as opposed to one size fits all.
@@ART-ev8upquite. I have an inherited genetic condition, serious, potentially life threatening. It took the nhs 23 years of my presenting symptoms before I was finally given a diagnosis,at over 50 years, & after several deaths in the family. It shouldn’t be like this, & it needn’t be. It is also grossly inefficient from their point of view.
This guy is telling half truths. The NHS was destroyed by oversaturation of incompetent managers and a massive influx of third world immigrants numbering hundreds of thousands each year. The system just cannot cope with the increased demand. .
@@brubeker12 Its just as dysfunctional (and corrupt) as anywhere else. We’ve just had a change of govt and the Ministry of Health is undergoing a restructure atm. Not sure how much it will actually effect the running of the health system though.
You dear, courageous man! Thank you for your dedication and your concern about such a crucially important aspect of life today in the UK for all! I’m in the US, but have many close British friends who work for the NHS, and of course are its patients, and many of their confidential observations to me match yours . I am heartsick for all involved.💔
That rings true for our government too. FIVE different Prime Ministers in as many years. One (Cameron) left his job because it got a bit too difficult for him, he's now a Lord and Foreign Secretary. No accountability, failure is rewarded, little wonder this country is in the state it is.
Suddenly having the country ruled by a monarch who can't be bought by central bankers, and has a long term plan to make the country flourish (rather than a short-term debt based "pitch" to remain in power for another 4 years) seems quite appealing.
He left because he got the biggest decision utterly wrong in his judgment call on Brexit……that has ruined the country. But yes…..he’s been rewarded again because he’s still better than those that followed him! The latter is the most damning.
As an American who always admired and was kinda envious of healthcare in UK, I am quite saddened to see the direction NHS is heading. Healthcare in the US is a predatory nightmare and I sincerely hope you all don't end up here.
Oh dear Doctor...the world has been badly managed....career politions addicted to being paid generously.....it is sad...shiva will soon be tired of trying...and then....
The NHS - and the state pension for that matter - were wrongly set up at the outset. In the case of the NHS it was even more scandalous since Aneurin Bevan had actually been warned at the time that it could never work properly. His answer? It was that 'that will be someone else's problem'! It was set up at a time when men retired at 60 and the average age of death for men was 63 -65. Today we STILL have no link between immigrants and affordability. It utterly beggars belief. We need a Royal Commission now.
What I can't understand you could see a GP before covid and now you can't, how did that happen, and plus the wards are all about paper work and no more caring
Locally to me the reason you struggle to see a GP post Covid is most have come to their senses and left the profession and years of Tory government failed to see it coming.
My experience when I had a heart attack in Oxford st London I was taken to guys and st Thomas where I was barely alive and the team there saved my life with a stent operation. They were amazing people who saved my life, the NHS also saved my little granddaughter who had meningitis and was admitted to hospital and again they saved her life. If it weren’t for them I would definitely be dead. I owe them my life.
totally agree with you. I resigned from FT NHs work - frontline MH sevices, in late 2022 and dont regret it. The amount of organisational change and constant service modification (essentially cutting corners every quarter) was staggering. Lots of inexperienced staff getting into band8 jobs, often having no more than 4-5 years of experience prior to this, who turn up and get rid of everything set up previously. this cycle happens on average every 12-8 months in many services. Awful.
Same happens all the time in large uk businesses as i have witnessed and each time the new dummy in charge wants to reinvent the wheel, has no understanding of the department and is only out to feather their own nest
Good morning Sanjay, Well done you have put into words exactly the issue with the NHS. Apart from funding the NHS the Health Minister should have no other involvement It should be the health professionals who manage the service.
Sanjay, you are an incredibly decent, genuine, honest and caring human Being. Thank you for all that you do. 🌞🌳😊🙏🙏🙏Everything you say is so very true, and it has been clear for quite a few years now that what you speak about has been deliberately spread like a virus into every area and tier of so much in business and society as a whole. 🤕
I'm in a small town in Surrey and my GP is phenomenal. I had Afib and reduced heart function of EF 27% and she fast tracked me into Kingston hospital cardiac unit the same day and within 45 minutes had a wonderful bed by the window and a kitchen staff asking me whether I wanted the lasagna or sausages & mash or chicken curry & rice dinner plus desert. They put me on all the newest meds and monitored me for 10 days and offered to drive me home but I felt well enough to take the bus and went round to every nurse and staff to thank them profusely for such amazing attentive care. Oh a couple of nights I happened to mention to the night nurse that I was a bit hungry and if there were any biscuits in the tea area but instead she came back with a ham sandwich, banana and strawberry yogurt! Better service than the Dorchester hotel in London! After 2 months my heart function is back at normal and pulse at 60 to 70. The NHS is the best in the world!!!
Very interesting. I too was diagnosed with heart failure in November 2023 and spent five days in hospital, receiving excellent medical care and a similar selection of food. I now take Apixaban, Bisoprolol, sacubitril/valsartan, Dapagliflozin, Aspirin, Furosemide, Eplerenone, and Rosuvastatin daily. It's a lot of tablets to keep track of, but as a former computer programmer I have written a couple of apps for my own use in order to manage the meds and the reordering of repeat prescriptions. My ejection fraction was measured at 25% to 35% and the health issue that got me taken by ambulance initially into A&E was extreme breathlessness and chest pain. I was due to have a follow-up with a cardiologist three weeks after discharge, but the NHS still hasn't given me an appointment yet and it's now over four months since I was in hospital. The waiting list is simply unmanageable. My medical history has a big bearing on my current cardiac problem, as I had a triple heart bypass in 2013 following a heart attack, and despite making a full recovery, the heart was inevitably damaged. Back then, three months after the CABG, my ejection fraction in a follow-up was 60% with a "normal" heart and no valve issues. But ten years of living since that major op has seen the EF reduced to less than half. The really positive news is how well I feel now as I take this large number of meds every day! It's costing the taxpayer a fortune though, and every time I pop into the dispensary at my local GP practice for yet another month's supply I feel embarrassed at becoming such a financial burden.
@@SuperLittleTyke Pleased to hear someone putting a shout out for the NHS. My own recent experiences have been similar - the level of care at the clinical end is superb. What let's the side down is poor management, disorganised administration and third rate IT. Improved funding (excellent time to reduce NI contributions!! 🤬) would certainly help, but it will be simply throwing good money after bad, if they don't give the whole thing a top down sort out.
@@davidf6326 Disorganised is the right word here. During my total stay in hospital last November, from admittance to A&E, through triage, to acute cardiac ward, and finally to discharge, the one thing that struck me continually was the lack of joined-up thinking between the various teams of nurses and doctors involved. I was asked several times by different personnel for the same information and each time my responses were carefully recorded either on laptops, on tablets, or on paper. In the corridor outside the acute cardiac ward several members of staff were constantly at their computers typing something or other. It seemed that much more time was spent on recording absolutely everything, in case of possible litigation, than on the actual ward. Duplication is rife. Mistakes are made. Later, after the triage, a junior cardiologist came to my bed and apologised that during triage I had been given an injection by mistake or oversight and that the nurse in question had been "spoken to". This likely happened because a lot of the time the left hand doesn't know what the right hand is doing. Nurses, doctors are rushing hither and thither, probably already experiencing fatigue, and there is never enough time to calmly assess a situation. This is due to chronic understaffing. The government has been made aware of the calamitous situation in the NHS for years yet only offers platitudes or announces how many extra billions have been put in. I don't believe a word of what government ministers say. It's all empty rhetoric in my book.
I have just been told today of a cancer terminally ill lady bed ridden in pain who needed extra pain medication on her daughter going the gp practice was told she had to go down to surgery and fill in a form .
Are they still paying middle men massive profits on medical equipment costing pennies in China and NHS invoices showing a single cardiac catheter at 10 000 percent mark up and the return and replacement fraud where the same supplier received the same mark up on a credit note.
Absolutely right dear Dr Gupta, the voice of sanity and reason. So many thank yous for the help I've received from your calm bed-side manner in your postings on You Tube.
Having been a full time officer of the health union in Thatcher's reign I absolutely agree Sanjay! Mind you, this video is remarkable for you, in that it is a complete departure compared to all your others! Very well said!!
Well put Mr Gupta. Totally breaks my heart that the effort I put into my job is not recipricatted by our so called leaders! I work in Primary Care and follow your posts and signpost patients to your informative and easly explained advice when talking with patients. Thank you.
It is not incompetence. Health Secretaries are fully signed up to privatisation and are funded by Jon Armitage. Jon Armitage funds MPs on both sides of the house, Labour health secretary Wes Streeting is funded by him. Funding is sucked out in profit making, but is all paid for by government.
Nonsense. 14 years of Tory government has a lot to answer for. Did you not listen to the video where he begins with one of the main problems being the several changes of Secretary of State for health in the last few years. Nothing to do with Blair you tory shill.
Who makes the rules for football? Playing football increases the likelihood of dementia. Will you get a coach to limit head hits? Does the coach of the NHS have the authority to change the rules of the medical game? Sanjay, what rules do you want? Supposed healthcare is a repair service rather than a preventive maintenance service. Are there subsidies for healthy food? Are there educational programs showing the damage that is done with eating garbage foods? Is someone given the choice to walk two miles a day to avoid the next cardiologist's visit? Are NHS parks being built? The doom has always been there, it's a failure in care, looking for the pill to respond to the damage Rather than preventing the damage. Is there a subsidy for bicycles to avoid heart failure? How many PCPs ask their patients to drop and give them ten pushups? How many have a bar and ask for pullups? How many have a treadmill and time a quarter mile brisk walk? How many doctors care enough to actually keep track of their patient's real health? Who makes the rules? What could a paper pushing bureaucrat at the top possibly do? I am for player cards with stats. Like sports cards, baseball cards, home runs, RBI, errors, etc. Are you on a team Sanjay? What is the NHS in this situation? Do they take care of the stadium and keep the field in shape? Do they even care about the players? Do players ever get fired for poor performance? Who are the coaches in the system? Where is the locker room peptalk? Is there any way to emulate the sports system?
I think we need to take better responsibility for our healthcare with prayer and certainly reading a very good book by Patrick holford at the moment to do with nutritional advice and avoiding a great many health problems just through what we eat and how we take care of our bodies and minds. Very very good. We need to watch what we have around our bodies as well in terms of exposure to electrical fields etc and pollution.
I agree with you, we need someone leading who sticks to what they set out to do and not change course with the wind. Being a locum needs to stop being so lucrative, so that doctors are encouraged to get a regular job, stop blaming the aging population for the problems. Oh and one more thing, reception staff have become the gatekeepers to accessing a doctor in general practice and this has to change too
Sadly we are over populated and you have to get through the receptionists befoe you even see a GP , if your lucky . Accident and Emergency is your best bet if your seriously ill otherwise you can wait for days for that phone call from your GP😢😢😢😢
I work for various hospitals in different parts of country Cambridge Romford Aylesbury st Helier Ipswich totally agree with everything you say. Fortunately it seems to run only due to dedication of the staff.
A very good point. The "new leader, instant and unnecessary restructure" observation applies in all corporations. It's really frustrating and very damaging
Spot on Dr. Gupta. Same to an extent here in the US. Big Pharma runs our healthcare. There are great docs out there, but afraid of losing their jobs if they buck the system. I have been in healthcare for over 50 years and I am extremely disappointed with the recent developments over the past 5 years. Something had to change!
Oh but we aren't allowed to mention that. Instead we encouraged to resent the elderly and get on board with throwing more money at the problem by people who stand to benefit financially.
Argh yes. Go for the diversity and inclusion and ignore all the other troubles of the NHS. Classic. The NHS is made of different people and without diversity and inclusion officers, your disabled doctor may quit leaving you with fewer staff
I am so sorry to hear that the UK will soon join the USA in having a completely broken healthcare system. Those of us who have fought for universal healthcare here in the US have looked to the NHS as an example of what could be accomplished for a population. So very sad.
I think the US influence on our politicians to sell out the NHS is noticable and our corrupt little politicos are more than happy to work for the Yankee dollar.
you're right. I had a testing done with you in November. you pushed me to get an ablation and now ive been waiting ever since. i had an echo and monitor done under the nhs early this year and i called my gp and they have no records of this, i called the hospital and they dont even know who sent me for the test! So now ive realized how bad it has become. If you're not on your death bed you're left to fend for yourself.
The NHS budget hasn't increased in line with the growing population. The spending per capita has reduced so much over more than a decade, so the results are inevitable. Tony Blair's government increased spending significantly, but he also brought in layers of management at huge cost, who seem to think that they are above frontline medical staff. Too late to get rid of them now, because the severance packages would be enormous.
I completely agree with you......The is in terminal failure but people do not realise this until they need it's services. I've been waiting weeks to see my Doctor and it's come to the point where you nee to go in an ambulance to stand a chance of being treated.
You missed one major factor that is also never mentioned. In all my years as a business consultant I have never come across an organisation that can ramp up services to cope with an additional 500k+ new customers year on year for decades. Mass migration is the root cause.
I worked in the NHS for years. Managers came in and restructured the departments, it went full circle. Even if we said ‘this is what it was like 4 years ago and it didn’t work then’ they went ahead and did it anyway. The managers were out for promotion and circled around the NHS doing different jobs. No one stayed to be accountable for the changes, except the medics and the staff on the ground. Same in government, they don’t stay long enough to fix their mess
Ah come on, dizzy lizzy stayed long enough to see her mess.... what was it, 44 days?
Oh yes i love those pilot programs that fail miserably but get rolled out anyway because someones pride will be hurt if it doesnt.
I totally agree. This is exactly the point that some people on this site, most probably NHS Managers, are missing. Also not to confuse these with Admin and Clerical staff who are underpaid and all too often undervalued.
But didn’t the government ensure that profit was an element by creating Trusts? Dame Jenny Harries too has been well rewarded for her complicity in Johnson’s chaotic COVID handling (who can forget her laughable assertion ‘the NHS is an exemplar of preparedness’ even when she was fully aware that Hunt had ignored the findings of the Cygnus Report and there were not even enough basics) Fast forward to the shocking tales of money grabbing and the bottomless pit of millions dished out to all and sundry via the VIP lane, plus the cost of storing unusable PPE. Blame not those working in the NHS but the cabal of charlatans in control of funding.
I went to ER a few months ago, there were around 12 people or so where I waited, NOBODY was looked at for over 7 hours (from around 11pm till the morning) after being triage'd, including 2 people who were in beds and clearly agonizing, the nurses and 2 doctors kept walking in and out of some room, went on breaks (shouted to each other that they were), came back, were checking their phones, left the room doors open and sat around, I ended up being seen at around 9am but had to be taken private later that day so I can get the care I needed.
I don't know whose fault it was but whoever is managing is doing a joke of a job.
common sense seems to be missing all over public services
Correct
Guess why this is happening ? Public services are a huge profit opportunity ! Corrupting them to make it look like they are failing, in hopes that will give enough reasons to turn them into for-profit commercial entities instead of government-funded endeavors makes a lot of sense!
Capitalism is turning malignant
Investment is missing - it's all stolen by the private sector.
Bought out Narcissists run a gang at the top just like in Westminster and the Welsh and Scottish Assemblies and of course London Manchester and West Yorkshire where you have an elected mayor's post
A shame the funding is too....
Our government wants private companies to replace all our public institutions and this includes the NHS.
We need a government that values public service more than private profit.
And that's certainly not Labour, is it?
We need a system like in Germany and France.
It's all about choices, British public prefers capitalism the best system that money can buy.
Public services???? Oh now, that's communism, nobody wants that!
@@JeffHall-dd3cl No thanks. I've lived in both countries, used their systems extensively (as well as other European systems). Be careful what you wish for.
The Tories have been in power for over 40 years in last decades. If they really wanted to privatise it they would have done it decades ago.
Furthermore, semi privatised healthcare is normal in Europe and we aren't hearing the utter Armageddon that so-called leftists say it would happen. In fact these countries have much lower waiting times, better quality of care and better value for money.
I am a Veterinarian in the US who owns a small hospital and who is doing my best to practice genuinely exceptional cost effective medicine and surgery. Veterinary Hospitals have gone about 85% (and increasing) corporately owned. I believe you can literally witness how all the issues that developed in human medicine occurred by watching the same current evolution in Veterinary Medicine. Non-doctor management takes over, revenue generation far outweighs the priority of patient care in everything said and done, the doctors w genuine morals who speak truth to power are removed from the system and it all becomes just a psychopathic sales pitch to the parasites whom plundered and conquered the true healers with the only intent of turning it into a sacrificial cash cow. It has been hard to see my once great profession willingly shackle themselves and become bribed pawns for the licenses they possess to exploit others.
This is also true in the UK, fly-by-night, seeking only a short-term profit investors have taken over more than half the vet practices in the UK and Netherlands now. I am privileged to have an independent vet still, but his books are full.
Recent worldwide experiences have opened people's eyes to the criminal influence business now has over the medical and veterinary professions.
Not only that but also the regulators of these professions - who should be independent - many are now almost completely funded by pharmaceutical companies. Also the leading journals have also fallen foul to their pernicious influence. And what have governments done? Stood by, watched and pocketed their share of the silver, and now allowing the WHO (funded in the same way) to creep their influence further into our lives. I really do not know what ordinary people can do.
One needs to discover Dr Jack kruse podcasts and his ideas regarding decentralised medicine.
This right here. And British voters voted for this same approach to be imposed on the U.K.
Managers are the issue everywhere; mostly talentless with no one to check them they pay themselves top dollar and phase everyone else's say out bit by bit.
I live in North London and I witnessed how independent vets are falling one after one getting hovered by corps vets. Prices has ridiculously increased. Customer service has go down , its embarrassing how they treat us nowadays, barely time to speak to you but the money they take it straight away...
Sanjay, as a fellow consultant of many years experience, I totally agree, not only rotation of incompetent politicians but also the myriad of NHS managers who have proliferated over recent decades. Aside from there being three or more to change a lightbulb, they’re in post for 18 months then moved to the next level of questionable competence, in another speciality. They feel compelled to make their mark and will change perfectly working processes - if it ain’t bust they’ll fix it. When they fail, their record is wiped clean, no accountability. Cull cost consuming ‘managment’ and we might well see significant improvement.
The name escapes me but during the 1980s, the conservative government put a chairman with a dreadful business record in charge of British Rail. As predicted, he made a terrible mess and it gave the Tories the excuse to tell the public that state ownership wasn't working and that it was time to privatise the railway industry.
It's an old Tory trick.
The NHS has had 4 Chief Executive Officers since the year 2000. That does not seem excessive.
@TheWrongPeopleAreInCharge But is his problem part of the NHS's issues, or just a personal issue of low job satisfaction? What's the connection?
What do you make of "NHS managers make up circa 2 per cent of the workforce compared to 9.5 cent of the UK workforce." [I work in the NHS and while I have no lack of frustration with my own managers, I have been in quite a few places in the private sector where it was much worse. To be honest, when I hear things like your comment coming from doctors and staff who have likely never worked outside of the NHS in this country, I feel quite a lot of the management bashing comes down to being quite sheltered and having little to no experience of private sector management. People give these views too much weight too as if being a medical authority makes you an organisational authority, it doesn't. Of course you are likely to have a good level of insight into the running of the place you work, but that's not the equivalent. A manager would not become a doctor from sitting at a desk in a 6 bed ward room, vice versa applies.
The same can be said for Government
My sister is having cancer treatment for tongue and neck and the administration is terrible with bookings for her daily treatment clashing. She was given mouth wash & spray and it burnt her mouth as she is allergic to NSAIDs and has to tell the medics each week as the software doesn’t update. She has not been able to eat for 9 days as it is like eating red hot glass. She has a stomach tube which should have only been used as last resort & has fortified drinks but is hungry, in pain and angry, all because the nurse didn’t read her notes.
You have my sympathy and this is not how things should be. I hope your sister gets past this and improves. I am also allergic to NSAID's.
You should be lucky, you're getting help for free. You can also pay privately?
I knew someone who sadly passed due to her amputated arm getting sepsis due to nurses not reading notes/ changing dressings for weeks.
❤ sounds so hard,
may your sister's care be smoother and more helpful to her going forward 🙏
My BIL was the CEO of a hospital in the south of England for three years. The stress nearly killed him. He left the hospital financially in the black and was replaced by a woman who brought in management consultants at a cost of millions and within a year the hospital was in the red.
Yes sadly I agree with everything you said. We have to all become more proactive in our own health. We can no longer rely on the NHS.
Had to. No choice.
American influence for love of money in exclusion of everything else.
Leading a healthy life doesn't necessarily mean no health problems and with 20% of the population already living in poverty how many do think will be able to afford the 1000 pounds a month that health care insurance will cost
@@MrWaynemarshall Yes I agree. I can’t afford private health care either. I am seventy two and a pensioner. I just do my best., that is all we can do.
Sheep
The problem is management where there are too many managers and less operational staff. The managers are more than the nurses and care staff. It is such a mess. The salaries to nurses and carers who burn themselves out and work tirelessly are a mockery. There should be a job evaluation where everyone employed in the NHS should show what they do and whether they should be there in the first place. 70 % of management shouldn't be there in the first place. The managers have been given titles and they enjoy hefty perks for doing nothing. What does a bed manager do? Why continue to destroy the ailing health system. It's sad because millions continue to hoard medicines they do not use. Why should patients be given paracetamol, ibuprofen and other meds which can be bought cheaper over the counter. The politicians and leaders are benefiting from it all. Shame on us. What if people start paying for the health care? An obese patient does not need a scooter but dietary and lifestyle advice. The whole system is a mess
Well done! I completely agree with what you say!!!!!! It is great to know there are still sensible people around like you. What a relief!
Don't forget that around 20% of NHS staff are usually on the sick at any one time.
This is very, very sad, but true. I'm 66 and I remember how well the NHS looked after my diabetic mother, for all of her life. But the decline is there for all to see. The NHS has been deliberately and consistently run down by this government and I'm sad to say that I can't see it ever being saved. We are heading for dreadful times, where the rich survive and the poor die. Thank you, Dr Sanjay for all you do.
They've been saying the same since the 1960s about the elderly, in those days, our population was far smaller,. and we had huge wards with the elderly in them. Apart from that they stayed in hospital longer and then could go and stay at a convalescent home for operative recovery time that we don't have anymore. People would go to those lovely convalescent homes in the countryside to recuperate for at least 6-8 weeks. ICU units were much larger too, if our senior retired nurses are to be believed. The last time that the Labour party were in power, Tony Blair laid off 8,000 doctors, which is probably why we ended up having so many locums. I knew about the 1960s because a man that worked in the NHS, had collected old newspaper clippings and showed them to us at an evening event. Most people aren't aware that in the 80s, we had nearly 2/3rds more of the beds that we have now. It doesn't really make much difference who the minister for health is when you have N.I.C.E. NHS England, and other stakeholders involved in running the NHS. It was the Labour party that put in loads of quango's the last time they were in office, their intention was to find out what was happening in the NHS, so that they could privatise some of it afterwards. There were also the building contracts and debts that the Labour party got the NHS into. Basically, the Labour party did what the World Bank does to developing countries, making sure that they're always in debt. I will give you an example of bed space. My son was born in a maternity hospital with 35 beds in 1983. They decided to move maternity to the main hospital and in so doing sell off a prime site for property development. How many beds did they replace the 35 bed maternity hospital with? 11. Just 11 beds, for the fastest growing town in Europe. Because we only now have 11 beds, sometimes women have to go out of the county to another county to give birth, atrocious state of affairs. I heard that the ICU unit had been reduced to 4 beds. When in the 80s, there would have been whole wards that were larger than modern day wards. I agree with senior retired nurses, bring back the matron, train the nurses on the wards like we used to do. Let the medical professionals run the hospitals. If the NHS is doomed, it is more likely because too many medical professionals just followed orders, instead of saying NO, I will not comply. Just accepting orders was no excuse during the Nuremberg trials.
I remember the 60s, & family doctors, GPs, along with convalescent & nursing homes. I remember the 70s too.
It’s been severely downhill ever since. More money does nothing. The concept & culture are wrong…along with ACCOUNTABILITY.
I agree. Let the medical professionals lead the hospitals.
Well said @eliakimjosephsophia4542. Everything true!
@@telephassarose3501 Indeed, the NHS doesn't like whistleblowers and nor does the BMA. It was the BMA that was threatening the coroners with legal action if they didn't do what the BMA told them to do during the plandemic. In the 80s, our GP at the time was still visiting us at home. She came out to visit my baby when he had croup. GPs knew their patients much better in those days. Agree with you on accountability. NHS staff should not have to live under threats from the BMA, NHS bosses or anyone else.
Exactly, well said. Let doctors be physicians and not like lame insurance agents that reject all the medical claims. I don’t know if we are actually living in the world of reality but I am sure it’s far away from what we intend. My say is that doctors should be champions of patient care and not policy protectors. If the policies are harming the patient, don’t implement them.
Unfortunately it's been set up to fail and we're seeing that happen now.
Government wants it to fail like they want all common health care to fail. The U.S. is an example of what they want, which is people having to mortgage everything they have just for simple medical care, i.e.) to become broke & broken and that would be the poor and aged on a basic income. It's being talked about in Canada. I moved to Canada in 1984 & I have never paid for anything but a pair of crutches. I had my child and received no bill and I stayed there for a week while my baby, who had jaundice stayed under the light; a whole week. Call it what you will, but I have no problem with part of my taxes going to pay for the care of all Canadians. And, I don't care if I have to wait 5 hours. I would rather that than to go into major debt and lose everything. They've been twisting the narrative for while now, creating exagerrations and lies about care, even creating those problems on purpose in order to get Canadians to beg for something they'll eventually regret, unless you're rich.
Ahh the stupid wittle liberal thinks his healthcare is free
As a 65 year old retired UK GP whilst I loved my job, albeit in the old style of truly being a family doctor, through my career I saw all of the issues you refer to. But I also feel there are even deeper issues. When the NHS was set up the belief at the time was that the NHS would improve the health of the nation; the politicians even thought demand would decrease after everyone had been treated / "cured". As a result they even got the name of the organisation wrong - it should have been called the National Sickness Service (NSS). The name of an organisation can be akin to a mission statement and can have a big impact on the culture of the organisation and those it serves.
Because of its name, the NHS, the public was lead to believe that whatever illness they developed the NHS would swoop in like Superman wearing his (or her) underpants on the outside, and 'put them right'. This concept is simply upside-down and I believe it has actually resulted in a lot of the health problems that are swamping the NHS today. The glamorisation of medicine and the medical profession, partly the fault of the profession itself, began to emerge in the 1960s & 70s with heart, kidney and liver transplants being hailed as simple human 'parts replacement' medical miracles. Having cared for numerous organ transplant patients that is a massive over simplification.
We need a complete paradigm shift and a new social compact (~'contract') between the 'Health' Service, the medical profession and the public. Only then can a total re-design of healthcare and the way it is delivered begin. The time for re-arranging the deck-chairs should have ended decades ago, but it is beyond urgent now as the whole system is sinking fast.
I believe that truly innovative thinking and highly competent leadership could still rescue the situation and lead to the transformation required. A CEO with the talent of those leading the top 3 or 5 companies in the world is required and justified as the NHS is the second biggest employer on the planet, employing 1.4 million people, 2nd only to the People's Liberation Army (PLA) of China.
What would you suggest? Part private and small monthly contributions by the public. I thought we had that with NI however it seems to work that way in some countries. Surely the devil is getting Insurance companies involved and of course management consultants.
“Bulls-Eye” in every respect (sadly).
CEOs from industry would not be good. Current 'vulture' capitalism is merely assett stripping and personel jettisoning designed so the CEO can look like they are achieving shortly before they take their overinflated pay and gargantuan bonuses and run to be replaced with more of the same as the industry goes down the pan. It needs people with a medical background who understand how it used to work when it was functional. Only once money, stable staffing and removal of greedy private elements have been achieved can we long term plan for a stable sustainable future service.
Privatised public services have been a total disaster they are more inefficient, more expensive and dont honour their contracts to maintain and update infrastructure and are just broken apart to provide a means of gaining loans that are paid out as bonuses to bosses and shareholders. Private healthcare based on the USA model is also a disaster unless you like death or the loss of your home.
Pill pusher, pushing pharma sorcery poison on innocent people, you will held to account for your evils.
I'm glad a retired doctor has spoken on this,,,,ill tell you why,,we are very good friends with a also retired doctor who left after 35 years service,,,when he first applied for his position at our local surgery he said there were over 100 applicants,,,when he was leaving and advertised for a doctor to replace him ""Not one single person applied """ the position was open for over a year,,,nobody took his place,,,Not one....Now unfortunately the local surgery is staffed by ALL locums not one single local doctor now....As for funding the NHS it has had MORE money poured into it than ALL the other institutions like Education like Prisons etc than combined...My son who spent 5 years training to be an accountant (ATT Trained) could run the NHS better than the clowns who are in now....
Unfortunately, that is the truth.
I worked in sterile services on a zero hour contract whilst at uni. One day I went in to work and I was the only person in the room (doing the same job as everyone else) who wasn’t a team leader. There were six of us. A private company was brought in to save money. It didn’t take a genius to figure out where money was being wasted.
There is definitely a bit of an insular bubble mentality at the NHS. In my department some people genuinely think they have it hard if they have to do four ECGs in an afternoon and seem to resent every time they have to leave the office. It's this attitude that's killing the service, not a lack of funding.
What I like about you Dr Sanjay is you tell the truth ! I admire that 🙂
This is true of the whole political system in the UK,US and western Europe. People fail, perform poorly and fall upwards into higher positions.
Im 74 and paid my dues for all my employed life. This is a greedy political move. As always lately.😢😢😢
They always reward failure in this country
My respect and admiration for your honest assessment is great. History has proven that the biggest cancer in the NHS is the bureaucratic structure that runs it. Health should be run by the most compitent and dedicated health professionals available, as they fully understand and comprehend the actual demands, plus the dynamics that are at play. It is far too easy for the bureaucrats to undermine the system as they cause such an incredible financial demand on the finances.
Thank you for the refreshing opinion. I can feel hope that someone might respond to your words and thus initiate action.
You clearly haven't dealt with the incompetent medical staff employed throughout. BBC recently had an article up saying "teenagers - you are putting lives at risk by doing your parent's nursing qualifications for them".
The medical care is appalling - like my friend with advanced AIDS (i.e. no immune system) put on a general ward, his bed just 3 feet away from someone with a highly contagious condition. When the medical staff decided to transfer him to another hospital, it was middle of January, snowing and they left us outside in the snow for 40 mins waiting for an ambulance, my dying friend in just a pair of pyjamas. They transferred him to another hospital, where the specialist he was to see was on holiday for 3 weeks. This was 18 years ago. NHS medical staff now routinely hide charts/medicine data to stop the family from checking to see the condition of loved ones. My friend was being missed during prescription rounds. I could go on and on about cancers, stomach ulcers, ruptured intestines, heart problems, schizophrenia -- all cases where the NHS medical treatment was appalling. In all those cases the person died.
It's easy to blame the managers when you all have a fetish for the god-complex medics.
@@Everest_Climber Staff performance comes down to appropriate and good management of those staff. Staff also must be respected and suitably rewarded for their good work and commitment. However, insentives must be provided for high performance rating workers and wages must be adequate. Wastage must be monitored through proper accountable monitoring of all expenditure items. There are far too many administrators and not enough highly qualified worker, plus staff having to work too many hours. Easy fix. 😁
How honest is it, though? He said the NHS is underfunded when a quick search of the NHS budget timeline clearly proves this to be false
The revolving door as it is known ensures the needs of the corporate lobbyist including phama are met and the MPs are rewarded handsomely as a result.
State Corruption is bleeding this country dry and when there is nothing left these parasitic people will continue with their lives with no remorse.
Accountability is a rare feature in the public sector for these people who don't understand what it means to have pride in their work.
Back in the 1990’s I worked on theNHS “internal market” at KPMG. The NHS was structured to enable Fundholders (GP’s) to shop around for services by providers (hospitals) and the theory was that providers would become much more efficient in delivering services. This model failed because the GP’s didn’t play ball. However we still have the same structure, 100’s of trusts, clinical commissioning groups and the old regional health authorities to boot. Each having Chief Executives, administrators, HR departments and middle managers. Only one in four employees of the NHS deliver some kind of medical treatment, the rest are mostly barnacles that add no value. We need to restructure our NHS, cut out the administrative staff and pay our Doctors and Nurses a decent wage.
Finally someone who knows what he is talking about.
GP's have got their heads screwed on and have no vested interest, so there must have been a good reason for them not playing ball.
@@Trylobyte They simply didn’t support a market system for health. They had spent years referring to the same hospitals and consultants and were not prepared to change to a system where you would ring round for the “best price”. I would suggest this is not about whether your head is screwed on or not but rather a Political view, caring professionals are less likely to support free market economics. In 1995 even the John Major Tory Government said collaboration and not competition was the best approach to health care echoing the BMA. I agree.
God bless you. Finally someone with sense. Remove these operational middle managers. We need more feet on the ground and try to do the hard work. Pay staff a livable wage and maybe they would look for another higher paid job in a different country
Open borders and up to seven hundred thousand added to the population annually with an ailing health sevice has only one trajectory. Downward.
Spot on.
was a million last year
Utter rubbish! The immigrants are younger, healthier and paying more tax than those who were here. The issue is that tax is being pilfered off by the richest Tory cronies and oligarchs.
@@ianjames3078 Laughable! You are the reason our country is in big trouble.
@@KD-fh1on The Tories have ruined the country in the past 14 years there is no doubt. However immigrants aren't a benefit when they're coming in with the sheer numbers they are today. Our services cannot catch up... It takes many years to train doctors and nurses, but in one year a million immigrants alone came in. So that isn't a benefit for the people here and over 50 percent of social housing now is purely given to immigrants now. So how is that a benefit? Immigration is a benefit when it is 50K a year, not 1 million. Our native population is dying because they've been replaced, they're not having kids now because they cannot get housing thanks to immigration and their wages are static thanks to immigration. Why would companies pay you more if they can hire someone else for cheaper? I hate the argument "well if an immigrant can do your job, you must be stupid".... So you're racist now too? People coming here from Africa cannot be as smart as us? All the problems we have today is purely based on how fast our population is growing beyond our capacity. Increased tax is purely because the government has to pay for the catch up and it cannot catch up, which is why it's all failing.
100% correct. It isn’t just the NHS. In government, failure is rewarded. Anyone who is a doer won’t get a job because to be a doer you’d have to upset people
He believes the Secretary of State "runs" the NHS despite it being a ministerial offence for them to have any direct operational involvement.
Do away with private healthcare and it would soon be fixed, if our movers and shakers have our healthcare and stand in line with the rest of us it’ll be sorted.
The Royal family should lead the way with this instead of going private.
Why shouldn’t people have choice? After all, if you pay privately you’re effectively paying twice while releasing pressure on the NHS.
Every single GP is private.
Labour was the only party to sell a hospital - Hinchingbrooke Hospital
That is what wrong with the country we are all accountable but those at the top taking large salaries and pensions mess up get knighthoods for failing with no accountability - case in point the post office scandal
Government want to privatise like our now failing water and energy companies. God help us all. 😞
Exactly what nepotism and cronyism brings in. The people in Westminster don't have the same problems we have and they live in a bubble where they think they're better than us.
Nothing will change until we change the people we elect.
Starts by changing the way you get to run, currently you just pay a fee, on average all in for your campaign it ends up costing 30k+. To fix it this needs to stop, no more deciding to run for office and paying a fee. Instead we should be taking nominations all year round for the best people in our local communities and at election time the top so many get the opportunity to put forward a manifesto, they are all given the same press coverage etc, and we then hold a traditional vote on who we'd like to see in office. Two party system replaced with good folk who have good ideas would do our nation so much good, but it could harm big business.
So sorry that must be incredibly frustrating . Thank you for your skill and care during this difficult these extremely difficult times . As someone who is 67 my hope is we can embrace quality over quantity in health and build a palliative care model and stop medicalising old age as we grow old and die 🙏
My experience: a team of NHS doctors left me in pain for 20 years. I had to give up on them and fix myself. All they would give me was a cocktail of painkillers. In the process I cured my lifelong asthma. When my "asthma expert" asked why I no longer saw him, he was silent when I told him Vit D cured it (I later found out this is in the medical literature). I've seen half a dozen people die (from the age babies to pensioners) because GPs or A&E dismissed serious conditions as trivial. My partner has a rare eye condition, was treated for years at Moorfields, and then they lost his records with all the photographic data & measurements of the progression of his eye problems. I've been waiting for blood tests, to hear the staff stand there calling out the names of dozens of people who didn't bother turn up for their appointment -- every single name was foreign. I personally know a surgeon from Nigeria whose English is so bad I can't understand him. My partner had a relative in hospital - and the doctors and nurses couldn't understand each other's English. The NHS literally murdered my brother. I avoid it like the plague it is.
Well done. Well said.
The Nazi Homicide Squad.
Same here, suffered from asthma all my life ( now mid seventies) couldn’t go anywhere without the Ventolin and Fostair, over the last four years I’ve been taking vit D supplements… never use any of them now, amazing! Plandemic did me a huge favour. At my last asthma assessment , even though I explained that I wasn’t using their medication anymore, I was prescribed yet another powder type inhaler! Seems like they are encouraged to prescribe no matter what!? Hope you continue to have good health!
Do you seriously think that private health providers whose only purpose is to make profits from your illnesses would do better?
@@RebeccaTurner-ny1xx In the UK the likes of BUPA are a charity, not a for-profit company.
Another important factor is that people, largely, do not take responsibility for their own health. We spend eye watering amounts on the NHS but everyone still expects EVERYTHING TO COME AT NO COST TO THEMSELVES. We have recently imported hundreds of thousands of immigrants into the country, many of whom are in poor health, they take up time and resource. The only consistent health message over the last few years has been to quit smoking. But now people are eating themselves into illness. Where is the public health message about feeding yourself and children for good health?
Courageous of you to stick your head above the parapet! Have just left NHS after over 20 years. What you say is true especially about restructures. Saw restructures and new goals imposed on NHS so often with incomplete grasp of the problems. Never a chance to stabilize before new different systems and aims required of us.
What field were you in?
@@goodyeoman4534 Pharmacy
A good few years ago a cartoon was circulated in which the first caption showed a lower grade worker (clerk, secretary or porter) rowing a boat with a single manager supervising the work with the words "how to improve efficiency the of staff". The 2nd caption showed the same lower grade worker with 3 managers supervising work with the words, "we need more efficiency here". The 3rd caption showed the same lower grade worker with 7 managers supervising her work, the managers all wore native American head dress with the words "too many chiefs, not enough Indians". Little did we know that this wasn't a joke but a warning of things to come.
Its been on its knees for years...😮
Very sad for all who rely on it.
NHS is fugged. So is Canadian health care. Similar issues.
And yet the U.S. is always criticized for not having a similar program for its 340 million people. It's not possible.
@@Mimi-jn3fi It would be better than what the USA has now. We have the most expensive health care system in the world and we are nowhere near the top on results such as infant mortality, life expectancy and many other health markers. Our society pays a lot for poor results.
@@Catlily5 no, it really wouldn't be better than what the USA has now. only people unfamiliar with the differences between the systems make statements about how it would be somehow "better" but oddly enough they rarely ever specify exactly *what* aspects would be better and how the changes would be realistically implemented - without the same follies occurring.
in the USA the majority of Medicare patients don't have to wait 3-6 months for primary care appointments.. unlike folks on the NHS. Getting into a specialist for cancer care is MUCH faster on Medicare than it ever is on the NHS.
that's just the most basic differences, and those matter. A LOT.
@@y2ksurvivor And yet you have longer life expectancy and a lower infant mortality rates just to name two health metrics you perform better on than the USA. I have waited months for a primary care doctor visit as well, though not recently.
The system here in the USA is great if you are rich.
The number one reason Americans file for bankruptcy is medical costs. At least you don't lose your home oif you get cancer and your insurance is not great.
Not that I think that the NHS is the greatest either. Like you say people tend to idolize the system that they don't have. Both in the USA and the UK.
@@Catlily5Do you know why infant mortality is higher and life expectancy is shorter? Is it truly about healthcare? Or are you just restating things you’ve heard and have no idea what biases were behind it?
It's a good thing. I'm in favour of a preventive approach rather than one where you are only treated once the problem has taken hold and tablets are the quick answer. So much has moved on with alternative health care that the NHS will not acknowledge and as such is holding us back. Maybe we can find cures to the problems rather than just managing them!
Preventative measures are all very well if they are appropriate, deriving from ACCURATE assessments & diagnoses.
@@telephassarose3501 Agreed. We are scraping by on an antiquated system. Other countries are using genetic testing, detecting mutations, blood types, hereditary precursors and predispositions. They have a tailored approach to the individual as opposed to one size fits all.
@@ART-ev8upquite.
I have an inherited genetic condition, serious, potentially life threatening.
It took the nhs 23 years of my presenting symptoms before I was finally given a diagnosis,at over 50 years, & after several deaths in the family.
It shouldn’t be like this, & it needn’t be.
It is also grossly inefficient from their point of view.
This guy is telling half truths.
The NHS was destroyed by oversaturation of incompetent managers and a massive influx of third world immigrants numbering hundreds of thousands each year.
The system just cannot cope with the increased demand.
.
They do the same thing in NZ. Constantly changing leadership and restructuring.
Thats bad my sin was thinking if going NZ as a better place to be
@@brubeker12 Its just as dysfunctional (and corrupt) as anywhere else. We’ve just had a change of govt and the Ministry of Health is undergoing a restructure atm. Not sure how much it will actually effect the running of the health system though.
You dear, courageous man! Thank you for your dedication and your concern about such a crucially important aspect of life today in the UK for all! I’m in the US, but have many close British friends who work for the NHS, and of course are its patients, and many of their confidential observations to me match yours . I am heartsick for all involved.💔
That rings true for our government too. FIVE different Prime Ministers in as many years. One (Cameron) left his job because it got a bit too difficult for him, he's now a Lord and Foreign Secretary. No accountability, failure is rewarded, little wonder this country is in the state it is.
Suddenly having the country ruled by a monarch who can't be bought by central bankers, and has a long term plan to make the country flourish (rather than a short-term debt based "pitch" to remain in power for another 4 years) seems quite appealing.
He left because he got the biggest decision utterly wrong in his judgment call on Brexit……that has ruined the country. But yes…..he’s been rewarded again because he’s still better than those that followed him! The latter is the most damning.
You are very brave voicing these concerns which seem to me to make 100% sense.
As an American who always admired and was kinda envious of healthcare in UK, I am quite saddened to see the direction NHS is heading. Healthcare in the US is a predatory nightmare and I sincerely hope you all don't end up here.
Oh dear Doctor...the world has been badly managed....career politions addicted to being paid generously.....it is sad...shiva will soon be tired of trying...and then....
The NHS - and the state pension for that matter - were wrongly set up at the outset. In the case of the NHS it was even more scandalous since Aneurin Bevan had actually been warned at the time that it could never work properly. His answer? It was that 'that will be someone else's problem'! It was set up at a time when men retired at 60 and the average age of death for men was 63 -65.
Today we STILL have no link between immigrants and affordability. It utterly beggars belief. We need a Royal Commission now.
And sadly it still promotes a lot of bad science too doing itself no favours
What I can't understand you could see a GP before covid and now you can't, how did that happen, and plus the wards are all about paper work and no more caring
Locally to me the reason you struggle to see a GP post Covid is most have come to their senses and left the profession and years of Tory government failed to see it coming.
My experience when I had a heart attack in Oxford st London I was taken to guys and st Thomas where I was barely alive and the team there saved my life with a stent operation.
They were amazing people who saved my life, the NHS also saved my little granddaughter who had meningitis and was admitted to hospital and again they saved her life.
If it weren’t for them I would definitely be dead.
I owe them my life.
You were one of the lucky ones.
totally agree with you. I resigned from FT NHs work - frontline MH sevices, in late 2022 and dont regret it. The amount of organisational change and constant service modification (essentially cutting corners every quarter) was staggering. Lots of inexperienced staff getting into band8 jobs, often having no more than 4-5 years of experience prior to this, who turn up and get rid of everything set up previously. this cycle happens on average every 12-8 months in many services. Awful.
Same happens all the time in large uk businesses as i have witnessed and each time the new dummy in charge wants to reinvent the wheel, has no understanding of the department and is only out to feather their own nest
Good morning Sanjay,
Well done you have put into words exactly the issue with the NHS.
Apart from funding the NHS the Health Minister should have no other involvement
It should be the health professionals who manage the service.
So true. The same thing happens in US corporations. Rebranding doesn't fix problems.
Sanjay, you are an incredibly decent, genuine, honest and caring human Being. Thank you for all that you do. 🌞🌳😊🙏🙏🙏Everything you say is so very true, and it has been clear for quite a few years now that what you speak about has been deliberately spread like a virus into every area and tier of so much in business and society as a whole. 🤕
I'm in a small town in Surrey and my GP is phenomenal. I had Afib and reduced heart function of EF 27% and she fast tracked me into Kingston hospital cardiac unit the same day and within 45 minutes had a wonderful bed by the window and a kitchen staff asking me whether I wanted the lasagna or sausages & mash or chicken curry & rice dinner plus desert. They put me on all the newest meds and monitored me for 10 days and offered to drive me home but I felt well enough to take the bus and went round to every nurse and staff to thank them profusely for such amazing attentive care. Oh a couple of nights I happened to mention to the night nurse that I was a bit hungry and if there were any biscuits in the tea area but instead she came back with a ham sandwich, banana and strawberry yogurt! Better service than the Dorchester hotel in London! After 2 months my heart function is back at normal and pulse at 60 to 70. The NHS is the best in the world!!!
If you are being fed such inflammatory food by the medical establishment there is NO hope
Very interesting. I too was diagnosed with heart failure in November 2023 and spent five days in hospital, receiving excellent medical care and a similar selection of food. I now take Apixaban, Bisoprolol, sacubitril/valsartan, Dapagliflozin, Aspirin, Furosemide, Eplerenone, and Rosuvastatin daily. It's a lot of tablets to keep track of, but as a former computer programmer I have written a couple of apps for my own use in order to manage the meds and the reordering of repeat prescriptions. My ejection fraction was measured at 25% to 35% and the health issue that got me taken by ambulance initially into A&E was extreme breathlessness and chest pain. I was due to have a follow-up with a cardiologist three weeks after discharge, but the NHS still hasn't given me an appointment yet and it's now over four months since I was in hospital. The waiting list is simply unmanageable. My medical history has a big bearing on my current cardiac problem, as I had a triple heart bypass in 2013 following a heart attack, and despite making a full recovery, the heart was inevitably damaged. Back then, three months after the CABG, my ejection fraction in a follow-up was 60% with a "normal" heart and no valve issues. But ten years of living since that major op has seen the EF reduced to less than half. The really positive news is how well I feel now as I take this large number of meds every day! It's costing the taxpayer a fortune though, and every time I pop into the dispensary at my local GP practice for yet another month's supply I feel embarrassed at becoming such a financial burden.
@@SuperLittleTyke Pleased to hear someone putting a shout out for the NHS. My own recent experiences have been similar - the level of care at the clinical end is superb. What let's the side down is poor management, disorganised administration and third rate IT. Improved funding (excellent time to reduce NI contributions!! 🤬) would certainly help, but it will be simply throwing good money after bad, if they don't give the whole thing a top down sort out.
@@davidf6326 Disorganised is the right word here. During my total stay in hospital last November, from admittance to A&E, through triage, to acute cardiac ward, and finally to discharge, the one thing that struck me continually was the lack of joined-up thinking between the various teams of nurses and doctors involved. I was asked several times by different personnel for the same information and each time my responses were carefully recorded either on laptops, on tablets, or on paper. In the corridor outside the acute cardiac ward several members of staff were constantly at their computers typing something or other. It seemed that much more time was spent on recording absolutely everything, in case of possible litigation, than on the actual ward. Duplication is rife. Mistakes are made. Later, after the triage, a junior cardiologist came to my bed and apologised that during triage I had been given an injection by mistake or oversight and that the nurse in question had been "spoken to". This likely happened because a lot of the time the left hand doesn't know what the right hand is doing. Nurses, doctors are rushing hither and thither, probably already experiencing fatigue, and there is never enough time to calmly assess a situation. This is due to chronic understaffing. The government has been made aware of the calamitous situation in the NHS for years yet only offers platitudes or announces how many extra billions have been put in. I don't believe a word of what government ministers say. It's all empty rhetoric in my book.
I have just been told today of a cancer terminally ill lady bed ridden in pain who needed extra pain medication on her daughter going the gp practice was told she had to go down to surgery and fill in a form .
Are they still paying middle men massive profits on medical equipment costing pennies in China and NHS invoices showing a single cardiac catheter at 10 000 percent mark up and the return and replacement fraud where the same supplier received the same mark up on a credit note.
Absolutely right dear Dr Gupta, the voice of sanity and reason. So many thank yous for the help I've received from your calm bed-side manner in your postings on You Tube.
If you've got a fundamentally flawed health care system, which we have in the NHS, the person at its head is neither here nor there.
Having been a full time officer of the health union in Thatcher's reign I absolutely agree Sanjay! Mind you, this video is remarkable for you, in that it is a complete departure compared to all your others! Very well said!!
Well put Mr Gupta. Totally breaks my heart that the effort I put into my job is not recipricatted by our so called leaders! I work in Primary Care and follow your posts and signpost patients to your informative and easly explained advice when talking with patients. Thank you.
It is not incompetence. Health Secretaries are fully signed up to privatisation and are funded by Jon Armitage. Jon Armitage funds MPs on both sides of the house, Labour health secretary Wes Streeting is funded by him. Funding is sucked out in profit making, but is all paid for by government.
I agree entirely with youDr.Sanjay. Wishing you the very best.
That TONY BLAIR has a lot to answer for. He should be Jailed for what he’s done to Britain. Instead of enjoying the High Life.😡😡😡😡😡.
What did Tony Blair do wrong with the NHS?
Halved the amount of beds available, look it up. @@tonycollyweston6182
He should be jailed to what he's done to the world
@rosiesweeney why?
Nonsense. 14 years of Tory government has a lot to answer for. Did you not listen to the video where he begins with one of the main problems being the several changes of Secretary of State for health in the last few years. Nothing to do with Blair you tory shill.
That's why am carnivore. No sugar no carbs no doctors appointments
Who makes the rules for football?
Playing football increases the likelihood of dementia.
Will you get a coach to limit head hits?
Does the coach of the NHS have the authority to change the rules of the medical game?
Sanjay, what rules do you want?
Supposed healthcare is a repair service rather than a preventive maintenance service.
Are there subsidies for healthy food?
Are there educational programs showing the damage that is done with eating garbage foods?
Is someone given the choice to walk two miles a day to avoid the next cardiologist's visit?
Are NHS parks being built?
The doom has always been there, it's a failure in care, looking for the pill to respond to the damage Rather than preventing the damage.
Is there a subsidy for bicycles to avoid heart failure?
How many PCPs ask their patients to drop and give them ten pushups?
How many have a bar and ask for pullups?
How many have a treadmill and time a quarter mile brisk walk?
How many doctors care enough to actually keep track of their patient's real health?
Who makes the rules?
What could a paper pushing bureaucrat at the top possibly do?
I am for player cards with stats.
Like sports cards, baseball cards, home runs, RBI, errors, etc.
Are you on a team Sanjay?
What is the NHS in this situation?
Do they take care of the stadium and keep the field in shape? Do they even care about the players?
Do players ever get fired for poor performance?
Who are the coaches in the system?
Where is the locker room peptalk?
Is there any way to emulate the sports system?
I think we need to take better responsibility for our healthcare with prayer and certainly reading a very good book by Patrick holford at the moment to do with nutritional advice and avoiding a great many health problems just through what we eat and how we take care of our bodies and minds. Very very good. We need to watch what we have around our bodies as well in terms of exposure to electrical fields etc and pollution.
Finally. Thx for voicing this, filming it and sharing it with us.
I agree with you, we need someone leading who sticks to what they set out to do and not change course with the wind.
Being a locum needs to stop being so lucrative, so that doctors are encouraged to get a regular job, stop blaming the aging population for the problems. Oh and one more thing, reception staff have become the gatekeepers to accessing a doctor in general practice and this has to change too
Sadly we are over populated and you have to get through the receptionists befoe you even see a GP , if your lucky .
Accident and Emergency is your best bet if your seriously ill otherwise you can wait for days for that phone call from your GP😢😢😢😢
At last someone says it : overpopulated. Thank you.
Sadly hospital beds have been cut by over half over the course of 30 years plus and the failure of the healthcare system is intentional.
Hello Dr. Gupta! How are you Sir? Thanks for this.
I agree with you Doctor Gupta 👍
Greetings from Greece, always to the point Sanjay!!
Boosters are not helping either.....
I work for various hospitals in different parts of country Cambridge Romford Aylesbury st Helier Ipswich totally agree with everything you say.
Fortunately it seems to run only due to dedication of the staff.
You are so right!!!’
A very good point. The "new leader, instant and unnecessary restructure" observation applies in all corporations. It's really frustrating and very damaging
Hello Dr.Gupta,you are soooo correct in this assessment..thank you
Plus there are too many people stuffed on this miserable island and more arriving everyday.....
Spot on Dr. Gupta. Same to an extent here in the US. Big Pharma runs our healthcare. There are great docs out there, but afraid of losing their jobs if they buck the system. I have been in healthcare for over 50 years and I am extremely disappointed with the recent developments over the past 5 years. Something had to change!
Totally insane! There are great docs out there, they are hamstrung by corporations, government and big pharma. 🙏🏼🙏🏼
overpopulation , not so much the elderly , also they have paid in all their lives and deserve to be looked after, some have paid nothing
Sad to hear this. I hope it can be revitalized with the right person and some stability.
Diversity and inclusion managers in almost every UK hospital taking 80 thousand per year in wages
Oh but we aren't allowed to mention that. Instead we encouraged to resent the elderly and get on board with throwing more money at the problem by people who stand to benefit financially.
@@goodyeoman4534 Well mention it then !!
@@bertiewooster3326 I did. Here. But you know as well as I do that free speech doesn't exist in the workplace, especially the NHS.
@@goodyeoman4534 well there'll get my free speech when I use it !!
Argh yes. Go for the diversity and inclusion and ignore all the other troubles of the NHS. Classic. The NHS is made of different people and without diversity and inclusion officers, your disabled doctor may quit leaving you with fewer staff
So sorry to see that.
Thanks to Sunak et al
I am so sorry to hear that the UK will soon join the USA in having a completely broken healthcare system. Those of us who have fought for universal healthcare here in the US have looked to the NHS as an example of what could be accomplished for a population. So very sad.
The USA does not have a broken healthcare system
I think the US influence on our politicians to sell out the NHS is noticable and our corrupt little politicos are more than happy to work for the Yankee dollar.
Thank you for your honesty.
you're right. I had a testing done with you in November. you pushed me to get an ablation and now ive been waiting ever since. i had an echo and monitor done under the nhs early this year and i called my gp and they have no records of this, i called the hospital and they dont even know who sent me for the test! So now ive realized how bad it has become. If you're not on your death bed you're left to fend for yourself.
Well said Dr York !!!
I love your channel, and your information is brilliant, thank you so much, we appreciate you 🙌
The NHS budget hasn't increased in line with the growing population. The spending per capita has reduced so much over more than a decade, so the results are inevitable.
Tony Blair's government increased spending significantly, but he also brought in layers of management at huge cost, who seem to think that they are above frontline medical staff.
Too late to get rid of them now, because the severance packages would be enormous.
Limited resources/Unlimited wants.
Limited oversight /Unlimited capacity for corruption.
Unlimited criminality
When you reserch it Seems more like controlled demolition.
I completely agree with you......The is in terminal failure but people do not realise this until they need it's services. I've been waiting weeks to see my Doctor and it's come to the point where you nee to go in an ambulance to stand a chance of being treated.
So sad to hear. What's the answer?
What is the cure Doctor? No pun intended
Well Said Dr Sanjay...
Too much Middle Management Maybe?
Take Care and keep doing what you do. You are much appreciated and Loved.
Completely agree with this. It's not just healthcare I see it elsewhere it's a lack of leadership and sense of duty.
Because of foreigners, in a nutshell
100%
Many Thanks for these unbiased information, Dr. Gupta.
Accountability is defined as good is evil and evil is good.
2 billion a year paid out in compensation and nobody held accountable.
You missed one major factor that is also never mentioned. In all my years as a business consultant I have never come across an organisation that can ramp up services to cope with an additional 500k+ new customers year on year for decades. Mass migration is the root cause.