Is it over? Part 100 not out!

Lamont D

Oracle
Messages
15,940
Type of diabetes
Reactive hypoglycemia
Treatment type
I do not have diabetes
If you have read my other threads about the pandemic and how the country is coping. The impact on the NHS and what it meant for me and my family through their working lives.
I would like to broaden my approach to some stats that have been doing the rounds and try and disemble the reasons behind it all.
My father in law died in December, not of covid, but because of a number of conditions including diabetes.
the number of deaths are not falling, even though the pandemic is supposedly over. The bare facts are because for some reason are now that diabetes is the highest cause of mortality now written on death certificates!
The still higher than normal death te is growing concern for health chiefs and the impact of covid, diabetes, heart disease, and so on!
The recent growth of hospitilisations, is having a direct effect on the normal day to day running and the backlog of patients will not decrease until the NHS is able to cope with this level of patients. We do not have the capacity of wards, beds, ICU's, Specialists, Doctors, specialty nurses, nurses, and the obvious lack of healthcare provision, namely GP's, try and get an appointment especially if your doctors are not hit by covid or by normal reasoning. Lack of ambulances, paramedics, waiting times, to even get to hospital, the whole system is on its knees!
Why?
I have said before that because of the succession of decisions by the political system involved in the funding and the direction that the NHS is currently working from is not conducive to the present time or the future, the NHS system is still in the past and the upgrades to the health system is not doing much to get us there.
The system is just not working, and only time could get us there, but a lot has to change and I can't see it happening!
The reason I say this is because even if we made everything including finances, training, buildings, equipment and imperative necessity, that number would not touch the sides of what is required through natural wastage, the lack of training during the last decade and a financial hole that cannot be filled due to the fact that if we could spend the finances, the capacity is not there. It is a viscous circle. One decision to improve a portion would be dependent on how it could be implemented, due to another department needing the same improvement. It is all inter linked,.
For example, Theatres rely on on surgeons, specialty nurses, modern up to date cost saving specialist equipment, the facility itself, the training to maintain, training to teach students, wards, nurses, house doctors, diagnostic specialist, auxiliary and ancillary staff, cleaners, kitchen staff, and then the staff behind that staff. The people that order the small things, such as PPE, pharmaceutical supplies, bed linen, laundry, purchasing, and so on!
The funding is not adequate even if you throw money at it! To open up all the wards closed and hospital closures, would mean tax rises far beyond any reasonable injection of NHS prospects of huge investment.
The thought that private healthcare would change the dynamic and infrastructure, just doesn't understand the difference in how health would be dependent upon which diseases and conditions were served by the health insurance companies.
Just like the private healthcare providers now! You pay into the fund, but it you get a diagnosis that isn't covered by your policy, you have to go elsewhere and pay for that treatment or just not get the treatment! That does happen in the states!
And I can't believe that this country would allow an American style healthcare provision, which differentiates between the ability to pay or not wether your choice of having healthcare in a hospital, which is where to treat patients, are turned away, to find another hospital.
Unless, a healthcare provision is initiated and be implemented over about ten years, slowly changing to a self funding, bar a tax provision ringfenced, non political, not decided by parliament but by clinical and financial committees, with their interest not persuaded by finances but by the need of the hospital requirements. Charitable investment to supplement improvement in technologies. Non profit charities and community groups to supplement running the hospitals smaller services!
Bringing back into the hospital sphere of influence all the outsourced, agency led, costly services! Which doesn't make economic sense to the hospital!

Maybe because of the imminent threat from heath insurance companies especially from America, Tory policies have skewed my opinion, but there are similar schemes that don't prejudice the patients income or bank account around the world.
Healthcare is a right. We all need it, sooner or later.I

Diabetes should not be top of the reasons for death, the deepening lack of understanding by general practices, the training of GPs, not being aware that so called healthy food that is healthy for non diabetics, and really unhealthy for diabetics, is still being used by the majority of surgeries and in my experience every dsn, dieticians and those with interests in the food industry.
We still have a website, that is a charitable organisation that still dispenses the same bad advice, but has its head in the sand because of interference from outside sources!

I have been a member for over ten years, on this site and the frightened, confused, anxious and looking for clarity, on how to control their blood glucose levels by dietary means because the meds don't work, GPS don't prioritise their concerns, these newbies keep on coming and the NHS suffer due to the impact on uncontrolled diabetic patients.
This has to change,
As does the healthcare industry!
And the pandemic is still with us!
And because of my age, my anxiety just cannot stop thinking about it, because my wife is diabetic and on the list of those on the critical and susceptible.

And to cap it all, those in power, in the U.K., Don't care!
 

JTL

Well-Known Member
Messages
4,359
Type of diabetes
Type 2
Treatment type
Diet only
Dislikes
Litterbugs war mongers hate mongers propagandists.
I'm sure there's more.
Yet here am I with an X-Ray appointment on a hip in a couple of days.
I have a pre op appointment for next week and a time and day for the op nothing to do with the hip.
Wife is the same.
I can get a GP appointment same day.
I see a number of hospital specialists and to save going through my GP should I want to see any of them I phone their secretaries and ask if it's possible to see Mister so and so and usually within ten days I'm sitting in their office.
Posting walls of text doesn't make it any worse or any better.
Maybe I'm just in a good NHS area but reading media walls of text similar to yours wouldn't suggest that's the case.
 

Lamont D

Oracle
Messages
15,940
Type of diabetes
Reactive hypoglycemia
Treatment type
I do not have diabetes
Yet here am I with an X-Ray appointment on a hip in a couple of days.
I have a pre op appointment for next week and a time and day for the op nothing to do with the hip.
Wife is the same.
I can get a GP appointment same day.
I see a number of hospital specialists and to save going through my GP should I want to see any of them I phone their secretaries and ask if it's possible to see Mister so and so and usually within ten days I'm sitting in their office.
Posting walls of text doesn't make it any worse or any better.
Maybe I'm just in a good NHS area but reading media walls of text similar to yours wouldn't suggest that's the case.
I do agree with you but behind everything else that is achieved in our current system of healthcare.
I myself have a great gp, endo and during the last ten years, I have no moans about my health care itself, indeed, I am still in counselling which was fast tracked by my gp.
But I was highlighting the imminent threat to the NHS and the underhand dealings of our government who are slowly but surely denying the essential funding necessary for improvement in the service. It ain't happening!
I had arranged an appointment with my GP for Tuesday, I got the phone call Wednesday afternoon, but with a locum, who didn't know me and not aware of my medical history and didn't know what RH was!
I was informed to phone up this morning to get an appointment with my named GP, I phoned, was kept waiting for three quarters of an hour, the appointments nice young lady on the phone could not arrange a face to face appointment and could only give me a phone appointment next Wednesday. So I was going round in circles. Two weeks ago during our last phone appointment she told me, that she would arrange an appointment when she was due to phone tuesday!
Apparently, the locum I spoke to yesterday, was working from home. The reason why all this is happening is because the surgery cannot cope with the number of patients, and still mostly doing remote appointments due to covid ripping through the surgery and the local area. On the last day of free testing and other rules, my whole area is overwhelmed due to covid, the highest ever number of cases, even through the worst of the last couple of years.
People are being discouraged to attend A&E again, visiting and outpatients are restricted.
Hospitilisations are up and death rates are consistent with the height of delta variant! I am expecting my counselling could be cancelled, and when I went this week, the notices of masks and using hand sanitising is abundant.
The NHS is struggling to hold on to experienced staff after the last rounds of covid and long covid, never mind the staff that died! It is far from over and the service definitely needs a consistency of being fit for purpose and get the politics out of it!

My best wishes