goldfinger
- 09 Jun 2005 12:25
Thought Id start this one going because its rather dead on this board at the moment and I suppose all my usual muckers are either at the Stella tennis event watching Dim Tim (lose again) or at Henly Regatta eating cucumber sandwiches (they wish,...NOT).
Anyway please feel free to just talk to yourself blast away and let it go on any company or subject you wish. Just wish Id thought of this one before.
cheers GF.
TANKER
- 26 Mar 2015 10:13
- 57949 of 81564
the eu should be made tp pay billions to the worlds uk nhs because that is what it as become the locals suffer its time for action against the scum coming to the uk for free services
TANKER
- 26 Mar 2015 10:15
- 57951 of 81564
I could solve the problem put big lorries in Calais then allow the scum to get in the back lock the door when full then drive the other way back to Syria and drop them off that is what I would do
TANKER
- 26 Mar 2015 10:19
- 57953 of 81564
a young lad I know wants to move to gremany to live and work
they are putting more hurdles in is way than it is to get out of prison
TANKER
- 26 Mar 2015 10:21
- 57954 of 81564
jimmy that's the problem its not funny its a fact the immigrant scum is killing the uk
and we have people with no guts in power they are making a fortune out of the low life scum
Haystack
- 26 Mar 2015 10:36
- 57955 of 81564
A poll has shown that support for capital punishment has fallen below 50% for the first time.
Haystack
- 26 Mar 2015 10:38
- 57956 of 81564
The report by the Kings Fund saying that the NHS has fallen to 1990s level also said that it had done as well as could be expected in the financial climate.
cynic
- 26 Mar 2015 10:40
- 57957 of 81564
fred - Bed blocking by patients with alzheimers, etc. who have nowhere else to go except to stay in their hospital bed. This cost needs to be transferred over to the social services side of things.
that has to be one of the more stupid comments you have made recently
who foots the bill for social services?
the taxpayer
who foots the bill for NHS?
the taxpayer
all you are suggesting is robbing peter to pay paul
============
however, it may be that there could be greater collaboration between local residential care homes with spare beds and the hospitals who have beds blocked by cases who just need a few extra days with some care to hand until the patient's needs can be met at home or similar
Haystack
- 26 Mar 2015 10:41
- 57958 of 81564
When the pilot came out of the cockpit, a member of cabin crew is supposed to replace him until he comes back. It looks like the protocol was not followed.
Haystack
- 26 Mar 2015 10:44
- 57959 of 81564
It could be that the pilot in the cockpit was dealing with the the emergency and could not open the door.
Fred1new
- 26 Mar 2015 10:50
- 57960 of 81564
Jimmy,
I don't have to label you, you doing a good job for yourself.
Check the percentage of "workers" from overseas in the health and Welfares services
against their usage of the services.
When you pay NHI and Tax you are insuring yourself, offspring and others.
Mind, I think those who develop a new form of Ebola in London should not be treated unless they have insurance to cover the cost.
Soon sort out the population problems of London.
Natural wastage!
I am not going to pay my taxes for the benefit of others.
I never use the roads in London, again I don't think I should pay my taxes for the benefit of others.
Likewise those bloody schools. I don't have any kids, why should I pay tax for them.
Fred1new
- 26 Mar 2015 10:50
- 57961 of 81564
.
Haystack
- 26 Mar 2015 11:08
- 57962 of 81564
Fred1new
- 26 Mar 2015 11:31
- 57963 of 81564
Wouldn't be surprised.
Why don't you leave the country now?
ExecLine
- 26 Mar 2015 11:37
- 57964 of 81564
cynic:
You say
fred - Bed blocking by patients with alzheimers, etc. who have nowhere else to go except to stay in their hospital bed. This cost needs to be transferred over to the social services side of things.
that has to be one of the more stupid comments you have made recently
That was MY comment, not Fred's.
I don't want to fall out with you but I think your comment on this is actually quite bloody ridiculous!
I'll forgive you your attacking comment , which should actually have been directed towards me and not Fred, if you would kindly care to explain:
1. Why you think it is perfectly acceptable to have bed blocking patients with alzheimers and the like, blocking beds in NHS hospitals.
2. Why should the cost fall on the NHS and not on the local councils who should be providing proper fundinmg and accommodation for these people.
3. And yes, it is a case of robbing Peter to pay Paul - but if the problem were properly managed and properly catered for, then at least the NHS hospital bed patients in A&E would get lower length waiting times for their hospital beds, the nurses would be freed uip to do a better nursing job for the ward patients, the alzheimer patients wouldn't need to stay in bed all day, blocking beds for other more needy accident cases and the like.
4. Problems need solutions which have been properly thought out and budgeted for in a more correct and professional manner.
Damn it! Need I go on with this?
EDIT: I will go on with it a bit.
From today's local paper: (Northampton Chronicle)
07:25 Thursday 26 March 2015
The chief executive of Northampton General Hospital has issued a call for urgent action on bed blocking because 110 fit patients are unable to leave its wards.
Although she stresses that delayed discharges are as much NGH’s responsibility as the wider NHS and the county council, Dr Sonia Swart said all parts of the health system were not acting with as much urgency as the county’s hospitals.
She said: “Collectively, we are not meeting the needs of the patients we serve.
“We had more than a hundred delayed discharge patients last week – three-and-a-half wards worth – and, more importantly, the numbers have not been going down.
“Things were agreed last summer to bring them down and we have just had eight weeks of the worst consistent pressure we’ve ever had.
“We were genuinely worried that if this continued it would pose a risk to patients. This is a call to action.”
Dr Swart said that with wards frequently operating a virtual one-in-one out policy, staff wanted to leave and patients were being left without a bed.
She said: “You wouldn’t want a patient with a heart attack, a stroke or major bleed to come to a hospital that is so full they can’t get a bed straight away in the right department and that’s what’s happening.
“It’s not what we would want for our families and its not what I’d want for our patients in this hospital and it is having a huge impact on our staff. Staff who are working when we are so pressured are genuinely worried about patients. They haven’t got the time they’d like to explain things to people.
“That makes me feel like this can’t continue.”
Last week, there were 165 fit patients at NGH and KGH who could not be discharged.
Often it’s because elderly people with complex illnesses need home care assessments by social services, which can take days and weeks.
As a result, doctors cannot be sure the patient would be safe at home and so keep them in hospital, stopping new patients being admitted.
Effects of this include long queues in A&E, ambulance response delays, cancelled operations and patients being moved wards in the middle of the night. The nub of the issue is that the pressure is all on hospitals to get patients admitted quickly to hit targets, but there is no similar imperative to get them out quickly when they are better.
One of the major changes, since March, has been to put NHS Northamptonshire Healthcare in sole charge of complex discharges, although it is too early for any positive effects to emerge.
Given the progress, though, why did NGH and KGH decide to release a letter criticising the county’s discharge system?
Dr Swart said: “I’ve raised this on about 30 occasions in meetings in the last three years. You might see it as unhelpful but it is formally stating to our partners that we have an unacceptable level of risk, which we need to resolve.
“If I hadn’t raised this publicly I might as well have sent a letter. What’s the point of writing a letter, they’d put it in a drawer?
“We had 8 weeks of the worst consistent pressure we’ve ever had. We were genuinely worried that if this continued it would pose a risk to patients. This is why we did this.
“If you look at the reports on Morecambe Bay, people were covering things up. We think the public have a right to know what is happening.”
Although actions have been put in place before and since the letter, NGH board members’ worry for staff and patients persists.
Dr Swart said: “It will be a worry until we reduce the pressure in the system so that everyone can go straight to the right bed at any time.
“We are managing our risks as carefully as we can but we were drawing attention to the fact this can’t go on.”
Haystack
- 26 Mar 2015 11:47
- 57965 of 81564
It is fortunate that Cameron will be the next PM.
I see that UKIP and the Greens are getting squeezed.
Haystack
- 26 Mar 2015 11:51
- 57966 of 81564
required field
- 26 Mar 2015 11:51
- 57967 of 81564
Don't tell me the pilots don't have an emergency override that means they cannot open the door in emergency...surely it would be normal that the pilots should have a password that enables them only to open the door from the outside.....
Stan
- 26 Mar 2015 11:55
- 57968 of 81564