A&E and ambulance performance worst ever - again

[lisvaneblue]

Re: A&E and ambulance performance worst ever - again

True, but the amount of money received by the Welsh Government from Westminster to run the NHS is determined by the Barnett formula, which doesnt take into account anything other than population size. Demographics pay no part in how much block grant awarded is to the devolved nations.

Yes, but how much of the money is spent on healthcare is down to the Wales gov.

[chrisp_1927]

Re: A&E and ambulance performance worst ever - again

The way that some are happy to give the Welsh government a free pass on the Welsh NHS is quite frankly shocking. Our ambulance service in particular has been in tatters for years.

[JamesWales]

Re: A&E and ambulance performance worst ever - again

The way that some are happy to give the Welsh government a free pass on the Welsh NHS is quite frankly shocking. Our ambulance service in particular has been in tatters for years.

100% agree. And it's weird as shit too. This is our families lives we're talking about.

[SLUDGE FACTORY]

Re: A&E and ambulance performance worst ever - again

UK Gov has nothing to do with how we run the NHS in Wales

Well that's not true is it ?

If you need to build a brick wall that is going to cost 1000 quid but are only given 300 quid to do it then what sort of wall do you think you will get ?

[SLUDGE FACTORY]

Re: A&E and ambulance performance worst ever - again

NHS budgets have gone up a lot in last few years. If performance is getting worse (and it's impossible to tell cos of Covid really) then just ignoring that and shouting for more money doesn't make you a friend of the NHS.

There's clearly massive structural issues at play. Ignoring it just tolerates that

Just blaming Westminster when we are talking about a service thats been devolved for 20 years is just ridiculous and rather gutless.

This is too important for petty party politics. Everyone needs to come together on it. We all want the same thing

The NHS is continually in need of cash

And this going to keep increasing

Either the people running Westminster cough up or we continually suffer poor health care

It's bad in Wales but it's hardly great in England is it ?

I mean who spaffed all that money at the start of covid in England ?

[SLUDGE FACTORY]

Re: A&E and ambulance performance worst ever - again

The way that some are happy to give the Welsh government a free pass on the Welsh NHS is quite frankly shocking. Our ambulance service in particular has been in tatters for years.

Oh massive problems but it's a problem right across the board

My old dear pays a flat rate for basic home care of 100 quid in Wales

Guess how much it is in England , if you are lucky enough to get it ?

[SLUDGE FACTORY]

Re: A&E and ambulance performance worst ever - again

NHS budgets have gone up a lot in last few years. If performance is getting worse (and it's impossible to tell cos of Covid really) then just ignoring that and shouting for more money doesn't make you a friend of the NHS.

There's clearly massive structural issues at play. Ignoring it just tolerates that

Just blaming Westminster when we are talking about a service thats been devolved for 20 years is just ridiculous and rather gutless.

This is too important for petty party politics. Everyone needs to come together on it. We all want the same thing

And there are not massive structural issues in England ?

I think you will find its absolutely on its arse there too

[Croesy Blue]

Re: A&E and ambulance performance worst ever - again

It is shit across the board but we don't even get prescriptions and parking in England without paying through the nose for it.

Is it even up to the Welsh government how much gets spent I thought that was all decided based on population from a UK level anyway.

[Citizen's Nephew]

Re: A&E and ambulance performance worst ever - again

UK Gov has nothing to do with how we run the NHS in Wales

I was responding to the posters suggested plans A & B which have an uncanny resemblance to some of the things .gov.uk have in their playbook.

[Citizen's Nephew]

Re: A&E and ambulance performance worst ever - again

And there are not massive structural issues in England ?

I think you will find its absolutely on its arse there too

100%

I posted a few weeks ago about a recent MRI at UHW and speaking to nurses, radiologists et al and it was clear they're furious with GPs palming off patients to A&E. It's no wonder the ambulance services are on their arse as well as A&E staff and support services if GPs have effectively shut their doors to their local patients. I haven't had a face-to-face appointment with a GP since the pandemic. As soon as the GPs are criticised for this they get upset about it. The pressure on the ambulance service and A&E isn't mainly because of COVID anymore.

[JamesWales]

Re: A&E and ambulance performance worst ever - again

And there are not massive structural issues in England ?

I think you will find its absolutely on its arse there too

Yes, there are. The difference is people don't deny it!

[Croesy Blue]

Re: A&E and ambulance performance worst ever - again

Yes, there are. The difference is people don't deny it!

Who has denied it?

[Nobody's Rep]

Re: A&E and ambulance performance worst ever - again

The issues aren't mutually exclusive - funding has increased from Westminster to Wales but maybe not at the right rate but it has not been well used in Wales - for me everyone is culpable including decision makers in the health boards. But austerity for 10 years or so is the major contributor

Additionally you cannot seperate the issues being faced in social care not adding to the issues faced by health in terms of bed blocking and not being able to be discharged to social care services.

Therefore ambulance A takes someone to a and e but has to wait for a someone to be seen because a and e is blocked because they have no beds in the ward to put people in as they are full of people needing discharge but can't. Therefore ambulance a is off the road for x amount of time leading to longer waits for people needing an ambulance

Don't get me started on GPs and their contracts

[Citizen's Nephew]

Re: A&E and ambulance performance worst ever - again

The issues aren't mutually exclusive - funding has increased from Westminster to Wales but maybe not at the right rate but it has not been well used in Wales - for me everyone is culpable including decision makers in the health boards. But austerity for 10 years or so is the major contributor

Additionally you cannot seperate the issues being faced in social care not adding to the issues faced by health in terms of bed blocking and not being able to be discharged to social care services.

Therefore ambulance A takes someone to a and e but has to wait for a someone to be seen because a and e is blocked because they have no beds in the ward to put people in as they are full of people needing discharge but can't. Therefore ambulance a is off the road for x amount of time leading to longer waits for people needing an ambulance

Don't get me started on GPs and their contracts

Top post. Spot on.

[the other bob wilson]

Re: A&E and ambulance performance worst ever - again

On Wednesday I listened to the Welsh Health Minister being interviewed on 5 Live. The interviewer said that one in four people in Wales are waiting on hospital treatment for various ailments, whereas it’s one in twelve in England. As the Health Minister didn’t correct him on that, I assume she knew the figures were correct - if they are, they’re appalling and reflect badly on Welsh Labour who have to take a big share of the responsibility for that situation. It’s no defence to talk about what’s happening in.England because, in this case, they are significantly better than the Welsh ones, but it’s also fair to say that it’s no endorsement of the UK Government that they presiding over a situation that is bad, but not as bad as in Wales.

Seems to me that the NHS needs help in terms of organisational management as well as financial help, how far is the average person willing to go to maintain the NHS in the format it was created in or as close to it as is possible now?