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A&E and ambulance performance worst ever - again
https://www.bbc.co.uk/news/uk-wales-59332890
The worst ever performance figures have once again been recorded by hospital emergency departments and the ambulance service in Wales.
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Re: A&E and ambulance performance worst ever - again
Almost like an underfunded health service can't keep up with a global pandemic going on.
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Re: A&E and ambulance performance worst ever - again
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Originally Posted by
Croesy Blue
Almost like an underfunded health service can't keep up with a global pandemic going on.
Yes, I dont really see the point of the original post.
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Re: A&E and ambulance performance worst ever - again
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Originally Posted by
Former Labour leader
Yes, I dont really see the point of the original post.
Cos healthcare is important? 🤷
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Re: A&E and ambulance performance worst ever - again
Shouldnt be underfunded. Wheres the £350m a week post Brexit going?
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Re: A&E and ambulance performance worst ever - again
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Originally Posted by
Hilts
Shouldnt be underfunded. Wheres the £350m a week post Brexit going?
Into the back pockets of tory MPs
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Re: A&E and ambulance performance worst ever - again
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Originally Posted by
JamesWales
Cos healthcare is important? 🤷
It is but having a go at the performance of the Welsh government when it's struggling for cash after many years of cuts from Westminster is daft .
Especially when Boris is hardly providing the English people with a spanking health service over the border
The demand on health and social care at the moment in unprecedented especially in South Wales
It needs more resources from the top which then goes to Wales through Westminster
The so called health and social care reforms from the Tories are cobblers and all talk yet again 🙄
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Re: A&E and ambulance performance worst ever - again
Border security to reduce the number of migrants who could work in the NHS.
PS...£350 million was a publicity stunt, an accountancy trick to con people.
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Re: A&E and ambulance performance worst ever - again
Quote:
Originally Posted by
SLUDGE FACTORY
It is but having a go at the performance of the Welsh government when it's struggling for cash after many years of cuts from Westminster is daft .
Especially when Boris is hardly providing the English people with a spanking health service over the border
The demand on health and social care at the moment in unprecedented especially in South Wales
It needs more resources from the top which then goes to Wales through Westminster
The so called health and social care reforms from the Tories are cobblers and all talk yet again 🙄
This ^^^. My friends dad (in his eighties) had to wait 13 hours for an ambulance a couple of weeks ago. That’s after suffering a stroke. Was covered in the news. They praised the ambulance and NHS staff but the system is broken.
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Re: A&E and ambulance performance worst ever - again
Plan A - Massive cull of the expensive vulnerable, disabled and elderly on benefits and pensions - AKA the new 'social care plan'
Plan B - Run the NHS into the ground so it fails and can be rescued by private US insurance companies
i'd say this winter might be a success
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Re: A&E and ambulance performance worst ever - again
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Originally Posted by
OurManFlint II
Plan A - Massive cull of the expensive vulnerable, disabled and elderly on benefits and pensions - AKA the new 'social care plan'
Plan B - Run the NHS into the ground so it fails and can be rescued by private US insurance companies
i'd say this winter might be a success
Definitely the only type of plans this .gov.uk would come up with.
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Re: A&E and ambulance performance worst ever - again
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Originally Posted by
Citizen's Nephew
Definitely the only type of plans this .gov.uk would come up with.
UK Gov has nothing to do with how we run the NHS in Wales
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Re: A&E and ambulance performance worst ever - again
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Originally Posted by
lisvaneblue
UK Gov has nothing to do with how we run the NHS in Wales
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.
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Re: A&E and ambulance performance worst ever - again
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Originally Posted by
ninian opinian
This ^^^. My friends dad (in his eighties) had to wait 13 hours for an ambulance a couple of weeks ago. That’s after suffering a stroke. Was covered in the news. They praised the ambulance and NHS staff but the system is broken.
I agree the system is broke and Im not sure simply putting more money into it will change things.
The front line workers are great. I spent a few days in hospital earlier this year and have nothing but praise for them. But the organisation around things is just a mess.
And its not just in hospitals. Recently I went for a booster jab at the Splott centre. When there they asked if I worked for the NHS. If I had they would have also given me a flu jab, but as I do not I was told Id have to get one elsewhere.
I wrote to our Health minister complaint that this was poor use of resources. The reply I got said that the JCVI recommend co-administration where it aids operational expediency. For Wales this means only front line NHS staff and social care staff get co-administered jabs. I responded reminding her that I had a 10 minute appointment slot for my booster and the flu jab could also have been given in that time frame. It would have been a good example of operational expediency. As it is I now have to take another 10 minutes of a healthcare professional time to get my flu jab.
On a different note my neighbour is a 'first responder', attending emergencies ahead of an ambulance arriving. He works around the Cardiff area, and of course when he gets a call time is of the essence. Crazily Cardiff council will not allow first responders to use the Bus/ taxi lanes when answering a call. Yet more nonsense from the administrators.
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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
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Re: A&E and ambulance performance worst ever - again
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Originally Posted by
The Bloop
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.
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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.
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Re: A&E and ambulance performance worst ever - again
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Originally Posted by
chrisp_1927
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.
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Re: A&E and ambulance performance worst ever - again
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Originally Posted by
lisvaneblue
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 ?
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Re: A&E and ambulance performance worst ever - again
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Originally Posted by
JamesWales
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 ?
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Re: A&E and ambulance performance worst ever - again
Quote:
Originally Posted by
chrisp_1927
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 ?
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Re: A&E and ambulance performance worst ever - again
Quote:
Originally Posted by
JamesWales
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
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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.
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Re: A&E and ambulance performance worst ever - again
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Originally Posted by
lisvaneblue
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.
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Re: A&E and ambulance performance worst ever - again
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Originally Posted by
SLUDGE FACTORY
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.
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Re: A&E and ambulance performance worst ever - again
Quote:
Originally Posted by
SLUDGE FACTORY
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!
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Re: A&E and ambulance performance worst ever - again
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Originally Posted by
JamesWales
Yes, there are. The difference is people don't deny it!
Who has denied it?
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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
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Re: A&E and ambulance performance worst ever - again
Quote:
Originally Posted by
Nobody's Rep
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.
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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?
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Re: A&E and ambulance performance worst ever - again
Hand on heart, I can honestly say that few things annoy me more than the politicisation of the NHS. It's deeply unhelpful, and barring some issues at the fringes, healthcare is politics free. Everyone wants the same outcomes.
This will never happen of course, but I would love to see some kind of formal agreement that healthcare be run on a coalition basis, perhaps with a formal committee to represent parliament (chaired by the Health secretary) so that all decisions are removed from the yah-boo of party politics and all parties are involved in agreeing decisions.
For me, it's unquestionable; whilst the NHS needs more money (what doesnt?) there are deeps structural issues that need addressing as well as serious questions about what should be provided especially as society generally ages and lives longer.
In healthcare more than almost anywhere else we need a cross party consensus and the ceasing of it being used as a political football.
Again, it won't happen, but imagine a formal party policy that said they will specifically reach out to all parties to share management of the NHS? Would be wholly positive in my opinion
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Re: A&E and ambulance performance worst ever - again
Quote:
Originally Posted by
the other bob wilson
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?
Wales has an older population on average than England, and it has a poorer population on average than England. 21% of people in wales are of pensionable age - most English regions are around 18% with london 12%!. The South West has 22% but a higher proportion of those are wealthy retirees than in Wales. This stuff does make a difference - I'm sure people on here in their 60s or 70s will be aware how much more they or their friends have to rely on the NHS than when they were younger.
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Re: A&E and ambulance performance worst ever - again
Quote:
Originally Posted by
Rjk
Wales has an older population on average than England, and it has a poorer population on average than England. 21% of people in wales are of pensionable age - most English regions are around 18% with london 12%!. The South West has 22% but a higher proportion of those are wealthy retirees than in Wales. This stuff does make a difference - I'm sure people on here in their 60s or 70s will be aware how much more they or their friends have to rely on the NHS than when they were younger.
None of which fully explains why the situation is so much worse in Wales in the example I quoted. It’s never happened before when it comes to politics, but I agree with James Wales in the post above - some sort of cross party approach is needed here.
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Re: A&E and ambulance performance worst ever - again
Quote:
Originally Posted by
JamesWales
Hand on heart, I can honestly say that few things annoy me more than the politicisation of the NHS. It's deeply unhelpful, and barring some issues at the fringes, healthcare is politics free. Everyone wants the same outcomes.
What do you mean by 'politicisation'? And how do you conclude that 'everyone wants the same outcomes'?
Pro or anti privatisation is a political question - and not just about efficiency/exploitation, management of costs and risks, and whether or not you are happy with public money going into private profit.
Choices about local or centralised priorities and decision making are political. So are questions about what is treated and what is not by the NHS (especially around fertility, gender realignment and 'lifestyle' diseases - which are often more about poverty). So are relationships with drug companies. Choices about recruitment into the NHS from other countries, and collaboration (or not) with other health services are also political. Maybe the objective (shared by all major parties according to their manifestos) of joining up of health and social care is more about management and administration - but it also includes clashes of priorities and cultures between public and private sector organisations and resolving that is a political issue - as are the choices about personal care funding.
I assume from your previous posts that the thing that annoys you most is the 'politicisation' of procurement practices - where the opposition have pointed out the greed, corruption and waste of the government handing out PPE contracts to their mates? Of course that should never be politicised! No that is 'deeply unhelpful'!
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Re: A&E and ambulance performance worst ever - again
Quote:
Originally Posted by
the other bob wilson
None of which fully explains why the situation is so much worse in Wales in the example I quoted. It’s never happened before when it comes to politics, but I agree with James Wales in the post above - some sort of cross party approach is needed here.
I think it does go part of the way to explaining it - the region of England with the longest waits for hospital handover times by far is the south West - which is the region with the most similar demographics to Wales . There will also be the more demands on home care being in place in these regions that causes a delay on patients being released from hospital. The Elderly need exponentially more care from the NHS than the working age population. I think Wales and the South West should get a lot more health and social care funding proportionally in order to be able to deal wth it.
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Re: A&E and ambulance performance worst ever - again
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Originally Posted by
jon1959
What do you mean by 'politicisation'? And how do you conclude that 'everyone wants the same outcomes'?
Pro or anti privatisation is a political question - and not just about efficiency/exploitation, management of costs and risks, and whether or not you are happy with public money going into private profit.
Choices about local or centralised priorities and decision making are political. So are questions about what is treated and what is not by the NHS (especially around fertility, gender realignment and 'lifestyle' diseases - which are often more about poverty). So are relationships with drug companies. Choices about recruitment into the NHS from other countries, and collaboration (or not) with other health services are also political. Maybe the objective (shared by all major parties according to their manifestos) of joining up of health and social care is more about management and administration - but it also includes clashes of priorities and cultures between public and private sector organisations and resolving that is a political issue - as are the choices about personal care funding.
I assume from your previous posts that the thing that annoys you most is the 'politicisation' of procurement practices - where the opposition have pointed out the greed, corruption and waste of the government handing out PPE contracts to their mates? Of course that should never be politicised! No that is 'deeply unhelpful'!
Thanks for so quickly demonstrating how what I suggest would never work.
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Re: A&E and ambulance performance worst ever - again
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Originally Posted by
JamesWales
Thanks for so quickly demonstrating how what I suggest would never work.
Zarah Sultana MP @zarahsultana
It’s been revealed that the Health Secretary, @SajidJavid, has shares in an AI company that operates in healthcare.
Javid has recently promoted AI being used more in healthcare. This would benefit shareholders of AI companies.
I told you they were dodgy.
11:16 AM · Nov 19, 2021
More outrageous 'politicisation' of the NHS!
https://www.theguardian.com/politics...alth-tech-firm
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Re: A&E and ambulance performance worst ever - again
Quote:
Originally Posted by
Croesy Blue
Almost like an underfunded health service can't keep up with a global pandemic going on.
So we get more funding per head than England and performance is worse, but its all down to funding and not management.
I see.
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Re: A&E and ambulance performance worst ever - again
Quote:
Originally Posted by
jon1959
What do you mean by 'politicisation'? And how do you conclude that 'everyone wants the same outcomes'?
Pro or anti privatisation is a political question - and not just about efficiency/exploitation, management of costs and risks, and whether or not you are happy with public money going into private profit.
Choices about local or centralised priorities and decision making are political. So are questions about what is treated and what is not by the NHS (especially around fertility, gender realignment and 'lifestyle' diseases - which are often more about poverty). So are relationships with drug companies. Choices about recruitment into the NHS from other countries, and collaboration (or not) with other health services are also political. Maybe the objective (shared by all major parties according to their manifestos) of joining up of health and social care is more about management and administration - but it also includes clashes of priorities and cultures between public and private sector organisations and resolving that is a political issue - as are the choices about personal care funding.
I assume from your previous posts that the thing that annoys you most is the 'politicisation' of procurement practices - where the opposition have pointed out the greed, corruption and waste of the government handing out PPE contracts to their mates? Of course that should never be politicised! No that is 'deeply unhelpful'!
:thumbup:
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Re: A&E and ambulance performance worst ever - again
Quote:
Originally Posted by
jon1959
Zarah Sultana MP @zarahsultana
It’s been revealed that the Health Secretary, @SajidJavid, has shares in an AI company that operates in healthcare.
Javid has recently promoted AI being used more in healthcare. This would benefit shareholders of AI companies.
I told you they were dodgy.
11:16 AM · Nov 19, 2021
More outrageous 'politicisation' of the NHS!
https://www.theguardian.com/politics...alth-tech-firm
Again, thanks for demonstrating that some are forever interested in using the NHS as a political football.