Is The NHS A Religion?
David Prior set the cat among the pigeons with his article in the Daily Telegraph, which was entitled, NHS on brink of crisis because it became ‘too powerful’ to criticise. It’s all reported here on the BBC, with this being the opening shot.
The NHS “became too powerful to criticise” despite many patients receiving a “wholly unsatisfactory” service, the health regulator has said.
David Prior told the Daily Telegraph that even the most senior staff were afraid of speaking out.
The Care Quality Commission chairman said the NHS should not be treated as a “national religion” beyond criticism.
You have two camps and I meet both amongst my friends.
One group trust it totally for everything and the others pay for expensive health insurance and except for their GP don’t go near the organisation.
I’m in another category. I don’t have health insurance, but if say I needed surgery immediately, I’d probably pay for itself myself. I would also make sure, I went to the best quack I could find.
I would not have any quick solutions, except that the first thing we must do is to decouple the NHS from national politics. Some NHS Trusts are big enough to be companies, that would be in the FTSE300. So politicians and the great and good, should have nothing to do with them!
Because we let politicians meddle we get some of the disasters we’ve had in the past few years.
I would do a few things to make it better for everybody.
My GP and his team are in my opinion pretty good and up-to-date and work out of well-equipped modern premises. I would make absolutely sure that all GPs were up to scratch and some of the dreadful ones that I know exist should be given marching orders.
Perhaps making it easier to change GPs would help. It’s quite easy here in London, but if you have only one terrible rural practice and don’t drive, what do you do.
We also need a universal health database, that all doctors, hospitals and patients can access.
But we as patients have responsibilities.
If we are overweight, smoke and drink heavily can we rightly affect a First Class service? Suppose you had an expensive car and constantly put dents in it because of bad driving, would you expect your insurance company to pay for the repairs? Probably not! So why should your body be treated any different?
And then there’s the insistence of many, that they want the best treatment from their local hospital and if they need a difficult procedure, they refuse to travel to the next area, to get the best specialist.
Try and close an A & E unit and see what happens. Some years ago, there was a big fuss when the unit at Newmarket was closed. But what happens now? The paramedics get patients to either Addenbrookes or the West Suffolk and you never hear of any complaints now!
Patients if asked, would probably say they needed an Air Ambulance at their local hospital, but we seem to work well with a limited number.
We need better systems that work for all! Not Rolls Royce systems working at a low level, which may well be what some countries have!
The NHS has responsibilities too!
It should have a complaints system that works, so that problems such as we’ve seen in the last year or so are spotted earlier. We have the successful CHIRP system for flying and shipping, So where is the NHS version?
As NHS Trusts are in fact large public companies, with just one shareholder, they should be run as such, responsibly, ethically and to proper financial rules and standards. And just as companies like Blockbuster, Peacocks and Jessops went bust, they should be allowed to fail.
And when they do fail, we get the unedifying spectacle of those who’d criticised say the bad care from their local hospital, fighting to keep it open. They should have started kicking earlier, so that the problems were solved years before.
I used to live near Chase Farm Hospital and my younger sister was actually born there. In the 1950s it was a dreadful hospital and everybody who could, went to London, as the other hospitals in the area weren’t much better. When I read reports of the hospital now, it doesn’t seemed to have improved much. But still the locals fight to keep it open, rather than improve the care in the area.
Should not in London the hospitals in a particular borough be controlled by the local council? London has a wonderful transport system and one of the reasons is that transport is the direct responsibility of the Mayor and they either get it right or voted out.
I can’t think of a reason, why each local authority, shouldn’t control, at least the major hospital in its area. Quality and performance would of course be monitored centrally.
More On Feeling Better
I posted after the Home Run From Bilbao, that I was feeling better.
Last night, I went to Pizza Express for a pizza and the Aspall cider tasted good, whereas one a few months ago, tasted rather horrible.
I trimmed my beard this morning too, and that now feels to have a lot more body and substance.
But perhaps the biggest change is that over the last few months, I’ve found that I was rather unsteady some times when I got up from a hard chair. I haven’t had an incident of that nature since Biarritz.
I Think My Bilbao Trip Did Me Good
Yesterday, I had lunch with an old friend, S. She thought that I might have got the old twinkle back in my eye.
But there have been various changes I’ve noticed since my return.
The major one is that my body seems to have gone much closer to like it was, before I had the stroke three and a half years ago. My fitness trainer came round on Monday and she got me to do stretches that I have found impossible in the last few years. I could actually put my left arm up my back and my right arm over my left shoulder and touch hands. Which is something, I probably haven’t done since 2009. In this area, I’ve also noticed that I can fold my arms in front of my chest. And both ways to boot!
I walked today to the Regent’s Canal and my feet behaved themselves with only a touch of the pain doctors say is arthritis, that has been with me since the 1960s and at times has been bad in the last ten years.
I also had two glasses of wine with S. And both of them tasted like wine. For the last few years, a lot of wine could have been anything, as it was tasteless. The only thing, that seemed to have taste, was the Waitrose lemonade, that I use virtually as a mouthwash.
I certainly tasted the chilli-enriched shepherd’s pie tonight.
Even my nose doesn’t seem to running so much and certainly the dull pain in my lower jaw and teeth has lessened. My nose hasn’t bled either!
My brain seems to be on top form, and I’m fairly certain, that the mean time, it takes me to solve the Super Fiendish sudokus in The Times has decreased. My short term memory seems better too!
I can now wear my watch on my left hand and even doing up shirt buttons is easier. I suspect the latter might be a clue, as men do up shirt buttons with just their right hand, and mine wasn’t affected by the stroke. But I have found buttons difficult for the last three years.
Also, since I arrived in Biarritz, I have found taking my INR a lot easier and much less messy. Could it be that my skin has absorbed a lot of water and now it is much more normal. It certainly feels a lot less dry. The only thing I put on my hands are water, soap and gloves. Moisturisers are for wimps. And on the subject of my hands, I can now cut all my nails myself a lot more easily!
Can all of this be down to the mild, sunny, humid weather I encountered on my trip to and from Bilbao? I had in fact, first noticed the return of the arm crossing ability, when I was lying in bed in the hotel in Bordeaux.
To try to recreate that lovely atmosphere, I’ve had my humidifier on full since I returned and a hire company is delivering a bigger one tomorrow!
I intend to prolong this good feeling.
Would I Go Back To Biarritz Again?
Of course I would!
Especially, if I could be guaranteed some weather like I had just experienced. The temperature had been about 14 °C with a humidity of over 50%
I do wonder about my father’s health. He suffered from a similar catarrh to that I’ve suffered for the last couple of years and he had lots of skin problems. He always put the latter down to the solvents he used in his printing business. I’m pretty certain he was a coeliac too, as I must have got the genes from somewhere.
I also remember him saying once that he had been to Biarritz. So did he go because he felt healthy there, as I just had?
I don’t know and there’s no-one I can ask who knew him, who’s still alive.
But as I seem to feel better in Biarritz, if I think I need a break in the winter, I think I’ll go.
Trains seem to take between five and six hours from Paris and there seems to be at least one train every hour.
Exploring Bilbao
Bilbao is an easy city to walk around, although there are virtually no maps, except rudimentary ones at Metro stations.
As you can see the weather was good and I found it helped my health, as it was mild and humid.
Bilbao also seemed to have a lot of clocks, most of which were working and showing the correct time. As Liverpool is the same, is this due to the connection with the sea?
Five Months Of Daily INR Testing
I’ve now been testing my INR using my Coaguchek device for five months now.
INR August-November 2013
I’ve missed very few days.
Nothing worries me about the results, but suppose you were testing every two weeks or so, you might start to get the impression your INR results were not what they should be.
I’ve now got enough data to start doing some serious analysis.
The Engineer Who Fixed His Own Heart
This story from the BBC’s web site is almost beyond belief, but it is totally true. Here’s the intro.
As an engineer, Tal Golesworthy is no stranger to taking things apart, figuring out what the trouble is and putting them back together with the problem solved.
But for more than 30 years, he lived with a life-threatening issue that was less easy to fix.
That is, until he took an idea from the garden, combined it with some basic procedures borrowed from the aeronautical industry and came up with a “beautifully simple” solution to treat his own heart condition.
He then managed to convince surgeons to put it into him.
That was nine years ago, and he’s still here!
Perhaps we need to train doctors more in simple engineering techniques.
A Must Read Opinion In The Sunday Times
Camilla Caendish’s opinion in the Sunday Ties today is very much worth reading. The title says a lot.
Tribal tensions on the ward are putting patients at risk
And it starts like this.
Managers bullying staff into fiddling cancer figures. Whistleblowers gagged with pay-offs. A&E doctors coping with patients who should have been seen by the GP. And that’s just last week’s headlines. With so many of the staff at loggerheads, it’s not surprising the National Health Service sometimes seems to forget about the patients.
It is full of nuggets that apply to any company or organisation. Like this one!
Hinchingbrooke Hospital in Cambridge has borrowed a programme from Toyota called Stop the Line. This lets any member of staff halt a procedure if they think the patient may be at risk. In one recent case, a patient was about to be stitched up after surgery when two theatre nurses found a swab was missing and “stopped the line”. An x-ray showed the swab in the patient’s abdomen. It was removed, saving the patient from harm and the hospital from heaven knows what kind of negligence claim.
If you can find the article, read it!
The Good And The Bad Of A & E
The saga of my hand is hopefully now finished.
But it does illustrate the good and the bad of A & E in the NHS.
The damage happened near to my surgery and the nurse patched it up. She also checked my tetanus and found it was up to date.
But possibly because of my Warfarin, the blood started to seep around the plaster and in the end, when I started dripping blood all over a Victoria line train, I got out at Warren Street station and I went to A & E at University College Hospital. They did a stronger patch but even that fell apart, probably because I type too much and the damage was on the point of the knuckle.
So it was back to the surgery and then on to Boots, where I bought a large traditional plaster to put over the lot, and some white cotton gloves to protect the whole package.
I still have a scab on the back of the hand and now because of the success of the hospital bandage, I wear a wrist support to take the pressure off my wrist and the knuckle.
The treatment, I got was generally good and quick, as who would complain at forty minutes in A & E for a minor injury.
But as I live alone and couldn’t patch it up myself with one good hand, it needed trips to get medical help.
So are we seeing more people going to A & E because so many of us now live alone? And is A & E geared up for it?
But the real problem that A & E has, is the lack of a joined up database with my GP. The nurse at the surgery checked my tetanus status, which I thought was good, but of course, I couldn’t remember the date. The nurse in the hospital asked and I told her it was good. but she had no means of checking.
Incidentally, one thing that saved time in A & E was that I’d been an in-patient at the hospital and I was already registered.
Those who object to a large joined up NHS patient database, are probably the people, who complain loudest at the wait in A & E.
But how much time and effort would it save?
My Annoying Hand
My poor hand doesn’t seem to have the will to allow a plaster to stick on it.
The nurse at the surgery had a go this morning and his effort with steri-strips is coming to grief, as my skin doesn’t seem to offer enough grip for them.
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- The Strips That Won’t Stick
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- A Proper Dressing
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- Covered In A Cotton Glove
So I’ve now put a solid old fashioned lint patch and zinc-oxide plaster over the wound. I now cover it with a cotton glove to help stop the plaster being disturbed.
After all it is the Eve of All Saints’ Day.
I suppose the problem is that, as the wound is on the point of the knuckle, any movement stretches the skin. I think I might go to Rymans, if this doesn’t stick and buy a large rubber band.
It is all very annoying!
The Anonymous Widower 