A Personal Vitamin D Tester
I’ve thought that the ability to purchase one of these over-the-counter in your local Boots, Superdrug or any or the umpteen pharmacies, would be very worthwhile for some time. But I’ve nver found anything on the web.
Tonight I found this article on the Natural News web site, which is entitled Over-the-counter vitamin D tester would be a boon to public health, cancer prevention.
The writer makes some good points and would be very in favour of the sale of such a device.
Read the article and see what you think.
With my engineering hat on, I can only think that no-one has come up with a simple method akin to the one I use to test my INR.
I also believe there are a lot of doctors, who believe patients doing their own testing is a no-no! Possibly becuase it blows a hole in his staff needs and therefor reduces their budget. Nurses doing lots of testing gives the feel-good factor of a busy surgery.
But then the Healthcare Industry all over the World, is the last one to start using Twentieth Century managenment methods. In private medicine, it is a sensible way to inflate the bill and in the NHS, it means you don’t have to make unnecessary staff redundant.
Do We Need A National Health Service?
You might say that’s what we’ve got, but what we really have is a National Illness Service
But it is not making best use of resources to make sure we don’t need it.
Consider some of the things that have happened to me in the last couple of days.
I ran out of statins yesterday, which indicated to me that I’d got to get a repeat prescription from Boots. But where was the message to say it was time to pick them up?
It doesn’t matter to me, as the Boots I use, as did my grandmother before the First World War, is only a bus ride away.
Whilst waiting for my prescription, I got talking to a young lady from Cancer Research UK, who was also waiting for her prescription. I teased her about not smoking and I was glad to see she didn’t. I wish my son George had been so sensible.
I then got talking to a lady, who must have been around eighty and we discussed how I tested my own INR. She was familiar with the device and had wanted one for her mother, who had had a stroke. But the cost was just too much, so the surgery used to send a nurse round.
I feel very strongly, that in the right hands self-testing is a real life improver, as any diabetic will tell you. After all, most of us can now use a well-designed device.
We also talked about my coeliac disease, as her two great-daughters had both been diagnosed, but she didn’t know, it can be a cause of not getting pregnant.
When I was diagnosed as a coeliac, a lot of the information I received from Addenbrookes was far too comprehensive and not very practical. But, gradually with the help of various trusted web sites and a previous GP, I’ve found a regime that works for me.
Perhaps, what is needed is a network of local mentors for diseases like coeliac disease, as what you can find differs very much as you go around the country.One regime definitely doesn’t fit all!
For instance, Cambridge, Glasgow and Liverpool are much easier than say Blackpool, Ipswich or Middlesborough.
Incidentally, on Sunday, a young lady and her boyfriend had been a bit confused as to what bread to buy in Marks at Waterloo station, so as I do when asked an opinion, I guided her through the gluten-free section. To be fair to Marks, their staff are usually helpful.
Over the last few months, I’ve been involved in the testing of a new anti-cholesterol drug, at the William Harvey Research Institute.
On a selfish note, it has allayed a lot of fears about my health.
I would certainly recommend that if you have a medical or psychological condition, that you check out the research around your local area and see if you can help by joining a suitable research project.
From my experience with Liverpool University, I know they are looking for people to assist with research, much of which is psychological and just involves answering a few questions.
Over the years, I’ve been involved in research at Moorfields Hospital, Liverpool University, Oxford University and the University of East London, none of which involved any more than looking at a computer screen or filling in a form.
The Moorfields research was in some ways the most interesting, where I had my eyes tested on a series of new machines and was then asked to say which ones I preferred. The project was attempting to find the best machines for the NHS.
So if your local University is looking for research volunteers, in something that might be to your advantage, why not volunteer.
After all, it is our National Health Service and we should bend it to our needs.
With the anti-cholesterol drug, I’ve seen some of the best doctors in the field and I’ve learned to inject myself. Hopefully, it’s a skill I won’t need again.
Gluten-Free Food On The NHS
As a coeliac, I get no food from the NHS.
If you take bread as an example, I get through a couple of slices a day, usually spread with honey, in a sandwich or as something to eat with say hummus.
If I was to get this bread on the NHS, a month’s worth would leave me with no space in the freezer and I’d have to defrost each slice as I needed it.
Also, the bread from Marks and Spencer is far superior to anything available on the NHS.
I probably spend about a fiver on specialist gluten-free food every week, but mainly I eat the sort of food, that is naturally gluten-free, like meat, fish, vegetables and fruit.
A more cost-effective system would be that all coeliacs got a monthly payment to help with food costs. If they spent it on cigarettes, then that is their affair!
So what do I think are the best gluten-free foods?
Bananas – A snack in its own wrapper.
Beans
Black Farmer Sausages – Made for real men
Celia gluten-free beer
EatNakd Bars
Eat Natural Toasted Muesli With Vine Fruit – Not the Buckwheat!
Eggs
Fish – Always skinless and boneless
Goats Milk – It lasts forever in the fridge
Honey
Leeks
Marks & Spencer’s Beefburgers –
Marks & Spencer’s Bread – It’s all excellent
Marks & Spencer’s Calves Liver – All that B12
Marks & Spencer’s Still Lemonade – I use it to clear my throat of catarrh
Marks & Spencer’s Welsh Goats Cheese
New Potatoes – I use them as nibbles too!
Rachel’s Yoghurt with Honey – It doubles as a quick pasta sauce!
Rice
Strawberries
Tea
Tomatoes
Rump Steak – Always top quality
Waitrose Chicken Breast Chunks – So many simple meals start with these!
Waitrose Prepared Mango, Melon and Pineapple
Whisky – Scotch or Irish
I do tend to buy food that doesn’t need preparation, as my knife skills aren’t that good and being on Warfarin, I don’t want to cut myself. I also buy the Waitrose prepared fruit, as to buy a whole mango, melon or pineapple would mean I would waste a lot.
I should say I don’t need to live frugally, but if I had to, I could fund my energy, water, Council Tax, phone and daily food from well within my State Pension. Obviously, I get travel in Greater London free and I don’t have a car
Avoiding The Real Issues In The NHS
All the political parties seem to be promising more and more to the NHS in this election, be it money, drugs, doctors, nurses or midwives.
Money could be the least of the problems, as it will probably come from improvements to the economy or some tax-the-rich measure, depending on your political point of view.
As drugs are not really a drug problem, but usually a money one, we are left with where to we get the tens of thousands of staff we need to provide health-care.
The trouble is that being a health professional, is a skill you can use anywhere in the world, as all human beings are the same under the skin, even if they come in various colours, speak different languages and have certain different diseases governed by genetics or environment. So just as we can recruit paramedics from the Antipodes, nurses from the Philippines and doctors from virtually everywhere, other countries can entice our health professionals away.
We live in an increasingly global society, and working abroad for a few years is often in many peoples desired career profile, be it in health care or not. Healthcare like certain other professions is one of those that gives you a passport to a lot of interesting places.
All manpower planning in the NHS seems to believe that those trained here, will stay here. But all good training does is hand everybody that passport to travel.
To make matters worse, good training for some professions, is an excellent grounding to starting a business or working in the private sector.
So the first issue we must face, is this one of where do we get the staff. The NHS has shown itself to be not very innovative in this area.
Some have suggested in the past, that anybody trained in the NHS must contract to work for the service for so many years. This is just cloud-cuckoo thinking.
The one positive thing that can be done to help staff is to provide better working conditions and rewards for those working in the NHS. Most of the NHS buildings, I’ve seen in the last ten years have been pretty sound, with perhaps the odd exception, so we must look at the problems of staff with respect to organisation, management, pay and pensions.
What I do find interesting is that all of the Practice Nurses I’ve met in GPs surgeries seem to be so much happier in their work than those in hospitals. It’s only a small survey, but it does say something about the difference between GP’s surgeries and hospitals.
When I’ve spent time in hospital in the past few years, it has been been twice in good NHS hospitals and once in an expensive private one in Hong Kong. There was little difference in the equipment or methods used, but as an IT professional of some years experience, I don’t believe that hospital systems are what an engineer or manager would accept if they worked in say a modern car factory in the UK.
So we must get hospital and GP health systems to the levels that patients and staff expect in their personal life.
Where is an on-line copy of my health record, that I can read to get to the bottom of my problems, that seem to occur seasonally in the Spring?
But things are changing and we must create a health communication and information system, that is an order of magnitude better than what we have today.
No political party is saying they’ll fix this important gap in the NHS.
Everything in our lives is going on to our computers or phones, but healthcare in the NHS hasn’t changed that much since I was born in 1947.
Some people rightly worry about such a computer system. But at its best it would only be like an on-line shopping system, where if you don’t see what you need on-line at your favourite store, you go and look at a physical one.
In all the politicians posturing on health, they very much ignore the users of the NHS and what they can do to improve the service and its efficiency.
I would be interested to see an analysis of how much the average patient costs the NHS. I suspect that because of the lack of a fully joined-up computer system, if I had complete access and wanted to find out how much I cost the NHS last year, no accurate value could be calculated.
Many people calculate their motoring costs to the last penny, but even if they wanted to, it’s probably impossible with healthcare, even though all the data is there.
Eventually, everybody will have this figure, as it could be a powerful tool for a GP to classify and better treat their patients and as a motivator to patients to improve their lifestyle. You’ll never change some patients, but many could be nudged in the right direction.
We must also do more to ease our load on the NHS. On a personal level, I look after my INR, by doing my own tests. A Committee of MPs has stated that all NHS patients who can, should do their own testing to save the NHS a lot of money.
How many other measurements can be taken by patients to ease the load? And are we doing enough to encourage more and better devices?
In no political party’s pontifications on the NHS, can I find anything about bringing the patient more into his or her own healthcare. But many doctors and nurses have said to me that we should take more responsibility for our own health.
After all, many of us now carry a tablet or phone, that has more computing and information accessing capability than existed anywhere ten years ago. Is this being used to give us better healthcare? Not really!
Political parties are not tackling the problems caused by our poor diet, lifestyle and environment.
Where I live, there are more unhealthy takeaways than you need to try a new one every week of the year. Not one sells any gluten-free food, so their chances of seducing me with their crap is non-existent.
Even the Sainsburys Local that I use is not a store,where you can always get the staples you need to create a healthy meal. Yesterday, I needed a couple of haddock fillets for supper, but except for some very bedraggled and unappetising cod, there was no uncoated fish. So I had to take a bus to the Angel to get some from Waitrose. Does a lack of healthy food locally mean that many don’t eat as healthily as I do? I am out and about in London most days using my Freedom Pass, so it is not difficult for me to pick up what I need on the go. But a young mother with an infant in a buggy doesn’t have that luxury. It’s not the shops’ fault, as they only stock what the shop sells!
The only positive thing government can do in this area, is to give local authorities more power to decide what shops they allow in their area.
I haven’t seen anything like this in any manifesto.
We should also do things to curb air pollution, which can get bad at times. All city centre transport, should either be electric or very low emission vehicles.
But again, no-one wants to annoy people, except the Greens, who won’t win anyway.
I suppose smoking comes into this area. Any candidate for London Mayor, who decides to ban it in public parks, squares and in the vicinity of bus stops gets my vote next time.
Perhaps candidates for the election, should have to declare if they smoke or not and what car they drive on the ballot paper!
Do we also give our children an education that will help them get through the minefield that is health? We give sex education in schools, but surely health education is just as, if not more important!
We need to think radically, about how we deliver healthcare and before we throw money at it, we should sort out the details on how it is delivered, how it interacts with patients and the fasctors that affect it.
Conservative 1940s thinking has failed and we must bring the NHS into the twenty-first century.
Greater Manchester To Control Local Health Budget
\This report on the BBC entitled Greater Manchester Councils ‘to control £6bn NHS budget’, is surely the way for healthcare to go in the UK, as I suspect that health needs in various parts of the country can be very different.
Manchester is getting increasingly like London with an elected mayor responsible for various issues. Some of these issues are related, like the provision of good public transport to and from hospitals, so it is only right that they are dealt with locally. I am lucky in that my three local hospitals; the Royal London, Homerton and University College are all an easy bus ride or train journey away, but what proportion of the UK population, need to get a car or taxi to their local hospital?
Mansion Tax To Pay For 1,000 Nurses In Scotland
This is the front page headline in The Times. It is subtitled.
Labour targets southern England to woo north.
These headlines are based on a policy statement by Jim Murphy, the Scottish Labour Leader. The Times also says he didn’t clear it with Ed Miliband.
My house would probably not be worth enough to pay a mansion tax, although knowing politicians, they’d probably change the rules to make most houses in London and the South East pay the tax.
But I thought that the NHS in Scotland was devolved.
One thing I find, is that if I talk about the NHS to people in England and Scotland, those in places like London, Liverpool and East Anglia, are much more satisfied with prerformance than those north of the border.
The Other Side Of Healthcare
According to reports like this, the new boss of the NHS is going to create more smaller community hospitals. Here’s the first few paragraphs
Smaller community hospitals should play a bigger role especially in the care of older patients, the new head of the NHS in England has said.
In an interview in the Daily Telegraph, Simon Stevens signalled a marked change in policy by calling for a shift away from big centralised hospitals.
The health service chief executive said there needed to be new models of care built around smaller local hospitals.
I think there is something, which is just as important, that he doesn’t seem to mention.
That is that all hospitals should be easy to access from most of their catchment area.
When I lived in Suffolk, the only way to get to the excellent local hospital at Addenbrooke’s in Cambridge, was either by a private car or taxi. It certainly couldn’t be done by public transport.
Where I live now, I only have to walk round the corner about fifty metres and every ten or fifteen minutes, there is a 30 bus direct to University College Hospital. The other local hospitals; Royal London, Barts and Homerton are also easy by public transport. I could even get the 30 bus to Harley Street for a private consultation.
But not everybody is so lucky and many hospitals are downright difficult or even impossible to access by public transport. Two hospitals in Suffolk; Ipswich and Bury \St. Edmunds come to mind.
Fixing this problem, will not only help patients, but make it easier for visitors without their own private transport to get to the hospitals.
Hopefully good public transport to hospitals, may also ease parking problems for staff and visitors and hopefully cut down the number of patients who miss their appointments.
Towards The Paperless Society
On the BBC’s News web site today, these are two of their top ten stories; the scrapping of the car tax disc and driving licence records going on-line.
Obviously, these don’t affect me as I don’t have a driving licence or own a car.
But they do show the way that society is going. After all, for many of us, the only contact with our bank or credit card provider is through the Internet.
The one area, where we don’t seem to be going on-line and paperless is healthcare.
The two stories today claim that this paperless route may save us money on car insurance.
So why is healthcare not following the same route?
It doesn’t necessarily mean a loss of privacy and the need to carry a health card, as we do when we travel in Europe, so I’d put it down to a lack of vision of those who run healthcare and the NHS in particular.
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.
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 Anonymous Widower 