Just sat here for a few mins considering if it's possible to substantially lift the service, it's not. Everything bad has reached a confluence of dysfunction, none of it caused by clinical staffs, I can't condem strikes, or the majority of administration.
The only answer is more of everything, that takes a lot of time even if unlimited funds were available, its catch 22 all over again.
There is a sickness unfortunately intractable a sickness of managing UK Ltd, our national enterprise, until that is fixed we as a nation are going precisely nowhere.
When I was younger I never thought about what might happen if I needed urgent medical care. It was just there. Now, as I get older and look down the barrel of ageing with a chronic illness I have tried to fix for 10 years unsuccessfully, it scares me to know that my parents had the best of the NHS. They never doubted it for a moment. That time has gone. I'm worried.
Thanks for this distillation of NHS England's data.
One glaring weakness in their data though is the willful ignoring of community demand. Since 1990 UK has focused almost exclusively on the needs based aspects of service delivery, whilst ignoring that needs reveal themselves either from demand or from screening. Whilst screening activity is closely followed, demand is studiously ignored. Thus we have delays to contact GPa and queues to get into A&E. With Ambulance services reflecting the dusfunction of the demand response arm.
One thing is certain, if you ignore a problem it will eventually overwhelm everything else as CoVID demonstrated.
I know it's not in your gift to change what NHSE collects but perhaps we should all focus our attention on restoring the health of our primary care system for a while, not merely asking it to behave like an out patient department in the community.
Just sat here for a few mins considering if it's possible to substantially lift the service, it's not. Everything bad has reached a confluence of dysfunction, none of it caused by clinical staffs, I can't condem strikes, or the majority of administration.
The only answer is more of everything, that takes a lot of time even if unlimited funds were available, its catch 22 all over again.
There is a sickness unfortunately intractable a sickness of managing UK Ltd, our national enterprise, until that is fixed we as a nation are going precisely nowhere.
When I was younger I never thought about what might happen if I needed urgent medical care. It was just there. Now, as I get older and look down the barrel of ageing with a chronic illness I have tried to fix for 10 years unsuccessfully, it scares me to know that my parents had the best of the NHS. They never doubted it for a moment. That time has gone. I'm worried.
Thanks for this distillation of NHS England's data.
One glaring weakness in their data though is the willful ignoring of community demand. Since 1990 UK has focused almost exclusively on the needs based aspects of service delivery, whilst ignoring that needs reveal themselves either from demand or from screening. Whilst screening activity is closely followed, demand is studiously ignored. Thus we have delays to contact GPa and queues to get into A&E. With Ambulance services reflecting the dusfunction of the demand response arm.
One thing is certain, if you ignore a problem it will eventually overwhelm everything else as CoVID demonstrated.
I know it's not in your gift to change what NHSE collects but perhaps we should all focus our attention on restoring the health of our primary care system for a while, not merely asking it to behave like an out patient department in the community.