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The Budget

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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    The NHS is improving - slowly but I can't believe anyone would seriously suggest things are worsening. Waiting times are steadily falling as are waiting lists, we've got a brand new hospital being built here and now people argue on what to spend the money on and that the change isn't occurring quickly enough - remember the days when people were talking about what to cut back and which hospitals would have to close?
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Man of Kent, there must be a balance between spending money on improving patients treatment and bureaucracy. Evidently it's absurd to state that there should be no administration. Nonetheless, is it right for administration costs to exceed the cost of treating patients?
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Originally posted by monocrat
    Nonetheless, is it right for administration costs to exceed the cost of treating patients?

    Is it absurd to consider that the administrative cost is part of the cost of treating the patients?

    Perhaps you can explain where the two are different...
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Originally posted by kevlar85
    The NHS is improving - slowly but I can't believe anyone would seriously suggest things are worsening. Waiting times are steadily falling as are waiting lists, we've got a brand new hospital being built here and now people argue on what to spend the money on and that the change isn't occurring quickly enough - remember the days when people were talking about what to cut back and which hospitals would have to close?

    Remember when they were saying that the NHS couldn't be improved?

    If you ever get the chance, read the NHS Plan and tell us which part of that isn't being implemeted... for example:

    No one will wait more that 21 weeks for their first outpatient appointment.

    No one waits more than 12 months for their operation.

    80% of people are treated or admitted within 4 hours of attending A&E

    By this time next year those figures will have changed to 19 weeks, 9 months and 90% respectively.

    How much of that has been reported in the media? Even the report which highlighted these was headlined in the press as "NHS Still Has Much To Do"...
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Originally posted by Man Of Kent
    Is it absurd to consider that the administrative cost is part of the cost of treating the patients?

    Perhaps you can explain where the two are different...

    Of course it's part of the overall cost. That's why I said there must be a balance met.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Originally posted by monocrat
    Of course it's part of the overall cost. That's why I said there must be a balance met.

    You then said "is it right for administration costs to exceed the cost of treating patients?"

    So where is the separation? When is the work of one NHS employee not part of the cost of treating patients? Which administrative costs were you talking about?
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Surely administrative costs would be roughly equal between the NHS and the NHS if it were privatised? What you'd gain in "efficiency" (byword for job losses that we later find out were too harsh to maintain the same service eg; Arriva Northern sacking too many drivers so they now have a shortage) you'd lose through the increased number of accountants and people needed to go through every claim form for the insurance company and then the hospitals employing people to chase up the insurance companies for payments...
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Originally posted by Man Of Kent
    You then said "is it right for administration costs to exceed the cost of treating patients?"

    So where is the separation? When is the work of one NHS employee not part of the cost of treating patients? Which administrative costs were you talking about?

    Well you say there is a link (you're in the NHS, you tell me what the 'link' is).

    I say that spending money to DIRECTLY aid patients is better than financing bureaucrats.

    My brother is a doctor and I feel it would be prudent to spend greater funds in training people like him instead of those who simply determine how NHS funds are spent.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Originally posted by monocrat
    Well you say there is a link (you're in the NHS, you tell me what the 'link' is).

    How can there not be a link?

    Do you think that there are people in the NHS, employed in the NHS, whose job it is to prevent patients from being treated?
    I say that spending money to DIRECTLY aid patients is better than financing bureaucrats.

    Which is the narrow minded thinking that has got the NHS into the problems it has now. It doesn't matter what the money is spent on, so long as people are treated properly and with the minimum delay possible. That is what the NHS is there to do. By putting restrictions in place on where the moeny is spent - which is what most politicians do - you actually prevent the NHS from working to its capacity.

    You said earlier that the NHS should be treated - or act - like private business. So tell me, how often does the Govt say where private moeny can be spent?

    If the employment of a "bureaucrat" means that a nurse of doctor is free to carry out their clinical duties, then how can you say that the funding hasn't gone directly into patient care?

    It would also help if you defined what you mean by bureaucrat?
    My brother is a doctor and I feel it would be prudent to spend greater funds in training people like him instead of those who simply determine how NHS funds are spent.

    I agree with you in part. We don't teach junior doctors in the best way possible. We stick then on the front line almost as soon as they get out of Med School, and then we (the public) expect them to get it right, every time, first time. We put unrealistic demands on them and wonder why they crumble under pressure or make mistakes.

    What I find even more offensive though is that the BMA defends this practice. Perhaps the Doctors would be better off looking at their own systems too? I've lost count of the number of times I have fallen our with consultants over this...

    Out of interest, the number of people who decide how the money is spent has actually reduced since Thatcher's "experiment" with fundholding GPs. You know, when the NHS tried to act more like private business... ;)
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Monocrat - you may want to have a look at this article.
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