Monday 9 June 2008

Begging for your fucking life in the NHS of 2008

A genuine email from a diabetic friend trying to register with a GP after moving house, getting pretty short of blood strips and insulin:

"It's just really rubbish all this, it's been 2 weeks, and they can't even give me a yes or a no."

(To whether or not they will allow registration with their practise AFTER being forced to write them a begging letter, cos they only accept patients "if you write to the practise manager")

"In the meantime, my stock is depleting what do you think? I've given the reception a call and she said the best she can do is leave a message with the practice manager. He, is obviously rubbish. I asked for his direct contact, she won't give it to me. She said he's not around, so you can only leave a note. I got annoyed, and was starting to explain my situation, then she cut me through and said adamantly there is nothing SHE can do. They are crap. I rather pay for a decent doctor then pay thousands in tax to not get a decent service."

Begging for your fucking life in the NHS of 2008

Fucking disgrace, all these fucking GPs need a big dose of reality

15 comments:

niku said...

The GP's are very good at dealing with colds and flu. They tell you not to come by the office if you are ill. If you get really ill go to the A&E.

Remember, the health service is not there for your benefit, it is there for the benefit of the STAFF. They prove it everyday. Why do you think we have the worst outcomes in Europe even among the new eastern block states? The inmates are running the asylum.

Anonymous said...

You labor under the misconception the system is there to work for your friend.

Unfortunately niku is correct; it is there to provide a job for life for doctors, nurses and managers. If they can fit you in between their running battles resisting any type of reform, you are one of the lucky ones.

Anonymous said...

I suspect this is a made-up story as with much in this Blog. We don't use the term "office" in the UK for GP surgeries - need to work on the vernacular a bit more boys!

If a patient is having problems registering with a GP in England, then they simply need to contact the Primary Care Trust who will find them a GP within 48hrs. There. It's that simple.

Anonymous said...

mystified what bollock u talk

niku said...

PCT's for the most part are ineffective. The depositories for mid level functionaries trying to prove they actually add value given the amount of money spent on them. Sadly they don't.

GP's in this country are the least accessible medical providers in Europe. We can always harken back to the runt ideal of the Japanese who wait hours for their doctor and don't complain.

So mystified are you a person or a Microsoft screen saver? I suspect the latter because you completely ignored the real issue. Why doe the UK have third world outcomes given the first world spend and supposed "world class" training? Well? WELL????

Anonymous said...

I saw my GP this very morning.
Rang up at 8.15, got an appointment for 11.30, had blood tests done in a nearby hospital by 3. I'd call that pretty accessible. Admittedly, I had wanted to see him on friday, but he'd been the emergency on call doctor and so couldn't take appointments, and mum couldn't drive me to the doctors yesterday. That's fair enough.

This happened to be the Senior Partner (he's just the one I've seen for years, who now happens to be Senior Partner). If I'd wanted to see a less senior doctor, I could have seen them at an earlier or more convenient time if I'd really wanted to.

I really don't get why you guys seem to have such bad experiences with doctors. Are you in a large city, where I've heard some care isn't as good as in smaller cities or towns. I don't get it.

Anonymous said...

oh, sorry, my comment isn't especially relevant - ignore it.

Although I still don't get why you guys seem to have such bad experiences with doctors.

niku said...

Helen - it is so very sad that a user of the NHS services thinks that burning most of a day of your life for what sounds like routine reasons is very sad. Why didn't you see the doctor get a blood test? Simple, the service would rather inconvenience you than change. It is disgusting behavior and it is exhibited by most people working in the NHS.

Anonymous said...

niku, I see your point.

Although I asked for the latest appointment possible (part of my illness involves needing 14-16 hours sleep a night). Had I taken an earlier appointment, I could have had my bloods taken by lunchtime.

Perhaps I would feel more strongly about using up a day if I was in full-time education/work. (I'm not on benefits before anyone has a go at me for that lol).

When I was still at school, I probably would have taken the 9.00 appointment and then gone to school, only missing the first period. Then (as I regularly did), I'd have had my blood taken the next morning when the clinic opens at 8.15 and then gone to school only missing registration. But then, I was lucky enough to have the hospital actually next door to my school.

But I can see how it would be a problem for people who do have full time jobs.

Dr Rant said...

In many places, the GP does not do blood tests because the PCO won't pay for it.

We still do them anyway because the phlebotomy service is miles away and public transport is shit. But this means having to pay for the bloods to be done out of our own pockets, and we only take home a small fraction of the £250k that the press seems convinced we make.

There are lots of examples like this of things that in the new contract the PCO have to contact for separately: minor injuries and arranging ambulance transport being two others off the top of my head.

The PCOs don't want to pay for them, so they contract a cheapo-shitty services miles away instead.

Many GPs just continue to do the work - paying staff to do the work without getting anything back - because they care about the patients.

The PCO managers use phrases like 'the patients will suffer if you stop doing x for free', but when you ask them why something really important is not being done (for example, shitty 999 response times) they say that they are 'meeting their contractactual obligations'. Lying cunts! I'd like to have the contract for torturing and killing NHS managers, the two faced, murderous scum.

However, if the author would like to email me the details of the practice and PCO involved, I would be happy to investigate (anonymously) because, as mentioned, the PCO has a legal obligation to find your friend a GP.

Anonymous said...

re "PCO has a legal obligation to find your friend a GP" remember I know about the reality of this in great detail, having been messed around by Coventry PCT a year or two ago, a laymans interpretation of these words is rather different to what they do in practical terms, and now in another part of the country it is just as much a shambles

niku said...

"There is also resentment among serving troops unhappy about being treated in a NHS hospital that they believe is unsuitable for military patients. Soldiers on operations say they would rather receive a more serious injury and go to the top American military hospital in Ramstein, Germany, than end up in a NHS hospital.

They now half jokingly refer to getting "a Boche rather than a Blighty" in reference to the wounds that would send them home. Ramstein has an outstanding unit for brain surgery, and neurological intensive care beds in Britain are in short supply.

"The blokes see it that if you are unlucky you get wounded and go to the UK at the mercy of the NHS, but if you get a head wound you get sent to Ramstein in Germany where the US has an outstanding medical facility," said an officer serving in Afghanistan.

"It also does not do morale much good knowing that within 18 hours of being wounded you could wake up in a NHS hospital with a mental health patient on one side and an incontinent geriatric on the other."

niku said...

says it all really.

Anonymous said...

If insulin/test strips are needed urgently: Contact a local Pharmacy.

Providing suitable documentation can be produced: Details of previous prescriber, prescription label or repeat slip etc: A Pharmacist can usually supply the medication under Emergency supply rules.

It's obviously not a substitute for being registered with a GP but; may tide a person over until this can be done. Obviously, the more controlled a drug is: The more checks a Pharmacist has to do before dispensing it.

No One said...

in practise in this situation

you get charged for blood strips in all large pharmacy chains and they will not dispense insulin rather they tell you to go to A & E

i know weve tried