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I worked in the NHS for over 15 years. I saw it start being destroyed around the year 2000.
The NHS is not fit for purpose for the following reasons.
1. Year on year hospital management positions increase, while front line nursing to patient ratios remain unsafe in many areas https://twitter.com/MattHancock/status/1324284013348069378
The NHS is not fit for purpose for the following reasons.
1. Year on year hospital management positions increase, while front line nursing to patient ratios remain unsafe in many areas https://twitter.com/MattHancock/status/1324284013348069378
2. Nursing student positions were cut, preferring to rely on overseas trained nurses. There were already 44,000 nursing vacancies in the UK.
3. Ridiculous procurement proceedures
4. Focus on targets over individualised patient care
3. Ridiculous procurement proceedures
4. Focus on targets over individualised patient care
5. Whilst the NHS does great work, it fails to tackle the underlying cause of many chronic illnesses. It often treats symptoms not root cause.
6. Hospital food is shit. My old hospital they went from food cooked onsite, to a system of super microwaved steamed meals.
6. Hospital food is shit. My old hospital they went from food cooked onsite, to a system of super microwaved steamed meals.
7. Over use of antibiotics and an almost complete refusal to tackle the huge issue of the gut microbiome. Its just not looked at.
8. Ward sisters became less autonomous for their patients. Having to jump through hoops to get changes made.
8. Ward sisters became less autonomous for their patients. Having to jump through hoops to get changes made.
9. An ageing and more sick population, with poor community provision for nurisng home places.
10. One of the lowest inpatient bed/ ICU bed per population in Europe.
11. Failure to ensure minimum (not maximum) patient to nurse ratios
10. One of the lowest inpatient bed/ ICU bed per population in Europe.
11. Failure to ensure minimum (not maximum) patient to nurse ratios
12. Cut in professional development of staff, little over minimum wage for auxillary staff.
13. Failure to support and care for staff. Failure to address the health impact of stress and night shift work (ie, caring for thier staff).
14. Medical model based around Pharma.
13. Failure to support and care for staff. Failure to address the health impact of stress and night shift work (ie, caring for thier staff).
14. Medical model based around Pharma.
15. Too short GP consultations, not enough effective community health promotion happening. Avoids optimisation and functional medicine
This is not a virus problem. This is an endemic institutional problem. And its not going to go away by locking down. @DamianKarras1
This is not a virus problem. This is an endemic institutional problem. And its not going to go away by locking down. @DamianKarras1
16. New hospitals being built under a PFI scheme, meaning NHS Trusts can't get out the red even if they tried.
https://nutrition.bmj.com/content/early/2020/04/15/bmjnph-2019-000049 Almost zero focus on the importance of nutrition in nursing and medical training along with a shoddy attempt at educating the public with the EatWell Plate.
