April 13, 2014 at 3:11 pm #54528
As a community, we have written in these forums so many ways about the impact on patients and human life as treatment is not operating as it should – whether a list of 15,000 people, or ambulances queued outside A&E. We need a positive debate now in public, as a community, and we have to support those who have the ability to change things for the better of all. This starts by harnessing the competencies of doctors & nurses?April 13, 2014 at 5:22 pm #67272
Wholeheartedly agree that it is front line staff that live the work day in day out who can have the ideas to tackle issues. Managers should listen to their staff and nit assume consultants (not medical) need to be brought in to advise when they have ever worked on the front line service delivery.April 13, 2014 at 5:24 pm #67270
“Harnessing the competencies of doctors and nurses?” What ARE you on about?
Are you implying that they are not pulling their weight and the fault lies with them? I sincerely hope not.
The real problem stems from insufficient funding to Health Boards from the Welsh Assembly as the BMA and the Royal College of Nursing have highlighted on occasions too numerous to mention. If they as a collective are unable to influence the decisions of the unnecessary Welsh Assembly, what on earth do you expect to achieve by debating the issue on this forum?
Probably the same influence that was made on WCBC by the incessant monologues, sorry, debates, that were made when WCBC were setting the Council Tax for 2014/15.
Perhaps we should boycott the facilities until conditions improve. Yes, that would show them we mean business!April 13, 2014 at 6:59 pm #67273
Apologies if anyone thought I was implying the nurses and Doctors were not pulling their weight far from it. I see their knowledge and expertise as paramount when managers look to identify ways of dealing with the pressures- unfortunately so often ‘business consultants’ are brought in to assess a situation and present a solution to the management without a significant level if discussion with the key staff who often have ideas to improve working practices but they are never listened to. There is a massive tree from ward level to the Board room and lots of reports in which ideas and possible solutions can be lost which must be so demoralizing for the staff who feel they are not listened to..
Benjamin you are right that action should occur and not just debate but as a society we seem to now take so much lying down and rarely feel passionate to stand up and be counted. We can of course din things at the ballot box but with an average of less than 30% of people bothering how do we get people motivated — any ideasApril 13, 2014 at 9:06 pm #67271
Whilst I sympathise with the fact that some patients are subject to lengthy delays before commencement of treatment, the sensationalisation of headline statistics says nothing about the urgency of the procedure that the patient is referred for.
Granted, the patient wishes to be seen at the earliest possible opportunity, but as time passes by, additional patients are referred, whose condition may be in need of more urgent attention, so slippage is almost inevitable.
Hospital admissions, where there is an urgent need for treatment, is to the best of my knowledge, functioning to a high degree.
The main delays occur in the A&E departments because most certainly, people attend there as a first port of call, rather than taking the most appropriate route for treatment.
I remember some time ago referring to the ‘pyramid of treatment’ on one of these threads which starts at the base with self medication, consulting the local pharmacist, the help line etc, etc with A&E being at the pinnacle of the triangle ie as the last resort. Posters to this affect are located in surgeries, pharmacies etc but people take no notice of them, hence overfull emergency departments with ensuing lengthy delays.
So rather than instigating a ‘positive debate, in public as a community’ the answer to a major part of the problem is for each of us, as individuals, to ask ourselves “do I really need to attend A&E or is there a more appropriate option open to me?” I am even further convinced that the introduction of a charge for what are essentially, time wasters would see a decline in the number of ambulances having to queue to offload patients who actually do require the services of medical staff.April 13, 2014 at 10:06 pm #67269
I certainly believe that anyone who is drunk and has an accident should have to pay.April 14, 2014 at 6:03 pm #67268
Get the GP issues sorted, that is one big part of the problem. I’ve recently moved as a patient from a struggling, understaffed, overburdened surgery with huge footprint, serving far to many people. To a smaller better utilised village GP. What a difference.
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