Mr Moofo wrote: ↑Mon Mar 20, 2023 10:50 am
Docca wrote: ↑Mon Mar 20, 2023 9:10 am
As for hard done by (the other poster's comments)- I think my life is what i've made it. No more or less. I do feel the NHS is not fit for purpose anymore, however- hasn't been for a number of years. Poor leadership, especially in England doesn't help (but England is spectacularly hampered by a woefully incompetent government)
Erm, what about the NHS in Scotland - which is a complete clusterfuck?
I think NHS England may well be hampered by the government (refusing to keep on throwing money at it) but the poor management is spectacular , making the patient do favours to support "our NHS" is laughable, and then there is the bloated, slow moving bureaucracy, run by self serving managers, that hampers anything being done quickly, a terrible procurement process that guarantees that we don't get value for money.
However, we would agree on the fact that the NHS is no longer fit for purpose!
Scotland ( and Wales) don’t have the myriad of governance structures festooned upon it that England does.
That’s not suggesting it’s not complex, it’s just nowhere near as complex. In England you have Trust, local system ( integrated care boards, integrated care partnerships and integrate care systems- 3 separate things) before you get in to regional stuff. Then national.
In Scotland, the mine to actual policy makers is much more direct.
Also, whilst I’m sure there are lazy and incompetent managers - what I’ve described above is not set by them. It’s set by government, for which we get a new SSfH every few years who sets up their own vanity project. To levy the blame at bloated management is, ironically, lazy.
As for a million quid in my pension. I don’t know what it means in real terms. As things stand, if I was to leave ( at pensionable age) I’d get a lump sum of £98k and an annual pension of £20k. Obviously, I have many years left though