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The lounge Relax, take a break from photo and camera talk - have a chat about something else for a change. Just keep it clean and polite!

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Old 10th October 2018
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Envy of the world ?

Politicians of all major parties claim our NHS is the envy of the world.

This is obviously not true. The UK has just dropped 14 places from 21 to number 35 in world rankings of Health Care efficiency scores. The US is near the bottom.

https://www.bloomberg.com/news/artic...ngapore-at-top
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Old 10th October 2018
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Re: Envy of the world ?

I think the model of the NHS is still the best - however hard our politicians try to F*** it up...

The constant sniping at the NHS by our politicians is verging on the obscene!
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Old 10th October 2018
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Re: Envy of the world ?

The data used for this ranking relies mainly upon spending as a percentage of GDP, linked to life expectancy. It takes no account of how accessible the healthcare is to all, or if it is based upon individual ability to pay. As such it is deeply flawed and other, more relevant measures would undoubtedly place the NHS much higher.
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Old 10th October 2018
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Re: Envy of the world ?

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Originally Posted by Walti View Post
I think the model of the NHS is still the best - however hard our politicians try to F*** it up...

The constant sniping at the NHS by our politicians is verging on the obscene!
I agree, although I must say I have a tiny bit of cautious optimism that Matt Hancock will prove to be a better Health Secretary than Jeremy Hunt was ever likely to be.
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Old 10th October 2018
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Re: Envy of the world ?

It's mostly about cash. Given how much we spend per head of capita, we get way more than we deserve.
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Old 10th October 2018
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Re: Envy of the world ?

The NHS is very effective at directing resources to those who need them most, rather than pandering to the "worried well", or doing more for those with insurance than those without. It is also very good at negotiating good deals with drug companies etc, due to its considerable financial muscle. As a result the NHS does very well indeed in some forms of international comparison, depending on the exact measures used.

This report https://www.kingsfund.org.uk/publica...al-comparisons mentions of few of the complexities of making international comparisons. For instance the low number of MRI scanners per head might be thought to be a bad sign for the UK, but if people who really need scans get them done quickly enough then that would be a more useful measure. But harder to measure.
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Old 10th October 2018
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Re: Envy of the world ?

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Originally Posted by RobEW View Post
It is also very good at negotiating good deals with drug companies etc, due to its considerable financial muscle.
Seriously?? Not according to anecdotal evidence about the cost of common drugs it ainít. And if itís anything like the rest of procurement in the public sector itís seriously f***ed. The people in buying positions donít really have a clue what things cost and the suppliers take full advantage of this and line their pockets accordingly.
Good deals with drug companies? I wish.
Donít even get me started on the huge waste of money that is NHS IT procurement. Utterly hopeless and wasting millions.
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Old 10th October 2018
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Re: Envy of the world ?

Sure you can pick out things to critique, based on anecdotal observations amplified by those who hate socialised medicine, but the bigger picture on overall effectiveness favours the NHS. https://interactives.commonwealthfun...mirror-mirror/

Procurement and delivery of huge IT projects seems to be problematical whoever commissions them, but public sector failures hit the headlines more than private companies (except when people bank accounts won't work).

NHS gets lots of drugs and other goods and services at a fraction of the price paid by the USA.
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Re: Envy of the world ?

Interesting article I read today(won't say where) It says epipens cost the NHS approx £50 for a pack of two. In the US the cost is $750 for exactly the same.
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Old 11th October 2018
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Re: Envy of the world ?

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Interesting article I read today(won't say where) It says epipens cost the NHS approx £50 for a pack of two. In the US the cost is $750 for exactly the same.
You've obviously not seen Michael Moore's 'Sicko' - it's full of the same sort of thing and many much worse!

Jim
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Old 11th October 2018
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Re: Envy of the world ?

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Originally Posted by pdk42 View Post
It's mostly about cash. Given how much we spend per head of capita, we get way more than we deserve.
We probably do, but there is still a lot of scope for improving efficiency and cutting waste.

As an example, my niece, who is a SRN specialising in dementia care is unable to take bloods from patients because in all her years of training and university has never been trained to do it.

She has consistently requested the training but this has been refused owing to her speciality. She therefore has to request a doctor or nurse from another part of the hospital to take bloods from an often confused or anxious patient.

Meanwhile, our daughter, who is at Veterinary college was taught how to take bloods in her first term at Uni and has already had to put this into practice in her work placement.
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Old 4 Weeks Ago
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Re: Envy of the world ?

We have friends who moved to USA about 25 years ago. He had a very good job which naturally included excellent health insurance cover for the whole family.

Over the years they have "suffered" from a variety of illnesses (and have had costly treatment) that strangely are non existent in the UK.

My wife (a nurse practitioner) finds it all rather amusing.
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Re: Envy of the world ?

Isn’t one of the problems with most work related health insurance in the US that it stops upon retirement? Some jobs will let it continue but possibly only the more senior positions?
We’ve got US friends who sometimes join us on trips and have one medium size holdall literally full of various meds. Unbelievable really.
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Re: Envy of the world ?

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Isnít one of the problems with most work related health insurance in the US that it stops upon retirement?
The other problems is that if you become too ill to work, or you're sacked because of a chronic illness, you can't get cover again because you've got a pre-existing condition.

Jim
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Re: Envy of the world ?

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The other problems is that if you become too ill to work, or you're sacked because of a chronic illness, you can't get cover again because you've got a pre-existing condition.

Jim
Talk about a no win situation.
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