04 Nov 2012 11:46 AM:
The subject is complex. We want free care for every one, new technology and drugs are extremely expensive, we live longer and we have created a "medicalised" society where every one expects to get a pill for every ill or dyscomfort.
In UK, 90% of patient do not pay for prescriptions, this means they will make appointments for GPs to get their free paracetamol (which costs 90p over the counter) while non-minding to pay for his daily packet of cigarettes.
People live isolated lives and find difficult to contain their anxiety as there is not an extended family to talk to. Young parents will ask for urgent appointments the moment a child has a mild fever or a cough, sometimes more than once a week.
There is a lack of taking responsability for ones own health. You tell a patient that has diabetes and they answer "and what are you going to do about it".
The goverment insisted on access to a clinitian within 48h independent of it being clinically indicated and created NHS direct and walk-in centres. Now we have patients attending GPs as urgent appointments when the day before called NHS direct for the same problem, then went to a walk-in clinic and then called the surgery out of hours service during the night. How many opinions does one person needs for the same problem? Or is it that they just keep at it untill they get their antibiotics which will not help as they just have a viral infection?
All this demand for "instant" access to services has destroyed the continuity of care which politicians think is not important but which I think is essential or patient management.
I work in primary care and we audited patient's attendances to GP (we did not include out of hours or walk-in/a&e attendances) and many patients came up as having well over 90 appointments in the previous 12 months!
All these completely clogg up the system.
I am completely against privatisation of the NHS however it needs a radical change and lots of patient education.
Thread:
Spain plans to privatise more healthcare- is this the way forward?
--------------------------------------