18 Weeks
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wrote on 7 Jan 2025, 12:42 last edited by
I was told Brexit would fix the NHS.
Maybe the problem with taking back control is who's taken it back.
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wrote on 7 Jan 2025, 12:54 last edited by
Maybe the problem is the system itself.
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wrote on 7 Jan 2025, 14:29 last edited by
Maybe the problem is the system itself.
It does some things better than others. My parents were both pretty well looked after when they had medical emergencies, and the wait list for a hip replacement for my mother was about 3 days. She then got to go into a nursing home at no cost for re-hab and after-care.
The waiting list for non-urgent care is awful. Staff are underpaid, morale is low, etc. etc.
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Maybe the problem is the system itself.
It does some things better than others. My parents were both pretty well looked after when they had medical emergencies, and the wait list for a hip replacement for my mother was about 3 days. She then got to go into a nursing home at no cost for re-hab and after-care.
The waiting list for non-urgent care is awful. Staff are underpaid, morale is low, etc. etc.
wrote on 7 Jan 2025, 14:55 last edited by George K 13 days ago@Doctor-Phibes said in 18 Weeks:
the wait list for a hip replacement for my mother was about 3 days
Was that for an elective hip replacement or as treatment for a hip fracture.? They are vastly different in terms of urgency.
ChatGPT says:
NHS Waiting Times:
• Pre-2020: The median waiting time for hip replacements was approximately 87 days.
• 2020: During the peak of the pandemic, this increased to about 180 days.
• Post-2020: In the subsequent three years, the median waiting time decreased to around 128 days, which is still 50% longer than pre-pandemic levels. Additionally, as of March 2023, there were 10,737 patients waiting more than 78 weeks for treatment, indicating that some patients experience significantly longer delays
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@Doctor-Phibes said in 18 Weeks:
the wait list for a hip replacement for my mother was about 3 days
Was that for an elective hip replacement or as treatment for a hip fracture.? They are vastly different in terms of urgency.
ChatGPT says:
NHS Waiting Times:
• Pre-2020: The median waiting time for hip replacements was approximately 87 days.
• 2020: During the peak of the pandemic, this increased to about 180 days.
• Post-2020: In the subsequent three years, the median waiting time decreased to around 128 days, which is still 50% longer than pre-pandemic levels. Additionally, as of March 2023, there were 10,737 patients waiting more than 78 weeks for treatment, indicating that some patients experience significantly longer delays
wrote on 7 Jan 2025, 18:08 last edited byWas that for an elective hip replacement or as treatment for a hip fracture.? They are vastly different in terms of urgency.
That was for hip fracture, which was my point. In my personal experience the NHS did pretty well when there was an emergency, but for elective stuff you really want to go private if you can afford it.
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wrote on 7 Jan 2025, 18:17 last edited by
There is a definite increase morbidity and mortality if hip fractures are delayed in treatment. Our guys never even let them sit over the weekend.
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wrote on 7 Jan 2025, 20:40 last edited by
We were a small government hospital with huge outpatient clinics, if you consider a 183 bed hospital seeing 100,000 outpatient events/ year as huge clinics.
There definitely is an art to moving those numbers with smaller numbers of staff. You have to have ancillary services firepower. Fast throughput and as much automation as the budget will support. For example, our pharmacy filled an average of 700 ninety-day scrips per day. You don't do that without three pharmacists, a robot and a half-dozen pharm techs.
You have to have good clinic triage at the ED or Urgent Care point to line this stuff up. And Resource Scheduling worked wonders.
The biggest problem clinic was Internal Medicine, but those patients tended to be older and sicker. We could only do an average of 28 patients/day for docs in that clinic, a bit less for the NP's. The docs might could have handled a few more, but if you're a NP with a question or bad patient and the Doc is 20 feet down the hall...