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Re: Another senior appointment [Re: TBM] #761691
16/11/22 09:48 AM
16/11/22 09:48 AM
Joined: Apr 2008
Posts: 11,070
Gloucestershire, UK
Hamwich Offline
Scruffy Oik
Hamwich  Offline
Scruffy Oik
Member of the Inner Circle

Joined: Apr 2008
Posts: 11,070
Gloucestershire, UK
Originally Posted by TBM
from january we're having to increase the length of the school day so we can all teach more lessons.


As a matter of interest, when did the school day length change? When I was at school we had 7 lessons/day from 09:25 to 16:10, but they all seem to be out and roaming the streets by 15:30 these days.


Tim H.
1986 4/4 VVTi Sport, 2002 LR Defender, 2022 Mini Cooper SE
Re: Another senior appointment [Re: JohnHarris] #761693
16/11/22 10:19 AM
16/11/22 10:19 AM
Joined: Jul 2019
Posts: 3,198
L
Luddite Offline
Talk Morgan Addict
Luddite  Offline
Talk Morgan Addict
L

Joined: Jul 2019
Posts: 3,198
Originally Posted by JohnHarris
Originally Posted by DaveW
It must have been leading up to the 1997 Gen Election.

I was a school governor and they were desperate times. The pay formula didn't allow for schools with a lot of senior teachers on grade max pay. Our school was in desperate straights. We even sold off some of the playing fields for housing.

It seems things are the same now. The GP situation is scandalous. Appointments here can take up to three weeks. That's not acceptable, and is not a health service.


''Tell me how you will measure me and I'll tell you how I will react*'' part of the Doctors appointments issues is being created by a measure which is something to do with how many appointments within 24 hours statistics and waiting times for appointments.

To circumvent the measures our Doctors wont make appointments more than 24 hours ahead. The switchboard opens at 8am and usually by 8.20am (if you can get thru due to the waiting telephone queues and you cant book appointments in person at the surgery) all the appointments for the day are gone for the Doctors, however the Practice Nurse you can books weeks ahead if necessary, obviously she is not being measured.

*part of the management sciences relating to Decision Theory


That seems to be the way of it in terms of trying to make an appointment by phone, though recently part of the frustration was reduced when a count down info system was installed that informed where in the queue you were while holding on for someone to reply.
On a recent and rare visit to see the nurse, she emailed the doctor who was a few doors down the corridor, and who then decided to came along to look at me... So it seems the nurse may be operating as a filter system..?

I have been most fortunate in terms of health and would rarely if ever visit the doctors... So much so it was not until I was retiring that I was in need of attention and the Doc commented on my little use of the service, and had to create a new file for me.

Is there any real wonder that the load on the health service was increasing exponentially given the Baby Boomer generation are reaching the stage of ever more complex health issues... add Covid related complexities to exasserbate staffing issues and Doctors retiring early etc.etc.etc. Add to all that our previousley ever increasing expectations while eating ever more junk foods over the years, and it seems to have created a potential for a perfect storm...?

Re: Another senior appointment [Re: Hamwich] #761694
16/11/22 10:21 AM
16/11/22 10:21 AM
Joined: Nov 2018
Posts: 4,844
Northants, UK
TBM Offline
Part of the Furniture
TBM  Offline
Part of the Furniture

Joined: Nov 2018
Posts: 4,844
Northants, UK
Originally Posted by Hamwich
Originally Posted by TBM
from january we're having to increase the length of the school day so we can all teach more lessons.


As a matter of interest, when did the school day length change? When I was at school we had 7 lessons/day from 09:25 to 16:10, but they all seem to be out and roaming the streets by 15:30 these days.



There are a few laws regarding school contact time, and the DfE has now said that schools should provide 32.5 hours of teaching a week by Sep 23.

Within that, schools are allowed to set their own start and finish times. We have three 2000+ secondary schools in a small area, so try and stagger start and finish times to prevent carnage every evening.

Our first bell is at 8.40 in the morning, and we currently finish at 2.45 Mon/Fri and 3.35 Tue/Wed/Thu. Mon/Fri kids get a 15m break mid morning and a 45min lunch. OnTue/Wed/Thu they get two 15mins breaks and a 40min lunch.


1972 4/4 4 seater - 3G Morganeer
Too many ratty motorbikes
Re: Another senior appointment [Re: CooperMan] #761712
16/11/22 03:37 PM
16/11/22 03:37 PM
Joined: Dec 2017
Posts: 1,656
Evergreen, Colorado, USA
britmog Offline
Talk Morgan Enthusiast
britmog  Offline
Talk Morgan Enthusiast

Joined: Dec 2017
Posts: 1,656
Evergreen, Colorado, USA
How many of appointments at the GP practice are no shows, I would think quite a lot? At my mothers NHS GP practice they had a board that said this week 42% of appointments were no shows, there in lies a considerable part of the problem. Over here you have to pay a CoPay of $15-$20 to see your Doctor which means you only go to see the Doctor when really necessary, to see a Specialist you pay $20-25 and you keep your appointment. For a lot of minor ailments you go to the Pharmacist or an Urgent Care Center. Now we are over 65 yrs old and on Medicare we don't pay to see our Doctor but do pay the CoPay to see a specialist.

Whilst over in the UK last month visiting in Cornwall my wife took a fall and broke her femur at the hip socket and was admitted to the Royal Cornwall Hospital so we experienced the NHS firsthand in it's current state. The ambulance would have taken 3 hrs minimum to get to her lying on the side of a road, with help from some very good locals we managed to get her into a ladies car who drove us the 40 minutes to the hospital, where a Paramedic team transferred her to a wheelchair. I then had to push her into the A&E, in great pain she waited 1.5 hours to be seen with no pain relief given, once seen by the Nurse she was immediately taken away. Long story short she had dynamic hip screw surgery two days later and spent a week in the trauma ward (not a pleasant experience) before being transferred to rehabilitation hospital before being declared Fit to Fly back to America. Thank goodness for Travel Insurance who were brilliant in monitoring her medical treatment, arranging the rehabilitation and paying for everything. The hospital bill was just over GBP9,000 which is charged as a NHS package. The NHS Staff were brilliant, way over worked and functioning in a system that was clearly failing them.


Bruce
1964 4/4 Series V Comp (Megan)
1994 +8 (Maurice)
2013 M3W (Olga)
Re: Another senior appointment [Re: CooperMan] #761772
17/11/22 08:52 AM
17/11/22 08:52 AM
Joined: Aug 2020
Posts: 1,299
Lytham St Annes, Lancashire
J
JohnHarris Offline
Has a lot to Say!
JohnHarris  Offline
Has a lot to Say!
J

Joined: Aug 2020
Posts: 1,299
Lytham St Annes, Lancashire
Part of the organisational difficulty of the NHS is that it is broken down into area Trusts all with their own financial budgets etc. So performance can vary from Trust to Trust.

Secondly some Trusts specialise more in certain areas and create more capacity to deal with the local demographics eg I live in a big retirement area so geriatric services are pretty comprehensive whilst paediatrics are less well resourced. My mother lives in the Midlands and her local Trust are more focussed the other way round on Children's services and the Geriatrics are the poor relation. So I get a much better and more compressive Geriatric services and more resources leading to shorter lead times and more specialists in the field, than my mother has access to.


John
2008 Roadster 4 seater FELIX
prev 2006 4/4 70th LOKI
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Re: Another senior appointment [Re: CooperMan] #761813
17/11/22 03:02 PM
17/11/22 03:02 PM
Joined: Aug 2013
Posts: 15,398
Salisbury, UK
Peter J Offline
Formerly known as Aldermog
Peter J  Offline
Formerly known as Aldermog
Member of the Inner Circle

Joined: Aug 2013
Posts: 15,398
Salisbury, UK
Our GP surgery lists the number of "no show" appointments per week. I asked why they didn't list names: that, it seems, would be an invasion of some right to privacy.
I was told that a substantial percentage of the "no shows" are serial offenders. I asked if they could be "delisted" by the practise, again not possible.
I suggested that they be charged a "no show" fee and was told that most are on benefits and wouldn't pay and anyway even if they had to co-pay those on benefits would be exempt.

Bring back the Workhouse, I say.


Peter,
66, 2016 Porsche Boxster S
Tarka, 2014 Plus 8....Back on the Road Again!!


Re: Another senior appointment [Re: britmog] #761818
17/11/22 03:24 PM
17/11/22 03:24 PM
Joined: Dec 2017
Posts: 1,656
Evergreen, Colorado, USA
britmog Offline
Talk Morgan Enthusiast
britmog  Offline
Talk Morgan Enthusiast

Joined: Dec 2017
Posts: 1,656
Evergreen, Colorado, USA
Originally Posted by britmog
How many of appointments at the GP practice are no shows, I would think quite a lot? At my mothers NHS GP practice they had a board that said this week 42% of appointments were no shows, there in lies a considerable part of the problem. Over here you have to pay a CoPay of $15-$20 to see your Doctor which means you only go to see the Doctor when really necessary, to see a Specialist you pay $20-25 and you keep your appointment. For a lot of minor ailments you go to the Pharmacist or an Urgent Care Center. Now we are over 65 yrs old and on Medicare we don't pay to see our Doctor but do pay the CoPay to see a specialist.

Whilst over in the UK last month visiting in Cornwall my wife took a fall and broke her femur at the hip socket and was admitted to the Royal Cornwall Hospital so we experienced the NHS firsthand in it's current state. The ambulance would have taken 3 hrs minimum to get to her lying on the side of a road, with help from some very good locals we managed to get her into a ladies car who drove us the 40 minutes to the hospital, where a Paramedic team transferred her to a wheelchair. I then had to push her into the A&E, in great pain she waited 1.5 hours to be seen with no pain relief given, once seen by the Nurse she was immediately taken away. Long story short she had dynamic hip screw surgery two days later and spent a week in the trauma ward (not a pleasant experience) before being transferred to rehabilitation hospital before being declared Fit to Fly back to America. Thank goodness for Travel Insurance who were brilliant in monitoring her medical treatment, arranging the rehabilitation and paying for everything. The hospital bill was just over GBP9,000 which is charged as a NHS package. The NHS Staff were brilliant, way over worked and functioning in a system that was clearly failing them.


That should have been "repatriation" not rehabilitation my wife would be livid if she knew I had declared her an addict swear mad2 oops

Last edited by britmog; 17/11/22 03:29 PM.

Bruce
1964 4/4 Series V Comp (Megan)
1994 +8 (Maurice)
2013 M3W (Olga)
Re: Another senior appointment [Re: Peter J] #761820
17/11/22 04:29 PM
17/11/22 04:29 PM
Joined: Nov 2015
Posts: 5,666
People's Republic of South Yor...
CooperMan Offline OP
Just barreling along
CooperMan  Offline OP
Just barreling along
Charter Member

Joined: Nov 2015
Posts: 5,666
People's Republic of South Yor...
Originally Posted by Peter J
Our GP surgery lists the number of "no show" appointments per week. I asked why they didn't list names: that, it seems, would be an invasion of some right to privacy.
I was told that a substantial percentage of the "no shows" are serial offenders. I asked if they could be "delisted" by the practise, again not possible.
I suggested that they be charged a "no show" fee and was told that most are on benefits and wouldn't pay and anyway even if they had to co-pay those on benefits would be exempt.

Bring back the Workhouse, I say.


Our dentist (does NHS and private) charges for a no-show, and strikes repeat offenders off the list, It has over 3000 people on it's waiting list and if someone reaches the top & does not turn up for the assessment appointment they are deleted & not allowed to re-join the list, I've been with 'em for over sixty years, and have never missed an appointment and I support their T&C's


Jon M
Re: Another senior appointment [Re: CooperMan] #761821
17/11/22 05:19 PM
17/11/22 05:19 PM
Joined: Mar 2010
Posts: 3,190
Petersfield, Hampshire
Ian Wegg Offline
Moderate or good, occasionally poor
Ian Wegg  Offline
Moderate or good, occasionally poor
Talk Morgan Addict

Joined: Mar 2010
Posts: 3,190
Petersfield, Hampshire
Over sixty years with the same practice for me too, and it's the same story. They seem happy to retain me as NHS but one missed appointment and you're either private from then on or find somewhere else.

I've had four different dentists in that time so in my lifetime I've had half as many monarchs as dentists but 4 times as many Prime Ministers; although that second ratio has been getting steadily larger. I wondered if I was the practice's longest-standing patient, but then I remembered my 90-year-old mother is still with them too.

Spectacular thread drift this.


1980 Morgan 4/4 4-seater
1932 Austin 7 Chummy
Re: Another senior appointment [Re: Ian Wegg] #761822
17/11/22 05:26 PM
17/11/22 05:26 PM
Joined: Jun 2021
Posts: 1,115
New Forest
Lordofthewings Offline
Has a lot to Say!
Lordofthewings  Offline
Has a lot to Say!

Joined: Jun 2021
Posts: 1,115
New Forest
Originally Posted by Ian Wegg
I've had four different dentists in that time........Spectacular thread drift this.
I've had the same dentist and the same hairdresser since 1985 when we moved back to England. smile


Peter
2009 3-litre Roadster "Ivor", royal ivory / green
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