Il roster di sette giorni è “derubare Peter per pagare Paul”, dicono i consulenti, poiché il personale è ancora un punto dolente
https://www.thejournal.ie/seven-day-roster-for-more-hse-staff-is-robbing-peter-to-pay-paul-6742347-Jun2025/
di WankstainJapsEye
9 commenti
The idea makes sense. Having empty equipment and rooms outside of Monday – Friday makes no sense if there’s need.
I got doctors won’t be happy, but they get paid well so suck it up.
My sympathies are with Peter, he must sick of this shit.
Same thing happening all over the public sector. Someone with no idea how the system works in practice brings in new procedures in the name of efficiency and everyone just ends up unhappy and inefficient.
While a seven-day service definitely makes sense, the reality is that these consultants are contracted to work 37 regular hours a week plus call; and most other regular staff are contracted 39 hours.
Therefore, a properly-staffed 7-day service that works evenings will need the health service to essentially double its clinical workforce, and that’s not something we can afford financially.
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Without staff to, ya know, STAFF the seven day roster this will not help. They need to get rid of pay in numbers (artificial cap in absolute numbers on amount of staff hospitals and the health service can employ) if they want this to work.
The poor old consultants on €260k per year, whatever will they do. Oh I know, open private rooms and make 10x that too.
This is incredibly simple:
Just look at what they do in France / Germany / UK / Australia health systems and copy that. If the Consultants in those countries work 7 day rosters, then tell our Consultants to shut the fuck up.
I work in the HSE and approve of this. You can clearly see the deficit of the 5 day system in relation to bank holidays.
A person attending the emergency department on a Friday will not been seen by their new primary team until the following Tuesday if admitted to the hospital. That’s 3 days of minimal progress.
Now that doesn’t mean that there isn’t care over the weekends and holidays. You’ll still get your antibiotics, urgent imaging and initial management. If you deteriorate there will be doctors on call and staff nurses to provide care.
What you won’t get is to be seen by specialist services such as neurology, endocrine or respiratory. You won’t get the next steps of treatments following initial investigations in ED. You won’t get procedures done outside of the emergency setting. You won’t get that mass biopsied and it won’t be seen by histopathologists.
Most irritatingly of all the CT scanner will only be used for those in ED or in emergency situations on the wards and the MRI machine is pretty much turned off until standard business hours.
For a significant proportion of patients it’s as if a pause button has been applied to their progress. If you come in on a Friday there’s a good chance that your discharge will be delayed by at least two days.
A 7 day service could go a long way in resolving, at least in part, the current HSE crisis.