Il “circolo vizioso” che fa sì che il servizio sanitario nazionale continui a sprecare miliardi per pazienti che non hanno bisogno di essere ricoverati in ospedale
Il “circolo vizioso” che fa sì che il servizio sanitario nazionale continui a sprecare miliardi per pazienti che non hanno bisogno di essere ricoverati in ospedale
TL:DR – not enough social care to help patients out of hospital at the other end.
monkeybrains13 on
Over treatment occurs because of complaints by patients and family that the NHS ‘did nothing’ for their loved ones.
Welsh-Cowboy on
Yep – my elderly dad has been trapped in hospital for, approximately, 5 months longer than he needed to be over the past 2 years.
I say trapped, because he wanted to go home, they wanted him to go home – everyone wanted him to go home and there was zero reason for him to be taking up a bed except for the lack of a social care team to be available for his return.
It’s pretty dire, but commercial social care (which is the provider these days) pays crap, is awful and very exploitative and costs the NHS absolute tons.
Grizzl0ck on
And fail in over 10 years of begging for help with wild symptoms to recognise cancer which almost left me paralysed. Shocker.
Rowcoy on
“Danish model” of step down community hospitals is exactly what the UK had in the 1980/90s; unfortunately these were closed down to save money.
egg1st on
Social care is the responsibility of individual council’s. There’s a clear gap in priorities between the mission of the NHS and the mission of each council. With the shifting demographics within the country the need for social care is going to significantly increase, by roughly 150%. Is it sustainable to continue with the existing responsibility model?
I think it would make more sense to shift the responsibility from the council’s into the NHS trusts, allowing each trust to manage their care vertical which should allow them to avoid or reduce bottlenecks in end to end care.
It does need funding and it will cost the country more. However I would argue that this model is inherently more efficient than handing it off to council’s to deliver.
6 commenti
TL:DR – not enough social care to help patients out of hospital at the other end.
Over treatment occurs because of complaints by patients and family that the NHS ‘did nothing’ for their loved ones.
Yep – my elderly dad has been trapped in hospital for, approximately, 5 months longer than he needed to be over the past 2 years.
I say trapped, because he wanted to go home, they wanted him to go home – everyone wanted him to go home and there was zero reason for him to be taking up a bed except for the lack of a social care team to be available for his return.
It’s pretty dire, but commercial social care (which is the provider these days) pays crap, is awful and very exploitative and costs the NHS absolute tons.
And fail in over 10 years of begging for help with wild symptoms to recognise cancer which almost left me paralysed. Shocker.
“Danish model” of step down community hospitals is exactly what the UK had in the 1980/90s; unfortunately these were closed down to save money.
Social care is the responsibility of individual council’s. There’s a clear gap in priorities between the mission of the NHS and the mission of each council. With the shifting demographics within the country the need for social care is going to significantly increase, by roughly 150%. Is it sustainable to continue with the existing responsibility model?
I think it would make more sense to shift the responsibility from the council’s into the NHS trusts, allowing each trust to manage their care vertical which should allow them to avoid or reduce bottlenecks in end to end care.
It does need funding and it will cost the country more. However I would argue that this model is inherently more efficient than handing it off to council’s to deliver.