Can The NHS Be Fixed or Saved – What Can We Do?
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YES IT CAN
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NHS Hospitals were built in 1948 for 50 million people – Today in the UK there are 68 million people… With more complex needs.
This was the Manchester Children’s Hospital entrance hall – Now the land has been used for a new housing estate.
- In the 1970s there were 420,000 Beds in the UK
- In the 1980’s there were 300,000 Beds in the UK
- In the 2020’s there are 141,000 Beds in the UK
Can The NHS Be Fixed or Saved:- Yes It Can, But people need to look outside the box. TO LOOK OUTSIDE the 4 walls of the NHS Institution.. SO, Let’s make simple changes happen and reduce costs as well.
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THE PROBLEMS:
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1.1 LACK OF BEDS & BOTTLENECKS – Governments closing Hospitals to cut costs
1.2 Nurses, doctors, managers must spend 50% of their day talking about “where to find a bed”
1.3 The NHS TREADMILL:- Nurses, doctors, managers are just working on a treadmill… day after day.…
1.4 Many People In The NHS Have NOT Worked Anywhere Else – So Don’t Have “OUT-OF-BOX” Ideas
1.5 Too many desk bound ‘Middle Managers’ who just talk day after day – to think of “OUT-OF-BOX” Ideas
1.6 Too Many “Think Tanks” Who have ‘probably’ not done a days work in their life to see opportunity
1.7 Hospitals are JUST 4 WALLS – TOO MANY PEOPLE in one place – people will get in each others way
1.8 People get ill 24 hours per day. 7 days per week – How many hours do the NHS services run ?
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IDEAS IN THE COMMUNITY:
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2.1 BUILD IN THE COMMUNITY – NHS & SOCIAL SERVICES CENTRES
- Join LOCAL GPs, A&E and Chemist Centres
- Join LOCAL NHS, Social Services, Advice Centres
- Join LOCAL Charities, Food Banks and Job Centres
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IDEAS AT HOSPITALS:
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3.1 PROCESS “MINOR” A&E CASES IN A (Stand-alone) PORTACABIN
- Minor A&E or Frailty Units for older people could be seen in a PORTACABIN away from the main hospital
- Portacabins, are “Factory Built” Built in a short time in comparison to brick built and much cheaper…
- Portacabins, being factory built can be built by semi-skilled or unskilled people
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3.2 Process MAJOR A&E Cases Direct into the Hospital (front door)
- Major issues, accidents and ambulance cases should go through the (front door)
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3.3 Discharge Patients from a PORTACABIN (stand-alone Discharge Suit – back door)
- Discharging people could be done via a ‘discharge suit’ in a PORTACABIN away from the main hospital
- Discharging people from outside the main hospital will eliminate bottlenecks
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THE BENEFITS:
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- 4.1 Improved Process
- 4.2 Reduced Bottlenecks
- 4.3 Reduced NHS Costs
- 4.4 Offers a Better Service
- 4.5 Increased A&E patient throughput
- 4.6 Reduced A&E patient waiting time
- 4.7 Reduced staff stress and absenteeism
- 4.8 Reduced pressure on social service staff
- 4.9 Eased pressures on the hospital services
- 4.10 Eased pressures on Emergency services
- 4.11 Eased pressures on Government departments
- 4.12 Reduced NHS Costs For Councils and Government…
- 5.1 A vision without action is just a day dream…
- 5.2 Action without a vision just passes the “time of day”…
- 5.3 A vision with action will turn a problem into cash-in-the-bank…
THE FUTURE IS ATTITUDE !!!!