Cl2 Delib Prototype

Free exams for resident doctors

For doctors completing exams compulsory for their progression, making the first attempt funded by the NHS could be a relatively cheap way of making doctors feel more valued.

🚨 Doctors do not feel valued by the NHS

💡 Fund the first attempt of mandatory exams for resident doctors

☀️ It would be relatively inexpensive to implement

Services for adults with a diagnosis of autism

In my area adults can be referred for assessment for a diagnosis for autism but there is no further commissioned support after diagnosis leading to these people often struggling to manage their lives. Many of these people go on to suffer with mental health issues and develop conditions such as functional neurological disorder. I believe if more help was available to adults with autism they would be able to lead better lives and thereby require less support from other services saving the NHS money.

🚨 Adults with autism lack post-diagnosis support services

📖 In my area, I see that adults can get diagnosed with autism but receive no support afterwards, causing them to struggle managing their lives

💡 Provide more support services for adults with autism

☀️ Better support would reduce the need for other NHS services, saving money

🚨 Adults with autism develop mental health issues and neurological disorders due to lack of support

💡 Provide more support services for adults with autism

☀️ Better support would reduce the need for other NHS services, saving money

Nurses and assistants and other domestic staff.

Most NHS staff in hospitals are all you could hope for . An element are in the job for the money and as little effort as possible. These individuals require attitude adjustment which can only be achieved by tighter management control......bring back matrons?The local main hospital is dirty and has been for much of the last 20 years. Prohibit outsourcing and bring services in house under much tighter control with named individuals responsible for designated areas.

🚨 Outsourced services lack proper control and accountability

💡 Bring services in-house with clear accountability for specific areas

🚨 Hospital cleanliness standards are poor

📖 I've seen my local main hospital remain dirty for about 20 years

💡 Bring services in-house with clear accountability for specific areas

🚨 Some NHS staff lack work ethic and only work for the money

💡 Implement stricter management control and bring back matrons

End the NHS Monopoly on Health Care provision

Those who pay into the NHS should receive treatment free at the point of use/need. However, the NHS should be the National Health System, which provides health cover for UK Citizens and Taxpayers, and allow those needing treatment to access the full range of UK hospitals in the private, mutual and public sector. This would enable better use of taxpayers money, increase the speed at which treatment is made available, help people get back on their feet quicker, and force the bloated and inefficient state sector providers to focus on patients. It would also reduce Government interference in Health, turning the Dept for Health into an insurance role, rather than the full Decider/Provider role it currently has.

🚨 The NHS is bloated and inefficient as a state sector provider

💡 Transform NHS into a national health system that provides coverage while allowing access to private and mutual sector hospitals

☀️ It would enable better use of taxpayers' money
☀️ Treatment would be available more quickly
☀️ People would recover faster
☀️ Would force state providers to be more patient-focused

🚨 There is too much government interference in healthcare

💡 Transform NHS into a national health system that provides coverage while allowing access to private and mutual sector hospitals

☀️ It would enable better use of taxpayers' money
☀️ Treatment would be available more quickly
☀️ People would recover faster
☀️ Would force state providers to be more patient-focused

How much is this website costing then?

What's going on here? How many consultants are being employed to trawl through all these suggestions and decide which ones are serious and which ones are jokes? How much is it all costing? Who owns the data and what are they going to do with it? We demand answers.

comments

I do.
You could send the NHS a freedom of information act request to find out.

🚨 Lack of transparency about the costs and management of NHS feedback platforms

💡 Submit a Freedom of Information request to get transparency about costs

Give Social Care staff the same rights as NHS staff

Give social care staff in the community the same rights as NHS staff such as sick pay and annual leave. Currently there is no incentive to continue working in private social care and there is a blockage preventing people leaving hospital as there is not enough social care. I don’t think the NHS can be fixed without addressing social care first.

🚨 No incentive to work in private social care

💡 Provide social care staff with the same employment rights as NHS staff

☀️ NHS cannot be fixed without addressing social care first

🚨 Social care staff lack basic employment benefits compared to NHS staff

💡 Provide social care staff with the same employment rights as NHS staff

☀️ NHS cannot be fixed without addressing social care first

🚨 Hospital discharge is blocked due to insufficient social care capacity

💡 Provide social care staff with the same employment rights as NHS staff

☀️ NHS cannot be fixed without addressing social care first

Retention crisis: pay doctors and nurses proper salary to retain.

Pay doctors and nurses more so that they want to stay in the NHS.

🚨 NHS struggles to attract and retain healthcare workers

💡 Provide non-financial benefits to NHS workers

💡 Increase wages and implement UBI to fund healthcare improvements

Rename elective care

Stop treating elective care as 'nice to have' rather than necessary and sometimes urgent care. People's physical and mental health deteriorates on long waiting lists.Rename it - 'elective' sound like you could choose to have or not have it. But in practice it isn't a choice if you want to have any sort of quality of life.

🚨 Long waiting lists for elective care lead to deteriorating health

🚨 Elective care is wrongly perceived as optional care

💡 Rename elective care to better reflect its importance

☀️ The current name suggests the care is optional when it isn't

Management staff registration

One of the biggest errors in the NHS is the lack of accountability for having a negative impact on a hospital. A bad manager, regardless of whether they are medically trained, can have a large negative impact on both staff and patients.To help resolve this I believe there should be a management registration number on completion of a NHS training course. This would allow the NHS to set a standard, and when someone doesn't meet that standard, they either are re-trained or given a post that doesn't have a management position. I do not underestimate the massive undertaking a project like this would take, but there is no point bringing in all these new ideas if the people bringing it in are not trained to a good standard.

🚨 Bad managers in the NHS can negatively impact staff and patients without being held accountable

💡 Introduce a management registration system with required NHS training courses

🌧️ Implementation would be very challenging

🚨 NHS managers may not be trained to a good standard

💡 Introduce a management registration system with required NHS training courses

🌧️ Implementation would be very challenging

Economic and Political Union with US = Access to American Healthcare Services

American Healthcare is often demonised due to its insurance based model. However, the insurance does cover one of the survival rates for major cancers are better in America than they are in other developed nations, alongside excellent post natal care, US ranks higher in healthcare outcomes for all major illnesses, bar diabetes. Therefore we should engage in an economic and political union with USA so we can have access to these amazing services, just pay for everyone to have American Healthcare insurance, probably cheaper than the NHS anyway.

🚨 NHS healthcare outcomes are worse than US for major illnesses and cancer survival rates

💡 Form economic and political union with USA to get access to American healthcare system

☀️ American healthcare insurance might be cheaper than running the NHS
☀️ US has better cancer survival rates and healthcare outcomes
☀️ US has excellent post natal care

Make private health providers pay for NHS trained staff

Private health companies leach staff from the NHS - profiting from their expertise and training. We must tax them to regain this public investment. This applies across the board - from technicians in labs, dentists, physios, paramedics, nurses and doctors. These companies make millions off the back of the NHS - and should pay a tariff to compensate.

🚨 Private health companies benefit from NHS-trained staff without compensating for training costs

💡 Implement a tax or tariff on private healthcare providers to compensate for NHS staff training

☀️ This would apply to all healthcare professionals, including technicians, dentists, physios, paramedics, nurses and doctors

All access

There shouldn’t be separate health records or admin for different departments and regions such as GP and hospital records. They should all be one record that any health professional or service should be able to access. Why this isn’t already a thing blows my mind as it means there’s no delay in accessing care and treatment, and all services have and can upload to the same patient record without requests or transference

🚨 Healthcare records are fragmented across different departments and regions

💡 Implement a universal health record system across all healthcare agencies

☀️ Eliminates delays in accessing care and treatment
☀️ Allows all services to access and update the same patient record without requests

Sharing of ideas and consistency in care

There is huge variability in practise across the NHS. Some hospitals are outstanding in one area and others in a different area. They might be only a mile away but the difference can be huge. There is no current way of sharing good ideas. What works well and why and what doesn't. It could be a simple idea eg cleaning fingerboards after use or a simple method of making sure that there is access to different languages. Often the simple ideas make a huge difference to patient safety. But hospitals work in silos and the information is not shared. It should be easy to arrange a sharing process in which a hospital is designated to share a simple workable idea with all other NHS hospitals per week. Maybe this ideas should go to the CEO and CFO for them to accept and deligate otherwise they get lost in bureaucracy.

🚨 Lack of system for sharing best practices between hospitals

📖 I've seen how simple ideas like cleaning fingerboards or providing language access can significantly improve patient safety, but these aren't shared between hospitals

💡 Create weekly system where hospitals share successful practices

💡 Route improvement ideas directly to CEO and CFO for implementation

☀️ Prevents ideas from getting lost in bureaucracy

🚨 Good ideas get lost in bureaucracy

💡 Route improvement ideas directly to CEO and CFO for implementation

☀️ Prevents ideas from getting lost in bureaucracy

🚨 Large inconsistency in care quality between nearby hospitals

Concentrate on treating the sick.

Stop doing cosmetic procedures on people who aren't ill. Mental help may be more appropriate than altering their body. Charge for correcting cosmetic procedures that people have had bodged cheaply abroad, Stop the ridiculous waste of money on diversity. If the NHS concentrated on treating the sick it has more than enough money.

🚨 NHS has to handle complications from cheap cosmetic procedures done abroad

💡 Charge patients for fixing botched cosmetic procedures from abroad

🚨 NHS resources are being used for non-essential cosmetic procedures

💡 Redirect patients seeking cosmetic procedures to mental health services

💡 Focus NHS resources exclusively on treating sick patients

☀️ NHS has sufficient funding if resources are properly allocated to medical care

🚨 NHS money is being wasted on diversity initiatives

💡 Focus NHS resources exclusively on treating sick patients

☀️ NHS has sufficient funding if resources are properly allocated to medical care

Care for those who deserve it

I think those moving to the UK, with a visa for example (not asylum seekers or those fleeing from war abuse etc, I don’t know enough on that to comment) should have to work and pay taxes in the UK for a number of years (maybe 2/3/4) before getting access to the NHS. As part of their taxes they will need to pay for private health care (whether this is from a private company or an NHS private sector) they have contributed to our society enough to warrant having our services. A lot of people have worked hard for many years yet get put on month of not year look waiting lists. And I don’t think it’s fair. Same with students that come to the Uk to study. They should have private health care not expect our NHS to pick up the slack. I have heard of many people coming to the UK, having IVF or surgeries then going back to their home country. Yet our people and elderly are struggling. I know taxes are part for the NHS but I think having to work for X amount of years before being allowed access might help raise money, and reduce waiting times. Also puts a stop to those cheating the system

🚨 Elderly and local residents struggling to access NHS services

💡 Require new visa holders to work and pay taxes for several years before accessing NHS services

☀️ It would help raise money and reduce waiting times
☀️ It would prevent system abuse

🚨 Long waiting lists for NHS services affect people who have worked and paid taxes for many years

💡 Require new visa holders to work and pay taxes for several years before accessing NHS services

☀️ It would help raise money and reduce waiting times
☀️ It would prevent system abuse

💡 Require international students to have private healthcare instead of NHS access

💡 Require new visa holders to work and pay taxes for several years before accessing NHS services

☀️ It would help raise money and reduce waiting times
☀️ It would prevent system abuse

🚨 People coming to the UK temporarily to use NHS services without contributing

📖 I have heard about people coming to the UK just to get IVF or surgeries and then leaving

💡 Require new visa holders to work and pay taxes for several years before accessing NHS services

☀️ It would help raise money and reduce waiting times
☀️ It would prevent system abuse

💡 Require international students to have private healthcare instead of NHS access

💡 Require new visa holders to work and pay taxes for several years before accessing NHS services

☀️ It would help raise money and reduce waiting times
☀️ It would prevent system abuse

Better education about mental health for consultants

As a sufferer of a severe mental health condition who has developing physical issues, I have encountered a number of consultants who have exhibited extremely unwelcome opinions regarding mental health. Example include jokes about self harm/suicide, telling me that my physical symptoms are "all in my head", and failing to take into account that certain medications can cause extreme mental health reactions.I would like there to be better education across the NHS on dealing sympathetically with those who suffer from Mental Health conditions, and not prolong myths that surround these conditions. There is enough prejudice towards those suffering from Mental Health conditions in general life without those who work in healthcare engaging in the same destructive measures.

🚨 Consultants dismiss physical symptoms of patients with mental health conditions

📖 I have physical issues but consultants dismissed them as being 'all in my head' due to my mental health condition
📖 I experienced consultants ignoring that medications can cause mental health reactions

💡 Provide better mental health education across the NHS

🚨 NHS consultants show lack of understanding and sensitivity towards mental health conditions

📖 I experienced consultants making inappropriate jokes about self-harm and suicide

💡 Provide better mental health education across the NHS

Universal system of accessing medical records

All hospitals, surgeries, private clinics treating nhs patients, hospice, care homes should all have access to the health record of the person they are treating.this means a system that is universal across all health care agencies.another option is that the patient is responsible for supplying their health record to whoever they are seeing, this could be achieved via the nhs app if all data was collated there.

🚨 Healthcare providers cannot easily access patient records across different organizations

💡 Implement a universal health record system across all healthcare agencies

☀️ Eliminates delays in accessing care and treatment
☀️ Allows all services to access and update the same patient record without requests

💡 Make patients responsible for their own health records through the NHS app

Pharmacy-Managed Chronic Disease Clinics

Introducing pharmacist-led clinics for managing chronic conditions such as asthma, hypertension, and diabetes.Key Benefits:
Provides accessible, local care for chronic conditions.
Reduces hospital admissions through better management.
Improves patient outcomes by enhancing medication adherence.
How It Fits National Priorities:

Hospital to Community: Moves chronic disease care to community settings.

Analogue to Digital: Incorporates digital tools for monitoring and records.

Treatment to Prevention: Prevents disease complications through early intervention.

🚨 Chronic disease management strains NHS hospital resources

💡 Introduce pharmacist-led clinics for chronic disease management

☀️ Better medication adherence leads to improved patient outcomes
☀️ Reduces strain on hospitals through better disease management
☀️ Enables preventative care through early intervention
☀️ Can incorporate digital tools for better monitoring

Fowey Hospital

Fowey Hospital has not been used by local people for years. It stands empty but the building looks solid. Why could this hospital not be used for patients currently stuck in Treliske and are bed blocking. Treliske Hospital in Cornwall is always on the black list because patients can't go home as they have no care package. I have heard horror stories of people (including my 92 year old Uncle) waiting in an ambulance for hours because A&E is blocked up.I don't know how much it would cost to get Fowey Hospital up and running but I do know lots of local people would be willing to help out.

🚨 Long A&E waiting times due to blockages

📖 I had a 92-year-old uncle who had to wait in an ambulance for hours

🚨 Bed blocking at Treliske Hospital due to lack of care packages

💡 Repurpose Fowey Hospital for patients currently bed blocking at Treliske

☀️ Local community willing to help with reopening

🚨 Empty, unused hospital building in Fowey

💡 Repurpose Fowey Hospital for patients currently bed blocking at Treliske

☀️ Local community willing to help with reopening

Doctor training

All medical students who spend five years or longer being trained in the NHS should be required to give at least a minimum of five years service after they actually complete their training and not leave within six months for Australia or somewhere else!

🚨 Doctors and medical staff are leaving the NHS due to poor working conditions

💡 Require medical students to work in NHS for minimum 5 years after completing training

🌧️ Better countries offer jobs, proper pay, respect, and work-life balance

💡 Improve working conditions and pay for NHS staff

💡 Require medical students to work in NHS for minimum 5 years after completing training

🌧️ Better countries offer jobs, proper pay, respect, and work-life balance

Make secondary care responsible for all the costs of treating their patients

Currently Secondary care frequently burden GPs with the cost of treating patients who have been in hospital or are under the care of a consultant. For example, they may prescribe high cost drugs which the GP is then expected to fund out of their budget. Hence there is no incentive for the consultant or hospital to manage this cost and the GP can't fix it because the hospital has prescribed it. Primary care has run out of capacity to run around for Secondary Care - there should be an immediate ban of secondary care writing to GPs to ask them to arrange tests which the hospital staff / consultant could do themselves. I assume that they don't because that would means they have to pay for the costs from their own budget.

🚨 Secondary care burdens GPs with costs of treating hospital patients

📖 I experienced hospitals prescribing expensive drugs that GPs must fund from their budget

💡 Ban secondary care from delegating tests to GPs

☀️ Hospitals avoid doing tests to save their budget

🚨 Hospitals lack incentive to manage prescription costs

📖 I experienced hospitals prescribing expensive drugs that GPs must fund from their budget

💡 Ban secondary care from delegating tests to GPs

☀️ Hospitals avoid doing tests to save their budget

🚨 Primary care lacks capacity to handle secondary care requests

💡 Ban secondary care from delegating tests to GPs

☀️ Hospitals avoid doing tests to save their budget

Operating Theatres

Why aren't our operating theatres used 24hrs? Other countries use their facilities 24/7, surgeons work shifts and utilise the facilities they have. In this country we only use our facilities 9-5 (probably not even that long), this way the waiting lists would definitely come down, and be more manageable and people are being healed and helped as they should be and not having to wait months/years for the care they have already paid for. Referrals would actually happen in the time they should to achieve the ideal outcome.

🚨 Referrals are not happening within optimal timeframes

💡 Implement 24/7 operation of theatres with shift work for surgeons

☀️ Other countries successfully operate this way
☀️ Would reduce waiting lists

🚨 Long waiting lists due to missed appointments

💡 Implement 24/7 operation of theatres with shift work for surgeons

☀️ Other countries successfully operate this way
☀️ Would reduce waiting lists

💡 Implement fines for missed appointments: £30 for GP and £120 for hospital appointments

☀️ The implementation would be relatively easy as the infrastructure already exists
☀️ Even if it only saves 10% of the current costs, it would be worthwhile
☀️ Would encourage people to notify when they can't attend so slots can be reallocated

🚨 Operating theatres in UK are underutilized, only operating during limited hours

💡 Implement 24/7 operation of theatres with shift work for surgeons

☀️ Other countries successfully operate this way
☀️ Would reduce waiting lists

Prescription costs

Prescriptions are currently free for those aged 60 and over but many of these people are still working. I believe the NHS could save a lot of money by changing this to be in line with retirement age.In addition many items prescribed are available as 'over the counter' medicines. I believe technology could help dispensers identify when it is cheaper to supply a medicine 'over the counter' rather than by prescription. Those entitled to it would still receive the items for 'free' but the costs paid by the NHS for the medication could be reduced.

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Agree with this, fits with an increasingly aging population and older retirement ages too

🚨 NHS pays more for prescribed medicines that are available over the counter

💡 Use technology to identify when over-the-counter options are cheaper

🚨 Free prescriptions for over-60s who are still working is costing the NHS money

💡 Align free prescription age with retirement age

☀️ This aligns with demographic trends of aging population and later retirement

Transport for patients

Review how transport for patients operates. A lot of money go for transport based on postcode rather than county or city. For example if two patients live in same city but one in the north and other ne in the south, they can't use the same transport as need to be approved by two different CCG companies. It is a waste of money for NHS.

🚨 NHS transport system is inefficient due to postcode-based approval system

📖 I had two patients in the same city who couldn't share transport because they lived in different postcodes requiring approval from different CCG companies

💡 Organize patient transport based on city or county instead of postcode

Bring back Surestart centres!

One of the biggest losses of the last decade has been Surestart centres. I think parents are now less likely to engage with, and are more suspicious of, health and social care professionals, I think they're less educated about the services available to them and I think they're less understanding of children's behaviour and development. Surestart engaged with vulnerable families informally and meant parents who needed support could access it in a way they felt comfortable.

🚨 Parents have less understanding of children's behavior and development

💡 Bring back Surestart centres

☀️ Surestart provided informal engagement with vulnerable families
☀️ Parents could access support in a comfortable way

🚨 Parents lack education about available services

💡 Bring back Surestart centres

☀️ Surestart provided informal engagement with vulnerable families
☀️ Parents could access support in a comfortable way

🚨 Vulnerable families struggle to access support services

💡 Bring back Surestart centres

☀️ Surestart provided informal engagement with vulnerable families
☀️ Parents could access support in a comfortable way

🚨 Parents are less likely to engage with and trust health and social care professionals

💡 Bring back Surestart centres

☀️ Surestart provided informal engagement with vulnerable families
☀️ Parents could access support in a comfortable way

Get efficient

Provide a stockpile of ambulance equipment at A&E so that ambulances are not waiting for the return of equipment such as trolleys. I experienced massive delays in ambulances being available for service because patient trolleys were is use in A&E for lengthy periods.

🚨 Ambulances face delays due to equipment being held up in A&E

📖 I witnessed ambulances experiencing long delays because their trolleys were being used in A&E

💡 Keep spare equipment stockpiled at A&E

Prioritise health care professionals

The NHS is nothing without the workers, but there isn't much to entice them to work for the NHS. I understand pay is a difficult thing to change, but there are other benefits that can be given. For example, they shouldn't have to pay for their Pin, why is this not free. They literally have to pay to do their job. Additionally, they should have some form of NI reduction, as them paying it all means even after being paid, some of their money goes straight back to the NHS. They should be exempt from this tax

🚨 Healthcare workers' salary is reduced by NI contributions that go back to NHS

💡 Exempt healthcare workers from National Insurance contributions

🚨 NHS struggles to attract and retain healthcare workers

💡 Provide non-financial benefits to NHS workers

💡 Increase wages and implement UBI to fund healthcare improvements

🚨 Healthcare workers have to pay for their own PIN registration to work

💡 Make PIN registration free for healthcare workers

Conduct a Plastic Crap Review

Survey the products that NHS throws out to seek low quality reusable items that have poor quality I mean plastic chairs that break after a year, plastic clothes that could have been reused and washed if made of cotton hospital rooms and everything in them are often 99% plastic every item and surface cheaply made which is a false economy

🚨 NHS uses disposable plastic items where reusable alternatives exist

💡 Conduct a review of plastic items used in NHS to identify opportunities for better quality and reusable alternatives

🚨 NHS uses low quality, disposable plastic items that break quickly

💡 Conduct a review of plastic items used in NHS to identify opportunities for better quality and reusable alternatives

🚨 Excessive use of plastic in hospital environments

💡 Conduct a review of plastic items used in NHS to identify opportunities for better quality and reusable alternatives

🚨 Short-term cost savings lead to higher long-term costs

💡 Conduct a review of plastic items used in NHS to identify opportunities for better quality and reusable alternatives

Tinkering will no longer do

A fundamental rethink is required. The model no longer works. There are systems in other countries which work much better than the NHS. Let’s look at them and learn from them. There is no real difference in views between political parties, so let’s try to make the review non political. It should be fast, but not too rapid. The Darzi report was ridiculously fast. Timescale outdoor be two years, then change over a further two years.

🚨 The current NHS model is no longer working effectively

💡 Learn from better performing healthcare systems in other countries

💡 Conduct a non-political review over 2 years, followed by 2 years of implementation

☀️ Previous reviews like the Darzi report were too rushed

🚨 Political consensus is preventing real change in the NHS

💡 Conduct a non-political review over 2 years, followed by 2 years of implementation

☀️ Previous reviews like the Darzi report were too rushed

Appointments

Start charging for appointments to see a Gp. missed appointments should be charged more for wasting time.

🚨 Missed GP appointments waste valuable NHS time

💡 Introduce charges for GP appointments

shift hours should be a choice

Nursing are being deligated more and more responsibilities, working 12-13 hours per shift has got to be physically and mentally draining. Nurses should have a choice to work shorter shifts and this would also attract more students.

🚨 Current shift structure may be deterring potential nursing students

💡 Offer nurses the flexibility to choose shorter shifts

☀️ Would help attract more people to nursing education

🚨 Nurses are experiencing increased workload due to more responsibilities

🚨 Long 12-13 hour shifts are causing physical and mental strain on nurses

💡 Offer nurses the flexibility to choose shorter shifts

☀️ Would help attract more people to nursing education

Knee Replacement Surgery

Standard solution offered for arthritic knee, from my wife’s experience, even with only half the knee cartilage problematic, was a full knee replacement. However, using conservative methods such as weight loss and knee exercises, my wife has managed to avoid surgery, recommended 12 years ago, and can still walk many miles.So idea is
conservative non-invasive solutions need to better supported and advocated first of all, where appropriate. Quick to do.
NHS could look at get involved with promising pre-clinical alternatives such as osteochondral plugs - https://www.theengineer.co.uk/content/news/plugs-could-curtail-total-knee-replacement-surgery/ - which could well do away with the requirement for knee replacement, particularly when only part of the knee is damaged. If this shows promise (which it might or might not), maybe NHS could advance clinical trials. Longer to do.

🚨 NHS defaults to recommending full knee replacement surgery even when only partial knee damage exists

📖 I avoided knee replacement surgery recommended 12 years ago through weight loss and exercises, and can still walk many miles

💡 Prioritize and better support conservative non-invasive treatments before surgery

☀️ Can be implemented quickly

💡 NHS should explore and advance clinical trials for osteochondral plugs

☀️ Could eliminate need for full knee replacement when only partial damage exists
🌧️ Takes longer to implement

Make healthcare actually free again

The NHS is free - but! Prescriptions cost money. Insurance forms and other administrative work costs money. Glasses cost money. Dental work costs money. I recognise that much of this is subsidised, but it all adds up when people are struggling. The NHS cannot be understood as a for-profit machine. It is a public service, which people should have the right to freely access, which is paid for by taxes and investment. Its economic contribution is in people's lives - families not losing breadwinners, disabilities properly supported in work, saving people's lives. That's where its economic value comes from. The truth is that the NHS has become more expensive and harder to access, and that needs to be reversed to preserve the equal access which is at its core.

🚨 NHS services have hidden costs despite being advertised as free

💡 Return to truly free healthcare by removing all associated costs

☀️ NHS's value comes from keeping people healthy and productive in society
☀️ Current costs are burdensome for struggling people
☀️ NHS should not be treated as a profit-generating entity

🚨 NHS has become more expensive and less accessible over time

💡 Return to truly free healthcare by removing all associated costs

☀️ NHS's value comes from keeping people healthy and productive in society
☀️ Current costs are burdensome for struggling people
☀️ NHS should not be treated as a profit-generating entity

registering wishes on assisted dying

I believe, as a person with long standing views about how I want to live in my twilight years, that people should be allowed to choose how and when they die.I think that from adulthood, patients could be asked their personal views every few years, maybe when attending their GP which can then be noted in their digital medical record. If a person has always registered that they would not want to be kept alive if they were no longer physically /mentally independent through , for example a dreadful accident or through dementia; their long held views could be taken into account and decisions made by medical staff and family.This would ease financial burden on the NHS for long term care of person who would never weant to be kept alive in these situations

🚨 People lack control over end-of-life decisions when they become physically or mentally incapacitated

📖 I have long-standing views about how I want to live in my twilight years

💡 Regular recording of patients' end-of-life wishes in digital medical records during GP visits

☀️ Allows medical staff and family to make decisions based on patient's consistently expressed wishes
☀️ Would reduce NHS costs for unwanted long-term care

🚨 Long-term care for incapacitated patients creates financial burden on NHS

💡 Regular recording of patients' end-of-life wishes in digital medical records during GP visits

☀️ Allows medical staff and family to make decisions based on patient's consistently expressed wishes
☀️ Would reduce NHS costs for unwanted long-term care

Diabetes care

At the moment children leave the care of children’s clinics and being seen every 12 weeks to adult care and being seen once a year. My idea is there is a new team for 16-22 year olds. I feel at this age, patients should be seen every 16 weeks with a drop in if they are struggling. I feel this is the age they need a new type of help, they’re driving, drinking and living away from family. This is the age that blood sugars and mental health can spiral. They need the support, guidance and education that will guide them through these years of moving out.

🚨 Young adults aged 16-22 face unique challenges that can affect blood sugar management and mental health

💡 Create specialized diabetes care team for 16-22 year olds with more frequent appointments and drop-in support

☀️ This age group needs specific support during transition to independence

🚨 Abrupt transition from children's to adult diabetes care leaves young adults with insufficient support

💡 Create specialized diabetes care team for 16-22 year olds with more frequent appointments and drop-in support

☀️ This age group needs specific support during transition to independence

Wastage in Hospitals

Hold everyone who runs a hospital to account and like business ensure consequences if not done properly I.e keeping to budget, ensuring correct stock of everything, right staffing levels etc. they need to stop blaming everyone else for not getting it right.but also, no waste, ie posting out letters and employing people to chase up and give reminders. This should all be automated.stop people wandering around with clipboards and pushing trolly full of files, why are they not computerised? there is so much waste like this in every hospital I. England, even electricians etc

🚨 Administrative processes in hospitals are inefficient and wasteful

📖 I see people walking around with clipboards and trolleys full of files in every hospital in England

💡 Automate administrative processes

🚨 Hospital management lacks accountability and proper budget management

💡 Implement business-like accountability for hospital management

Bring back convalescent homes

To free up acute beds in hospitals, create places for those who are not yet ready to return home but are recovering

🚨 Hospitals have their acute beds occupied by patients who are recovering but not yet ready to go home

💡 Create convalescent homes for recovering patients

Stop using the NHS as a care stop-gap and train more people

The biggest challenge facing the NHS right now is the care sector. So often we see the care sector being used as a stop-gap between healthcare and long-term treatment and condition management, especially when considering severe physical impairment. This could be remedied by bringing healthcare and care back into public ownership, with the NHS overseeing all social and medical care rather than being outsourced to private companies. This would also mean that carers (both official and non-official) would be able to liaise with and work alongside existing care treatment plans which would allow more people to be treated at home and in-situ.Further to this idea, I believe that the medical professional field as a whole should be made more accessible by removing the need for excessive formal qualifications instead having a focus on vocational course completion, akin to how residency works within US hospitals. I believe all of this is possible, by increasing wages, thereby pulling more people into tax brackets and implementing a Universal Basic Income in order to gather more net profit from our GDP to put back into the treasury. The solution I have outlined here is not possible for the NHS as a singular entity and is only achievable by utilising cross-departmental communication and co-operation.

🚨 NHS is being used as a stop-gap between healthcare and long-term care management

💡 Bring healthcare and care under public ownership with NHS oversight

☀️ Would allow carers to better coordinate with existing care treatment plans
☀️ Would enable more in-home treatment

💡 Increase wages and implement UBI to fund healthcare improvements

🚨 Medical profession has excessive formal qualification requirements

💡 Focus on vocational training instead of formal qualifications

💡 Increase wages and implement UBI to fund healthcare improvements

NHS records updated by private providers

I just had my flu jab privately with Boots. The pharmacist was not able to access my NHS records and update with the details of my flu jab because it was a private activity. I was told to inform my GP by email, which I did.Efficiency: Someone now has to read my email and update my NHS records. If this is replicated across all private appts in the UK, the admin work would be huge for the NHS. I’m sure there are data protection issues, but this is nuts.

🚨 Private healthcare providers cannot directly update NHS records

📖 I got my flu jab at Boots and had to email my GP to update my NHS records because the pharmacist couldn't do it directly

🚨 NHS administrative burden from manual record updates of private healthcare activities

📖 I got my flu jab at Boots and had to email my GP to update my NHS records because the pharmacist couldn't do it directly

Waitlists for ADHD and autism

I have worked with autistic and ADHD children for many years and have a masters in Psychology and Learning Disabilities. Through this I have really seen that the way that diagnosis occurs does not work very effectively. The waitlists are so substantial that many people do not receive the support they need. However, also the way the process works is unfit for the people doing the process. Such as a long and length form for an ADHD diagnosis when one of the big challenges is focusing to fill in the form and getting it in on time. My idea would be a review of this process and using video to record certain characteristics to support the diagnosis and get it done quicky. Without relying on the completion of forms, although these could be used alongside. I also think that there should be more of a focus on how the neurodiversity makes a person feel rather than ticking all the boxes in order to identify the support that is needed. Finally, I think it would be beneficial for there to be more input on character profiles from the people who know the individual best as they are likely to see characteristics the individual doesn't see.

🚨 ADHD diagnosis process is poorly designed for people with ADHD

📖 I have worked with autistic and ADHD children for many years, and through my professional experience I've seen the diagnostic process is ineffective

💡 Use video recordings to document characteristics for diagnosis

🚨 Current diagnostic process focuses too much on ticking boxes rather than personal experience

📖 I have worked with autistic and ADHD children for many years, and through my professional experience I've seen the diagnostic process is ineffective

💡 Include more input from people who know the individual well

☀️ People close to the individual can identify characteristics that the individual themselves might miss

🚨 Extremely long waiting times for ASD/ADHD diagnosis in NHS

📖 I waited over 2 years for my daughter's ASD diagnosis, and the adult ADHD service in my area has an 8-year waiting list
📖 I have worked with autistic and ADHD children for many years, and through my professional experience I've seen the diagnostic process is ineffective

💡 Use video recordings to document characteristics for diagnosis

💡 Increase investment and staffing in NHS mental health departments

Integrated Community Health Hubs (ICHH)

Establish Integrated Community Health Hubs in underutilized community spaces, particularly in regions with high demand and long waiting times. These hubs would offer preventive, primary, and mental health services all in one place, with the goal of reducing pressure on hospitals by providing accessible care closer to people’s homes. Staffed by a mix of GPs, nurse practitioners, mental health professionals, and social workers, these hubs would foster a “first stop” approach, where patients can seek holistic care without needing a hospital referral. 1. Preven

🚨 High pressure on hospitals and long waiting times in certain regions

💡 Create Integrated Community Health Hubs in existing community spaces to provide local preventive, primary and mental health care

☀️ Patients can receive holistic care without needing hospital referral

Diagnosis of ASD/ADHD for children and adults

The process to get help and diagnosis for children and adults is ridiculously long. Over 2 years for my daughter to be diagnosed with ASD and the current ADHD adult diagnosing service in my area is 8 years! These can be debilitating neurological disorders that people and families need urgent help with. The waiting times are far too long. From my understanding it is like this across all of the NHS. There is a need for more investment into these departments and more staff.

🚨 Lack of resources and staff in NHS mental health departments

💡 Increase investment and staffing in NHS mental health departments

🚨 Extremely long waiting times for ASD/ADHD diagnosis in NHS

📖 I waited over 2 years for my daughter's ASD diagnosis, and the adult ADHD service in my area has an 8-year waiting list
📖 I have worked with autistic and ADHD children for many years, and through my professional experience I've seen the diagnostic process is ineffective

💡 Use video recordings to document characteristics for diagnosis

💡 Increase investment and staffing in NHS mental health departments

Small fee for impatient meals

Introduce a small fee for impatient meals for those in hospitals, for food they would of otherwise purchased while at home. Even a nominal fee with exemptions in certain cases, with all funds going directly back into the NHS.

NHS Continuing Healthcare - Non healthcare costs

ICBs are spending more and more on NHS Continuing Healthcare (NHS CHC). The level of complexity and cost of care increase significantly, as well as the need for case management services from ICB nursing staff (coincides with community services being more stretched.) Idea:There is a level of unfairness that those eligible for NHS CHC in care homes have all of their non-care related costs paid for (food/utilities etc) whereas those not eligible for CHC are means tested for this, and those living in their own homes must pay for this themselves. This also means NHS funds are being spent on things that are not healthcare. A revision of legislation could potentially change this and reduce NHS spend

🚨 Community services and ICB nursing staff are becoming more stretched

🚨 NHS funds are being used for non-healthcare expenses

💡 Revise legislation to change how non-care related costs are covered

🚨 Unfair system where CHC-eligible patients get non-care costs covered while others must pay

💡 Revise legislation to change how non-care related costs are covered

🚨 ICBs are spending increasing amounts on NHS Continuing Healthcare due to rising complexity and costs

Funding managers

Stop paying expensive managers to run trust, there are often at least five earning over 200k each and bring back matrons who are totally on top of everything and a lot cheaper

🚨 NHS trusts employ expensive managers with high salaries over 200k

💡 Replace expensive trust managers with matrons

☀️ Matrons are more cost-effective
☀️ Matrons have better oversight of operations

5 year for nurses and 15 year for doctors restriction on working privately.

Restrict transitions from NHS to private healthcare, once qualified, for nurses and doctors. Nurses minimum 5 year with tapered to 10 years restriction from leaving NHS to work in private health care.Restrict doctors for 15 years working in private healthcare.Equalise pay for NHS & private healthcare by taxing private health care providers.Encourage nurses into the NHS by providing: FREE training contract (can’t leave for minimum 5 years),better pay and conditions, free public transport to/from work, free childcareLimit amount charged by companies providing for BANK nurses/doctors to no more than 110% of COST for NHS staff. This will encourage more staff to remain in NHS.

🚨 Healthcare workers leaving NHS for private healthcare

💡 Implement time restrictions before NHS workers can work in private healthcare

💡 Equalize pay between NHS and private healthcare through taxation

💡 Provide incentives for NHS nurses

💡 Cap agency staff costs to 110% of NHS rates

☀️ Capping agency costs will encourage staff to stay in NHS

Improve patient throughput

The waiting lists grow because the number of people presenting with disease are greater than the capacity of the NHS to treat them. Despite increased funding, the productivity of the NHS has fallen.A critical limiting step is the number of beds, which have been reduced relentlessly over the years to increase "efficiency". An increase in the number of beds would allow more patient admissions and, hopefully, reduce the overcrowding in A&E.To service the beds, we require more nurses. I would suggest that nurses are no longer required to have a degree and their training is returned to hospitals. This would vastly increase early experience and teaching can be returned to doctors and nurses, who are arguably more experienced and better trained than the nursing education "industry". It would also vastly reduce the financial penalties of becoming a nurse.Furthermore, the training of junior doctors requires revision (Sorry, I mean "resident" doctors). Surgeons are now appointed as consultants with a marked reduction in number of surgical hours experience. The same is true for physicians and other specialities.Every bureaucratic exercise that doctors and nurses are required to undertake should be scrutinised to see if they are strictly necessary, or at least simplified. Bureaucracies breed bureaucracy and the increase in efficiency is debatable.The use of treatment hubs is, in my view an important step. There needs to be simple facilities for investigation, such as simple radiology (easier now it is digital), ultrasound, endoscopy and possibly CT. Facilities for Hospital doctors to do clinics in major specialities (Cardiology, respiratory, psychiatry etc) for local specialist management would relieve pressure on DGHs and return care to a more local setting. This might well have to be a pooled clinic for several hubs. It begs the question as to whether this is an inefficient use of doctors' time but given a slight increase in middle grade doctor numbers, this would be feasible. As a registrar, I did cardiac clinics in the local maternity hospital and occasional ones in the local prison!) The IT situation in the NHS is lamentable, with different trusts having different systems, there being a lack of overall compatibility, etc, etc. Unfortunately the experience with the Civil Service and large Computer companies has been, shall we say, challenging and any attempt to generate a satisfactory IT system for the NHS would be a 10 year challenge and subject to multiple changes in specifications etc, which would drive contractors to despair.I realise that this might look like hankering after the good old days but it is important to realise that "progressive" solutions often fail to yield progress and that rediscovery of the better features of the past may be a better solution.RC Saumarez (retired FRCP)

🚨 Junior doctors have insufficient practical experience

🚨 NHS waiting lists are growing due to demand exceeding capacity

📖 I used to conduct cardiac clinics in a maternity hospital and prison as a registrar

💡 Increase the number of hospital beds

💡 Return nurse training to hospitals without requiring degrees

☀️ Hospital-based training provides better early experience
☀️ Reduces financial barriers to becoming a nurse

💡 Establish treatment hubs with basic facilities and specialist clinics

☀️ Feasible with slight increase in middle grade doctors
🌧️ Could be an inefficient use of doctors' time

🚨 Limited number of hospital beds due to efficiency measures

💡 Increase the number of hospital beds

🚨 NHS productivity has decreased despite increased funding

💡 Return nurse training to hospitals without requiring degrees

☀️ Hospital-based training provides better early experience
☀️ Reduces financial barriers to becoming a nurse

💡 Establish treatment hubs with basic facilities and specialist clinics

☀️ Feasible with slight increase in middle grade doctors
🌧️ Could be an inefficient use of doctors' time

🚨 Medical profession has excessive formal qualification requirements

💡 Focus on vocational training instead of formal qualifications

💡 Increase wages and implement UBI to fund healthcare improvements

🚨 Incompatible IT systems across NHS trusts

Stop consuming large amounts of Doctors' & Nurses Time with Non-Clinical Tasks:

1.Streamlined IT Systems:Integrate bloods, imaging, prescribing, and discharge summaries into a single login system to save time with multiple logins and time spent searching for paper notes2.Increased Ward Clerk Support on every ward.Ensure a ward clerk is always available during working hours to handle phone calls, relatives’ queries, and administrative tasks so this task doesn’t fall to the nurses and doctors on the ward who are often taken away to clinical duties to respond to this. This is essential for the smooth and efficient running of a ward.3.Improved IT Maintenance:
Promptly fix or replace broken computers to ensure all are functional
As more systems become electronic, ensure there are sufficient numbers of computers and every computer has a label printer so that excess time is not wasted searching for a working computer on the ward which is not crashing/ broken.
4.Designated Doctors’ Office on wards.Provide a separate workspace with sufficient computers and label printers to minimise interruptions and allow focus on clinical tasks such as discharge summaries, prescribing medications, referral and discussion with specialists, updating family members.

🚨 Multiple login systems and paper notes waste medical staff's time

💡 Integrate all medical systems into a single login system

🚨 Medical staff is distracted by administrative tasks and phone calls

💡 Ensure ward clerk availability during working hours

☀️ Essential for smooth and efficient ward operation

🚨 Lack of dedicated workspace leads to interruptions of clinical work

💡 Create dedicated doctors' offices on wards

☀️ Allows doctors to focus on important clinical tasks

🚨 Broken and insufficient computers hinder electronic work

💡 Maintain and provide sufficient IT equipment

Personal coach for everyone accessing mental health support

Accessing mental health support can be depressing and keep people in negative loops feeling stuck. However therapy and counselling are also essential for making substantive changes and moving forward. So what if mental health support was complemented with a life coach. This coach would offer the individual encouragement, and provide advice and sign posting to other services (like body work, nutrition, volunteering). In doing so this would be a more nuanced, personalised and holistic approach which incorporates all the latest research on physiology and psychology. Providing people with hope and the confidence to believe in their own vision for their life. In doing so, with more agency & real change, people will feel less stressed. Less stress means less cortisol, which in turns reduces the likelihood of heart disease, cancers, chronic fatigue and musculoskeletal problems.

🚨 Mental health support can be depressing and keeps people stuck in negative loops

💡 Complement mental health support with a personal life coach who provides holistic guidance

☀️ Personal coaching provides people with hope and confidence in their own vision
☀️ Increased agency and real change reduces stress, leading to better physical health outcomes
☀️ Traditional therapy and counselling remain essential for substantial changes

plant-based by default

Plant-based diets have clearly evidenced benefits in reducing the burden of chronic disease, in promoting sustainability goals, in particular reducing carbon emissions.The government and the NHS itself can take steps to promote their uptake.Within the NHS and Department of Health and Social Care (DHSC), a number of policies would advance the health benefits of plant-based foods and diets:
A “plant-based by default” approach to catering has been shown to be highly effective. This is the principle that healthy and balanced plant-based meals should be offered to catering customers (staff, visitors and patients) as the default, while meat and dairy options are available if the patient prefers to request those. This action would cut climate emissions and normalise healthy balanced plant-based options while retaining customer choice. The policy has been adopted successfully in 11 New York hospitals with high levels of patient satisfaction, and significant emissions and cost savings. More information can be found about the campaign by health professionals to introduce it in the UK at https://plantsfirsthealthcare.com/

Update the Eatwell Guide to reflect both health and sustainability benefits of reducing meat consumption and increasing plant-based whole foods.
Establish public awareness campaigns by the NHS and DHSC to promote plant-based diets and their health and environmental benefits, to ensure public understanding of the Eatwell Guide and what a healthy diet looks like.
Improve training of health professionals such as doctors and dietitians around the health benefits of plant-based foods and diets and help them to use these as key tools for patients. This initiative could utilise the expertise of bodies such as The Vegan Society, which has in-house dietitians, providing training modules for these healthcare professionals.
Across government, a strategy to promote plant-based could include measures such as:
Set a target to reduce meat and dairy consumption by 70% by 2030.
Make policy interventions to improve access to healthy plant-based food, such as free provision of fruit and vegetables in schools and promoting price parity of plant-based alternatives in supermarkets at the point of sale.
Utilise the power of public procurement, ensuring that all public sector catering and food provision has healthy and tasty plant-based options by default and at minimum several vegan options be made available on all public sector menus.
Support the development, production and sale of alternative, plant-based proteins, through public and private investment and a positive regulatory environment.
Improve the standard of education about the nutritional benefits of plant-based foods and how to cook them, both in schools and in relevant higher education and vocational courses (such as catering and professional cookery). This could include introducing new qualifications specific to plant-based cookery and catering.
Make it easy for people to choose a vegan lifestyle by supporting vegans and promoting veganism as a positive choice for the benefit of people, animals and the planet. This includes ensuring veganism’s status as a protected philosophical belief is understood and respected.

🚨 The NHS needs to address chronic disease and sustainability through dietary changes

💡 Implement plant-based by default approach in NHS catering

☀️ Successfully implemented in New York hospitals with high patient satisfaction
☀️ Reduces emissions and costs
☀️ Maintains customer choice

🚨 Healthcare professionals need better training in plant-based nutrition

💡 Partner with organizations like The Vegan Society for healthcare professional training

🚨 Public understanding of healthy and sustainable diets needs improvement

💡 Update Eatwell Guide and launch public awareness campaigns

Missed appointments fee.

Impose a £30 fee for missed GP appointments.Impose a £120 fee for missed hospital outpatient appointments.This is apparently what each missed appointment costs the NHS. (£1.216 Billion total)Run it through the same process as speeding tickets.Could save £1.216 Billion according to Google. If it makes 1/10th of that its still worthwhile.Relatively cheap & quick to implement, infrastructure is already in place.

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This is an excellent idea. Imposing a fee for missed appointments would cut waiting lists by encouraging people to notify GP / hospitals when they can't attend appointments so their space can be filled.

🚨 Long waiting lists due to missed appointments

💡 Implement 24/7 operation of theatres with shift work for surgeons

☀️ Other countries successfully operate this way
☀️ Would reduce waiting lists

💡 Implement fines for missed appointments: £30 for GP and £120 for hospital appointments

☀️ The implementation would be relatively easy as the infrastructure already exists
☀️ Even if it only saves 10% of the current costs, it would be worthwhile
☀️ Would encourage people to notify when they can't attend so slots can be reallocated

🚨 Missed appointments cost the NHS £1.216 Billion in total

💡 Implement fines for missed appointments: £30 for GP and £120 for hospital appointments

☀️ The implementation would be relatively easy as the infrastructure already exists
☀️ Even if it only saves 10% of the current costs, it would be worthwhile
☀️ Would encourage people to notify when they can't attend so slots can be reallocated

GPs provide 90% of care

currently GPs deal with 90% of contacts but only get 8% of total NHS fundingmove money out of secondary care and into primary care as we are more efficientincrease GP funding to 15% and see how it transforms NHS

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Provide better conditions to attract younger doctors to become partners, it will make the system even better and more stable!

🚨 GPs are underfunded relative to their workload, receiving only 8% of NHS funding while handling 90% of patient contacts

💡 Increase GP funding to 15% of total NHS budget by moving money from secondary care

☀️ Primary care is more efficient than secondary care

🚨 The NHS needs to attract younger doctors to become GP partners

💡 Improve conditions for GP partners

☀️ Better conditions will improve system stability

MORE diversity staff needed

I keep seeing posts about how there are too many diversity managers in the NHS earning hundreds of thousands of pounds. Its easy to bash a group of staff and over egg what is actually happening because it feels easier than a serious conversation. in reality we need more diversity and inclusion, not less. We need meaningful diversity and inclusion training and work, with a focus on robust impact assessments and education that actually means something, rather than a document that the big bosses conveniently ignore. This doesn’t have to cost hundreds of thousands of pounds - there are lots of expert officers working in the service on lower pay that are doing their best in difficult circumstances (i.e. they are trying to make meaningful change in orgs where directors don’t really care about inequalities but just want quick PR wins like naff badge schemes and posters).

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we need the best in a job not defined by their diversity! and diversity varies across the country the diversity mix in central london is radically different from rural yorkshire. It wastes time and money that could be better spent on solving real problems
@darren pyper your comment shows the misunderstanding of equalities in healthcare. True equality officers don’t just focus on employees, they support organisations to commission and provide equitable services for our communities, too. Some NHS organisations get this and utilise officers in working to provide inclusive services. Others don’t. And the media mainly chooses to ignore this altogether and distract people.
@Anthea Turner (not the tv presenter) actually I think I do understand. One of the biggests drains on NHS organisations are the back room's those need to be massivly cut to release resources that can be concentrated on what the NHS is there for PROVIDING HEALTHCARE
@darren pyper Actually, you really don’t. A health service absolutely runs with front line staff providing care. But they can’t provide it if the services aren’t in the right place and the right conditions. You could have the best service in the world but if no one plans it, or checks how it serves the population well, then its not gonna work. These are things that equality officers do. Organisations are at fault if they see equality officers are there to wear a badge or put a poster up, there’s so much more to it. I feel we’re not going to agree on this, and that’s fine it would be boring if we did. I wish you well and hope the NHS in your area has completed robust equality impact assessments for all the services people use.

🚨 Back office operations are seen as a drain on NHS resources

💡 Utilize equality officers to ensure equitable service planning and delivery

☀️ Service planning is essential for effective healthcare delivery
🌧️ Hiring based on diversity metrics instead of competence
🌧️ Diversity requirements vary by region

🚨 NHS directors prioritize quick PR wins over meaningful diversity and inclusion work

💡 Implement meaningful diversity and inclusion training with robust impact assessments

☀️ Existing expert officers can implement this without high costs

🚨 Misconception about the role of equality officers in healthcare

💡 Utilize equality officers to ensure equitable service planning and delivery

☀️ Service planning is essential for effective healthcare delivery
🌧️ Hiring based on diversity metrics instead of competence
🌧️ Diversity requirements vary by region

2.8 billion paid in compensation a year

NHS spends 2.8 billion each year on compensation from bad care and a lot of people receive dangerous or life threatening care and don't even claim. Focus on better care to save lives and save from spending billions a year.

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I believe a number of Nordic countries have a no fault compensation scheme which saves millions in lawyer fees and, like the air industry, promotes self improvement and learning form mistakes. It would also take a huge stress off medical practitioners who are doing their best.

🚨 Dangerous or life-threatening care incidents often go unclaimed

💡 Focus on improving quality of care

☀️ Better care would save both lives and money

🚨 NHS spends £2.8 billion annually on medical compensation claims

💡 Focus on improving quality of care

☀️ Better care would save both lives and money

💡 Implement a no-fault compensation scheme like Nordic countries

☀️ Would save millions in lawyer fees
☀️ Promotes self-improvement and learning from mistakes
☀️ Reduces stress on medical practitioners

People from other countries

Should charge foreign visitors and imagrents for medical attention including hospital visits, GP and prescriptions

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They are supposed to be charged, it's just that the NHS doesn't bother to collect it, why would they? They have the infinite tap of the tax payer at their disposal.

🚨 The NHS fails to collect charges from foreign visitors who use their services

💡 Charge foreign visitors and immigrants for all medical services

🌧️ The NHS has no incentive to collect charges as they can rely on taxpayer funding

General Practitioner reform

Due to the workload of the GP and the struggle they have to accommodate all types of presentation from very young to very old all in one shift my recommendation is to consider that they should now specialise in chronic management of elderly conditions.Urgent Treatment Center's should be the acute arm of primary care - they should be available between 08:00 - 20:00 to review all walk in type of patients (on the day requirements) adult and child.GP's/Government need to accept that they cannot cope with the volumes that they are trying to review which leads to frustration and inappropriate referrals so you end up with wrong patient, wrong place, wrong time. This reduces patient safety and can lead to a feeling of being overwhelmed. There needs to be an acceptance of the change of requirement's and GP should work in collaboration with ACP, OT's, Physio, TVN's Social workers etc., to provide a chronic condition management service as a "one stop shop" where telemetry can support which I am aware is already out their for chronic chest management.This collaborative approach would ensure that this type of patients is getting a cohesive review from all invested parties and stop this "dipping in and out" of several organisations.As health care professionals there is definitely a vested interest in working together to streamline and support service provision more effectively and we need to rewrite the rule book. New unit for over 70's should be established that are the "one stop shop" leaving the acute hospital to manage a lower age group.At some point there has to be a Government brave enough to put the oweness back onto the patients shoulders, the NHS cannot cope with people in Britain continuing to abuse the system and themselves with no thought to the funding that sits behind this.

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Totally agree, very similar to my idea here: https://change.nhs.uk/en-GB/ideas/nationalise-gp-s-align-to-nhs-trusts?go_back=true

🚨 NHS system is being abused by people without consideration for funding

💡 Put more responsibility on patients for their healthcare

🚨 Current GP system leads to inappropriate referrals and reduced patient safety

💡 Specialize GPs in chronic management of elderly conditions

💡 Establish Urgent Treatment Centers for walk-in patients

💡 Create collaborative 'one stop shop' units for over 70s with multiple healthcare professionals

☀️ Would ensure cohesive review and prevent fragmented care across organizations

🚨 GPs are overwhelmed by having to accommodate all types of patients in one shift

💡 Specialize GPs in chronic management of elderly conditions

💡 Establish Urgent Treatment Centers for walk-in patients

💡 Create collaborative 'one stop shop' units for over 70s with multiple healthcare professionals

☀️ Would ensure cohesive review and prevent fragmented care across organizations

Split A&E into two sections: Urgent patients & non-urgent patients

One of the biggest issues with A&E and the burden they face is simply the number of people who don't have to be there. I appreciate they can't turn people away so in light of that A&E should be split into sections.Urgent: People experiencing chest pains, people with serious cuts who are losing a lot of blood, people who have fainted/are fainting, people who have been involved in accidents/attacks.Non-urgent: People with conditions that need antibiotics (tonsilitis etc), people with non-serious cuts (still bleeding but not heavily), people that just need pain relief.Doing this would allow staff to prioritise the right patients, get them seen to quickly and ideally get them treated sooner. It would also allow for better distribution of the right staff across the two sections, which could of course change depending on how busy each one is.

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They already do this. Patients are seen in order of priority, so if a broken bone or chest pain patient comes in, they are seen as soon as possible.
Not in my experience. Last time I was there a man sat in A&E with blood pouring out a cut on his head as three kids who were running riot with tonsilitis were seen before him. They gave him some paper towels to hold on it as he waited.

🚨 A&E is burdened with many non-urgent cases

💡 Split A&E into separate urgent and non-urgent sections

☀️ This would allow better prioritization and distribution of staff
🌧️ This system already exists through priority-based triage

🚨 Urgent cases are not always prioritized effectively in A&E

📖 I saw a man with a bleeding head wound who was made to wait while children with tonsillitis were seen first

💡 Split A&E into separate urgent and non-urgent sections

☀️ This would allow better prioritization and distribution of staff
🌧️ This system already exists through priority-based triage

Medical Negligence & NHS Pensions

Problem: The NHS has spent £5.1bn on medical negligence claims last year. Solution: Make clinical (surgeons, doctors, nurses) and non-clinical staff (hospital managers, cleaning and maintenance management) equally criminally culpable for medical negligence that occurs on their watch. Cap total liability to individual NHS patients taking a risk based approach, for example a high risk patient and a poor performing surgeon, will result in a cap on liability, above which an insurance premium can be paid to cover liability above the cap.Transfer high risk patient care to private sector and pay them for the risk.Problem: NHS total pension liability to be met (as of 2021) is £757bn. The current pension scheme is unsustainable, unfunded and unfair on private sector employees who have to gamble their futures on the performance of the stock market. The social contract in which low public sector pay is accepted in return for generous pension has been long abandoned by the public sector and government. Now the average public sector wage is higher than private sector and pension more generous, yet it is the private sector which generates wealth and economic growth.Solution:End the current pension. In future NHS staff to receive the state pension + enhancement for recognition they are working in the public sector in a key service.

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Totally agree about the final salary pension. This outrageous unfair, unfunded pension provision and tax on private sector employees needs to end. I’m sick of public sector workers whining about their pay. I would be in favour of increasing their pay in exchange for abandoning what now amounts to a pyramid scheme.

🚨 The NHS is spending excessive amounts on medical negligence claims

💡 Make all staff criminally responsible for medical negligence and cap liability based on risk

💡 Transfer high-risk patient care to private sector

🚨 The NHS pension scheme is unsustainable, unfunded, and unfair to private sector employees

💡 End current NHS pension scheme and replace with state pension plus enhancement

☀️ Current pension scheme is like a pyramid scheme and should be replaced with higher pay

Generate extra revenue?

The NHS should be free at the point of use. However, why can't we install super fast broadband for patients but at a cost (keep free wifi for all patients). We should consider ways the NHS can generate some income itself. The extras shouldn't take staff away from clinical duties or create a disparity in the clinical care patients are offered. But some people may want a better pillow or faster internet and why not charge for this?

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Ryanair: coming to an infirmary near you.

🚨 The NHS needs additional sources of revenue

💡 Offer premium services like super-fast broadband and better pillows for a fee

☀️ It maintains equality in clinical care while offering optional extras
🌧️ It risks turning healthcare into a budget airline-like service

reduce bed blocking

Give adult social care to the NHS and take it away from local authorities. NHS can then control the beds used for care that need discharging. This will remove 1 layer of management ( local councils). Transfer the local government budget spent by local councils to the NHS.This will free up money, save time and manpower now wasted trying to discharge people and cut out 1 area of partnership working simplifying the system.It will also save money by unblocking the hospital system with knock on benefits in A&E and ambulance service-all improving patient service.It will also simplify local government and allow that to be streamlined

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I am sure you are aware that hedge funds have found another niche for their investment Care Providers: While local authorities hold primary responsibility, various organizations—including private companies and non-profit organizations—play significant roles in delivering services such as residential care homes, home care services, and community support programs. Would this suggestion swell their coffers or bring in more robust checks and balances?

🚨 Private investment funds potentially exploiting care provision

🚨 Bed blocking in hospitals due to difficulties in discharging patients to social care

💡 Transfer adult social care responsibility from local authorities to the NHS

☀️ Will enable better control over bed discharge
☀️ Will save money and reduce bureaucracy
☀️ Will improve emergency services efficiency
☀️ Will simplify local government operations

🚨 Complex management structure between NHS and local authorities for social care

💡 Transfer adult social care responsibility from local authorities to the NHS

☀️ Will enable better control over bed discharge
☀️ Will save money and reduce bureaucracy
☀️ Will improve emergency services efficiency
☀️ Will simplify local government operations

Stop interpreters

Patients should speak one language interpreters cost money when I’m in another country I’m expected to make my self understood with iPhones you don’t need interpreters

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how would we decide which language? I did german at gcse but would prefer english

🚨 Language choice would be problematic if interpreters were removed

🚨 NHS spends money on interpreters for patients who don't speak English

📖 I had to make myself understood when in another country

💡 Remove interpreters and expect patients to communicate using translation apps

☀️ Translation apps on phones can replace interpreters
🌧️ People might prefer a different language than what's mandated

Medical training

Require newly trained doctors to work for the NHS for a certain period after qualifying. This would at least delay doctors emigrating before this country has benefited from investment in their training.

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The problem is in retention caused by lack jobs for doctors, I'm not sure if you saw the recent competition numbers for doctors to get into specialty training (training after foundation years), but the numbers were insane this year. There are a lot of doctors are unemployed/facing unemployment, so why shouldn't they leave to a different country? Why shouldn't they go somewhere where they will have a job, get paid properly, be respected for their hard work, have a better work-life balance? Do they not deserve that?

🚨 Lack of specialty training positions for doctors after foundation years

🚨 Doctors and medical staff are leaving the NHS due to poor working conditions

💡 Require medical students to work in NHS for minimum 5 years after completing training

🌧️ Better countries offer jobs, proper pay, respect, and work-life balance

💡 Improve working conditions and pay for NHS staff

💡 Require medical students to work in NHS for minimum 5 years after completing training

🌧️ Better countries offer jobs, proper pay, respect, and work-life balance

annual prescriptions

Currently have to have a monthly prescription for a set of medicines that haven't changed for decades. It is a ludicrous waste of time for GP to issue the same doc every month. Allow annual or 6 monthly prescriptions. Since it takes no longer to type 6 than 1, it will save vast amounts of the GP's time

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Yes. The current system is bizarre. If patients could add the 6 monthly postal fee too. It would be even better to have the meds delivered each month for 6 months at anytime. It would mean fewer drugs stored in the practice. Elderly patients not having to pop in 2 or three times a month to tick boxes and collect their med or have to send a person to do it. May free up time for urgent med requests.

🚨 Monthly prescriptions for long-term, unchanged medications waste GP time

💡 Allow 6-monthly or annual prescriptions instead of monthly ones

☀️ Writing a longer prescription takes the same time as writing a monthly one

💡 Implement medication delivery service for 6-month periods

☀️ Reduces drugs stored at practice
☀️ Frees up time for urgent medication requests

🚨 Current system requires frequent visits to collect medications

💡 Implement medication delivery service for 6-month periods

☀️ Reduces drugs stored at practice
☀️ Frees up time for urgent medication requests

Make Doctors work at least 5 years for the NHS

If a Doctor, who has spent many years in training that has been subsidised by the public decide to leave the NHS and go and work either for a private firm or abroad within 5 years of completing their training then they must be made to pay for any training they received.

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And all other health professionals trained within the nhs
If doctors are leaving the NHS en masse, maybe there's an issue with pay and working conditions. Rather than discouraging students to pursue medicine further, we should be working to improve pay and working conditions for all staff, rather than accepting we have terrible working conditions and forcing staff to remain in them.
@Zain Ali The system has removed my reply - i guess becuase i put in a link - but if you google nhs diversity director the first result is the job for 96k and that is just 1 person at 1 hospital/trust
@Zain Ali maybe we should be doing both
No other profession is forced to work in a certain location after graduation, this is not the ethos of the NHS
Wards with patients who cannot walk to be set on fire. If anyone is faking injury we will find out
@Lucy Mears I don't think it is unreasonable to expect people who take a job to be in it for a couple of years. Given it is a public employee post. And training has been funded in part to enable them to qualify. Other professions are not funded by the taxpayer.
@N/A N/A Doctors Training is not funded by the Taxpayer, the Medical students are 10's thousands in debt like other graduates, we then make them do Post Graduate courses that they pay for themselves.
Maybe pay doctors properly so they actually want to stay and do the job they trained to do...instead you want to put make studying medicine even more unattractive that it already is...
@Ismail Essa Another post suggested letting Dr, nurse etc... pay nothing for there education if they stayed in the NHS for x number of years - again they could leave if they wanted but would have to pay back any costs.
@Andrew Smith their*
Include Dentists in this.
Doctors already pay for their training
@Alexandra Deas they only pay a portion of it
@Andrew Smith Taking into account a £90K student loan for the initial degree. How much will a doctor repay for the lifetime of the loan??
I would support the idea if with the same pen stroke made medical education fully funded. “If you want free education, you’re bound for X years”. Keep partially subsidized education as is, because we desperately need the staff in this country. We need to incentivize them to stay. Carrot, not stick.
@Tomas Wiik I think that is resonable approach
@Tomas Wiik too much carrot not enough stick. Only those who prove themselves worthy in gladiatorial combat should get free care. The Roman empire shows up this would work. There is valid counter argument
@Mark Daly didn't they kill one-in-ten, now and then, just to strengthen the "stick" ...
Or more positively, write off 50% of the student loan after 5 years, and another 10% of the balance each subsequent year so all of it is written off after 10 years service. Could apply to all NHS frontline staff nurses dentists midwives too.
Bear in mind doctors are tied into a near 6 figure student loan that they're going to spend most of their careers paying off, taking into account the current ludicrous interest rates, irregardless of whether they work in the NHS or otherwise . I suspect the state is going to get it's money back, and a lot more besides. Take into account the free work the NHS gets over a career, as nobody goes home on time. Perhaps rather than leaping to punish people for leaving the NHS, you might want to wonder why they are leaving. Some will be opportunists, but most start off devoted to the ideal of the NHS, and leave it because they've simply had enough of toxic environments, discrimination, overwork, lack of opportunity (look at the competition ratios for specialty training in medicine now), poor facilities, mismanagement, not being able to do medicine the way it should be done etc... Or, they've been broken by it. Could I encourage you to consider what might be done to help people want to stay in the NHS, rather than just duffing them up for wanting a better life?
Agree somewhat, but we need one doctors. Make training to be a doctor, nurse, etc free and once completed, they agree to be assigned to the NHS for 10 years. People are put off training in forms of medicine because of the cost and the amount of years it take to learn, remove the cost and more people would sign up. Also a lot of the education should be on a hospital site, attached to a hospital for onside training, which means they would be able to practice the skills they have learned on hand (supervised) and be supporting the NHS at the same time,removing a bit of pressure on the staff.
@Stacey Stead. If it is so unattractive, why are there so many applicants for medical schools in the UK? Same with many of the allied professions…getting accepted on to the courses is extremely competitive. The number of training places is gate-keeping the number of qualified professionals we deliver in the UK. That’s why we have to import so many from overseas. It would be better if the NHS did proper long term planning of staff requirements, and this was fed in to training provision.
Training is not subsidised by the public. All Doctors, Nurses and paramedics pay for their own training. NHS is given part of the university fees to accommodate students.
Training is paid for by the staff concerned, not subsidised. Work conditions are often very poor. Lack of cpd and careeer development opportunities add to making it very unattractive to stay and overseas or private sector more attractive. This needs changing rather than adding another reason to prevent people entering profession.
Free std checks for hookers
UK degree ourses in medicine and dentistry are heavily subsidized by the public. In the US, the same courses cost around $85,000 per year, so $340,000 in tuition fees alone. Compare this with the UK where the total tuition fees for a 4 year medical degree is £37,000. For avoidance of doubt, for overseas students to study at UK universities, the fees for the same courses are £53,0000 per year, for a total cost over 4 years of £212,000.
@Andrew Warren You think anyone is going to pay 85k per year to earn 14 pounds an hour as a doctor? 😂😂 Consultants in America earn 300-500k compared to 75-120k in UK.
@Andrew Warren compare this to Germany where you can study medicine for free. And earn more money than in the nhs afterwards
Free hookers for patients dying. Unless dying from stds in which case free condoms too
Once week each hospital selects random ward and gives out class a drugs
Patients scared of blood to be bled to death
Ambulances to offer free ice creams
I guess you mean specialty training... Specialty training in most countries lasts 4 years, in the UK it lasts 7 to 9 years in average, this is not because doctors recieve more training, during that time, but rather because most time is spent working rather than training... Chances are, if you ever go to a hospital, that over 90% of the care given to you is organised by doctors in training
Training for Doctors and Nurses should be free after fulfilling certain criteria. They should sign a contract to work for the NHS for at least 15yrs. You could buy yourself out of the contract at any time but for a hefty fee.
@Sarah Vaines The will be paying back student loans for years. As a result they have paid for their training,
@Sarah Vaines We need more doctors, and the burden of university debt may well deter many. Make training free, but linked to signing up for a certain number of years with the NHS afterwards. This would help with retention of doctors - and also make them feel valued.
I have been a doctor in the NHS for over 5 years and my Student loan Balance stands at 44,401.67 pounds - and this was in Wales where the tuition fees are 3k per year compared to 9k in England.
Before you force that into operation, start with some analysis of where doctors and nurses are trained and how much invisible cost is loaded onto the country with any recruited from abroad. A doctor or nurse usually comes with a family, the costs of which are presently bourne outside the NHS budget. Compare with UK population who have to pay for their training through their career. Is it no wonder that doctors and nurses try to make some extra cash working privately and on the bank.
They already do. All doctors work more than 5 years in the NHS. Many more than 7 years
If doctors and nurses are trained in the UK they should commit to staying for at least 10 years after they have qualified, not emigrate for better money after 5 years has elapsed.
@Karen Johnstone if they studied their medicine degree in the UK, then they are tens of thousands of pounds in debt, they're paying for it. If they continued and got their specialist degrees in the UK, then they worked 10 years for the NHS already
@Karen Johnstone what about those studying business or history? We could make them work in government admin or ticket offices in the nationalised train system for 10 years? Should those who study computer science be forced to work for nhs IT for a decade rather than cash in at Google?
no - lets make it desirable for them to stay and work here - by paying doctors adequately, treating them with respect, providing resources and staff necessary to provide quality care, ensure they can have a break, eat a meal and have a good work life balance.
We could also shackle them to the walls of their consulting room / operating theatre. Seriously- have you ever considered the student debt they carry like some Albatross around their necks? Pay them the correct remuneration and watch them stay.
1. UK doctors cannot work privately until they are consultants or GPs so if they continue to practice medicine in the UK after qualifying, then it will be in the NHS. 2. Many young doctors cannot find employment in the NHS as they have to compete for too few “training posts”. This means they are forced to emigrate or change career. They don’t want either of those options. 3. A better suggestion would be to guarantee employment to all UK trained doctors, as doctors, for 7 years after qualification.
My sister will pay >200k over her lifetime in students loans (due to high interest rates). This idea that doctors are leaching resources from the government is made up. They are subsidising other students.
the myth that our training (whether you mean medical school or post medical school specialisation i am not sure) is 'free' is just that, a myth
Please can you tell me what you would like doctors to pay back Students pay tuition fees for 5-6 years. They don’t get any “extra” than other degrees get other than accommodation if sent on placement. Once they finish med school, they work and the money they receive is for the WORK done as doctors. It is a salary. They “specialise” further which is misleadingly called “training”. If you work for Aldi for 5 years after uni and then leave to work in the USA should you return your aldi salary?
We pay for our tuition loans and probably one of the degrees that will result in a salary that can pay a lot of it back. Why would doctors be forced to stay here when compensation for their work isn’t great.

🚨 Not enough training positions available for medical professionals

💡 Guarantee employment for UK-trained doctors for 7 years after qualification

🚨 High education costs and student debt burden for medical professionals

📖 I am a doctor in Wales and still have over £44,000 in student loan debt after 5 years of NHS service

💡 Make medical education free in exchange for NHS service commitment

☀️ This would help retain staff and make them feel valued
🌧️ No other profession is forced to work in specific locations after graduation

🚨 Doctors and medical staff are leaving the NHS due to poor working conditions

💡 Require medical students to work in NHS for minimum 5 years after completing training

🌧️ Better countries offer jobs, proper pay, respect, and work-life balance

💡 Improve working conditions and pay for NHS staff

💡 Require medical students to work in NHS for minimum 5 years after completing training

🌧️ Better countries offer jobs, proper pay, respect, and work-life balance

Part fund (50% fund) weight loss jabs and other preventative treatments

The NHS cannot afford to fully fund preventative treatment for all, since the demand will be overwhelming. But that shouldn't prevent it from moving away from it's "free at the point of use" dogma.Instead, for preventative treatments for obesity, smoking, etc, the NHS should move to a model of part-funding. The NHS pays 50% of the cost, I pay 50%.That means we share equal responsibility in our health and bodies.

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I'm a specialist dietitian working in a department that has had great difficulty with implementing weight loss injections - specifically Wegovy/semaglutide. It's not just the cost of the 2 year course of medication (approximately £100 a month, or £2,400 for two years), it's also the cost of staffing, follow-up appointments, managing side affects and so on. Theoretically, the reduced medication costs due to the weight loss achieved may offset some of this cost, but the initial investment in staffing and capacity is needed before any of it will be achieved.

🚨 The NHS cannot fully fund preventative treatments due to overwhelming demand

💡 Implement 50-50 cost sharing between NHS and patients for preventative treatments

☀️ Cost sharing creates shared responsibility for health outcomes

🚨 Weight loss treatments have high operational costs beyond just medication

📖 I work as a specialist dietitian and have seen implementation difficulties with weight loss injections due to various costs and staffing needs

🚨 Initial investment in staffing and capacity is needed before cost benefits can be realized

📖 I work as a specialist dietitian and have seen implementation difficulties with weight loss injections due to various costs and staffing needs

What are your ideas to change the NHS?

Legend

Free exams for resident doctors

🚨 Doctors do not feel valued by the NHS

Services for adults with a diagnosis of autism

🚨 Adults with autism lack post-diagnosis support services

🚨 Adults with autism develop mental health issues and neurological disorders due to lack of support

Nurses and assistants and other domestic staff.

🚨 Outsourced services lack proper control and accountability

🚨 Hospital cleanliness standards are poor

🚨 Some NHS staff lack work ethic and only work for the money

End the NHS Monopoly on Health Care provision

🚨 The NHS is bloated and inefficient as a state sector provider

🚨 There is too much government interference in healthcare

How much is this website costing then?

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🚨 Lack of transparency about the costs and management of NHS feedback platforms

Give Social Care staff the same rights as NHS staff

🚨 No incentive to work in private social care

🚨 Social care staff lack basic employment benefits compared to NHS staff

🚨 Hospital discharge is blocked due to insufficient social care capacity

Retention crisis: pay doctors and nurses proper salary to retain.

🚨 NHS struggles to attract and retain healthcare workers

Rename elective care

🚨 Long waiting lists for elective care lead to deteriorating health

🚨 Elective care is wrongly perceived as optional care

Management staff registration

🚨 Bad managers in the NHS can negatively impact staff and patients without being held accountable

🚨 NHS managers may not be trained to a good standard

Economic and Political Union with US = Access to American Healthcare Services

🚨 NHS healthcare outcomes are worse than US for major illnesses and cancer survival rates

Make private health providers pay for NHS trained staff

🚨 Private health companies benefit from NHS-trained staff without compensating for training costs

All access

🚨 Healthcare records are fragmented across different departments and regions

Sharing of ideas and consistency in care

🚨 Lack of system for sharing best practices between hospitals

🚨 Good ideas get lost in bureaucracy

🚨 Large inconsistency in care quality between nearby hospitals

Concentrate on treating the sick.

🚨 NHS has to handle complications from cheap cosmetic procedures done abroad

🚨 NHS resources are being used for non-essential cosmetic procedures

🚨 NHS money is being wasted on diversity initiatives

Care for those who deserve it

🚨 Elderly and local residents struggling to access NHS services

🚨 Long waiting lists for NHS services affect people who have worked and paid taxes for many years

🚨 People coming to the UK temporarily to use NHS services without contributing

Better education about mental health for consultants

🚨 Consultants dismiss physical symptoms of patients with mental health conditions

🚨 NHS consultants show lack of understanding and sensitivity towards mental health conditions

Universal system of accessing medical records

🚨 Healthcare providers cannot easily access patient records across different organizations

Pharmacy-Managed Chronic Disease Clinics

🚨 Chronic disease management strains NHS hospital resources

Fowey Hospital

🚨 Long A&E waiting times due to blockages

🚨 Bed blocking at Treliske Hospital due to lack of care packages

🚨 Empty, unused hospital building in Fowey

Doctor training

🚨 Doctors and medical staff are leaving the NHS due to poor working conditions

Make secondary care responsible for all the costs of treating their patients

🚨 Secondary care burdens GPs with costs of treating hospital patients

🚨 Hospitals lack incentive to manage prescription costs

🚨 Primary care lacks capacity to handle secondary care requests

Operating Theatres

🚨 Referrals are not happening within optimal timeframes

🚨 Long waiting lists due to missed appointments

🚨 Operating theatres in UK are underutilized, only operating during limited hours

Prescription costs

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🚨 NHS pays more for prescribed medicines that are available over the counter

🚨 Free prescriptions for over-60s who are still working is costing the NHS money

Transport for patients

🚨 NHS transport system is inefficient due to postcode-based approval system

Bring back Surestart centres!

🚨 Parents have less understanding of children's behavior and development

🚨 Parents lack education about available services

🚨 Vulnerable families struggle to access support services

🚨 Parents are less likely to engage with and trust health and social care professionals

Get efficient