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Brothers diagnosis

User
Posted 28 Jul 2025 at 19:14

Without wanting  to change this is into Question Time. In my opinion we've simply.not kept up.with the times.

When the NHS was first conceived it was workable. A higher percetsge of the population were working and paying into the system. There were less retired pensioners and people weren't living so long.

That system has now been turned on it's head. It"s no longer affordable or sustainable.

I don't have a problem with what anyone in the NHS earns, but on the last couple of occasions when I've visited GPs, in my presence they've used Google. That's why for most ailments I do the same, it cuts out the middle man. 😁

Edited by member 28 Jul 2025 at 21:37  | Reason: Typo

User
Posted 28 Jul 2025 at 19:20

Turkey.

You make some incredibly valid points, the money our government sees fit to throw at things like HS2, foreign wars, aid that goes to the wrong place, PPE that goes to landfill etc etc is staggering and almost criminal. 

Simply hosting the orange buffoon that is Donald Trump is money we could spend much more effectively elsewhere. 

The health service was set up to provide a level of care not previously seen and out of reach of working class folk. But it has become perverted to provide unnecessary "Health care" and to mend a level of self abuse by a population that has way too much compared to the post war austerity in which it was born.

People were fitter, lighter and healthier back then. Before widespread use of drugs was even possible, when they ate food that was basic but better for them and when they walked more than they ride around in cars, or indeed mobility scooters which are now just a motorised shopping trolley for many (i know i know there are genuine reasons for using such a device but really? Some of the folk you see on them would be better off walking).

It's not simply the lack of money or wages or whatever that has broken the health service or the police, or ambulance or fire service.  It is us, the Great British public, with access to mobile phones and the Internet we overload services that could never cope with the sheer volume of rubbish that modern life generates. As a cop I saw the world change from BC (before cell phones) to AD always demanding. 

I always said my first job as health secretary would be to put large bouncers on every A&E reception instead of triage nurses;

"You fell at work and injured your knee? Please come in and we will have someone to you shortly"

"You got drunk, took drugs, tried to climb some scaffolding and fell off. And now you have a twisted ankle and want to sue not only the scaffolding firm but the alcohol company, drug supplier and probably the NHS too. On your way sunshine, we are not here for idiots like you"

Might sound harsh but the average A&E department wastes countless hours on people who feel so entitled they will not be told no. Whilst waiting for treatment to a work injury, I watched a man recently park his Audi in an ambulance bay, he spoke to the triage nurse explaining when he lifted his arm it hurt him. No he had not had an accident, no he did not know how this had happened,  no it wasn't an emergency, no it didn't stop him working or driving. It just hurt and he was here now so somebody damned well better see him as he had paid his taxes. I was within an ace of stepping up to this privileged pile of nonsense and inviting him outdoors to generate injuries that would require the services of A&E. 

The country has gone soft and no amount of funding will cure this affliction, too much disposable income and a skewed sense of priorities, data poverty? Come on, thats not poverty just because you can't update your kids Facebook status. 

It's so easy to become political and blame the doctors, the government,  the austerity etc etc. But a lot comes back to the way we and others abuse the systems that once coped very well with the demand they were built to deal with. 

 

User
Posted 28 Jul 2025 at 21:26

Originally Posted by: Online Community Member
A newly qualified doctor earns around £36000, after five or six years of med school, thousands spent on exams and around £90000 student debt. They work well over their hours probably averaging at less than minimum wage. On graduating they’re sent all around the country for foundation training so still incurring rental costs and being away from family and friends. They can’t chose their trust.

They on completion of two years foundation training chose a specialism and have to pay over the next ten years or more depending on their specialism tens of thousands for exams to progress, professional college memberships and their own liability insurance. It can take 12 years to become a consultant in some specialisms.


They get vilified by the public so who can blame them for clearing off to Canada or Australia where they work less hours for more money and even get a lunch break.

Wes Streeting is talking of scrapping their debt - which is divisive- just pay them commensurate to knowledge responsibility and experience. It’s really not much to ask. They find money for HS2 and vanity projects and wars after all.

They might not run into burning buildings if required maybe a few times a year like a firefighter but they save thousands of lives and improve quality of life of tens of thousands more over their career, if there’s enough of them.


A firefighter trainee earns around £28000 no uni debt. They do risk their lives for others but it’s comparing apples and pears.

I don’t think pay restoration is unreasonable, resident doctors suffered the biggest pay erosion across all public sector.

The country is in a mess, but if we want to encourage new doctors to train, and older doctors to remain I don’t believe we can afford not to pay them as it’s us the public that suffer.

GP is extremely underfunded compared to hospitals and it’s hard to attract new trainee GP. The previous government refused to talk with dictums, imposed a disasterous contract and rather than deal with the situation brought in physician associates. They aren’t doctors though get paid very well for having a fraction of the knowledge seeing half as many patients and rightly limited in scope. Who suffers …. Patients. It’s short sighted and costly to have PA not doctors, and there are GP that can’t get jobs because they use PAs and surgeons whose training is slowed as they use the surgical equivalent of a PA.

We suffer delays and waits and it’s horrendous but I don’t blame the over worked underpaid doctors I blame austerity and the court of public opinion.

Once we have an insurance based system which I don’t see being far off we will all wish we’d found the money for pay restoration, that would attract and retain doctors and ensure restoration of good quality care for us all.

As you can see I feel really strongly about the NHS so none of us suffer these delays and uncertainty and all get access to better care.

Best wishes to all in this stressful journey. 😊

Everybody would like pay restoration to pre-COVID levels but it is unaffordable in the UK and the Resident Doctors like their supporters just don't seem to understand it! There are people in the UK in many areas who could earn more by working abroad. I know an engineer who could work again in Australia for more money or indeed could work in Dubai for very much more.  He prefers to work for less in the UK for cultural and other advantages the UK provides for him and his family.  In the same way many Doctors come to the UK from India, Pakistan, and other countries because they can make more money here than in their countries of birth.  So trying to justify pay here with what doctors or any body else might get in another continent is not relevant.  We could borrow money but that would mean adding to the burden future generations will face and they will have to support a growing number of pensioners anyway.  Would you tax the rich more and precipitate them leaving in droves as the Chancellor is finding out?  Already there are many depending on 'Food Banks' and in relative poverty and you can't increase tax on them.

The situation has now been made more difficult by Trump's tariffs and the UK needing with other European Countries to spend more on defence as the USA require us to do.

Doctors do pretty well.  Figures provided by the BMA for Doctors in training before 2025 pay award announced on 22nd May 2025 show a basic pay of £36,616 for grade FY1 Nodal point 1 to £70,425 for SD-8. Resident doctors in the UK are eligible for overtime pay for hours worked beyond their contracted 40 hour week. They also receive additional payments for nights, weekends and on-call work.  Night shifts provide 37% enhanced pay. Doctors pay tuition fees for their Undergraduate Medical Degrees but from the 5th year on UK students can get their tuition fees covered by a NHS bursary.  Eventually, a GP can make circa £140,000 basic plus add ons.  Doctors also get a a good defined pension.  It's small beer when compared with what a Premier League footballers get for kicking a bit of inflated plastic on a pitch but reflects the twisted values of society as some would see it.  

Barry
User
Posted 12 Aug 2025 at 17:29

Back to the start of the thread,

My brother went in to see a cancer nurse today at our hospital.  She was unable to give him any results from the CT scan or bone scan. She thought he had already seen a consultant about his biopsy results but when he told her he hadn't She was shocked, he should have had a face to face as his Grade is 5 and his Gleeson score is 9 (4+5). Remember he got a phone call from a secretary telling him to attend the two scans but no idea as to why. Other than to say what do you think it means? Pathetic. 

So he now has to wait for the MDT meeting to find anything else out. Today was a complete waste of time . Other than for him to be given a sheaf of leaflets about cancer treatments he might not even need and to be told there is a free bus service to Weston park cancer centre he can use.

Money or no money in the system it should be better run than this surely. 

 

 
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