Do more videos like this one please. - no annoying music - straight to the point, informative - provides context and big picture understanding of what has been going on - good summary and alternative to digesting long articles This is your niche imo
Im meant to be having surgery tomorrow because my graft has broken. Ive also been told it may be cancelled. Im going to show up just in case because i refuse to have it on my record that i chose to cancel. Im desperate, its mental torture. Ive lost money cancelling all my clients for this op, so im praying it goes ahead tomorrow. Its criminal that its not been declared a national emergency.
Bonjour, je suis francais, I just want to say thank you for your videos who helps me a lot for my homeworks. You are very pationé and impressing. Your explication was amazing, very clear for a french people like me. I hope you good for the next and good luck for solve the issue of the NHS! Au revoir
Very educational video. I'm an American. Having a big argument about this with my gf. Very informative for someone with no direct experience. Good luck to you guys. A 6 month wait is pretty intense. Hope you guys are ok.
Hi Dr Ollie. Thank you for this video. I have been using many of your videos to prepare for my upcoming interview for medicine next week - and they have been so incredibly helpful! I wanted to ask if you could potentially make a video about the biggest challenges facing medicine today (such as the ageing population, or specific illnesses on the rise), or recent medical advancements that current applicants should be aware of. Or maybe if there are any specific resources you can guide us to, that would be amazing! Thank you for your excellent videos.
Best of luck in your interview and thanks for the idea! I've actually got a video coming out this Wednesday that talks about one of the main problems facing the NHS...
This is a fantastic video! A super clear and informative explanation, and extremely necessary as there’s so much misinformation out there. With the impending election, hopefully this makes people think before they vote!! Thank you!
So why is the UK recruiting foreign doctors and nurses to work in the UK?? If you left your country, then why should foreign doctors and nurses have to work under conditions that you saw were not to your standards? Also, why is the UK stealing foreign doctors and nurses from other poor countries? What are these countries supposed to do without their doctors and nurses?? Disgraceful behaviour
What do you think about 1000 chemists closed in 2023 and it will be more to come and wages which are going down ?As a pharmacist who worked in the uk 10 yrs I would say it has never been so bad like today .I see only more technocracy ,employees are less efficient I only feel the breath of angry people which I have to do emergency supply and I can only imagine how bad is in the NHS .Prevention failed in this country sometimes I don't have many alternatives to recommend for urinal infection .I could stop them by encouraging using herbs but they are out of stock and people demand immediate effect.In my country people are bemused what to pick because there are too many products for UTI in this country always there are shortages ... We live in constant uncertainty not sure what will come next .I see that diversity of drugs has dropped ,not only as a consequence of drug shortages but quality of treatment has decreased .By 2028 every pharmacist will have to be indenpedent prescriber and who will be then in front line pharmacist or doctor .Of course pharmacist not doctor .Doctor will have time for reading and self -development to be able to earn more money and pharmacist will have to do with mad people who will sue you for not giving them antibiotic and playing a role of bad doctor .The most difficult is first contact with patient .I will have to do more work than doctor because i will have to focus on correct drug dispensing .
@@piotrwojdelko1150you've learned a vital lesson. In short the UK is now clueless about everything. My friend who still lives there phoned me yesterday. He's a foreign doctor and is thinking of leaving the UK. He told me how , because of the poor condition of UK roads, he got held up in 2 hours of stationary traffic because of a pothole. He got late for work not to mention the stress. It also happened that on the same day, he wondered what if he had taken the train to work instead. He found out that the trains were delayed too😂😂😂 thanks to points failures, track problems, signal failures... is the UK that bad?
very well explained...my wife was in ambulance for 3 hours 4 days ago before she has seen a doctor...shes been given double dose of morphine to relieve the pain.......best thing UK should do...don't get involve in international politics, war etc, save money and spend on British People...I think impact of Brexit should be included into your analysis...Very well explained without any background music...Thank you Dr Ollie....
I've been in the NHS since 2001 and your analysis is entirely accurate. But I don't think it's fixable this time. The money isn't there. Our national debt:GDP ratio never recovered from 2009.
For starters, lack of financial support, and for the increasing demand, a major cause is Poverty. Any other questions. Does anyone know how to get the root causes?Is anyone paying attention?
1) Low paid, I did not study 5 years of medicine which is highly stressful and competitive to earn 2.2k per month net. 2) health and medicine is not very lucrative, it doesn’t generate that much income. Over heads, rent, equipment,staff, disinfection, the list is endless.
Is there racism in the health service? I've heard about the state of their railway infrastructure, is it that bad in the UK? I've also heard about low quality housing and high rents, is that true? I've heard that the UK road infrastructure is broken due to constant roadworks, sheer number of vehicles, road closures etc? Is that true?
The NHS was created for Britain in 1947. The UK in 2024 is not comparable at all to Britain in 1947, in terms of population size, diseases, need, life expectancy etc. It just does not seem feasible to have such as system any more.
It’s very much possible, just because it was created in 1947 doesn’t mean it’s not still compatible with the needs of modern Britons - it’s not working right now because of government policy and underfunding, I’m not sure if you even watched the video? The NHS is a rare system that we should protect and encourage especially for those on the fringes of society who maybe can’t afford expensive healthcare
Go on.. blame 'The System' From my many experiences... ONLY the diagnostic staff (Doctors/consultants and technicians) plus first responders are professionally minded. Nurses, for example CANNOT blame a system for laziness and negligence. I've seen piss everywhere.. nooo problem... no rush. That is a more pleasant example! Lets all gather around the workstation giggling and eating chocolates...until the ward sister appears..then see them scurry! Its pathetic. So no..the system cannot change what is essentially a 'Social' issue. Sub standard. GP RECEPTIONISTS, doing MEDICAL TRIAGE....by TELEPHONE! 😂😂On real people! Not even 'Bones' was that good.
GP practices take abuse constantly from the same patients and have the same patients coming in on a daily basis. The practices are not set up on a central system either, so patients shop around until a GP will give them the drug they're looking for or sign them off for benefits or sick pay. The practices are not allowed to black list patients. If another practice doesn't take them on, they have to accept them back. Even if they're abusive. Its probably about 5% of the same people using the NHS 95% of the time. Not because they actually need it either. If your practice is next to a methodone clinic, good luck.
Overrun means too many paying in because most don't use NHS who pay in, every generation wins by parents paying in, but that's when it was for those who paid in and until gov broke it, they closed down dentists, Increased script costs unless Scotland they free to waste money n milk it, I can't get a dentist, hospital app n I paid in 30 years on top of my parents n can't use it, they don't deserve pay rise they should be shut down, insurance is better and it's not wasted on corruption n if it's rubbish they go out of business and I can take my money to a better health care that focus on improving due to competition. Gov ruined the NHS, the NHS got richer when it was ours due to only those in it could use it if we fell on hard times or lost our jobs, most who work have works insurance or private yet are forced to pay for everyone abusing it. We have too many doctors in their own buildings not in hospitals. Hospitals use trainees n don't treat us. 5 docs surgery in my area n we can't go we have to ring n do it over phone. Charity do all heart n cancer n drug clinics not NHS they pay private to do it or use teaching hospitals. Tony Blair destroyed Britain in 1997
Needs to be a balance between private and national. Cardiologist friend who also said its overloaded with immigrants and travel tourism. Government should make foreign nationals have a travel insurance or pay some bond before been allowed to come to UK.
The whole thing is not scalable anymore. In IT, there is a concept of 'vertical' and 'horizontal' scaling. I believe that NHS cannot scale vertically any more and needs to be broken down into several services, some of which can be made payable. It’s just ineffecient today. I would also like to say that doctors do not have the right to strike. Period. You have increased responsibility, just like a military. I condemn doctors who abandon their patients and demand a pay rise. There are other, more productive ways to make more money. Private practice, change of profession, change of country of residence, additional family business, etc. Nothing works in Britain predictably because of the strikes, enough is enough.
It is badly organised and wasteful to Biblical proportions. As it is, no amount of money will ever be enough for a fully funded NHS that is expected to be all things to all people.
Seems initially like a good idea; this idea unfairly targets poorer people. A richer person can live as damaging as they want because they can afford treatment. Poorer people, which generally have more health problems due to environment, poor diet due to low nutrient availability of high calorie foods, and often poor upbringing, won't be able to access treatment. The suggestion goes against one of the core NHS key values that the NHS is free and accessible to all on the point of entry.
Furthermore, what about people with genetic inherited disabilities, or cancer? Often these are caused by chance and is unfair that they have to pay for treatment for something that is out of their control.
@@bigphillip365 1. I disagree that this idea unfairly "targets" poorer people: We can have a concurrent health system that does allow for those who cannot afford private healthcare, facilitated by government taxes. Poor people will not be the target of anything, actually the rich will be incentivised to adopt personal responsibility for their health care, especially when health care is clearly marked by a financial cost. A richer person who is wise would not live as damaging as they will be personally investing their money into treatment. 2. Poorer people, which generally have more health problems due to environment, poor diet due to low nutrient availability of high calorie foods, and often poor upbringing, will be able to access better quality treatment due to better technology and innovation driven by market pressures. 3. I agree my suggestion goes against one of the core NHS key "values" that the NHS is free and accessible to all on the point of use; this so-called "value" is reckless, as it facilitates mal use of the health system, and poor practices continue to be funded by government, as they do not have corrective market pressures to stop them from providing a bad product. 4. Patients deserve to have more say in their care and a freer market like the Singapore model would make a more effective and efficient healthcare system for EVERYONE.
@@bigphillip365 The NHS incentives it's ENORMOUS workforce to vote for governments that pays them more. It's a ratchet effect and bad for patients. We have the worst cancer surviving statistics in the western world because of bad incentives structures. 1. There is a need for more market-driven approaches. Competition leads to better services and lower prices. This could involve deregulating certain aspects of healthcare to encourage more competition among providers and insurers. 2. Reducing Regulatory Barriers: This includes streamlining the approval process for new drugs and treatments and reducing the regulatory hurdles for new healthcare providers to enter the market. More competition can reduce costs and increase quality. 3. Increasing transparency in pricing and the quality of healthcare services can empower consumers to make more informed choices, which can drive competition and efficiency. 4. Consumer-Driven Healthcare: Encouraging models like Health Savings Accounts (HSAs) where consumers have more direct control over their healthcare spending can increase market sensitivity to price and quality, thus incentivising providers to offer better services at lower costs. 5. Limiting Government Influence: Reducing the role of government in healthcare, such as less direct control over healthcare provision and pricing, this will reduce producer capture.
How much did you guys spend on war? And how much more are you going to spend? Some wise Brit once said Jaw Jaw is better than War War. Have you lost all that brains?
Do more videos like this one please.
- no annoying music
- straight to the point, informative
- provides context and big picture understanding of what has been going on
- good summary and alternative to digesting long articles
This is your niche imo
Im meant to be having surgery tomorrow because my graft has broken. Ive also been told it may be cancelled. Im going to show up just in case because i refuse to have it on my record that i chose to cancel. Im desperate, its mental torture. Ive lost money cancelling all my clients for this op, so im praying it goes ahead tomorrow. Its criminal that its not been declared a national emergency.
Bonjour, je suis francais, I just want to say thank you for your videos who helps me a lot for my homeworks. You are very pationé and impressing. Your explication was amazing, very clear for a french people like me. I hope you good for the next and good luck for solve the issue of the NHS! Au revoir
Glad you like them!
Very educational video. I'm an American. Having a big argument about this with my gf. Very informative for someone with no direct experience. Good luck to you guys. A 6 month wait is pretty intense. Hope you guys are ok.
Hi Dr Ollie. Thank you for this video. I have been using many of your videos to prepare for my upcoming interview for medicine next week - and they have been so incredibly helpful! I wanted to ask if you could potentially make a video about the biggest challenges facing medicine today (such as the ageing population, or specific illnesses on the rise), or recent medical advancements that current applicants should be aware of. Or maybe if there are any specific resources you can guide us to, that would be amazing! Thank you for your excellent videos.
Best of luck in your interview and thanks for the idea! I've actually got a video coming out this Wednesday that talks about one of the main problems facing the NHS...
This is a fantastic video! A super clear and informative explanation, and extremely necessary as there’s so much misinformation out there. With the impending election, hopefully this makes people think before they vote!! Thank you!
I left UK to work in Singapore 🇸🇬 it offers better work environment and pay for sure.
So why is the UK recruiting foreign doctors and nurses to work in the UK??
If you left your country, then why should foreign doctors and nurses have to work under conditions that you saw were not to your standards?
Also, why is the UK stealing foreign doctors and nurses from other poor countries? What are these countries supposed to do without their doctors and nurses??
Disgraceful behaviour
Will you be advising foreign doctors and nurses in Singapore about the state of the UK, the life there and the conditions there?
What do you think about 1000 chemists closed in 2023 and it will be more to come and wages which are going down ?As a pharmacist who worked in the uk 10 yrs I would say it has never been so bad like today .I see only more technocracy ,employees are less efficient I only feel the breath of angry people which I have to do emergency supply and I can only imagine how bad is in the NHS .Prevention failed in this country sometimes I don't have many alternatives to recommend for urinal infection .I could stop them by encouraging using herbs but they are out of stock and people demand immediate effect.In my country people are bemused what to pick because there are too many products for UTI in this country always there are shortages ... We live in constant uncertainty not sure what will come next .I see that diversity of drugs has dropped ,not only as a consequence of drug shortages but quality of treatment has decreased .By 2028 every pharmacist will have to be indenpedent prescriber and who will be then in front line pharmacist or doctor .Of course pharmacist not doctor .Doctor will have time for reading and self -development to be able to earn more money and pharmacist will have to do with mad people who will sue you for not giving them antibiotic and playing a role of bad doctor .The most difficult is first contact with patient .I will have to do more work than doctor because i will have to focus on correct drug dispensing .
In my area in the South East of the UK, 3 pharmacies have closed local to me.
@@simonmaverick9201 I can cope with new reality.
@@simonmaverick9201 you can't stop it
@@piotrwojdelko1150you've learned a vital lesson. In short the UK is now clueless about everything.
My friend who still lives there phoned me yesterday. He's a foreign doctor and is thinking of leaving the UK. He told me how , because of the poor condition of UK roads, he got held up in 2 hours of stationary traffic because of a pothole. He got late for work not to mention the stress. It also happened that on the same day, he wondered what if he had taken the train to work instead. He found out that the trains were delayed too😂😂😂 thanks to points failures, track problems, signal failures... is the UK that bad?
You've learned a vital lesson. Your first mistake was to move to the UK and everything follows on from that mistake.
very well explained...my wife was in ambulance for 3 hours 4 days ago before she has seen a doctor...shes been given double dose of morphine to relieve the pain.......best thing UK should do...don't get involve in international politics, war etc, save money and spend on British People...I think impact of Brexit should be included into your analysis...Very well explained without any background music...Thank you Dr Ollie....
Love your videos! Been lurking and watching a lot and I’m subscribed!
Thank you!
doing my EPQ on a topic similar to this so thanks sm for the video!!!
I've been in the NHS since 2001 and your analysis is entirely accurate. But I don't think it's fixable this time. The money isn't there. Our national debt:GDP ratio never recovered from 2009.
For starters, lack of financial support, and for the increasing demand, a major cause is Poverty. Any other questions. Does anyone know how to get the root causes?Is anyone paying attention?
No, it's the British mindset. Ignore problems until they reach crisis point, then wonder how the he'll it happened.
1) Low paid, I did not study 5 years of medicine which is highly stressful and competitive to earn
2.2k per month net.
2) health and medicine is not very lucrative, it doesn’t generate that much income. Over heads, rent, equipment,staff, disinfection, the list is endless.
Is there racism in the health service?
I've heard about the state of their railway infrastructure, is it that bad in the UK?
I've also heard about low quality housing and high rents, is that true?
I've heard that the UK road infrastructure is broken due to constant roadworks, sheer number of vehicles, road closures etc? Is that true?
Thank you Dr Ollie!
The NHS was created for Britain in 1947. The UK in 2024 is not comparable at all to Britain in 1947, in terms of population size, diseases, need, life expectancy etc. It just does not seem feasible to have such as system any more.
It’s very much possible, just because it was created in 1947 doesn’t mean it’s not still compatible with the needs of modern Britons - it’s not working right now because of government policy and underfunding, I’m not sure if you even watched the video? The NHS is a rare system that we should protect and encourage especially for those on the fringes of society who maybe can’t afford expensive healthcare
@@acacnotts😂😂😂😂
Go on.. blame 'The System' From my many experiences... ONLY the diagnostic staff (Doctors/consultants and technicians) plus first responders are professionally minded. Nurses, for example CANNOT blame a system for laziness and negligence. I've seen piss everywhere.. nooo problem... no rush. That is a more pleasant example! Lets all gather around the workstation giggling and eating chocolates...until the ward sister appears..then see them scurry! Its pathetic. So no..the system cannot change what is essentially a 'Social' issue. Sub standard.
GP RECEPTIONISTS, doing MEDICAL TRIAGE....by TELEPHONE! 😂😂On real people! Not even 'Bones' was that good.
GP practices take abuse constantly from the same patients and have the same patients coming in on a daily basis.
The practices are not set up on a central system either, so patients shop around until a GP will give them the drug they're looking for or sign them off for benefits or sick pay.
The practices are not allowed to black list patients. If another practice doesn't take them on, they have to accept them back. Even if they're abusive.
Its probably about 5% of the same people using the NHS 95% of the time. Not because they actually need it either.
If your practice is next to a methodone clinic, good luck.
Ollie the health system is no longer ,needs scrapping or a total rethink.
No it does not
Not going to happen. Entitled people. " I've paid my taxes so I want," attitudes. A country not willing to reform.
Judging by the comments here, the UK is on its knees, again.
Overrun means too many paying in because most don't use NHS who pay in, every generation wins by parents paying in, but that's when it was for those who paid in and until gov broke it, they closed down dentists, Increased script costs unless Scotland they free to waste money n milk it, I can't get a dentist, hospital app n I paid in 30 years on top of my parents n can't use it, they don't deserve pay rise they should be shut down, insurance is better and it's not wasted on corruption n if it's rubbish they go out of business and I can take my money to a better health care that focus on improving due to competition. Gov ruined the NHS, the NHS got richer when it was ours due to only those in it could use it if we fell on hard times or lost our jobs, most who work have works insurance or private yet are forced to pay for everyone abusing it. We have too many doctors in their own buildings not in hospitals. Hospitals use trainees n don't treat us. 5 docs surgery in my area n we can't go we have to ring n do it over phone. Charity do all heart n cancer n drug clinics not NHS they pay private to do it or use teaching hospitals. Tony Blair destroyed Britain in 1997
Needs to be a balance between private and national. Cardiologist friend who also said its overloaded with immigrants and travel tourism. Government should make foreign nationals have a travel insurance or pay some bond before been allowed to come to UK.
The whole thing is not scalable anymore. In IT, there is a concept of 'vertical' and 'horizontal' scaling. I believe that NHS cannot scale vertically any more and needs to be broken down into several services, some of which can be made payable. It’s just ineffecient today.
I would also like to say that doctors do not have the right to strike. Period. You have increased responsibility, just like a military. I condemn doctors who abandon their patients and demand a pay rise. There are other, more productive ways to make more money. Private practice, change of profession, change of country of residence, additional family business, etc. Nothing works in Britain predictably because of the strikes, enough is enough.
It is easy to condemn an experience you have not been in.
F2 here, and only found out what NICE stands for 😂
Haha strong.
It is badly organised and wasteful to Biblical proportions.
As it is, no amount of money will ever be enough for a fully funded NHS that is expected to be all things to all people.
I'm sorry, but the National Sickness Service needs to stop taking more of our cash. We need to adopt an individual health account system.
I think you are just in the wrong country.
Seems initially like a good idea; this idea unfairly targets poorer people.
A richer person can live as damaging as they want because they can afford treatment. Poorer people, which generally have more health problems due to environment, poor diet due to low nutrient availability of high calorie foods, and often poor upbringing, won't be able to access treatment.
The suggestion goes against one of the core NHS key values that the NHS is free and accessible to all on the point of entry.
Furthermore, what about people with genetic inherited disabilities, or cancer? Often these are caused by chance and is unfair that they have to pay for treatment for something that is out of their control.
@@bigphillip365
1. I disagree that this idea unfairly "targets" poorer people: We can have a concurrent health system that does allow for those who cannot afford private healthcare, facilitated by government taxes. Poor people will not be the target of anything, actually the rich will be incentivised to adopt personal responsibility for their health care, especially when health care is clearly marked by a financial cost. A richer person who is wise would not live as damaging as they will be personally investing their money into treatment.
2. Poorer people, which generally have more health problems due to environment, poor diet due to low nutrient availability of high calorie foods, and often poor upbringing, will be able to access better quality treatment due to better technology and innovation driven by market pressures.
3. I agree my suggestion goes against one of the core NHS key "values" that the NHS is free and accessible to all on the point of use; this so-called "value" is reckless, as it facilitates mal use of the health system, and poor practices continue to be funded by government, as they do not have corrective market pressures to stop them from providing a bad product.
4. Patients deserve to have more say in their care and a freer market like the Singapore model would make a more effective and efficient healthcare system for EVERYONE.
@@bigphillip365
The NHS incentives it's ENORMOUS workforce to vote for governments that pays them more. It's a ratchet effect and bad for patients. We have the worst cancer surviving statistics in the western world because of bad incentives structures.
1. There is a need for more market-driven approaches. Competition leads to better services and lower prices. This could involve deregulating certain aspects of healthcare to encourage more competition among providers and insurers.
2. Reducing Regulatory Barriers: This includes streamlining the approval process for new drugs and treatments and reducing the regulatory hurdles for new healthcare providers to enter the market. More competition can reduce costs and increase quality.
3. Increasing transparency in pricing and the quality of healthcare services can empower consumers to make more informed choices, which can drive competition and efficiency.
4. Consumer-Driven Healthcare: Encouraging models like Health Savings Accounts (HSAs) where consumers have more direct control over their healthcare spending can increase market sensitivity to price and quality, thus incentivising providers to offer better services at lower costs.
5. Limiting Government Influence: Reducing the role of government in healthcare, such as less direct control over healthcare provision and pricing, this will reduce producer capture.
Seems a bit intense with his delivery and hasn't discussed anything that we don't already know. Rather pointless.
How much did you guys spend on war? And how much more are you going to spend? Some wise Brit once said Jaw Jaw is better than War War. Have you lost all that brains?
Very little defence spending is on its arse
The king dosint give a monkeys