NHS Crisis - Why It Will Get Worse Before it Gets Better
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- เผยแพร่เมื่อ 18 ธ.ค. 2022
- A look at causes of NHS crisis, why nurses and doctors need a pay rise to catch up with lost pay.
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► www.economicshelp.org was founded in 2006 by Tejvan Pettinger, who studied PPE at Oxford University and teaches economics. He has published several economics books, including:
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The main reason for the deterioration of the NHS is conversion to TRUST status manned by the MANAGERS after the managers took over the administration the downfall started. One can do a study comparing the state of NHS before trust status and after trust status
Financial strain is the result is the pay to the MANAGERS , they do not contribute in anyway to the medical care of the patients
I knew someone who worked in an NHS Trust IT department. He was in charge of managing patients data, he told me of a department where there were managers who spent all their working week having meetings but actually doing no work whatsoever. He said there were people there who had spent years just having meetings. These NHS staff are institutionalised
The responsibility is with their managers. It is easy to think that since there is no role in front line services that their jobs are of no value. Perhaps that is true perhaps not, but it is the system at fault if their jobs have no overall value.
Really interesting video as always, Tejvan - it's interesting to consider in 1945 after WW2, the Welfare State was initiated by Beveridge as a reward to a population that had suffered the deprivations of the War but no such initiatives/rewards were put in place post-Covid for the front line workers who kept essential services going through the pandemic - with much of the Government expenditure of the furlough scheme and QE trickling up to the rich or mismanaged/fraudulently misallocated. The 'New Jazz age' of national confidence and spending mooted to occur post-pandemic didn't materialise though the supply-side issues are still in play and the long-Covid issues suggest the comet's tail of the virus is still with us. It's a hope that virus investment may boost research into curing the common cold/flu leading to more productivity much in the way drug/plastic material science advanced in the 1950s after WW2. The Emergency Room backlogs of the NHS can be failing due to spill-over effects elsewhere in the system such as a decline in NHS dentists, care home pinch-points or access to a GP leading to people gong to ER as a non-emergency point of contact. Being super sceptical the only public services that are well-maintained are the roads as these are the public services that the rich have to use - they do not action NHS spending as they can access private medical care, schools, pensions etc. Nurses may not be able to bid-up wages as the NHS is essentially a monopsony employer with only a few nurses accessing private healthcare employment. The deterioration of the NHS may be a strategy to bring in partial privatisation by the existing Government. Targeted immigration is the best option to improve NHS services along with heavily subsidised supply-side medical training reforms. Governments need to realise with science graduates sought after by other STEM employers, new workers will need to be heavily incentivised to work in the NHS (with the prospect of low wages/shift working and poor conditions) though immigration of healthcare staff will lead to a brain drain from other countries. Doubt additional healthcare spending will occur however, as the profit/GDP growth from a fit workforce are less obvious in the short run to the economy than banker's bonuses. As you suggested in previous videos higher pay for healthcare nurses will lead to more motivated staff, lower turnover, workers getting well quicker, being more productive and paying more tax.
PS - did your friend break their arm falling off a bike?😜
It was Bevan who founded NHS. He’s probably rolling in his grave now.
always good insights, love your content
During Covid nhs contractors were paid 1000 GBP/day. 80% of salary and up to 2500 were covered by the furlough scheme. 22 billion pounds for nhs test and trace was also money down the drain. 500 GBP / week for renting tents. If you landed from a holiday, they would call you every day asking same stupid questionaire over again. Imagine paying all those people on call centers to do that?
Whilst operational staff is not to be blamed, NHS management is like a black hole. No matter how much money you throw in there, its never enough and it doesn't get any better whatsoever.
How about starting from ground up and subsidizing tuition fees for future doctors with a 10yr contract obligation to serve in public sector?
How about adopting preventive medical treatment vs fighting the consequences strategy?
How about useful news which promote healthy diet, less alcohol, less sugar on national TV, rather than political BS?
Thank you for some sanity
Yes! Agreed especially in regards to preventative healthcare approach. I used to work in NHS and many admissions could have been avoided through prevention schemes. Particularly with aging community, nasty falls, broken hips and knees (very very expensive) etc could be significantly reduced with investment in allied health services for older people, like physiotherapy and occupational health visits.
I think the whole system needs reform. We should copy the models of other successful countries healthcare. And I suspect this might mean charging people.
The system does need a reform since it's on a path towards a US model. US privatized healthcare by the way is a grossly expensive and inefficient system - so much so that US life expectancy has actually dropped in recent years, and many people cannot afford lifesaving necessities such as insulin.
Some people think NHS privatization is a future threat - but it's already happened, 10 years ago, and is becoming ever more privatized as Conservative leadership continue starving the system of funding. US insurance interests wriggle their hooks into the system weakened by a decade of austerity.
We should learn whatever we can from successful healthcare in other countries: France, Italy, Spain i believe have an insurance co-pay system, where most of the costs of insurance are paid for by the state. Here the patients aren't charged a lot, or if they are the government usually reimburses most (or all) of the costs. Good healthcare is not a function of how much the patient pays - it's a function of government support.
Learning all this is moot if the government continue to strip the NHS for parts. The NHS needs more funding, but it's never going to be a priority for a Tory government.
That exactly what the Tory Government want, they want to start paying for Medical help, they are Evil Master minds
Let’s underfund the NHS for 13 years! No wonder the UK has no growth, honestly 😒
It's a failed organisation. Needs reform, root and branch. And more money.
Less beds because it's gone on all luxury hotel suites for one person that survived same space in of maybe 5 patients of past..
Lonely hospitals leaving ppl crawling up wall to exit hospital.. We have no mot health drop in centres if not NHS its called quackery so NHS command the market but can't provide the services. 2022 we had over half million UK digny arrivals alone so gov has to cut that from source and start thinking about bosses who really are taxpayers..
It's a pity that you did not support your contention that giving the nurses the pay-rise they're after would cost between £2billion and £3billion. After all, this is a significant difference from the figure laid out by Government.
But this started with Tony Blair and his PFI programs where his private sector buddies were lending money to the NHS hospitals to upgrade and extend their buildings. However they were charging much more than high street banks. They were insisting on being awarded other contracts at inflated rates like catering, security, maintenance, laundry etc. I remember the farce of it costing 60 pounds to change a light bulb. So much money was stripped out of patient care to fund these massive mortgages at inflated rates plus the associated inflated contracts. It’s not been 25 years yet. So when labour get confused as to how given the same levels of funding as many other western countries it fails to deliver in a similar way. Hello, look at the structural debt. The hidden national debt as it is underwritten by the taxpayer. The hidden debt that would make the nations debt to gdp ratio look very bad that no one talks about it. So bad that it might impact the countries credit rating.
They reduced the numbers of beds massively, at the time they talked about not needing the beds as post op care had improved. Since then population has gotten older and sicker and gone up by 6 million in the last 12 years. Also the real reason the beds had to be cut was they could afford to keep them open and pay the PFI partners their cut.
The Conservative Government under Rrishi Sunak I do believe that the Government is having problems in fiance but the policies they have placed will make it more difficult for nursis to get a pay rise which they rightly deserved and the fact that NHS waiting list are so high for you to have an operation you could die.
Just implement a national ID and serve only health requests from people with such an ID.
Sounds like gong to the emergency room in the U.S. concerning the wait times.
A lot of staff are now leaving (the ones I know), due to how their peers, managers & NHS Trusts treated them during the whole vaxx mandate debacle. It showed people's true colours and how cowardly and vile they are.
Reverse PFI PRIVATISATION
SaveOurNHS
The tories have blamed Harry and Megan
You will never retain Nurses while you have a private sector that pays more then the Public sector. That will always be as the Private sector will always be able to afford to pay more for Doctors & Nurses. The NHS cant get involved with pay fights with the Private sector as the Private sector will bankrupt the Public sector then no NHS it will be finished anyway.
Imagine what it would be like if if all of the staff he choose not to be vaccinated and would have lost there jobs.
Good job government change there mind. Or we would be waiting days to get seen and longer list.
#Plutocrats
The NHS crisis will never get better as long as the Tories are in power . Tories do not like the NHS and lie about putting extra cash into it as we can see , they refuse the nurses a decent wage . This government is hell bent on wrecking Britain , in favour of the rich . We seam to take pride in putting people OUT of work , in favour of self service machines that annoyingly talk to you while checkout staff member stands around , waiting for someone to require help . I personally cannot understand why we all clapped the NHS and this government are killing it .
time to privatise it
That's worse. Many Americans are bankrupt because of healthcare bills even with health insurance.
Yeah privatise it, with what economy?? Russia has a better economy than the UK, UK in Recession,
why not build more nightingale hospitals
Because the people continued voting for those who wanted it to fail? Please, don't complain now - or about the B word. You brought all of this nonsense onto yourselves.
why do these guys always have speech impediments
NHS is not in crisis, the uk gov are.
Tories thats why
Nurses are paid well enough. There are plenty of people in low paid jobs who would love to earn the amount a nurse earns and the job security. Furthermore, imagration is the main cause of the problem with the NHS turn up an A& E the place is full of imagrants being treated by imagrants. No matter how much money you throw at it the NHS will never function properly until it is managed properly.
Nurses pay isn't that much more than minimum wage if you factor in shift work and working weekends. Nurses have be registered and are tested frequently.
@@Hiram8866 As I understand it, a newly qualified nurse's average salary is circa £25k.
Get the locals to take up the jobs. If u can
@@Hiram8866 Look again!! Nurses are very well paid
Nurses carry the responsibility for human life. If the make a mistake someone dies or is harmed. There is no greater responsibility in this life. It is not like they are just packing boxes at Amazon. They are responsible for the lives of your loved ones. If any misfortune befalls you or those you love, nurses do their very best to get you well again. What could be more important than that?