On 5 May, 09:56, Martin Brown <|||
newspam...@nezumi.demon.co.uk>
wrote:
> On 04/05/2013 16:08, Mel Rowing wrote:
>
> > On 4 May, 15:40, "Ian Field" <
gangprobing.al...@ntlworld.com> wrote:
> >>
http://www.mirror.co.uk/news/uk-news/bmi-mount-alvernia-hospital-nhs-...
>
> > Reminds one of Stafford House Hospital except that Stafford House did
> > not cease to admit patients once its shortcomings came to light.
> > That's the beauty of private hospitals. If they are no good nobody
> > will use them and they will have to be put into administration to be
> > bought up for a song by somebody prepared to make them good.
>
> They also have the fantastic advantage for the commercial operators that
> they can cherry pick all the easy profitable cases and then throw any
> that go wrong over the wall for the NHS to pick up the pieces.
Of course not all independent fee charging hospitals are commercially
operated and are in fact not for profit medical trusts
The effect that you describe therefore has little if anything to do
with cherry picking as much as insurance companies. Most private
medical care is bought through medical insurance and health plans. All
of these instruments carry exclusions of certain conditions.
Commercial organisations have to place a cap on their liabilities
somehow. Take palliative care. I won't say that health plans never
cover palliative care but there will be not many that do.
What happens when the doctors admit defeat and give up as eventually
they will have to do?
The answer is that the patient will be discharged. What then? A
variety of options are followed. Usually the patient may be sent home
to be cared for by family supported by peripatetic professional staff
employed by the health authority and/or similar support by charitable
organisations like McMIllan's Nurses.. If that not be possible then
the patient will be sent to a nursing home usually privately owned and
the patient will in effect be means tested as to whether they or the
medical authority pay. Finally there is the hospice These institutions
are almost invariably charitable trusts that raise their own income
via supporters of voluntary efforts.
Certain conditions require specialised treatments which demand
techniques and expertise not found in more that one or two hospitals
of either type.
Beyond that the myth of a free health service from cadle to grave is
just that, a myth.
> > I heard Harriet Harman lauding the praises of Labour's improvements to
> > the NHS during their last term in office. "Nobody dies whilst on a
> > waiting list for a hospital bed under Labour "
>
> > No Ms Harman! They die in them!
>
> Actually the NHS hospitals I have seen inside have been *very* good.
I would tend to agree but there have been some horror stories that
seem increasingly to enter the public domain that certainly shouldn't
> The problem with centrally imposed targets is that what you measure gets
> controlled and the law of unintended consequences means that something
> else gets ignored until disaster strikes.
>
> The only thing that I think is silly about modern build hospitals is
> that they have not learned all the lessons from semiconductor clean
> rooms and still have awkward corners that cannot be easily cleaned.
It cuts deeper than that. When we hear of patients dying and the fact
going unnoticed, of people drinking water from flower vases to assuage
thirst, of going hungry because they can't manage cutlery, of lying in
their own faeces/urine for hours on end we are not talking
cleanliness. We are not talking ineptitude or even stupidity. We are
talking indifference to the point of inhumanity. That should just not
be in any organisation state or private.