I see today that Leo Veradker warned that patient levels in A@E will peak within the next two weeks due to the high FLUE levels . Now I have absolutely no medical qualifications but why do the terms A@E and FLUE appear in the same sentence much less in the same location
Why go to A@E with flue
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In that context it makes it even harder to understand!Chimney repairs?
Chimney repairs?
Think I was off sick with flu when I should have been learning to spell in school
Just blame spell check like the rest of us.Think I was off sick with flu when I should have been learning to spell in school
That's your most cynical post ever (I love it!).
Plenty of people who attend A&E but are not admitted should still be there.
Broken bones, cuts which require stitching (and yes, I know GP’s should do that), knocks on the head which may be concussion, sick children who need fluids and an anti-biotic (and yes, I know GP’s should do that as well) etc can all be treated and released without admission.
Most of what presents at A&E departments should be treatable at primary care units but Irish GP’s, despite all the sanctimonious moaning from them, do not do nearly as much as their counterparts in the UK or most of Western Europe.
johnwilliams
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geri I agree
we had a gp years ago ,would check you over and solve problem there and then so to speak
current gp sits in front of computer, swear he is googling for the answer for whats wrong
we had a gp years ago ,would check you over and solve problem there and then so to speak
current gp sits in front of computer, swear he is googling for the answer for whats wrong
Regarding of who should attend at A&E, especially for 'flu like symptoms we need to change the way we think of our entire health system. When we lived in Spain, the first port of call when you were sick was the local pharmacy. The pharmacist would speak with you (and with extensive local knowledge) immediately know what you needed. Without prescription from a GP you would be supplied with whatever was required. You paid for what was supplied, went home and probably cured within a few days. Only if the XXXXXXXXXXXXXXXXXXXX/syrup didn't work were you to attend the local GP. This appears to be working for many years in Spain. OK! Over the past few years medical people in this part of europe are trying to ensure the system in Spain is changed. It's all about money.
Years ago, we (in Ireland) were promised that we would have nurses who could write prescriptions for patients. This was challenged strongly by our doctors. Of course, their power was being somewhat reduced and their earning power reduced. I see no reason why our pharmacists in the pharmacies could not be used to a greater extent. They cost less, cure more and have the confidence of many.
So, until we have a great change of mindset we continue to visit bacteria infested A & E facilities where we have a greater chance of becoming sicker than toddling down to the local pharmacist.
Years ago, we (in Ireland) were promised that we would have nurses who could write prescriptions for patients. This was challenged strongly by our doctors. Of course, their power was being somewhat reduced and their earning power reduced. I see no reason why our pharmacists in the pharmacies could not be used to a greater extent. They cost less, cure more and have the confidence of many.
So, until we have a great change of mindset we continue to visit bacteria infested A & E facilities where we have a greater chance of becoming sicker than toddling down to the local pharmacist.
Anyone with cold of 'flu-like signs or symptoms attending a crowded environment packed with potentially vulnerable people should be shot (figuratively). The national GP out of hours services, referred to as "GPOOH" within the HSEs, is the appropriate first point of contact. All the numbers are on the HSEs' site.
Maybe as a consequence of your positive experience you'd like to nominate your local HSE for a Health Service Excellence Award this year. Well if you're a HSE "client", or tea-break spoiler as we're called by the HSEs, you can't. Only people "working" within a HSE can do that. Have you ever heard anything so ridiculous. They give each other strokes because if the were waiting for Sean or Sheila Citizen to do it I suspect they'd be waiting.
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Maybe as a consequence of your positive experience you'd like to nominate your local HSE for a Health Service Excellence Award this year. Well if you're a HSE "client", or tea-break spoiler as we're called by the HSEs, you can't. Only people "working" within a HSE can do that. Have you ever heard anything so ridiculous. They give each other strokes because if the were waiting for Sean or Sheila Citizen to do it I suspect they'd be waiting.
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Hold on Lads! You have a medical card, your GP doesn't need to see you - he gets paid your part in his medical card capitation list whether he sees you or not. The GP does not want to see you on a Friday night while his private patients are lined up in the waiting room clutching a fifty spot while holding a tenner in reserve, just in case it's more.
Meanwhile, back at the A&E ranch the queue of sneezing, sweating medical card holders (+ more) are waiting. While they are there our Gardaí have no other choice than to deliver some ossified drunks like a conveyor belt provides tins of beans. The road traffic accident victims are delivered by ambulance and add to this some domestic violence victims. All these people do not come alone, they have their friends with them. New mothers arrive with their newborn who cannot keep down the feed. The suspected heart attack patients wait patiently too.
I am not saying that all of these do not need treatment. I am saying though, many are there because they can be there and at no cost other than to the Irish taxpayer. The country needs to change the way colds and 'flu are dealt with and something drastic needs to be done with the flow of violent people delivered to A&E. The obvious start is to get the pharmacists involved before the point of entry. If it works in Spain, it should work here.
Meanwhile, back at the A&E ranch the queue of sneezing, sweating medical card holders (+ more) are waiting. While they are there our Gardaí have no other choice than to deliver some ossified drunks like a conveyor belt provides tins of beans. The road traffic accident victims are delivered by ambulance and add to this some domestic violence victims. All these people do not come alone, they have their friends with them. New mothers arrive with their newborn who cannot keep down the feed. The suspected heart attack patients wait patiently too.
I am not saying that all of these do not need treatment. I am saying though, many are there because they can be there and at no cost other than to the Irish taxpayer. The country needs to change the way colds and 'flu are dealt with and something drastic needs to be done with the flow of violent people delivered to A&E. The obvious start is to get the pharmacists involved before the point of entry. If it works in Spain, it should work here.
Yea, but if he, or more likely she, puts your visit down as a house call they get paid extra. Oh, put I'm sure that never happens, just like GP's don't skim off some of the cash they take in.
Many companies and organisations, including my own run similar schemes. They serve to encourage and reinforce the behaviours of individuals or teams that are doing a good job. There's a lot wrong with the HSE, but this isn't among them.
Good organisation design principles allow for feedback from the environment in which the organisation operates to measure its effectiveness, assuming of course that the organisation operates as an open system. Seeking and acting principally on internal messages regarding effectiveness will tend to insulate the organisation from its key stake-holders and its purpose then becomes solely to fulfil specialised internal goals and to ignore its wider environmental purpose or act against it. With the HSEs, I rest my case. Along with other large organisations, they have attempted several failed "restructuring" drives (who reports to whom), ignoring the fact that experts like Prof Charles Handy list "structure" as only one of more than 60 attributes of successful organisation design.
Walk around some of these organisations and you'll see they probably have "mission statements" plastered on their walls, long-winded statements that confuse rather than clarify. They are usually meaningless, costly attempts to pay lip-service to good OD principles and do more harm than good.
Walk around some of these organisations and you'll see they probably have "mission statements" plastered on their walls, long-winded statements that confuse rather than clarify. They are usually meaningless, costly attempts to pay lip-service to good OD principles and do more harm than good.