S
The UK fixed a similar problem in less than 2 years
The consultant was told that although three ambulances were standing outside the University Hospital of North Staffordshire in Stoke-on-Trent, they could not leave until their their patients had been accepted into the accident and emergency department.
I agree 100%Irish people being totally useless when it comes to constructive criticism of major issues.
The reply focused on one point I made, namely the UK hospital situation (which I disagree with, by the way). It completely ignored the main issue....
I disagree. I've seen many, many cases of inappropriate metrics in place in capitalist free enterprises. As soon as any metric system is put in place, the players start finding ways to 'play' the system. One recent example was a 4 hour response time to service calls - once calls went beyond the 4 hours, they were treated as a 'lost cause' by the operators who would then concentrate on other calls coming close to the 4 hour limit instead of handling the oldest calls first.Inappropriate metrics rarely occur in capitalist free enteprise as shareholder value is the only true metric and the accountants are its high priests.
My point is that all we hear about is the lack of value for money, the ratio of clerical workers to "front line" staff etc. These are relevant only if you expect a return on investment, like in a business. I never suggested that the health service should be sold off, you are seeing that one through your pink tinted glasses, so shareholder margin doesn't come into it.A public health service is run to provide a public health service. Why would we want to add a shareholders margin on top of the existing costs we pay out.
I agree, but would you not agree that the resistance to change from the very people who should be pushing for it is a major factor here.Lets not forget that it is the successive ministers of Health who have built, supported and failed to reform the structures of the system.
so that means they are well meaning clowns, but clowns none the less.From personal experience, they are generally good hard-working people who do their best to provide a good service
Aer Lingus are now being run a lot like a private sector business but are still a public company. That's a good example.Which great shining example of private industry management would you like to replace the existing health service management?
Get down off your high horse there cowboy.Facile assumptions that the great god of capitalism will solve the many problems of our health service at a stroke are not helpful
A start-up certainly wouldn't survive under such conditions.
rainyday, I find your replies interesting and enjoy replying to them but I have to say you have a hard neck accusing me of that when you are a master of it yourself!Hi Purp - I'm not going to play your game and pull selective quotes from your post & answer them.
You also have an extra cost here because while the "bed blocker" is in hospital they don't require expensive tests and medicines so they help keep costs per bed down.Because if you move them you free up hospital beds that will be filled by sick people. So you're still paying for the hospital bed, but now you're also paying for the bed in the nursing home.
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