The NHS: should we all have care?

So I was looking at 4OD, looking through the factual section when I found NHS: £2 Billion a Week and me being me, who has watched so many documentaries I was intrigued to find out what it was and when I did my heart sunk.

The first episode of NHS: £2 Billion a Week follows three patients; a women in need of a breast reduction, a man in need of a liver transplant and a couple in need of the support of a Dementia nurse. After each of their stories were shown, it was detailed how much their care would cost and what the same amount of money could provide in other areas. Selected tweets were also shown live commenting on why each person should receive their care or not.

First was a women in need of a breast reduction. Generally, it is often felt that any breast augmentation is purely cosmetic and stories shown in the media like that of Josie Cunninghams only serve to reinforce this further. Many breast augmentations undertaken in the UK are for cosmetic reasons. However there are people, like Kim, who have particularly large breasts and this extra weight attached to the front of them day in day out will eventually take it’s toll on a person’s back.

She also referred to how she had and was working when explaining how she needed help. I have seen this more & more, consciously or not, many are using language to almost promote their “worth” before they are “allowed” to receive help both in the welfare and NHS system.

Then you have people like Josie Cunningham who had breast implants on the NHS and yes, she plays the villain well for the media. But the simple fact is she had no breast tissue, she was at the extreme other side in breast augmentation and for many girls they find this truly difficult to deal with psychologically. Do we therefore not allow anyone any argumentation because of the socially unpalatable person that came before them?

The cost of surgery was used to compare what the same amount could provide for elsewhere. It resulted in an inevitable tweet “Shall I miss dialysis for 6 weeks and die so you can reduce your boobs.”

Cost of Breast Reduction £4,000
the examples given for the money spent elsewhere
1,000 inhalers for children with asthma
6 Weeks of Dialysis
100 GP visits

Next patient Mark, who has alcohol related liver disease and needs a liver transplant. Any transplant given is obviously a gift that anyone should be thankful to the donor family for giving and thinking of others at such a sad time.

However, there was the inevitable tweet stating “why give an alcoholic new liver so he can drink more give it to someone more deserving.” This person isn’t alone in their opinion, many feel this way. But because this is due to alcohol he or anyone else is not allowed a second chance to change and turn his life around?

Another tweet however, reminded people that alcohol is an addiction and an illness, albeit one that society finds unpalatable. One that too often we judge to be the individual’s doing, a choice. It is a choice but not to become an addict but one to escape from life and what the person’s feeling. Access to drink and drugs are available within minutes but access to mental health care can be months if well over a year away. With the systematic lack of mental health care provision and mental illness being too often viewed by society as something people can help if only they tried, there should be no surprise that when given the choice of lessening your pain (and emotional pain is legitimate) that people often chose to forget with drink or drugs.

Cost of a Liver Transplant £73,000
the examples given for the money spent elsewhere
A nurses salary for 2 years
9 Hip replacements
40 hospital beds for a week

The third, Barrie, has Dementia and his wife and carer Ros wanted access to a specialist Dementia nurse who would support the couple. The couple are dealing with an awful disease which is only going to increase in frequency in the UK as the elderly population rises. Many will be supported by their carers who often aren’t supported and often are overlooked. The government knows these carers won’t abandon the person they care for and too often carers take the strain at a cost to themselves.

Cost of a Dementia Nurse £375 a year
the examples given for the money spent elsewhere
2 Meningitis B jabs
2 ambulance call outs
19 blood tests

For me this programme brought up notions of the workhouse and the “deserving” and “undeserving” poor. The simple reality is the NHS is affordable but at present is being woefully underfunded and portrayed as unsustainable. The program detailed the costs of each procedure requested and what the same money could buy if used elsewhere. Instead of creating an environment where people feel they need to prove themselves “worthy” of help, the equivalent costs could have been shown for how much the same procedures would have been under a private health care model. The government want to portray the NHS as unsustainable, for us to reduce the NHS to the bare bones so those that can pay are forced to top it up with private health care and those that can’t go without.

Kim’s breast reduction would have been £4,000 on the NHS, the same privately would cost nearly double. Even if people paid more in tax, the NHS is still cheaper and more efficient. Its not perfect but satisfaction is often no better in countries that have a private health care model.

For me, the programme highlighted how decisions are often based on the short term in order to “save” money. Kim was refused a breast reduction and it was costly to decide this. However not once was she seen by a (NHS) plastic surgeon to assess the reality that if she lost weight (which she already had) would it reduce her cup size. Long term, the medication she is taking will be more costly than providing the operation. Providing a Dementia nurse also long term is more cost effective, supporting people in their own home, away from hospital which is so much more costly.

The programme also highlighted how society’s disregard in helping those with addiction is so much more costly and simply because it is seen as “immoral.”

The cost of not treating addiction is added to policing and seen in the increases to home insurance with both costs recurring. By not treating addicts, the odds are stacked against them being able to achieve recovery without the support. It is something that crosses all social barriers and could happen to anyone.

This programme opened up the debate on Twitter of who was deserving and who wasn’t. Many believed that addicts weren’t. But if were to get rid of the limited and woefully inadequate amount of support available for addicts, what is to stop the same happening to the next illness society finds unacceptable?

What would be the criteria? Do we exclude those who don’t work in favour of those that do? Or ration treatment for the elderly? Or no treatment for those that smoke? It would be a nasty downward spiral.

I am worth it. I personally won’t apologise nor justify myself because I have a disease that was not of my own doing, that I won the shit health lottery or that it happened to me when I was young. I will however say my gratitude for the NHS can not be summed up in a few mere words, the NHS is worth fighting for and is cheaper than private health care. You may be healthy now but probability states that you will need the NHS in your lifetime, it only takes a second for things to change.

We have already seen councils placing elderly and disabled up on bidding sites for social care providers, reduced to a list of conditions like you would sell an old Jacket you no longer wanted. How would you feel if that was your relative? Nobody should feel unworthy of care and feel like they have a price on their head.

Everyone should receive treatment but we are a generation that were born in the NHS and so often don’t understand the realities of not having it to rely on. People need to use each service responsibly. We can not let this be reduced to an argument about which condition is more “deserving” than the rest. The NHS was created at a time we could least afford it because it was the right thing to do, it is one of the best things this country has done and it will remain as long as there are people left to fight for it.

NHS Wales: Problems either side of the divide

So a certain paper has in their eternal wisdom decided to do a week long “investigation” into lets bash NHS Wales for a laugh.

In my honest opinion I can’t see that this is going to be anything more than cheap political point scoring & an attempt to imply that similar issues can’t be seen within NHS England.

This however isn’t to say that there aren’t issues within the Welsh NHS system, I live through these issues & use many different services. Just one issue is not being able to rely on appointments & procedures to be scheduled when they should be & having to constantly chase things up which adds additional stress that could be avoided. And this is just one of the problems I have encountered & myself & my partner will be contacting those who need to know further to try & address these failings.

However, throughout the whole of the NHS there are failings but there are also services that are under the most intense strain in modern times, are struggling to provide the best for their patients & often succeed by relying most often on the dedication of the staff in those departments. So often we condem a whole hospital or a whole system on the parts that are failing instead of acknowledging the good parts & correcting the failings. In so doing we will only manage to further alienate staff that are doing a great job, in difficult circumstances, that the NHS desperately needs to keep hold of.

I also can not see nor believe that the failings within NHS Wales would be fixed by wasting billions in top down reorganisation which even senior tory party heads have agreed was a bad decision. There is also no mention about the continued underfunding to the Welsh Assembly, the difference in demographic, geography or that patients have been sent across the border for specialist treatment for years & NHS Wales funds them.

Usually NHS Wales patients have been sent across the border because of the intensive resources needed for a specialist centre would have made it a much more expensive option for a centre to run in Wales. For example if a minority need the specialist service it can be more viable to share facilities. However there are cases where a specialist centre has been put off when a need has been identified.

This isn’t however just seen in Wales. Specialist centers are highly resource intensive so centres can often serve people from outside the hospital’s trust with patients having to travel to other trusts for specialist treatment.

The simple fact is that parties are using the NHS for political point scoring as they have done for many years. That by looking at reports from the Welsh Assembly & other media coverage, the Data actually says Wales fared better than the English NHS system whereas other data contradicts this. So often data can be taken out of context or isn’t extensive.

In my honest opinion the only reason that the NHS Wales system has been attacked is because the Welsh Assembly has a minority Labour government & Westminster wants to "prove" that the Welsh NHS system has fared worse than the English. By bashing Wales it only stands to harm England as well as it attempts to brush over the major failings in NHS England.

 Inherently the Welsh & English systems face different challenges. Both systems have issues & political point scoring is damaging & serves nothing more than to detract from real productive changes being made within the NHS. Its time that parties took a step back, looked for a longer term strategy for the NHS & that patients where the core focus. At the end of the day patients deal with the problems & use the service. These patients know what they truly need, what is wasteful & what works. I also urge MPs & AMs not to pander to the papers or create spin because this isn’t going to help your constituents. Instead talk to people in your constituencies that use these services & understand what needs to be put right in each hospital.

When a AM is turning to Google to get information & opinion about the NHS in Wales instead of talking to the patients that use the system, there is something fundamentally wrong.

It's near Monday, Gwah!

I’m so mean reminding you but you know it is the enviable >.<

So the weather has been quiet hot here this weekend & among other things I have been trying to keep our two cute fluffy syrians as cool as possible, bless them.

This week, one of the hospital appointments I had was to see my physio who is super lovely but I think is really confused about what to do with me as I have random joint swelling that doesn’t seem to conform to any patten & the swelling usually gets exacerbated by normal physio ‘things’. I’m currently waiting for some final tests that may explain why this swelling seems to be random but for now she really seems to not know what to do with me.

I get the feeling that she really doesn’t think there is anything further she could do to help without aggravating things which almost always seems to happen when I try any physio related stuff but she seemed determined to try & seems like she doesn’t want to let me down which I appreciate.
So I’m going to be trying acupuncture again & I may be seeing a podiatrist to possibly get some insoles.

Also as people may know I started Questran for my Bile reflux & I hate it, it’s just been awful.
Ok yes the suspension is nasty to take but its not the worst but the thing that’s been quiet bad is that it has increased my nausea & the amount of bile coming up. But the worst thing is the bloating, OMG! I swear I feel like I have a beer belly & to be honest this is the one that is driving me crazy. The doctor wants me to ideally take four doses but i’m only managing two at best because of the bloating & such. I think this week i’m going to have to go back to the doctor to see what can be done.

In other news I had my benefit reviewed & it was renewed so there’s one less worry there.

And really that’s it for now, I would love to write more but writing as much as I did & re reading through it just showed the amount of Bol**cks I was writing due to the pain & how i’m feeling atm & no its not because IM CRAZY! >.< Ha Ha

Anyway new posts coming soon so stay tuned!