Like many of todays problems in Britain, they have a long history and inaction or lack of appropriate action has given rise to the burgening problems that we face today. As I consider the health service problems of waiting ambulances etc, I am reminded that my brother in law, a retired medical consultant now retired for about 20 years, talked with me when he was a mere Houseman, about "bed blocking" whence ambulances had to wait for the hospital bed spaces to become available, as patients who were fir enough to be dischargd into a care home could not be as the care home system was not properly funded. So what has changed in all these years since? The old excuse of "Who sir, me sir, no not I sir. It was him or them sir" still flourishes. So what has changed. There are lots of examples. My brother in law told me recently that when he had to take his wife into the local hospital, he found that the number of medical administrators - as opposed to medical staff - such as consultants, various grades of doctors and nurses therapists etc, had increases hugely. Also, the working hours the professionals worked actually dealing with patients, had shrunk compared to the hours he and others at his time in practice.
Times must change but I confess even in my time asa professional, the beuracracy increased hugely. My time spent on management matters reduced my professional output greatly, much to my angst.
The time has come to look at "management and administration" tasks to see what can be thrown out or modernised. One of my sons has now hot ascientific computerised job, which is to go into organisations and make them a lot more efficient. The firm concerned gets paid on real results. I can give an example from my own experience when I had to go to hospital for a relativey smaoll peration. I was booked in and all my details were taken down on a paper list sheet. O.K. I thought. What a pity it was not computerised. However, I had to be seen by two other specialisations. I was astonished when for the second and third bookings were also captured via the procedd of a paper from, and quite gobsmacked to find that a lot of the questions were the same as with the first interview. Mostly the same but with a few variations towards the end. And yet this haened a third time for the third specialisation.
The actual medical procedure which involved surgery and aftercare was efficiently carried out. It is time now to get our procedures and record keeping up to date. It is time now for the old ways of doing things to be radically changed. How shall this be achieved? By consulting with and really listening to the professional, technical and experienced work practice. Tap into their experience of what works well. And then take action accordingly. Don't delay.
If my brief narration rings true, start a debate and press for action. Thank you.
Recommendation 8 lets take away the possible one source of contact with the outside world i.e the telly and while you are staying at the 4 walls feel free to add another cardi as you sit freezing your assets off........ REALLY!!
There should be a maximum five year cap on residential care payments