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The current hospital / A&E crisis

  • 04-01-2023 12:19am
    Registered Users Posts: 31,996 ✭✭✭✭NIMAN

    Appreciate that our hospitals are under resourced and under staffed, but why do I never hear any of the presenters, interviewers or columnists address the elephant in the room in this crisis?

    The fact that the vast vast majority of people sitting clogging up A&Es around the country don't need to be there.

    Heard a consultant on Morning Ireland say that typically 5% of people in A&E actually need to be there. That's a shocking stat and explains why we are in such a mess.

    I know people are going to say they can't see a GP, but where we are, getting a GP appt isn't a big issue. Can people genuinely not get GP appts?

    How much free time must you have to waste that you'd sit in a hospital for a few days, only to be sent home with some paracetamol.



  • Registered Users Posts: 20,110 ✭✭✭✭recode the site

    The message sent out by HSE today was to steer away unnecessary visits to A&E so they must be adding to the congestion that’s already there due to lack of bed space.

    Many are arguing they can’t get a GP appointment. However I got one on the phone today for myself, also a Boardsie got a private online consult. Might not be this ideal everywhere.

    Righteous Television Events is an ace broadcasting organisation; we’ll not be hearing counter opinion, d’jya hear me?

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  • Registered Users Posts: 10,265 ✭✭✭✭Goldengirl

    As I said above, I don't disagree totally, just the present crisis is a total lack of beds for the amount of people who really do need to be admitted and are currently ill enough to be kept in.

    Believe me noone is on a trolley/ kept in hospital unless they are too sick to be sent home .

    The" stay away or go to a GP / pharmacist " instruction is so people don't end up just piling up in the waiting areas also when even the triage nurses are needed in Resus it's so crazy .

  • Registered Users Posts: 38,823 ✭✭✭✭Gatling

    Sorry in my experience ,your wrong nobody is in a hospital bed because they are too sick to go home ,

    I've had several procedures that meant I was in hospital for just under 20 days this year alone , I've met people who were kept in waiting for over a week to have tests done only to be sent home with a referral kept in for a week waiting on tests ,I also came across elderly persons in hospital beds for week's at a time because there was no other facilities for them outside of the hospital,

    Others in A&E going live in social media chats asking followers to contact their local TDs to contact the hospital to get them bed because they have a sore throat,

    The system well and truly Faqued both by the management of the overall system to people's unrealistic expectations when they rock uo to A&e with relatively minor issues that should be dealt with at Gp level,

    Can't access gp service run to a&e this is the one of the biggest problems ,why are gps over whelmed too many retirements and no replacements and expanding free schemes for some people, leaving those who need to see a gp but get told you have to wait 2-3 week's for a phone consult which will still cost €65 but for that 3/4 minutes on the phone to the gp guess what he's referring you to a&e oh that's another € 100 and whatever days off work while you wait 19+ hours in a&e just to see a Dr .

    It's all bloody related to beds and trolleys

    Some say that a Toyota Hilux can travel through tunnels ......

  • Registered Users Posts: 31,996 ✭✭✭✭NIMAN

    Going by what that Limerick emergency consultant said on MI yesterday then, if we now have 900 people waiting to be admitted to hospital, that means that those 900 are the 5% who needed serious help and care?

    So the 95% who attend A&E, who he basically said shouldn't be there, that's 18,000 other folk who obviously come to A&E and end up going back home.

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  • Registered Users Posts: 13,237 ✭✭✭✭Dav010

    Have you any idea how many advertised, unfiiled posts there are in the HSE? I read before Christmas that there are just under 800 consultant posts alone in our Hospitals at the moment, and GPs take years to train. Who would want to be a GP at the moment? You can’t just say the Government didn’t take on staff, the offers are there.

    Have you ever been to a third world country? It looks very different to Ireland, we just have far higher expectations than people who live in undeveloped nations.

  • Registered Users Posts: 15,150 ✭✭✭✭whisky_galore

    'Have you ever been to a third world country? It looks very different to Ireland, we just have far higher expectations than people who live in undeveloped nations.'

    No sh1t sherlock.

  • Registered Users Posts: 23,246 ✭✭✭✭Dyr

    Hand everyone in the country the four or five thousands that the government spend per person on the HSE and we can all spend it on private health insurance

  • Registered Users Posts: 13,237 ✭✭✭✭Dav010

    And yet you think we are “plunging” towards one? Hyperbole maybe, but perhaps you should look at conditions in actual third world countries, and count yourself lucky.

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  • Registered Users Posts: 8,539 ✭✭✭Nuts102

    Whether we are plunging towards it or not we are heading the wrong way.

    We are constantly encouraging immigrants to come here with no cap.

    We are not hiring enough people to cope with the demand.

    The result is things will get worse year on year until something is done.

  • Registered Users Posts: 5,370 ✭✭✭Cordell

    When everyone have private insurance no one really have private insurance.

    I can bet that both of us know someone who's working for the HSE but not as doctors and nurses. This is the main problem, Ireland spends a lot on healthcare, but employ too many useless paper pushers.

    And of course the population increase, mostly through immigration, is a big factor no matter how hard some are trying to deny it.

  • Registered Users Posts: 13,237 ✭✭✭✭Dav010

    The jobs are advertised, personnel do not want them, how does that equate to “not hiring enough”?

    I agree with you, more staff are needed, but you can’t stop staff leaving, and you can’t make people take jobs they don’t want.

  • Registered Users Posts: 23,246 ✭✭✭✭Dyr

    We all have private car insurance, we all have private house insurance, theres no reason that public health insurance won't work the same way. And, yes given that this is Ireland, the insurers will try to create a cartel and the government and regulators will be in on it but its still better than a system run by TDs and unions.

    healthcare is a mess because its run by the government. Unless you change that you wont fix it.

  • Registered Users Posts: 13,237 ✭✭✭✭Dav010

    Can’t dispute that we pay enough in taxes, and Government spend in healthcare is enormous, perhaps we need the German model, where 7.3% of everyone’s income is deducted for health insurance. That will give a huge boost to the health pot and allow more to be spent.

  • Registered Users Posts: 8,539 ✭✭✭Nuts102

    Yes and people don't want the jobs because of the workload, which is only going to get worse.

    Why would someone want to take a job here working themselves into an early grave.

    When they can move somewhere else and have less of a workload.

    We are training up healthcare staff and they are then immigrating once qualified.

    We can't get gp's to cope with the demand and the current ones will eventually retire.

    All while we keep telling everyone in the world to come on in.

    We are heading towards a bigger population and less staff to manage then we currently have.

    I would hate to see what things will be like in 10 years.

    I would like to see what plan we have for this to work, the only thing I have heard is to advise people to wear masks.

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  • Registered Users Posts: 7,560 ✭✭✭Cluedo Monopoly

    You're right. It will only get worse unless work conditions improve. Nurses and doctors are leaving in droves.

    What are they doing in the Hyacinth House?