Advertisement
If you have a new account but are having problems posting or verifying your account, please email us on hello@boards.ie for help. Thanks :)
Hello all! Please ensure that you are posting a new thread or question in the appropriate forum. The Feedback forum is overwhelmed with questions that are having to be moved elsewhere. If you need help to verify your account contact hello@boards.ie

How to improve the HSE

13»

Comments

  • #62
    mikep
    Registered Users, Registered Users 2 Posts: 995 ✭✭✭mikep


    Another thing I would do would be to put a clinic of GPs adjacent to every A+E operating 24/7 with screening upon arrival to A+E and if your issue is suitable for being dealt with in a GP setting there you go..
    Still charge the A+E fee thought to discourage those using A+E instead of GP.


  • #63
    LirW
    Registered Users, Registered Users 2 Posts: 4,825 ✭✭✭LirW


    Making it a lot easier to access consultants. Pretty much every consultant works in a hospital and does public and private as it suits them.
    Have them to commit to either public care or private care in their own practice and cut the GP as the middle man out.

    As an example: I do have ongoing problems that require gynaecological care. If it's urgent the GP has no choice but sending me into A&E because there's f all they can do about it.
    Public waiting list to see a gyn is a year long, the urgent one is 6 months. Truth is I need to be seen more than that and it can vary widely. Then it's impossible to get Ultrasound scans either which is pretty much the most essential piece of equipment for gyn issues.
    Where I grew up there are many gyn practices around, you call your gyn, they bring you in within 2 days if it's urgent, they can treat a lot there and then.
    I'm sick if being in pain, seeing a doctor without them even scanning or checking anything internally, throwing a sh*teload of pills at me that wreck me good and send me home.

    Same applies to pretty much every consultant, it could be so much easier if consultants would be easier to access and able to treat more because they have access to equipment.
    For what I care they can even bring in a semi-private system where the government pays half of your fee of your private consultant.

    It's frustrating to jump through hoops when you know the issue and just need to see the right person doing the right thing but there's literally no other option than shoving your GP 50 quid in the back for a referral (honestly I could call a consultant myself, thank you very much) or go to the A&E. It's so inefficient I don't even have words.


  • #64
    Corruptedmorals
    Registered Users, Registered Users 2 Posts: 4,195 ✭✭✭Corruptedmorals


    They need to sort out higher admin and management grades especially in non-hospital settings. A lot of them will be retiring, so let them and don't automatically promote or replace them, they should be consolidating and combining jobs for maximum efficiency and value for money. To meddle with current jobs will bring more hassle with the unions than its worth.

    This is not to be confused with regular hospital admin. I don't think people realise how short staffed a lot of hospitals are from a clerical perspective..it's not just doctors and nurses that are in short supply. The Grade 3s and grade 4s at the bottom of the admin totem pole are absolutely slammed with workload, the demands of cross covering and people not being replaced etc. It might sound far less important than not enough nurses on a ward by comparison which of course it is but these are the people staffing A&E's, controlling and registering patients onto waiting lists and dealing with critical results and paperwork. Your operation can and will be cancelled if there arent enough staff to find your chart because the filing room is understaffed and overwhelmed and there are thousands of charts unsorted or misfiled. Understaffing increases risks to patients and causes delays.


  • #65
    RobAMerc
    Registered Users, Registered Users 2 Posts: 5,863 ✭✭✭RobAMerc


    one thing of note in the HSE that has to be tackled is the Deification of clinical consultants.

    if I hear one more bucking consultant being asked how to tackle the ED problem or waiting list problem in Ireland I'll go mucking nuts.

    Lets be clear, a huge issue with the waiting lists and ED's is a business process and utilization of resources problem.

    When we had a huge backlog of people trying to get driving tests did we ask the driving instructors how to fix the issue ? No, we got a bunch of management consultants in and fixed the process and resourcing problem.

    But, as with everything in the HSE, there is vested interests at play and a deference to the clinical consultants that mean they have WAY too much power in every aspect of this.

    And having worked with many whe you couple it with them having the right amount of God complex to believe they can not only do their job, but do what ever piddly little task you are an "expert" at too, its a 1 way ticket to the mess we are in now.


  • #66
    gctest50
    Registered Users, Registered Users 2 Posts: 9,597 ✭✭✭gctest50


    Corruptedmorals wrote: »
    ......

    if there arent enough staff to find your chart because the filing room is understaffed and overwhelmed and there are thousands of charts unsorted or misfiled. .......

    Needs the computerised healthcare. It's just bulls!t rooting around with paper charts

    Because super special snowflake ireland though implementation of same will cost more than all the other systems worldwide put together ( - see ppars )


    Actual digital healthcare mind, not some paper chart scanned in and stored as a f***** .pdf

    .


  • Advertisement
  • #67
    [Deleted User]
    Posts: 0 ✭ [Deleted User]


    RobAMerc wrote: »
    one thing of note in the HSE that has to be tackled is the Deification of clinical consultants.

    if I hear one more bucking consultant being asked how to tackle the ED problem or waiting list problem in Ireland I'll go mucking nuts.

    Lets be clear, a huge issue with the waiting lists and ED's is a business process and utilization of resources problem.

    When we had a huge backlog of people trying to get driving tests did we ask the driving instructors how to fix the issue ? No, we got a bunch of management consultants in and fixed the process and resourcing problem.

    But, as with everything in the HSE, there is vested interests at play and a deference to the clinical consultants that mean they have WAY too much power in every aspect of this.

    And having worked with many whe you couple it with them having the right amount of God complex to believe they can not only do their job, but do what ever piddly little task you are an "expert" at too, its a 1 way ticket to the mess we are in now.

    It was the intervention of private company that reduced the waiting time for driving tests.

    Same should be done for Health


  • #68
    Corruptedmorals
    Registered Users, Registered Users 2 Posts: 4,195 ✭✭✭Corruptedmorals


    gctest50 wrote: »
    Needs the computerised healthcare. It's just bulls!t rooting around with paper charts

    Because super special snowflake ireland though implementation of same will cost more than all the other systems worldwide put together ( - see ppars )


    Actual digital healthcare mind, not some paper chart scanned in and stored as a f***** .pdf

    .

    100% it's such a waste of time and resources. St. James' has e-charts I'm not sure what other hospitals have but if they can do it everybody else has no excuse. It's in the pipeline in my hospital but yes I think it will be extremely expensive to do but hopefully it's done properly.


Advertisement