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Brendan Gleesons A&E outrage

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Comments

  • Registered Users, Registered Users 2 Posts: 1,005 ✭✭✭thejuggler


    The problem with healthcare is not the lack of funding but the inability of the Health Boards to spend it. for the last number of years they have handed back large sum of money to the department of health because they could not spend it. Apparently it is impossible to get staff. My sister works in intensive care unit and they cannot get staff. That is the problem. Noone wants to work in Irelands health service!


  • Posts: 22,384 ✭✭✭✭ [Deleted User]


    thejuggler wrote:
    The problem with healthcare is not the lack of funding but the inability of the Health Boards to spend it. for the last number of years they have handed back large sum of money to the department of health because they could not spend it. Apparently it is impossible to get staff. My sister works in intensive care unit and they cannot get staff. That is the problem. Noone wants to work in Irelands health service!

    Whisper that around here. Some would have you believe that if Bertie snubbed the White House and gave up missions that might have advantages in terms of trade and foreign policy, everyone in Ireland would have their own private consultant.


  • Registered Users, Registered Users 2 Posts: 14,728 ✭✭✭✭Earthhorse


    Exactly! Not only has Gleeson sparked this particular debate, he has also set the tone for it. Seriously, some of the suggestions on here appear to be from people who've had their heads buried in the sand for the last decade. The idea that cancelling Patrick's Day travelling by the cabinet will somehow fix the health service is so head scratchingly stupid that I don't know what to do with it.

    Money has been thrown at the health service and it hasn't helped. At least, not enough. What is needed is systemic change. Gleeson's comments won't help bring that about. And the idea that he has brought attention to an issue that was previously being ignored is, frankly, a fallacy.


  • Closed Accounts Posts: 200 ✭✭Saintly


    Well there you go then, that's one improvement. Remmber those horror stories of junior doctors in the early 90s working 100 hour weeks and 30 or 40 hours through?

    It's not even remotely unusual for a junior doctor to work a 30 plus hour shift, i.e. starting at 7am on Monday, on call Monday night, finishing up at the very earliest at 5pm on Tuesday but could easily be found in the hospital much later that evening. The EU directive of a 58 hour week is yet to be realised, the IMO and government will probably continue to thrash that one out for a while.
    Another person who patently believes that throwing money at the system will improve things. That's exactly what this Government HAS done, thrown billions at the system in an effort to improve it, and you are all saying that hasn't worked. Frankly I really think the thing about flights to NY and what your Granny says is another red herring.

    I agree, its not a cashflow problem. More the elected idiots who are spending it.


  • Closed Accounts Posts: 364 ✭✭BrenC


    For the most part, I completely agree with him


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  • Closed Accounts Posts: 14,575 ✭✭✭✭FlutterinBantam


    Restrictive work practices... thats the problem people.... Money has been thrown at the health services for years...and still the same......

    Whats needed is more productivity... not from the people who are there but the people who are not there... the sickies... the punters who"Don't do weekends".. the malingerers.... the people who thinks a career in the health service is a 9 to 5 job...who won't take the inconvenience but want the money... married to gardai kinda people ... to whom the job is a hobby rather than a career///


    Root them out and then get started....


  • Registered Users, Registered Users 2 Posts: 14,983 ✭✭✭✭Hermione*


    I saw most of Gleeson's rant, and wanted to give him a hug afer it! Over the last fourteen months, three members of my immediate family have been hospitalised in six different hospitals around the country.

    Gandalf said in a post that he thinks people are possibly dying as a result of our health system. I have been stating this possibility for nearly a year. My youngest sister spent three weeks in the neurosurgical intensive care in Beaumont Hospital last year. Admittedly, the nursing staff there were excellent, not only in their care of my sister, but also in their sympathy and compassion to us and te other families. But in my three weeks there, from observation and talking to other families, a number of frightning realities hit me.

    My sister was in the only centre of neurosurgery in Ireland. It has less than twenty beds. Anybody who has a brain haemorrhage or a brain injury in a road accident needs to be in this ward to ensure theri chances of survival. The staff have to refuse to take transfers of patients they don't think they can help because they do not have the resources to treat a patient who may die. One gentleman I spoke to had been waiting three weeks to have his wife transferred to Beaumont. We know for a medical fact that my sister would have died if she'd had to wait that long for a bed. So how many others are dying, in the process of waiting?

    Rehabilitation options for these patients are nearly as bad. There is a minimum of a six month waiting lit to get into the National Rehabilitation Hospital, and again they are forced to be very selctive in whom they admit because their resources are so scarce. From what I saw, there's approx 100 beds in the NRH, and they admit all ages including small children. My twenty year old sister was on a ward which included pensioners recovering a stroke. And she was very, very lucky to get that bed, despite the drawbacks.

    I could continue ranting but I won't. All I can say is that no matter what anyone may say of the economy, if you don't think there'a serious problem in our health service, you haven't seen much of it. It's not just A+E. My sister in Donegal had serious complications with the delivery of both her children (her eldest is nearly 4), yet there's a brand new maternity ward in Leterkenny General ready since she was expecting her first child and still not open. It's everywhere.

    Edited just to add, that the staff are the only positive thing to the system. The dedication of some of the nurses we met was unbelievable. It's certainly not a job I could stomach.


  • Closed Accounts Posts: 87 ✭✭Rockdolphin


    Call it a rant or whatever you want, but Brendan Glesson gave a voice to the seething anger and resentment widespread throughout Ireland regarding the appalling state of our health service. The celtic tiger has many in this country not least our politicians, blind to the fact we live in a society not an economy. He could have called Micheal Martin lots worse than a moran and it would not have been strong enough. Shame on us all for the disgrace that passes for A&E in this country.


  • Registered Users, Registered Users 2 Posts: 1,550 ✭✭✭NIBBS


    There's nothing wrong with adding a famous voice to an ever growing debate, albeit a debate from only the side of the victims.......

    The health system here is a mess, I feel so sorry for the people who work in it, they must get so frustrated - I know I do. There has been more and more money put into the health system over the last number of years, but as has been learnt by this mistake in other countries this doesn't make any difference unless the system is better organised so that the money actually makes a difference. As long as Harney is in charge of this it's going to get worse and worse, with no answers coming over anything, I've actually heard people texting radio stations this week claiming she's an easy target because she's making radical changes to the system, I've never heard such BS in all my life, she's made changes alright, and I probably would have given her a bit longer until she came out and said she can't be held responsible for everything that happens in the health system - must be great to suddenly decide that you no longer means you have resposibility for your actions, is she not getting paid a lot of money for exactly that responsibility, makes me sick, and then to tell people that she doesn't answer questions they should all be put to the Health Executive (which clearly doesn't have a clue and under it's setup doesn't need to take the resposibility to answer any questions) it's madness.
    We are just allowing the people at the top to take no responsibility leaving the problems to come back on the rank and file, nurses and doctors, putting even more pressure on an overworked under resourced labourforce, all we need to be told at this stage is that we can't get sick because there won't be anybody there to help us - unless we go to certain private clinics.......


  • Registered Users, Registered Users 2 Posts: 2,820 ✭✭✭Vorsprung


    Saintly wrote:
    It's not even remotely unusual for a junior doctor to work a 30 plus hour shift, i.e. starting at 7am on Monday, on call Monday night, finishing up at the very earliest at 5pm on Tuesday but could easily be found in the hospital much later that evening. The EU directive of a 58 hour week is yet to be realised, the IMO and government will probably continue to thrash that one out for a while.

    That 58 hour week is just not going to happen anytime soon. Sure, a doctor could go home when he's done his hours, but is he/she? You can't just dump patients and work when your time is up, it's not that kind of job. I've talked to plenty of doctors who say it'll end up being a 65-70 hr week (same as before) but they'll be getting no payment for the last 10 hours. Things will only change when they train more doctors, and that's a few years away at this stage.


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  • Closed Accounts Posts: 2,585 ✭✭✭HelterSkelter


    Well I'll give you two things they could do straight away to free up more beds:
    - Get the doctors to work at weekends
    - Get the people who carry out tests (x-ray, MRI scans, etc) to work evenings & weekends.

    Looks like Harney has been reading my posts
    RTE News wrote:
    Mary Harney also announced a series of measures to improve patient care. She was speaking after the first meeting of the new Health Service Executive task force set up to tackle the crisis.

    Among the new measures announced is the provision of more beds for A&E areas to ensure that old people do not sleep overnight on trolleys.

    Diagnostics and tests are to be provided at weekends and evenings. People will be discharged each day of the week to keep beds available. The private sector will be used where necessary.
    http://www.rte.ie/news/2006/0328/health.html


  • Closed Accounts Posts: 36,634 ✭✭✭✭Ruu_Old


    More beds..genius Harney, pure genius :rolleyes:


  • Registered Users, Registered Users 2 Posts: 14,983 ✭✭✭✭Hermione*


    It took them nearly ten years of government to come up with 'more beds' as a solution?! Why did they spend so much money in the past on reports, commissions, etc if they were eventually just going to listen to common sense?


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