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HSE your view?

13»

Comments

  • #62
    sam34
    Closed Accounts Posts: 8,073 ✭✭✭sam34


    Caoimhín wrote: »
    First of all that doesnt include overtime

    it amuses me the way people say "look at what the junior doctors earn in overtime", without giving any thought to the fact that to earn that overtime one has to work above and beyond a regular working week, work shifts that can be anything from 32 to 57 hours on the trot (with no guaranteed breaks, thats right, no scheduled break, no guarantee of a meal break), seriously anti-social hours, with consequences for their own personal lives and relationships, as well as potential consequences for patients (truckers, pilots etc wouldnt be alowed work those shifts, yet doctors are doing so constantly.)

    there seems to be a perception that while rakeing in teh extra cash the docs are relaxing in jacuzzis sipping champagne :rolleyes:


  • #63
    CDfm
    Closed Accounts Posts: 20,649 ✭✭✭✭CDfm


    That is true that junior doctors are exempted from most employment legislation and are largely unrepresented by management or their representative body.

    THe cleaners & their reps have more of a say in running hospital and more rights than junior doctors.

    Such are the health service priorities so maybe you should try joining the cleaners union for representation if you want rights.

    BTW I would like to see junior doctors get militant as I imagine they are the only sector within the HSE that can actually see the malaise for what it is. You really underestimate your collective position.


  • #64
    AmcD
    Registered Users, Registered Users 2 Posts: 246 ✭✭AmcD


    Just a quick point about overtime- it isn't some cushy optional bonus. It is compulsory. When the HSE recently tried to cut the rates, that pissed off a lot of doctors as they still have to put in the hours- whatever rates the HSE pay.

    I work in the frontline of the HSE- as a GP looking after mostly GMS patients. The media would have you believe that the whole health service is one entire apocalypse/armageddon/Black hole of Calcutta type scenario. But you have to remember that the media don't see the news value in happy health service stories. Lots of my patients comment about good care or services that they have received- I tell them to broadcast the good new stories. There are plenty of good things happening and pockets of great efficiency. The problem is that a lot of services depend on where you are.
    Some examples:
    Working in Dublin 7- excellent access to local psychology/counselling service.
    Working in Dublin 15- access to local psychology services limited to exactly which estates people live on. No other alternatives except private services. But then again in Dublin 15, Connolly hospital usually gives appointments on the same day if you ring for an emergency xray appointment or scan to rule out a DVT/leg clot.
    The only unified service between hospitals seems to be the breast clinic- one single form, good access to clinics.


  • #65
    Capt'n Midnight
    Moderators, Recreation & Hobbies Moderators, Science, Health & Environment Moderators, Technology & Internet Moderators Posts: 95,515 Mod ✭✭✭✭Capt'n Midnight


    FlutterinBantam wrote:
    By the way the ratio of staff to mgmnt in the HSE is 14%
    Hospitals run 24/7
    so you would need 4 people to cover each shift, this means that during the day the ratio of staff to mngt is mre like 1:2


  • #66
    m5ex9oqjawdg2i
    Closed Accounts Posts: 11,217 ✭✭✭✭m5ex9oqjawdg2i


    The HSE is run by accountants, not doctors, like it should be.


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  • #67
    b28
    Closed Accounts Posts: 350 ✭✭b28


    HSE are about 100 years behind Health Canada!
    Maybe an exaggeration, but my view!


  • #68
    jimmycrackcorm
    Registered Users, Registered Users 2 Posts: 14,353 ✭✭✭✭jimmycrackcorm


    Terry wrote: »
    I smoke 40 a day. I drink 10-12 cans a night.
    I eat fatty foods and I don't exercise.
    I'm 20 stone.

    Would you like to see me in charge of the HSE?.

    Sounds like you're perfect for an inactive occupation - like moderating :D


  • #69
    CDfm
    Closed Accounts Posts: 20,649 ✭✭✭✭CDfm


    Briella Nutty Backward wrote: »
    The HSE is run by accountants, not doctors, like it should be.

    Thats a myth.The HSE has no balls to take on highly unionised staff.

    The HSE inherited a labyrinth from the Heath Boards a highly unionised and politicised workforce where sectoral interests and political muscle count before patient care.

    Youve read here where a doctor is spending 2-3 hours which should be spent doctoring having to do their secretaries job.
    Quote:
    Originally Posted by chocgirl viewpost.gif
    I'm not actually relaxed about it and I certainly don't condone it but unfortunately I do know how the service works. Quick example from where I work.

    Have been having considerable difficulty getting my secretary to do her job, the basic task that I require her to do so that I can do my job, patients get seen, waiting list kept respectable.

    Currently spending 2-3 hours out of my 7 hours day doing her work and tidying up her mess. This is wreaking havoc on the service and waiting list has gone through the roof.
    Can we have our doctors doctoring.

    I love the way the banks debt is being transfered over to A Toxic Bank to manage Toxic Debt - we should have the HSE split in 2 - and the stuff that doesnt work transfered over to a Toxic HSE.

    You need to be quite mercenary about it.


  • #70
    stepbar
    Closed Accounts Posts: 6,123 ✭✭✭stepbar


    I can only go on my own experience here.

    I attend the Mater hospital for the skin condition I have. Sometimes I have to go to the out patients unit. From what I can see Dermatology has two sec's dealing with esentially the same patients (seeking pratically the same services from two different buildings). I think a lot of it has to do with the location of certain services. I could argue that one sec could easily manage the output from both buildings. How in ever such inefficencies are the result of bloated fat from the 20+ odd years of waste and inward thinking from the part of managment and unions. Nothing will change unless we have a clear out of practices / beliefs.


  • #71
    amacachi
    Closed Accounts Posts: 23,315 ✭✭✭✭amacachi


    b28 wrote: »
    HSE are about 100 years behind Health Canada!
    Maybe an exaggeration, but my view!

    Only about 20 years til they can start prescribing penicillin so.


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  • #72
    Caoimhín
    Closed Accounts Posts: 3,789 ✭✭✭Caoimhín


    sam34 wrote: »
    it amuses me the way people say "look at what the junior doctors earn in overtime", without giving any thought to the fact that to earn that overtime one has to work above and beyond a regular working week, work shifts that can be anything from 32 to 57 hours on the trot (with no guaranteed breaks, thats right, no scheduled break, no guarantee of a meal break), seriously anti-social hours, with consequences for their own personal lives and relationships, as well as potential consequences for patients (truckers, pilots etc wouldnt be alowed work those shifts, yet doctors are doing so constantly.)

    there seems to be a perception that while rakeing in teh extra cash the docs are relaxing in jacuzzis sipping champagne :rolleyes:

    Did you read my post or did you just see the word "overtime" and take off into a rant?
    Do you mean that a doctor actually has to WORK while they are on overtime payment, who would have thunk it??

    The poor lambs, what sort of monsters make them do that?


  • #73
    thelordofcheese
    Closed Accounts Posts: 4,368 ✭✭✭thelordofcheese


    FlutterinBantam wrote: »
    Incorrect my friend,you fail because you believe health per se has a worth.

    Service has a worth , my friend,and service costs reflect the ability of the customer to pay.
    Would a state of the art hospital flourish in Haiti?

    Would the locals be able to pay the staff like those in Ireland are paid.

    No ,my friend, they would not.

    My friend, your amateurish rebuttals of my arguments are to say the least puerile and contrived.

    I'll spell it out.

    Ireland Inc. can only afford a certain level of healthcare.

    If the service providers are greedy and consumed with selfish aggrandisment then the consumer will tell them to get a fookin' bit of cop on before the whole scenario collapses.

    Everybody knows this, all that is lacking is someone with the balls and chutzpah to tell these cnunts to get real.

    Brian... Ola... Hello there......

    Ohh wait, this is some contrived free market health care shit.
    Sorry, i thought you had a serious point, i'll let you get on with your innane prattle.


  • #74
    sam34
    Closed Accounts Posts: 8,073 ✭✭✭sam34


    Caoimhín wrote: »
    Did you read my post or did you just see the word "overtime" and take off into a rant?
    Do you mean that a doctor actually has to WORK while they are on overtime payment, who would have thunk it??

    The poor lambs, what sort of monsters make them do that?

    i have no problem with hard work, thats not the issue.

    my point is that whenever there is a discussion about junior doctors and their salaries, people immediately jump on the overtime bandwagon, with little or no thought to what the implications of that overtime on the worker are.

    also, most people that do think about it, dont realise the conditions under which junior doctors work, overtime for them is not one extra 12 hour shift per week, and it is not optional.


  • #75
    Joey the lips
    Registered Users, Registered Users 2 Posts: 10,262 ✭✭✭✭Joey the lips


    Terry wrote: »
    I smoke 40 a day. I drink 10-12 cans a night.
    I eat fatty foods and I don't exercise.
    I'm 20 stone.

    Would you like to see me in charge of the HSE?

    Mary Harney is fat as **** and that's not healthy.
    She's also incompetent.

    Do you know I am generally not a bad person but i always think it seems counter productive to have an image of poor health person in charge of health....


  • #76
    Mr.Lizard
    Closed Accounts Posts: 1,476 ✭✭✭Mr.Lizard


    Joey the lips wrote: »
    Do you know I am generally not a bad person but i always think it seems counter productive to have an image of poor health person in charge of health....

    But on the other hand are you happy enough to see a baboon in charge of a banana republic?


  • #77
    Joey the lips
    Registered Users, Registered Users 2 Posts: 10,262 ✭✭✭✭Joey the lips


    Mr.Lizard wrote: »
    But on the other hand are you happy enough to see a baboon in charge of a banana republic?

    No, did I say that??? Pics please, no proof! :D


  • #78
    FlutterinBantam
    Closed Accounts Posts: 14,575 ✭✭✭✭FlutterinBantam


    AmcD wrote: »
    Just a quick point about overtime- it isn't some cushy optional bonus. It is compulsory. When the HSE recently tried to cut the rates, that pissed off a lot of doctors as they still have to put in the hours- whatever rates the HSE pay.

    I work in the frontline of the HSE- as a GP looking after mostly GMS patients. The media would have you believe that the whole health service is one entire apocalypse/armageddon/Black hole of Calcutta type scenario. But you have to remember that the media don't see the news value in happy health service stories. Lots of my patients comment about good care or services that they have received- I tell them to broadcast the good new stories. There are plenty of good things happening and pockets of great efficiency. The problem is that a lot of services depend on where you are.
    Some examples:
    Working in Dublin 7- excellent access to local psychology/counselling service.
    Working in Dublin 15- access to local psychology services limited to exactly which estates people live on. No other alternatives except private services. But then again in Dublin 15, Connolly hospital usually gives appointments on the same day if you ring for an emergency xray appointment or scan to rule out a DVT/leg clot.
    The only unified service between hospitals seems to be the breast clinic- one single form, good access to clinics.

    Agree with all that and well done.

    Only one problem, it costs too much for this country.


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