Just wonder if anyone cares anymore....

Stheno wrote: »

THere is fundamental reform needed in our HSE.


I believe its partly due to unions, partly due to an unwillingness to change

fyp

remsburgsgirl wrote: »

That bit about GP's, giving an IV anything, made me laugh...I have been to my GP many many times for things that they could have easily treated...they have become too accustomed to easily passing the book onto the hospitals I think

You , may disagree but the standard of GP in ireland is a lot better than NZ. All it takes is some funding. The younger GPs would jump at the chance to do IVs... obviously started in hospital but there are loads of infections that could be managed as an outoatient.

The problem is that noone is willig to risk a loss for a few years to get long term return. And whilst closing a major hosptal is bad news politicallt and for healthcare, closing a vital mental health facility does not have the same highly visible backlash

Cody Pomeray wrote: »

Never understood this either.

It's like we're a nation of artists. We admire other nations' great works, but we couldn't possibly just trace and copy. No, we have to do it 'our way' and be original about it. Why???

Why can we not just look at the swedish or spanish or dutch models and say RIGHT that works, everyone stop what you're doing, this is the plan from now on? Maybe this is naive, I genuinely don't understand why this is not possible.

This government is apparently going to copy the Dutch model. You can pick any number of models. Implementing them competently is another matter.

Princess Consuela Bananahammock wrote: »

We spent out health fund bailing out the banks and the euro debt. We had the money and the finiances to put something good into place, we wasted it.

Deleted User wrote: »

Last time I checked we paid the same per capita for the HSE as the NHS. We're not far paying enough.

StewartGriffin wrote: »

I think the health fund that could have made a difference was blown in Charlie McGreevy's budgets. Giveaways for a popular vote rather than investing in a reliable health system. It was too late by the time the banks went bust.

True. It would have been so much easier to fire/get rid off/pay off the useless suits that laserlad2010 describes during the good times. The time for reform should always be during the good times. Funnily enough it's the time least reform ever happens. We just threw money at the issue. Another of the many reasons why FF/PDs should truly be ashamed of themselves.

To implement new systems would cost more for a few years and after that costs would decrease to current levels with a much better functioning system. We were giving more than enough money to the health service to sort it out from 03-08 but there was never any reform done.

Stheno wrote: »

THere is fundamental reform needed in our HSE.

Why is it that many years after the Health Boards were abolished, we still have localised "boards/regions" rather than centralised administration of the systems?

Why is it that we have no end to end system in place so that once I go for an x ray, my doctor gets emailed the analysi.s via a patient management system?

I believe its partly due to unions, partly due to an unwillingness to change, and sheer inefficiency.

I still remember the HR manager in the HSE and their infamous comment about there being a couple of thousand too many staff in HR.

Wtf type of organisation full stop needs a couple of thousand HR staff? I doubt even IBM or HP or the likes have that?

Agreed. If you look at the level of service being supplied currently is it better, worse or the same than it was 5 years ago? I reckon its about the same. With about a third less of a budget. This showed the huge inefficiencies in the system. I think we really do have the best opportunity that we will ever have to fix the system over the next 5 - 10 years. I hope its grasped.

While I'm not sure I have the confidence in James Reilly to do it I have more confidence in him than I had in Brian Cowen or Micheal Martin who just wanted to get in and out without doing anything or getting any blame. Purely driven by personal political ambition. James Reilly has the brief he got into politics for, he knows he'll never be Taoiseach or leader of FG. The only way he gets to have a good legacy is to reform and fix the health service, or at the very least, institute it.

Its not that much different in the north.

I was up there over the summer and developed a rather large kidney stone. I was given a panadol and told to wait for 6 hours. I passed out with the pain and dropped to the floor out cold. I was given a wheel chair and waited another 2 hours before being admitted for 7 days.

I think governments everywhere are just as bad with running A&E departments.

The staff really do care. They are just run badly and understaffed . (from what I see)

Hilly Bill wrote: »

What also is happening is people on medical cards clogging up A&E after the pubs close for some silly reason like a graze from falling whilst drunk .
People would be seen quicker if people used some cop on before going to A&E and not be going there for some trivial reason just because they are on the medical card.

If it'd trivial, people should be charged the EXACT cost for A&E, the bed, the nurse, the doc etc

If you called for an ambulance and didn't need it, Charge again.

People going to emergencies when a local doc appt would have been suitable. (We all know someone who does this).
They should be charged.

__
But on thread, there's only two ways to get better health care, increase tax that goes straight to health care, (because in all fairness what we pay atm to it, gets spent in treatment VERY quickly) or increase private hospitals and clinics.
I know many people who don't have VHI, not because they can't afford it, but because, currently, in many areas, there's no point to it.

Pumpkinseeds wrote: »

I think the 2 tier system is a big part of the problem. If you can pay you get seen very quickly, ie I'm waiting almost 2 years for an MRI as a public patient, my Dad, on the other hand, who has private medical insurance seems to be referred for 1 every time he sees his consultant. Usually when he sees his consultant he'll get a phone call the same:

Do you bug them?
I mean called them weekly/daily. Make it out that it's bad you and you NEED to have the cause found?

I've been seen within a few months on med.card. I nag my doctor, I nag the hospital. Works well.
If they feel it's not that big a deal, they'll keep pushing you back.

Femme_Fatale wrote: »

CUH - no smokers.
Mercy Hospital Cork - no smokers.

"Nobody who is not unwell is going to get a hospital bed" and that's the best you can do? Come on, man - you gotta back stuff up instead of throwing out kneejerk sh1t.

There is a shortage of hospital beds because there aren't enough for all the unwell people, not because people who aren't ill are getting them for the craic.

Like another poster says, IMO it would appear the problem is largely caused by the HSE administration mess.

See my previous post for examples of people in hospital beds who don't need to be. 'Acopia' does not require a hospital bed and yet I've seen patients admitted with 'Acopia' as a diagnosis. I'll admit it's not an everyday occurence but it does happen.

Also, there are large numbers of people in hospital beds that don't need them but that's not to say they didn't at one time need them. Discharging patients from hospitals can be a very, very long process in Irish hospitals.

Pumpkinseeds wrote: »

I said WEALTHY pensioners. Frankly I don't care how much they contributed, if they're wealthy and can afford to pay their own way they should do so.

"Wealthy" pensioners can, and do, use the private system. Why not address the REAL cause , as outlined further down in my post.??? And you WILL care , should the day come, when a bandit government , decide to raid YOUR savings, provided of course you have any!!!!!.