but is it not the case that in the Uk if you have nothing then you can claim everything, but if you have a little something then you get nowt. What about this, if you get your council tax paid then you can still claim the £150 government rebate, why ?
I'm worried about what people will think after I die...
- Thread starter D_W
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The way MDT is supposed to work (and clearly doesn't in my recent experience) is that the discharge assessment starts on the first day of hospitalisation. It should then be periodically reassessed as treatment progresses and finalised on the lead up to discharge. This model sounds perfect in principle, however lots of barriers get in the way e.g. staff shortages, winter pressures, the latest change initiatives from NHS England or local mandates and now covid.
In our town we have a food bank.
A couple of months ago my wife earwigged two women talking outside as she waited for a friend.
One said," I thought you were down here a few days ago?"
The other woman replied,"I was, but I gave all my allowance to the dog because I had no food for him, so Ive come back to get some food for me"
As they both stood there smoking silk cut at 14 quid a packet.
Another quandary?
From experience a more common reason for bed blocking isn't that people are waiting to go into homes, but that they're waiting to GO home, and their homes for one reason or another aren't deemed suitable. I was in hospital for three months and for last month the other three in a small ward of four were there solely because their homes needed modification before they were allowed home. Had I not desperately wanted to get home they could have kept me there for another eight months.
This was a small hospital where we were sent after major operations in the main hospital, and our bed blocking was stopping others following us (I spent an unnecessary week in the main hospital as someone couldn't leave the other hospital on time) and them in turn being the main cause of ambulances being held up because of lack of beds. I read in the local press of a paramedic spending a whole shift in his ambulance outside the hospital.
This was a small hospital where we were sent after major operations in the main hospital, and our bed blocking was stopping others following us (I spent an unnecessary week in the main hospital as someone couldn't leave the other hospital on time) and them in turn being the main cause of ambulances being held up because of lack of beds. I read in the local press of a paramedic spending a whole shift in his ambulance outside the hospital.
I had to lookup the cost of a packet and was stunned to see that silk cut do indeed cost over £14 a pack of 20 . Even if you keep it to 20 a day that's £100 per week
Terry - Somerset
Established Member
It is easy to assert that problems in the NHS and social care could all be solved with more funding, but many of the problems could have been addressed long ago had the political will existed so to do:
BTW - I'm glad I have up smoking 20 years ago - health aside, saving comfortably pay for a couple of nice holidays a year.
- the disconnect between NHS and social care has been evident for decades. Compartmentalising budgets and management means that priorities and actions are often discordant
- the ambulance response crisis arises as they are unable to transfer patients on arrival to A&E, but wait - sometimes for hours. Re-allocation of resources in the hospital could alleviate the problem - albeit at the expense of some other service. Need a clear view of priorities.
- funding for care of the elderly is a continuing mess. Splitting health care (free) from social care (effectively means tested) is questionable. Proposals to sustainably fund long term elderly care - insurance, tax, means testing etc - have created noise not solutions.
BTW - I'm glad I have up smoking 20 years ago - health aside, saving comfortably pay for a couple of nice holidays a year.
Keith 66
Established Member
I had to lookup the cost of a packet and was stunned to see that silk cut do indeed cost over £14 a pack of 20 . Even if you keep it to 20 a day that's £100 per week
I gave up smoking 17 years ago, at the time i was a 40 a day roll up man. Today the cost of my habit would be the equivalent of a mortgage.
No wonder people have to resort to food banks if they smoke.
Jameshow
Established Member
Lymes disease is a thing in the U.K..
Not too common but on the rise I think.
Initial symptom is a bullseyelooking bite. After that it gets confused with flu.
There have been many cases where it has gone undiagnosed for many months.
There is a specific test for it and AIUI it's easy to treat.
A big problem with the health service in the U.K. is the time it takes to get a proper diagnosis for your illness.
My wife was fobbed off with painkillers and other pills by GP when she had a really bad back. Sad to say that we eventually went private. Got a scan and proper diagnosis within days rather than months.
Don't know if the lasting damage could have been avoided.
I would have more radiographers to maximise the use of CT and MRI scanners and also buy more scanners and train more staff.
It has a poor history of being diagnosed here, too. It presents similar to flu, but the variant going around here causes a fever and enlarged lymph nodes several days to a week after introduction. The spot from it is light pink and distant from the bite area (I'm sure there could be more spots or none). the pediatrician told my wife that if they wait to treat it until they have a positive test it can be too late, or it may never show on teh assay at all. I have no idea what the test is, but she was sure it's lyme - another benefit of taking the kid to a pediatrician instead of an adult doc - the kids are the ones in the fences and hedges rubbing everything that the deer touch here.
Neighbors coworker ignored the signs and was dead of lyme in less than a year - organ failure. At least that's what the guy claimed, that the symptoms were only recent.
This state has the unwanted achievement of having more cases than anywhere in the US. I doubt all of them are reported to the CDC, so the number is probably low here:
https://www.phillyvoice.com/pennsylvania-ticks-lyme-disease-2022/
The deer are thick as thieves here thriving in the burbs on lack of hunting and huge browsing choices of shrubs and flowers. I've long been an advocate of giving spears to the neighborhood because they are tame enough to be gotten with them. they can be entertaining if you dont' get between them and a fawn, but the ticks aren't that entertaining.
Oh dear, I've missed the mark by 20+ years...
TBH I plan to continue woodworking and other workshop activities till I drop not only because it's what keeps me relatively fit and active but because I enjoy it and get immense pleasure throwing myself into whatever new project and occasional reading aside I've never been a sit down and vegetate kinda guy (read 'old man').
I hope your son recovers quickly and has no lasting side effects from what can sometimes be a debilitating infection
From my experience with my dad, the bed blocking is because people are waiting to be moved on to the next stage of medical care - be this going home, going to a temporary assessment care home to decide the next steps, being sent to a rehabilitation hospital because they are too well to be in hospital but not well enough to go home or, simply, because there is no where, of any description, to take them. We've been in one or other of these scenarios at least three times in the past twelve months with dad.
As to paramedics being on their ambulance for the whole shift - in the south west, this has become routine. I've spent much of a paramedics shift sat in the ambulance with my dad, with two paramedics, just waiting. I've even experienced a changeover in shift - the ambulance which took dad to the hospital car park came from a different health care district and had to return there at the end of the shift. The paramedics moved my dad, his possessions and the trolley on which he was lying from one ambulance to another and the whole waiting game began again until a trolley slot became available in A+E. He then had to wait on a trolley for 24 hours (last time). On a previous occasion he had to wait 36 hours!
My dad is still in the hospital, a continuation of the car park wait that I explained above, and on the various visits I have made to see him pass that ambulance car park. Fifteen ambulances waiting one time, seventeen another and twenty three on another occasion.
Even fifteen ambulances, that's thirty paramedic professionals who are taken out of the community and unable to help in field emergencies.
The whole system is a mess and I feel very sorry for the paramedics. So many of them get a hard time when they arrive six, maybe ten hours after a relative initiates a call to 999. It simply isn't their fault. I wont give them a hard time personally because I appreciate the difficulties that they are facing and the fact that they appear to be caught between a rock and a hard place.
My mum died just under three years ago. She fell and had a bleed. My dad sat with her on the floor waiting for an ambulance to arrive. It took six hours. He was pleading with them by the end. They were both 88 at the time. She died three days later in hospital with us by her side. I asked for a formal explanation of why the ambulance took so long. I got a very detailed written explanation. Ambulances and beds were under pressure even then.
Is the situation particular to my dad's local university hospital? I understand not - it became acute in Cornwall first, then Plymouth, then Torbay and now Exeter. Where we used to live in Surrey, although slightly better, it was still pretty dire.
The whole system is broken and needs fixing - and I suspect via the private purse if I am honest.
My point exactly. The three chaps I was in with for the last month could have been dealt with by district nurses at home. The whole system is choked, not just the major hospitals we see queues of ambulances filmed out side.
Cornwall? The population has nearly doubled since 1971. Hospitals have been enlarged, but have we any new ones? Of course not. Treliske is a nightmare despite wonderful people doing their best. More chiefs than indians.
sawtooth-9
Established Member
Where has this post gone ?
Thought it was about what people may think of you once you are gone.
The harsh reality is that what people think of you - is their business, not yours.
It's their problem, not yours.
Having died, and been revived - with some interesting memories ( which I do not talk about ) - suggest you don't waste your time here with this introspective angst.
Thought it was about what people may think of you once you are gone.
The harsh reality is that what people think of you - is their business, not yours.
It's their problem, not yours.
Having died, and been revived - with some interesting memories ( which I do not talk about ) - suggest you don't waste your time here with this introspective angst.
[Expletive deleted!] Is that right? 14 quid a packet? I have never smoked so I have no idea how much fags cost, but 14 quid a packet is way more than I would have guessed. Maybe I would not be very good on "The price is right".
You must be a member of WEF then!Sounds like you ought to be my older brother
I'm 77, slow heart rate, don't run but cycle everywhere, don't climb mountains but 'go bush' for extended periods, did a lot of single-handed ocean sailing in the 60's - 70's, kayaked a lot of the NZ coastline, lakes etc.
The only thing I disagree on, you're not the richest man in the world - I am.
We have to remember the Laws/Osborn(Lib Dem/Con) austerity cuts took money way from the NHS and Local authority adult care services. Places in care home and hospital were removed. We are no seeing the full impact of these cuts. We were out of home for 8 months due to flooding when the EA budget for river dredging was cut.
Who isYes sorry not up to date with social media abbreviations
So by having a healthy lifestyle and not smoking then on the basis that many smokers will consume more than twenty a day we can assume they spend £600 a month at least. So buying the odd expensive tool on a whim is just a reward paid for by not smoking and we have something to show for it rather than coughing up bit's of our lungs.
Population increase has not been accounted for in so many ways, the only real winners out of this have been the property developers who mostly build utter shieete and make huge profits but do not contribute to local services such as hospitals, doctors, utilities and local services. It is getting worse because they can continue to build shieete that is not fit for future housing needs because the government has not seen fit to update the building standards to force them to make houses that are ultra insulated that would reduce future energy needs and cost to the owners. Population increase should have resulted in a proportional increase in government funding for many sectors, are there enough fire engines, ambulance and police for example but no, they take the increase in income but waste it elsewhere.
If only the people who make the decisions and run / try to run the country actually thought about what people will remember them as being, or what history will say about them when they are long gone.
Absolutely
