NHS and HMRC

[BoredBloke]

Do you believe the NHS funding problem is due to IR35 and contractors?

Locums and agency nurses have been hit with it. So IR35 is having an effect

[Acme Thunderer]

Apparently some hospitals use to have forms where the doctor had to write in why they needed a particular x-ray or test. If they didn't fill it in the patient didn't get it.

Just because a someone has to fill in a form for an X-ray doesn't stop them for asking for something that isn't needed.

[SueEllen]

Just because a someone has to fill in a form for an X-ray doesn't stop them for asking for something that isn't needed.

I think you misunderstood me. The forms had questions like - How will this test help with your diagnosis? Obviously if you think a bone is broken you can answer it and in a sensible way, but not if the person has ear ache. That helped to cut down on the number of x-rays done.

[northernladyuk]

I think you misunderstood me. The forms had questions like - How will this test help with your diagnosis? Obviously if you think a bone is broken you can answer it and in a sensible way, but not if the person has ear ache. That helped to cut down on the number of x-rays done.

Electronic request forms for radiology investigations still require a reason to be recorded. I suspect it is a statutory requirement (but possibly that's not correct).

[Stevie Wonder Boy]

Mrs Acme used to be a Radiographer in A&E. A lot of the delay is caused by Patients being sent for X-rays that aren't clinically needed. Funnily enough the radiography department does the important/urgent ones first.

An arm that clearly looks broken would seem to qualify as clinically needed. It still took 5 hours to sort.

[SueEllen]

An arm that clearly looks broken would seem to qualify as clinically needed. It still took 5 hours to sort.

It's only an arm.

She has another one.




On a more serious note hope it wasn't too painful.

[northernladyuk]

An arm that clearly looks broken would seem to qualify as clinically needed. It still took 5 hours to sort.

Was it a five hour wait for an X-Ray from the time at which it was requested, or a five hour stay in ED from arrival to discharge? Or something else?

[Acme Thunderer]

I think you misunderstood me. The forms had questions like - How will this test help with your diagnosis? Obviously if you think a bone is broken you can answer it and in a sensible way, but not if the person has ear ache. That helped to cut down on the number of x-rays done.

Sorry - yes I did misunderstand your comment.