Reply to: NHS and HMRC

[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.

[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?

[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.

[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.

[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).

[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.

[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.

[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

[SimonMac]

NHS don't want to raise their heads above the parapet and then get shot down for "wasting" so much money on temps/contractors, its a lose/lose for them so they keep quite and let the BMA etc do the complaining

[SueEllen]

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.

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.

[Acme Thunderer]

He's not talking about a funding issue more a staffing issue. If you are waiting hours for an X-ray that's because there are no staff to do the X-rays

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.

[Lance]

Get the NHS to cover annual repayment of student loans (pro rata if part-time) for registered healthcare professionals.

let's be clear. This September's intake of students into healthcare is the 1st lot that will have to fund themselves. Previous years have all been bursaried.
mrs.l. teaches them and the intake is higher than ever, and the quality may well be better (the last few years has seen some real ****wits grabbing the last of the funded places).

So we wait and see as it may work out better.

[northernladyuk]

Why not make the cost of study inversely proportional to the number of years worked for the NHS?

Get the NHS to cover annual repayment of student loans (pro rata if part-time) for registered healthcare professionals.

[The_Equalizer]

You pay them less they will still work part-time for the NHS, but at 50% rather than 70-80% . The other 50% will be in the private sector.

Why not make the cost of study inversely proportional to the number of years worked for the NHS?

[SueEllen]

Fair enough. So basically they get paid enough to do it. Not sure how you'd fix that!

You pay them less they will still work part-time for the NHS, but at 50% rather than 70-80% . The other 50% will be in the private sector.