I assumed that it must be PCR, just wasn't sure how fast they really can do them if they have to. I also assume that they will be doing dozens of tests a day on patients, and informing them all of a negative result is rather time-consuming. I also wasn't in my home town, which certainly complicated matters for all of us!
Though at £90 I feel somewhat guilty,
I shudder to think how much I've cost them (us) overall.
QuoteI shudder to think how much I've cost them (us) overall.Quite; I had open-heart surgery a few years ago, which must have set 'us' back several score thousand pounds (good job I wasn't in the States).
I'm also very aware how fortunate I was to be able to ring 999 in a strange city, and be in an emergency bed in two hours - and then stay for a week.
Sometimes it makes you wonder how the French and Germans work with a different system, oh and Spain.Not saying the NHS is bad, but other viable systems do seem to exist. If the NHS is so superior why haven't other European countries copied it?
Minor edit. Should read Care is probably more consistent between hospitals than in other countries
Could you give us a couple of examples of the "lots of things"?
I think you'd be slightly foolish to claim the NHS is better than the French or German systems. Most analyses suggest the French system is the best in the world. The German system can be outstanding (if you go to a Hochshule - ie university hospital) but some of the small Krankenhausen are less impressive. Both are far better resourced than the NHS (so have more beds and shorter/negligible waiting times) and both, particularly the Germans, offer really good rehabilitation which is something the NHS falls down on. In favour of the NHS, it's one of the most cost-effective systems in the developed world (though this depends on running close to 100% occupancy which makes pandemics difficult) and care is probably more consistent between hospitals than in other hospitals. Since we've started to centralise some specialist services that were previously offered everywhere (trauma, vascular surgery etc) standards have risen significantly. However, resources were constrained even before Covid, made worse by the shortage of nursing and residential home care and the lack of facilities to deal with elderly patients with complex needs (so they ended up stuck in hospitals, which are fundamentally unsuited to care for them). In reality, increasing the NHS and social care budgets to overcome their many shortfalls would probably be less expensive overall than moving to a mixed private/public, insurance based system. The big problem with any private system of medicine is that the more procedures you undertake, the greater the income. This influences both doctors and management, can lead to inappropriate or excessive treatment and is very hard to police.
I confess, I'd always thought hochschule and university clinics to be synonymous in medicine (eg the Hochschule in Hanover) and we always referred to them as such in the hospitals where I worked. I'm happy to be corrected. However, semantics aside, the underlying point remains. The best hospitals in Germany are very, very good. The worst are much less so. The difference in the UK is less marked.
I got the feeling, from watching my ward for a couple of days, that they were understaffed, though it's difficult to generalise from one experience - but later confirmed to me by a nurse when she asked me to help her out with another patient (by now I was on my feet and becoming useful, especially picking up litter). She said it was mostly illness, though what I don't know - most of these conversations are snatched fragments rather than proper chats. Also they need to maintain a certain amount of staff/patient separation and confidentiality, so I was trying not to sound too much like Colombo, but I suspect exhaustion might be a good start. Their stamina and cheerfulness was amazing to see, no matter what was happening.
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