@AlanStout19@GusLogie1971@NewtonEmerson How many of us 70+ yrs rely on private care for ophthalmology and orthopaedic elective surgery and investigations because we would likely be dead by the time our turn comes… we’re retired teachers, nurses, civil servants and bankers …no big pension pots!
@DannyDonnelly1 If defining fit for home patients as ‘medically fit’, how often does this definition undermine nursing care needs of these patients. I have experienced situations in my immediate family where the expectation that someone at home can provide complex care is unrealistic.
@DannyDonnelly1 What I struggle with Danny is the fact that the consequences of failure in care provision is borne by the most vulnerable in the community. Politicians, clinicians and executives quote the 1000 excess death figure but not one of them is held accountable for these deaths!
@DannyDonnelly1 Danny if you reduce by almost 10% the number of available acute beds combined with an aging population with complex care needs, privatise nursing home care, and have an economy where both partners are needed to work to meet household bills ….what do you expect???
@DannyDonnelly1 How many acute beds have been closed in the last 10yrs and how many beds were lost from the closure of Belvoir Park , Foster Green , Purdysburn and other publicly owned care homes and convalescence centres? This problem has not been caused by GPs but by poor strategic planning
@mellycatslave@HSJEditor@Thirlwall_Inq And watch as nurses and other staff on the front line decide that self preservation becomes the priority and exit the NHS … watch as criminal investigations escalate as relatives of patients harmed because of staff shortages report incidents to police.
@drpaulclarke@drphilhammond Actually according to Dr Evans air injected into an NG tube can cause splinting of the diaphragm leading to death…does the same not happen if air is forced into an ET tube which is in the oesophagus?
@AlisonGeorge10@rheumipainmask@RCollEM@VictoriaTzB Yes …it will eventually become something similar to dentistry. The only people with access to GPs will be those who can afford to pay or have insurance.
@AlisonGeorge10@rheumipainmask@RCollEM@VictoriaTzB This is not a decision to increase access but imo is a strategic decision to effectively eliminate GPs and use ACPs and pharmacists in primary care …
@SJA_McC@RobbieButlerMLA Absolutely Stephen. Not many photos of him or his predecessor in any of our 3rd world EDs on a night shift surrounded by patients on trolleys waiting for beds!
@cellah26bsky It’s interesting that he talks at length about abuse of state benefits and yet he retired early from PSNI on health grounds on a substantial pension and now works in a very stressful and demanding job on a substantial salary!
@BBCBreakfast Meanwhile EDs are filled with elderly patients as a result of polypharmacy and poor compliance which could be an issue appropriately addressed by pharmacists.
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