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[Redacted] 17:17 - Apr 11 with 1793 viewsvictorywilhappen

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“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 17:40 - Apr 11 with 1703 viewsmylittletown

Seems to have been a disaster, at least partly because a lot of people are behaving like sh1ts.
It is always a mistake to rely on people to behave with decency and responsibility.
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“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 18:00 - Apr 11 with 1642 viewsXYZ

“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 17:40 - Apr 11 by mylittletown

Seems to have been a disaster, at least partly because a lot of people are behaving like sh1ts.
It is always a mistake to rely on people to behave with decency and responsibility.


"It is always a mistake to rely on people to behave with decency and responsibility."

Johnson's personal rule-breaking increasing the chances of that happening, of course.

We have a government without the moral authority to make or enforce the controls necessary to protect the NHS.

https://www.theguardian.com/society/2022/apr/10/appalling-waits-for-ambulances-i
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“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 18:05 - Apr 11 with 1626 viewspointofblue

Mask wearing and regular testing should have never been ditched.

As for the financial situation the NHS finds itself in, that runs deeper than Covid. But no party seems to want to risk putting their head about the parapet and state that it is not longer fit for purpose in it's current form. It can't be a case of continually throwing an ever increasing amount of money at it without changes.

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“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 18:37 - Apr 11 with 1560 viewsZXBlue

“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 18:05 - Apr 11 by pointofblue

Mask wearing and regular testing should have never been ditched.

As for the financial situation the NHS finds itself in, that runs deeper than Covid. But no party seems to want to risk putting their head about the parapet and state that it is not longer fit for purpose in it's current form. It can't be a case of continually throwing an ever increasing amount of money at it without changes.


With an ageing population and more sophisticated medciince, what is the alternative?

And in what way have we been throwing more money at it? How does that stack up in real terms?
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“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 19:09 - Apr 11 with 1505 viewsLeoMuff

“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 18:05 - Apr 11 by pointofblue

Mask wearing and regular testing should have never been ditched.

As for the financial situation the NHS finds itself in, that runs deeper than Covid. But no party seems to want to risk putting their head about the parapet and state that it is not longer fit for purpose in it's current form. It can't be a case of continually throwing an ever increasing amount of money at it without changes.


It was fit for purpose pre 2010.

The only Muff in Town.
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“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 19:14 - Apr 11 with 1495 viewspointofblue

“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 18:37 - Apr 11 by ZXBlue

With an ageing population and more sophisticated medciince, what is the alternative?

And in what way have we been throwing more money at it? How does that stack up in real terms?


Even if it's a decrease in real terms generally the NHS budget sees an increase in pure figures year on year. It just isn't sustainable.

I think Health and Social Care need full integration to start with. There are so many reports doing the rounds discussing how individual trusts have implemented processes which have not only saved money but have also improved efficiency for the patients. I think the Department of Health and Social Care needs a more hands on approach to ensure these are rolled out country wide rather than just whether a trust decides to do it or not.

There is a further one, I think from the Kings Fund, disclosing the outstanding fees the NHS has built up by treating people who should pay for their care from insurance (generally tourists) and haven't chased up.

This is just the start, but the underlying thought is is the NHS fit for purpose as it stands? And how should it be reformed if not.

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“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 19:18 - Apr 11 with 1482 viewsNthsuffolkblue

“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 18:37 - Apr 11 by ZXBlue

With an ageing population and more sophisticated medciince, what is the alternative?

And in what way have we been throwing more money at it? How does that stack up in real terms?


The alternative is to properly fund and run it. It has definitely not had money thrown at it for decades now.

Defund, make sure it doesn't work, people get angry, privatise. It has been the Tory mantra for many decades.

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“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 19:25 - Apr 11 with 1449 viewsSwansea_Blue

They’re quite right. Halfcock was crowing the other week about us being the first country to beat Covid and get back to normal. Which is balls of course, we’re just ignoring it - not the same thing at all.

The test as to whether we’re living with it is to ask what’s now different compared to pre-pandemic. What measures have we in place to minimise the spread of the virus? There are precious few, if any. Our work is now even rowing back on flexible working, despite this supposedly being one of the few benefits to come out of the last couple of years.

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[Redacted] on 19:27 - Apr 11 with 1437 viewsvictorywilhappen

“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 19:18 - Apr 11 by Nthsuffolkblue

The alternative is to properly fund and run it. It has definitely not had money thrown at it for decades now.

Defund, make sure it doesn't work, people get angry, privatise. It has been the Tory mantra for many decades.


[Redacted]
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“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 19:29 - Apr 11 with 1428 viewsNthsuffolkblue

“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 19:14 - Apr 11 by pointofblue

Even if it's a decrease in real terms generally the NHS budget sees an increase in pure figures year on year. It just isn't sustainable.

I think Health and Social Care need full integration to start with. There are so many reports doing the rounds discussing how individual trusts have implemented processes which have not only saved money but have also improved efficiency for the patients. I think the Department of Health and Social Care needs a more hands on approach to ensure these are rolled out country wide rather than just whether a trust decides to do it or not.

There is a further one, I think from the Kings Fund, disclosing the outstanding fees the NHS has built up by treating people who should pay for their care from insurance (generally tourists) and haven't chased up.

This is just the start, but the underlying thought is is the NHS fit for purpose as it stands? And how should it be reformed if not.


Inflation means that everything costs more over time. The value of that money decreases. A millionaire in today's money is quite different from a millionaire from 2000. Add in an increasing population and we should be increasing spending on all public services and it should be perfectly sustainable through reasonable taxation. Instead we have had decades of parties of low taxation low spend.

https://www.health.org.uk/chart/chart-how-funding-for-the-nhs-in-the-uk-has-chan

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“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 19:53 - Apr 11 with 1360 viewspointofblue

“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 19:29 - Apr 11 by Nthsuffolkblue

Inflation means that everything costs more over time. The value of that money decreases. A millionaire in today's money is quite different from a millionaire from 2000. Add in an increasing population and we should be increasing spending on all public services and it should be perfectly sustainable through reasonable taxation. Instead we have had decades of parties of low taxation low spend.

https://www.health.org.uk/chart/chart-how-funding-for-the-nhs-in-the-uk-has-chan


And is that what the public wants? It feels like 'reasonable' taxation is an immediate vote killer. I guess because 'reasonable' taxation hasn't been on the table for the most part. Not from the main two anyway.

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“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 20:44 - Apr 11 with 1290 viewsStrimmer

“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 19:25 - Apr 11 by Swansea_Blue

They’re quite right. Halfcock was crowing the other week about us being the first country to beat Covid and get back to normal. Which is balls of course, we’re just ignoring it - not the same thing at all.

The test as to whether we’re living with it is to ask what’s now different compared to pre-pandemic. What measures have we in place to minimise the spread of the virus? There are precious few, if any. Our work is now even rowing back on flexible working, despite this supposedly being one of the few benefits to come out of the last couple of years.


I read that properly ventilating the state schools could be done for an amount that adds up to chicken feed in a national budget. Low billions iirc (can't remember the source sorry so could be off there).

Seems like theyve not even tried with the low-disruption, wont scare the red tops measures at all.

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“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 21:01 - Apr 11 with 1255 viewsBlueBadger

“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 19:14 - Apr 11 by pointofblue

Even if it's a decrease in real terms generally the NHS budget sees an increase in pure figures year on year. It just isn't sustainable.

I think Health and Social Care need full integration to start with. There are so many reports doing the rounds discussing how individual trusts have implemented processes which have not only saved money but have also improved efficiency for the patients. I think the Department of Health and Social Care needs a more hands on approach to ensure these are rolled out country wide rather than just whether a trust decides to do it or not.

There is a further one, I think from the Kings Fund, disclosing the outstanding fees the NHS has built up by treating people who should pay for their care from insurance (generally tourists) and haven't chased up.

This is just the start, but the underlying thought is is the NHS fit for purpose as it stands? And how should it be reformed if not.


The 'health tourist' bill is miniscule and it's a pernicious myth(mainly because the concept of 'health tourism' is largely a myth) with a very nasty undercurrent that it's the primary cause of NHS financial difficulties. We'd save considerably more money scrapping the need to tender out practically every service and ridding ourselves of a whole tier of management and poor value for money contracts.
[Post edited 12 Apr 2022 6:56]

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“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 21:20 - Apr 11 with 1188 viewsjeera

“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 20:44 - Apr 11 by Strimmer

I read that properly ventilating the state schools could be done for an amount that adds up to chicken feed in a national budget. Low billions iirc (can't remember the source sorry so could be off there).

Seems like theyve not even tried with the low-disruption, wont scare the red tops measures at all.


You would think a fit-for-purpose ventilation system would already be a must in schools, without the likes of Covid.

Children being the disease-ridden, illness spreaders that they are.

Think of the amount of productivity saved in the country if kids were taking home half the germs they currently do.

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“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 21:20 - Apr 11 with 1186 viewspointofblue

“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 21:01 - Apr 11 by BlueBadger

The 'health tourist' bill is miniscule and it's a pernicious myth(mainly because the concept of 'health tourism' is largely a myth) with a very nasty undercurrent that it's the primary cause of NHS financial difficulties. We'd save considerably more money scrapping the need to tender out practically every service and ridding ourselves of a whole tier of management and poor value for money contracts.
[Post edited 12 Apr 2022 6:56]


Do you know how easy it would be to pull out of the expensive contracts?

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“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 21:33 - Apr 11 with 1122 viewsBlueBadger

“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 21:20 - Apr 11 by pointofblue

Do you know how easy it would be to pull out of the expensive contracts?


Well, if we don't have them in the first place, nothing.

I'm one of the people who was blamed for getting Paul Cook sacked. PM for the full post.
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“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 21:36 - Apr 11 with 1103 viewspointofblue

“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 21:33 - Apr 11 by BlueBadger

Well, if we don't have them in the first place, nothing.


Agreed, but aren't there loads in place?

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“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 21:41 - Apr 11 with 1094 viewsBlueBadger

“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 21:36 - Apr 11 by pointofblue

Agreed, but aren't there loads in place?


The majority of which are around 10 years. Run 'em down and don't renew 'em. Large numbers of them are simply unprofitable at the moment anyway. CCGs are encouraged to accept bids from new providers to 'encourage them into the market'. The long game is to then ramp up the cost next time round, when competitors(frequently the NHS provider) are no longer around(often because the expertise has been lost to the service).
[Post edited 11 Apr 2022 21:50]

I'm one of the people who was blamed for getting Paul Cook sacked. PM for the full post.
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“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 22:18 - Apr 11 with 991 viewsfactual_blue

Do what thou wilt be the whole of the law.

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“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 22:51 - Apr 11 with 944 viewsEireannach_gorm

“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 19:14 - Apr 11 by pointofblue

Even if it's a decrease in real terms generally the NHS budget sees an increase in pure figures year on year. It just isn't sustainable.

I think Health and Social Care need full integration to start with. There are so many reports doing the rounds discussing how individual trusts have implemented processes which have not only saved money but have also improved efficiency for the patients. I think the Department of Health and Social Care needs a more hands on approach to ensure these are rolled out country wide rather than just whether a trust decides to do it or not.

There is a further one, I think from the Kings Fund, disclosing the outstanding fees the NHS has built up by treating people who should pay for their care from insurance (generally tourists) and haven't chased up.

This is just the start, but the underlying thought is is the NHS fit for purpose as it stands? And how should it be reformed if not.


This worked out well.

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“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 22:56 - Apr 11 with 933 viewsEdmundo

“In our view, we do not have a ‘living with Covid’ plan, we have a ‘ on 19:09 - Apr 11 by LeoMuff

It was fit for purpose pre 2010.


The NHS has, in real terms, been underfunded for 20 years. The number of available beds has gone down in that time by 60%. The governments in that time should have been clear: we can't support a top heavy demographic where there are more old, sick people. The NHS can only function as critical and emergency care. Everything else will have to be means tested. That has been the direction of travel, because it's the only thing that will keep the NHS from becoming a quaint thing of the past.

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[Redacted] on 13:00 - Apr 12 with 650 viewsvictorywilhappen

[Redacted]
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