National Health Service (NHS) The public health system was founded in Britain by Labor in the late 40s. The system is funded by taxation. Is free. This is actually a huge achievement in the world of capitalist cleansing, and Britain is one of the first …
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Medicine in England. part 1
National Health Service (NHS) The public health system was founded in Britain by Labor in the late 40s. The system is funded by taxation. Is free. This is actually a huge achievement in the world of the capitalist chistogan, and Britain is one of the first countries in Western Europe, which began to turn a human face to the population in this matter.
I will review the NHS in two parts. In the first part I will tell you in detail about the device and the process of treatment and access to a doctor, in the second part I will talk about problems on a wider scale.
I’ll make a reservation right away that I a priori believe that one shouldn’t expect much from free medicine, this is obvious, and from paid medicine too, an example of this is the United States. Health care cannot be ideal and problem-free in principle, in any country, this is a utopia. But the fact that in Britain they won’t let you die and won’t take money for it is already excellent, I think. But every system has a lot of problems. And Britain is no exception. Those who believe that there is excellent medical service in the west are deeply mistaken. Everywhere the human factor. Lucky with a doctor, then lucky with treatment
Illness in Britain requires a lot of strength, patience and health
The first stage of interaction with the healthcare system is registration at the place of residence in surgery, I will conditionally call it “therapeutic”, there is no analogue to this institution in Russia. The institution has little in common with the clinic. In Britain, there is no such thing as a clinic at all, this luxury is available only to the countries of the former USSR.
A therapy room is usually a small room with several rooms where a secretary, a nurse, a couple of therapists (general practitioner for short GP) sit and that’s it, they don’t do any tests there, they only take a urine test at registration. If two or three therapists are sitting, consider yourself lucky. After the crisis, they began to sharply save costs and, for example, in my therapy only one GP is accepted, and the area is located in densely populated central London. Therapists are sometimes called "family doctors", which sounds nice, but in practice it's pretty sad. Registration is quite simple, you need to fill out paperwork and be examined by a nurse
Here is an example of what this institution looks like. Sometimes it can be located in one of the residential buildings
By the way, few people know that “therapeutic” shops are private shops, despite the state status of medicine, this is essentially a limited liability partnership in the legal sense, i.e.Limited Liability Partnerships for the most part. Therapists have the status of a partner, a partner can be a nurse if she has funds to buy a lot. In the statutory documents, the practice of practice is described as a "business". The business lies in knocking out funding from the state.
Not all practices receive equal funding, and the maintenance of patients depends on the distribution of funds, respectively. Two neighboring practices in one area can have completely different financing. Therapist earns decently. If the financing of the practice is scanty, then it can earn from 80 thousand feet per year. If financing is good, then up to 120 thousand. The therapist has the right to earn a private manner, whether he will include income from side activities in total practice income – at his personal discretion.
Paracetamol-ibuprofen-sleep (PP) – Three China NHS
I will describe the scenario for the development of events in the event of any non-consistent ailments.
Suppose you began to torment constant headaches. First you need to go to the therapist, through the therapist is your admission to any profile doctor and preliminary analyzes are assigned. It is necessary to record yourself in advance, just so deeply run to the reception will not work. The secretary records you, it is necessary to wait for the reception somewhere for a week. Therapists do not work on weekends. If you take three therapists, you can get faster.
You come at the appointed time, but you have to wait for your turn more than good 30-45 minutes, and now you finally got the same to the therapist and tell about your complaints and. You are sent home, wringing paracetamol-ibuprofen-sleep (IP). You will be given advice not to be nervous and relaxed more. You will not make any diagnosis and even the simplest blood test.
Suppose something more seriously happened, for example, the body was covered with an incomprehensible borough: the therapist swells the corrger, while he does not wash his hands neither before, nor after (shells in the office of my therapist no one, good, if the gloves do not always ), I will write off the IP, it will assist that the KORDA will fall off in a couple of days, it will advise to protect their pets and babies, so that there is a bombardment of them on the fragments and send them home. It will warn that if the Korosta itself does not fall off, then you should come in two weeks and he will write you antibiotics, and then you will defier with the butterfly. If the Korosta will be tormented to half a year, then you can take away and the therapist will tell you the direction for tests and only after that the direction to the specialist in the hospital.
This is how the principle of reception on a number of diseases occurs. I exaggerate, but the script is quite life. Thus almost all incomprehensible rashes are treated. If there is a suspicion of skin cancer, then make diagnosis. 80 percent of all other complaints is eliminated by the approach "self-pass". Some advise to lie and pretend to be raised from pain to get at least minimal diagnosis.But I can say that most therapists understand when you are lying and they are not so easy to spend, plus they simply are unimproved, no tears and requests help. No presentation in the form of a brandy or candy can be speech.
Are you in the hospital! Happiness is what!
As the long-awaited visit to the profile doctor in a normal hospital for diagnosis and treatment. If the therapist was still settled and decided that your condition should be diagnosed and sent you to a specialist, then you will not see it somewhere else. You go home, and there are waiting for letters from the hospital with data for which you need to call and sign up for the reception (the letter comes within 2 weeks), then waiting for the reception yourself somewhere 3. If you add to this expectation of reception at the therapist, then Sometimes you get to the specs only after two and a half months. During this time, you can also die if something is serious.
Further your health depends on the grace of a specialized physician and his professionalism. He can also send you home and not make any diagnosis, but usually, if you sent the therapist, the doctor still makes minimal diagnosis and prescribes treatment. This process is also not fast. As a result, from the moments of appeal to the doctor until the treatment of treatment (if lucky), passes from 3 and more months. Medicine free, everywhere solid queues
I will immediately say about the positive points: All medicines in Britain are sold well according to the recipe, you can only buy money from cough, constipation and so on in a pharmacy. This is good. If the person is unemployed or is in disabilities, the drug is issued for free. Most of the contraceptive pills for women are discharged by the therapist too for free. If you are lucky with the therapist, you will be lucky and with all further treatment
Wahtøra syndrome
Therapists and in general, all doctors work clearly according to the instructions, no self-identity, voluntarism and gerbins are not places. At the reception of one patient, 10 minutes and each therapist has a clear algorithm for each case. The main function of therapists is not treatment, no, it is filtration in order to save the system of the system, it is essentially large medicine: examining patients with a sluggish chronicle from patients with serious diseases threatening life. I said in my hearts to my therapist, they say you are not a doctor, you're just a watch, for which she did not object, and added that such a system and she cannot do anything. Yes, change the "therapist" you can, but only within your area. Typically, the same testicles are obtained, only in the profile.
Article author: http://sharla-tanka.livejournal.com
If the therapist is a good pros and knows how to determine serious and dangerous diseases, they are treated for conscience (but full of soles, even those who speak English, so early diagnosing cancer for example in the hands of the therapist).Also, if there was a serious incident, like an accident, then they will quickly deliver to the hospital and sew everything that came off. In general, you will not die in an emergency (although there are plenty of cases of outrageous negligence here, more on that later). The biggest problem is diagnosis. If you have already been diagnosed, for example, asthma, then you will be monitored, treated, prescribed medication regularly, there are no problems in most cases, but many doctors will also treat you, saving money, so you can’t count on the best medicines and too frequent appointments don't expect a doctor either. You were diagnosed that you keep walking and walking here.
Everyone is equal, but some are more equal
Healthcare areas are funded in very different ways. A lot of money is allocated for emergency care and treatment of cancer, etc., but there are severe savings on preventive medicine and many other areas. For example, rehabilitation outpatient therapy or balneology – these concepts simply do not exist, the locals have not heard of such a thing, just as there is no definition in English for "treatment and preventive boarding house or sanatorium."
If there are strong suspicions of serious diseases, then it is diagnosed quite quickly. But it is difficult to determine what is serious, and this “serious” must first of all get very sick in order to be admitted to the specialist. For example, many types of gynecological cysts do not cause any pain, but are quite dangerous. In Russia, they are usually detected by a random routine ultrasound examination, in Britain, in order to be looked at by an ultrasound, you should have the most compelling reasons, such as suspicion of cancer, for example. Again, cancerous tumors sometimes do not make themselves felt until the terminal stage, so the percentage of detecting a serious underlying problem through routine examination is extremely small.
If you need an operation when the disease is not life-threatening, then no matter how much you suffer from pain symptoms, you will wait in line for the operation, sometimes up to six months, including all preliminary tests and diagnostics. The urgency of the operation is determined by the doctor. You have no right to choose a doctor, you can only choose a doctor with private insurance. The situation of writing to the eminent luminary of medicine is almost impossible. If you're lucky, you'll be covered by insurance if his name is on the available list. Well, or privately, if he practices privately. The operations are all free, but if the case is quite rare and complex, and the treatment of such cases is not put on stream in the system, they will not help you, yes, they will say so, sorry, but we do not treat such cases, and then you will have to look for salvation in others countries and pay accordingly.
Migrants who come home, the first thing they do is run to the doctors. Because a complete examination in the West is a luxurious luxury, inaccessible even with private insurance, because every step must be explained to insurance companies expediently and again it goes through the janitor, i.e. therapist.Insurance will not cover a couple of days in the hospital for a full examination if you suddenly feel unwell (meanwhile, in Russia, frequent full examinations are common). A full examination in a private clinic without insurance will take a considerable amount of money, incomparable to Russia.
white negligence
Doctors are not particularly afraid of liability for negligence, since in Britain they are protected by professional liability insurance and the legal system of restraints on claims in such cases, plus mutual responsibility, it is very difficult to prove something, the high cost of legal costs and further down the list. A simple person will very rarely sue such a colossus. Class action lawsuits happen, or lawsuits are just in egregious single cases, more on that in the second part.
Dentistry or the old English tradition of medieval torture
Dentistry here is in a terrible state, and here I am not exaggerating at all, but it is not surprising where you have seen good free dentistry, although in most cases you have to pay here, the NHS only pays 50 percent. (another problem is that private isn't much better). In no case should you climb into free dentistry from the NHS, although there are such queues that you won’t get through even with a great desire. There is one principle of treatment – to cut and tear out what does not hold well. If they put a seal, then an iron one, a free orthodontist is almost impossible, especially for children. Canal filling is considered a procedure equal in complexity to a neurosurgical operation. Pulling out a tooth is also a very complicated procedure; it can be carried out under general anesthesia, having previously cut the floor of the jaw. Americans often joke about the deplorable state of British teeth, and for good reason. Private dentistry is not such a terrible nightmare, but only for decent money. My Lithuanian dentist once jokingly told me that he had to correct patients after private local dentists, my hair stood on end
Exit from the "enclosure". Insurance
So what are the options for a simple person in this often impenetrable and fenced system. You can take out private insurance. Through it, you get to the specialized doctor much faster than in the NHS, but again through a caretaker therapist, which can take a couple of weeks, but then he must let you through. The most common medical insurance company in Britain is Bupa.
But you will have a number of restrictions on insurance. Well, if you roughly understand which specialist you definitely need, but if you are tormented by headaches, the cause of which can be anywhere, then without a general detailed examination, you can’t figure it out, and it’s not supposed to be for you. Moreover, insurance usually excludes coverage in case of a number of the most common diseases, especially in the case of diabetes and various heart diseases. Therefore, sometimes it simply does not make sense to take it.Insurance will not cover a couple of days in the hospital for a full examination if you suddenly feel unwell (meanwhile, in Russia, frequent full examinations are common). A full examination in a private clinic without insurance will take a considerable amount of money, incomparable to Russia.
white negligence
Doctors are not particularly afraid of liability for negligence, since in Britain they are protected by professional liability insurance and the legal system of restraints on claims in such cases, plus mutual responsibility, it is very difficult to prove something, the high cost of legal costs and further down the list. A simple person will very rarely sue such a colossus. Class action lawsuits happen, or lawsuits are just in egregious single cases, more on that in the second part.
Dentistry or the old English tradition of medieval torture
Dentistry here is in a terrible state, and here I am not exaggerating at all, but it is not surprising where you have seen good free dentistry, although in most cases you have to pay here, the NHS only pays 50 percent. (another problem is that private isn't much better). In no case should you climb into free dentistry from the NHS, although there are such queues that you won’t get through even with a great desire. There is one principle of treatment – to cut and tear out what does not hold well. If they put a seal, then an iron one, a free orthodontist is almost impossible, especially for children. Canal filling is considered a procedure equal in complexity to a neurosurgical operation. Pulling out a tooth is also a very complicated procedure; it can be carried out under general anesthesia, having previously cut the floor of the jaw. Americans often joke about the deplorable state of British teeth, and for good reason. Private dentistry is not such a terrible nightmare, but only for decent money. My Lithuanian dentist once jokingly told me that he had to correct patients after private local dentists, my hair stood on end
Exit from the "enclosure". Insurance
So what are the options for a simple person in this often impenetrable and fenced system. You can take out private insurance. Through it, you get to the specialized doctor much faster than in the NHS, but again through a caretaker therapist, which can take a couple of weeks, but then he must let you through. The most common medical insurance company in Britain is Bupa.
But you will have a number of restrictions on insurance. Well, if you roughly understand which specialist you definitely need, but if you are tormented by headaches, the cause of which can be anywhere, then without a general detailed examination, you can’t figure it out, and it’s not supposed to be for you. Moreover, insurance usually excludes coverage in case of a number of the most common diseases, especially in the case of diabetes and various heart diseases. Therefore, sometimes it simply does not make sense to take it.It can cover all diseases, but then it will cost an order of magnitude more expensive. If you take for the whole family, then a decent amount will go a month. The insurance gives you a list of doctors that you can book through a GP referral, usually the same doctors that work for the NHS, and the insurance companies try to list the ones who have to be paid the least, hence not the best private specialists. Insurance covers all sorts of naturopaths often and no referral from a therapist is needed. If an operation or something serious threatens, it is always better to have insurance. She never gets in the way and the surgery and aftercare insurance is good. BUT in an emergency case of an unscheduled operation, for example, peritonitis, it will not help you, you will end up in a state hospital and insurance will not improve the process in any way. well, the only thing, maybe after the operation they will give a better ward
An appointment with a private doctor without insurance is not so expensive, from £80 and up (this is an initial short consultation without any diagnostics, and tests and treatment), but if a detailed diagnosis with tests is required, it can result in a round sum.
Ours won't go anywhere.
There is another way out – to contact private clinics, which were created by migrants from the countries of the former USSR and Eastern Europe. There you can take most of the tests, get an appointment with many specialists, it will also be quite expensive, but cheaper than in British private clinics. In recent years, such clinics have become very popular among the British, an excellent business, by the way, and help people
Bad from all troubles
In Britain, the so-called non-traditional medicine is flourishing: Chinese and Hindu "clinics" where they are treated with herbs, acupuncture, massage, homeopathy is very popular, yes. An appointment in such clinics is often more expensive than an appointment with a private doctor of traditional medicine. A huge number of shops where they sell all sorts of dietary supplements that are absolutely useless.Over the past 20 years, many British naturopathic clinics have appeared, where you will be stoned with incense, hypnosis and psychotherapy will be carried out and dietary supplements will be prescribed. The course of such procedures is expensive. Wealthy people are addicted to it like a drug.
Why is it sometimes more expensive than standard private medicine. Because in 2011 a law was passed for all EU countries that the sale of any medicinal herbs is subject to the same licensing as medicines. The pharmaceutical lobby finally got rid of the competition in the market, pocketed the proceeds from herbalism and raised the prices of it accordingly. Herbal treatment has always been considered in official medicine as an effective, and most importantly gentle and affordable therapy, and in Britain as well. But now you can forget about grandmother's recipes that were good at treating or relieving symptoms of colds and other ailments, because herbs have disappeared from the open market, they can only be prescribed to you by a licensed naturopath for decent money, and only those that he considers necessary, well, or herbalist from the NHS, which still needs to get through.
Non-ambulance
What happens in a critical situation when urgent help is needed. In this case, an ambulance is called, but it cannot always arrive, again, expediency, if nothing threatens life, they will not come. then you have to go with your legs to the Accident&Emergency (A&E) department, i.е. the hospital emergency room, where there is a huge queue and usually the nurse examines, who decides whether to admit you to the doctor or not
If the situation is not very critical, and you can’t get to a therapist, then you need to go to the walk-in center at the hospital, where the procedure is the same as in A&E. Not so long ago, a new telephone support service was introduced for a difficult situation, when it is not an ambulance case, NHS 111 service. There is complete confusion and vacillation due to a lack of specialists, in fact it is a call center where people sit without any medical education.
Kind Doctor Dachtobya
If a small child is ill, then interaction with the system can turn into a complete nightmare, since it is more difficult to diagnose a child than an adult, and this again happens through an economical watchman therapist, and not a pediatrician.The pediatrician inspects the child only at birth, in the future it is recorded according to the scheme as a specialist for an adult, the watch for you will decide how much your child needs help. There are no routine home visits to the precinct therapists as in Russia, it is too expensive. Many diseases are bad from Hands. For example, do not treat an angina. I wrote to you, milf, in the hands of what they got to sleep, go home, here you are not here. Here, please, the official NHS page with such recommendations. (English in English will be tonsillitis, there is a term Angina, but it means angina)
I agree that antibiotics are not necessary to pink and do not need to be, but there are different washing and other procedures.
Watch can even send you home if the child is yelling as cutting. If you still have a good therapist on the site, it will be reinsured and actually treated the child. Again, the human factor, the system in each country is inaccessible. When it does not accept the therapist, it is possible to go to the urgent help departments, but also there is not a fact that after you with a supervised baby, send a queue, you will not be departed home nurse with Pisom, without allowing the doctor. A huge problem with the diagnosis of meningitis for some reason. It comes to frequent mortal cases.
Pregnant women behave hard in different ways. Sometimes it is extremely good, reinsured for any occasion, sometimes out of hand is bad. If we get lucky. A large percentage of childbirth with stimulation, cesarean, generic injuries, often poor monitoring of babies up to a year, a rather high percentage of a sudden death of a baby.