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According to Mrs Neilios, different wards have different levels, so ICU will have one to one care, day surgery will have one nurse to eight beds for instance. Different hospitals will have different levels of productivity too, wife has spent all her career in the largest trauma centre in Europe, so it's fast paced, long hrs, brake neck, very high standards and accountability, firm management.. She's now moved to our local hospital which is a lot more relaxed, but listening to the time served with little experience of other hospitals, anyone would think they'd been working in a Gulag..
I come from a performance related pay environment, business ownership and management experience, so when I listen to the endless tales of mismanagement (Band 6 and above), crying, laziness, dodging, sickness and waste I become angry.
As an ideal the NHS is marvellous, in practice, like all central planning socialist organisations it becomes a money-pit, we could double the NHS budget, but due to the nature of the beast, that money would be absorbed within a few yrs.. Add to that the obvious exterior pressures from the population and advancements in medical care. |
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