Can The NHS Be Fixed or Saved – How Can WE Save The NHS

.

YES IT CAN

.

NHS Hospitals were built in 1948 for 50 million people – Today in the UK there are 68 million people… With more complex needs.

This was the Manchester Children’s Hospital entrance hall – Now the land has been used for a new housing estate.

• In the 1970s there were 420,000 Beds in the UK
• In the 1980’s there were 300,000 Beds in the UK
• In the 2020’s there are 141,000 Beds in the UK

HOW Can The NHS Be Fixed or Saved:- Yes It Can. NHS people need to look outside the box – To look outside the 4 walls of the NHS Institution.. SO, Let’s make simple changes happen and reduce costs as well.

.

THE PROBLEMS:

.

1.1 LACK OF BEDS & BOTTLENECKS – Governments closing Hospitals to cut costs

1.2 Nurses, doctors, managers must spend 50% of their day talking about “where to find a bed”

1.3 The NHS TREADMILL:- Nurses, doctors, managers are just working on a treadmill… day after day.…

1.4 Many People In The NHS Have NOT Worked Anywhere Else – So Don’t Have “OUT-OF-BOX” Ideas

1.5 Too Many desk bound ‘Middle Managers’ who just talk day after day – to think of “OUT-OF-BOX” Ideas

1.6 Too Many “Think Tanks and Quango’s” Who have ‘probably’ not done a proper days work in their life

1.7 Hospitals are JUST 4 WALLS – TOO MANY PEOPLE IN ONE PLACE – people will get in each others way

1.8 People get ill 24 hours per day. 7 days per week – How many hours do the NHS services run ?

.

IDEAS IN THE COMMUNITY:

.

2.1 BUILD IN THE COMMUNITY – NHS & SOCIAL SERVICES CENTRES

• Join NHS LOCAL HUBS:- GPs – Chemists – Minor A&E – Social Services (One Building or Shop Front For All)
• Join LOCAL HUBS:- Advice Centres – Charities – Food Banks – Job Help (One Building or Shop Front For All)

.

2.2 BRING THE SOCIAL CARE SERVICES TO THE HEART OF THE COMMUNITY

At Present Social Services are office based or on the road seeing people in their home, maybe 4-8 people per day

• Move “Social Care Service offices” into the Local Town Centre Hub with GPs and Social Services
• Able bodied people could go to the Community Hub. 16 – 21 people per day could be seen and helped
• Social Care Service costs would be drastically reduced – less care workers driving from person to person

IDEAS AT HOSPITALS:

.

3.1 Process “MINOR” A&E CASES IN A (Stand-alone) PORTACABIN

• Minor A&E or Frailty Units for older people could be seen in a PORTACABIN away from the main hospital
• Portacabins, are “Factory Built” Built in a short time in comparison to brick built and much cheaper…
• Portacabins, being factory built can be built by semi-skilled or unskilled people

.

3.2 Process MAJOR  A&E  Cases Direct into the Hospital (front door)

• Major issues, accidents and ambulance cases should go through the (front door)

.

3.3 Discharge Patients from a PORTACABIN (stand-alone Discharge Suit – back door)

• Discharging people could be done via a ‘discharge suit’ in a PORTACABIN away from the main hospital
• Discharging people from outside the main hospital will eliminate bottlenecks

THE BENEFITS:

.

• 4.1 Improved Process
• 4.2 Reduced Bottlenecks
• 4.3 Reduced NHS Costs
• 4.4 Offers a Better Service
• 4.5 Increased  A&E  patient throughput
• 4.6 Reduced   A&E  patient  waiting  time
• 4.7 Reduced staff stress and absenteeism
• 4.8 Reduced pressure on social service staff
• 4.9 Eased pressures on the hospital services
• 4.10 Eased pressures on Emergency services
• 4.11 Eased pressures on Government departments
• 4.12 Reduced NHS Costs For Councils and Government…

• 5.1 A vision without action is just a day dream…
• 5.2 Action without a vision just passes the “time of day”…
• 5.3 A vision with action will turn a problem into cash-in-the-bank…

HELP FOR PEOPLE WITH DISABILITIES BACK INTO WORK

.

Re-Instate The REMPLOY Employment Idea

REMPLOY Was opened in 1946 to help people with disabilities, providing paid and sheltered employment for life

REMPLOY was finally closed down in 2024 – Hundreds, NOW don’t have a job – NOW claiming disability allowance

.

SO: RE-INSTATE REMPLOY

• People with disabilities would manufacture a product that could be sold – The centre would be self funding
• People would make friends – feel part of the community – earn real money – Less of a burden on the NHS

.

LETS BUILD OUR WAY OUT CRISIS and REDUCE COSTS AS WELL

• 

• 

DRIVE CHANGE THROUGH INNOVATION – IN THE COMMUNITY