I cannot let the 70th anniversary of this nation’s National Health Service pass without some comment.
We are extremely lucky to have it and it is one of the remaining things which make it good to be British.
I’ve always known that but it is only during the past five years, when I had a serious health problem for the first time in a life during which I hardly ever had to consult a doctor, that I really appreciated how lucky we are.
Extraordinary people
It’s not just the service itself but the people working in it. I’ve been in hospital a few times during the past few years, first to A&E, then three times for surgery, and now frequent visits both to our local medical centre, four hospitals and one other specialist clinic. Scans in what could be terrifying machines seen before only in SciFi movies, things inserted where I never had imagined things could be inserted; I even overcame my fear of the needle, so much so that the quarterly stab in the stomach with what one nurse told me was more like a screwdriver (I’ve never dared to look) has become a relaxed jolly chat. One gave me a sticker declaring ‘I’ve been brave today’; it’s still proudly displayed in the campervan.
General anaesthetic
I learned that having a general anaesthetic was a surreal experience not to be missed unless necessary on medical grounds; on the other hand observing my ward bedfellows it was clear that epidurals were to be avoided. Another surreal experience was looking at my internal mechanics thanks to one of those devices inserted where I never dreamed I would allow.
The staff during every visit, on every phone call, receptionists, doctors, surgeons, nurses, nursing assistants, phlebotomists, cleaners, people bringing food and drink, volunteers bringing newspapers and sweets, medical secretaries – all were simply wonderful. They made the inevitable pain on some occasions not only bearable but forgettable.
Nurses at work
I’m so glad I had the opportunity during stays in hospital to observe nurses at work. Always clearly overworked and subject to bureaucracies which, as a former senior manager, horrified me – clearly designed to protect the institution from possible litigation rather than to protect the patient – were cheerfully overcome for the patient. So much so, I referred to my stays as more akin to a holiday camp than a medical institution. I experienced both private rooms in a private hospital, paid for by the NHS, and six bed wards in an NHS hospital. The first was superb but I preferred the companionship in the six bed ward. There was no difference to the care.
Junior doctors
I was proud to join a picket line of ‘junior doctors’ (a silly terminology – they are often skilled, experienced, well-qualified doctors). Talking to them it was clear that their first concern was not pay, but the danger that the present Government was selling out the NHS to private, profit-making interests.
Of course there are enormous problems to be overcome if the NHS is to continue to provide the outstanding care it does, not least the aging population helped to live considerably longer lives. Yes, some of the inefficiencies not in the control of the medical staff could be cut out but the amounts of money required will still be tremendous. I know that I’m not alone in saying that if a specific tax were introduced to provide extra money to the NHS I would not object. I’m certainly among the majority sick to death of the politics of both left and right preventing an acceptable solution.
Priorities
Then there’s the matter of priorities. When I was writing as a journalist in Romania I published a feature on what I called the ‘disease of poverty’ – tuberculosis. The director of a hospital I interviewed told me that if he had the money being poured into heart transplants – benefitting tens of people – he could eradicate tuberculosis, benefitting not tens, but tens of thousands.
So, on your 70th birthday, thank you NHS. May whatever or whoever protect you from the politicians and big business and, the usual Romanian birthday greeting: La Mulți Ani! – to many (more) years.
July 18, 2018 at 3:13 pm
Totally agree with your assesment of the NHS and especially the nurses. I have a blog especially about the NHS and its capture by bad management. See https://wordpress.com/post/jcashbyblog.wordpress.com/75
July 7, 2018 at 10:13 pm
I can only dream of smiling, professional and wonderful staff here in LV! Maybe there are few, but others are grumpy and rude! I hope I won’t need them ever again!
July 6, 2018 at 11:05 pm
Thanks for the considerations into what we do. You mentioned some very apt and insightful observations. Fear, litigation and just overwhelming workload is inherent. Alongside this is the love for the job. ‘Wanting to help people’ is not why nurses train to join the NHS. We join because the challenge of knowledge and application to enhance well being and holistic outcomes is vital. My daily practice is to think of peoples’ total lifestyle. How they are to continue. We have the holistic principle. Biological, psychological and sociological. Balance basically. People survive and realise ongoing improvement or acceptance of limitations by these main factors. Talking to people (notice I use ‘people’ and ‘not patients’) is a vital component of health matters. Sharing the rehab future. It’s like sitting around on a balmy evening in a relaxed state talking to your kith and kin. All seems like there is positive aspects in the air. Or. Sitting and really challenging the problems ahead and providing a support system that rejects and brings reality to tackling the negatives. Trouble is. Families need to be more involved. We find families want us to pick up the reins….totally. Thanks for the thoughtful blog.
July 5, 2018 at 10:55 pm
Last winter, when the newspapers screamed that the NHS was failing in A&E, we needed to go to Reading A&E late on a Saturday night with our 17 year old son — the late night GP suspected the lad had testicular torsion. We were seen quickly by the relevant surgeon, and our visit took only 45 minutes. Every member of staff we encountered was smiling, professional and absolutely wonderful.