31.6 hours in SpainThe standard working week in Italy is 40 hours.
No it isn’t, it’s 40. Mandated in Spanish law. The current government wants it reduced to 37.5 for a better work life balance and more inline with Scandinavian countries.31.6 hours in Spain
Fucking slackers!
Italy, France and Spain are about 2.5 years longer than us and among the world top 10-15. We’re around 40th
It’s portion sizes rather than carbs that are the problem, IMO - unless we’re talking stuff like processed bread.
Massively increasing the defence budget while capping child benefit and stopping the winter fuel allowance and cutting welfare payments is totally immoral.
Who the fuck prioritises bombs and bullets over caring for those in need???
We dont need to pay more tax, we need to prioritise spending where it's needed. And stop throwing billions away on BS projects.
Absolute fantasy. We’ve had 14 years of cuts and cancellations and are no further forward. Ultimately you get what you pay for and people cost more over their lives than they used to, you can cry and scream and kick your feet all you like but people will keep getting older. And if they don’t something has gone seriously wrong.
We should get rid of the police in case they actually get crime rates down and then aren't needed.
The practice has the list, not the individual doctor. This has been the case forever. The reason you can't see the same doctor every time is that demand is higher. The number of appointments in the latest data is 17% higher than just six years ago with GP FTEs at best flat.Yep, nothing to do with the poor doctors prescribing, or the unhealthy, lazy individual, or the BMA that negotiated the mess of the GP contracts under Blair. Where’s the responsibility or accountability ???
I read this recently
‘90 per cent of surgeries have now abolished the old “list” system, in which each GP was dedicated to their own list of patients. The BMA thought this change was a great triumph of negotiation but it has turned out to be a disastrous mistake.
A study of more than four million patients in Norway found that people who see the same GP regularly are 28 per cent less likely to go to hospital and 25 per cent less likely to die. If a doctor knows you and your family, they are far less likely to get a diagnosis wrong. The best way to keep us healthy and out of hospital is if someone has responsibility to make that happen. But if patients become like anonymous call centre customers, the reverse is true’
ps i do also find the pushing of prescriptions drugs for everything pretty disgraceful. The final call is the doctors though
Zero sense madeAbsolute fantasy. We’ve had 14 years of cuts and cancellations and are no further forward. Ultimately you get what you pay for and people cost more over their lives than they used to, you can cry and scream and kick your feet all you like but people will keep getting older. And if they don’t something has gone seriously wrong.
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The practice has the list, not the individual doctor. This has been the case forever. The reason you can't see the same doctor every time is that demand is higher. The number of appointments in the latest data is 17% higher than just six years ago with GP FTEs at best flat.
My Dad hit mid 70s and was at the doctors / hospital at least once a week. He's now into his 4th year in a care home, which despite me paying 4 figures every month must be costing the NHS hundreds of thousands because we won't have a sensible conversation about right to die.Once again I feel I have to remind people which demographic is the main driver of increased healthcare costs as well as benefits costs and it’s not working age people.
Part of me wonders if the older generation like going to the doctors as its some sort of social contact.My Dad hit mid 70s and was at the doctors / hospital at least once a week. He's now into his 4th year in a care home, which despite me paying 4 figures every month must be costing the NHS hundreds of thousands because we won't have a sensible conversation about right to die.
My Mum is 'healthy' but is regularly at the doctors.
I have several health issues ongoing but probably access healthcare services less than either of them!
My Dad hit mid 70s and was at the doctors / hospital at least once a week. He's now into his 4th year in a care home, which despite me paying 4 figures every month must be costing the NHS hundreds of thousands because we won't have a sensible conversation about right to die.
My Mum is 'healthy' but is regularly at the doctors.
I have several health issues ongoing but probably access healthcare services less than either of them!
How long ago was the GP contract changed though, we can't keep blaming that decades on. Get something done about it. None of the proposals since to 'improve' care have involved undoing those changes.Yep, nothing to do with the poor doctors prescribing, or the unhealthy, lazy individual, or the BMA that negotiated the mess of the GP contracts under Blair. Where’s the responsibility or accountability ???
I read this recently
‘90 per cent of surgeries have now abolished the old “list” system, in which each GP was dedicated to their own list of patients. The BMA thought this change was a great triumph of negotiation but it has turned out to be a disastrous mistake.
A study of more than four million patients in Norway found that people who see the same GP regularly are 28 per cent less likely to go to hospital and 25 per cent less likely to die. If a doctor knows you and your family, they are far less likely to get a diagnosis wrong. The best way to keep us healthy and out of hospital is if someone has responsibility to make that happen. But if patients become like anonymous call centre customers, the reverse is true’
ps i do also find the pushing of prescriptions drugs for everything pretty disgraceful. The final call is the doctors though
When I ended up in A&E for 3 days they were saying this is a huge problem. The % of people they are dealing with who are either lonely old, or not even old, people who just want company, people with addiction or mental health issues who would have in the past been dealt with by now closed down specialist services, or homeless people with nowhere else to go.Part of me wonders if the older generation like going to the doctors as its some sort of social contact.
When I ended up in A&E for 3 days they were saying this is a huge problem. The % of people they are dealing with who are either lonely old, or not even old, people who just want company, people with addiction or mental health issues who would have in the past been dealt with by now closed down specialist services, or homeless people with nowhere else to go.
Then add in all the people that turn up because they can't get a GP appointment.
I’ve only been to A&E once recently but I couldn’t believe how lax it was. Anyone could just turn up and sit there for however long they wanted. Two receptionists, and the rest of the doctors and nurses just hidden away. Was there for 9 hours.People should just be chucked out if they aren’t going for a reason
Loneliness is a growing social problem. Problem is there are so many varied causes.Part of me wonders if the older generation like going to the doctors as its some sort of social contact.
Social media, and the online environment is a major player for young people 30 and below I'd say.Loneliness is a growing social problem. Problem is there are so many varied causes.
ALso the GP "triage" system is tending to send people straight to hospital before they even see a GP.Then add in all the people that turn up because they can't get a GP appointment.
Can add in living longer past the retirement (often alone), smaller families (or even no kids), insufficient spaces in social care housing (exacerbated by dominance of private sector) just another few.Social media, and the online environment is a major player for young people 30 and below I'd say.
I'd be interested to know what the loneliness epidemic is like in other european countries.Can add in living longer past the retirement (often alone), smaller families (or even no kids), insufficient spaces in social care housing (exacerbated by dominance of private sector) just another few.
I can just WhatsApp my doctor to book an appointment, usually on the same day. I can also email for non-urgent medical questions and get a reply within a few days.How long ago was the GP contract changed though, we can't keep blaming that decades on. Get something done about it. None of the proposals since to 'improve' care have involved undoing those changes.
Don't think it's fundamentally an issue of not having the list and not seeing the GP. Its how piss poor they are at passing information between the various privately run parts of the NHS and the fact that if you do actually get to see a doctor they're rushing you out the door before you've sat down.
I've literally had the same appointment with the same GP at my surgery twice, pretty much word for word. I had the initial appointment and was, as usual, given a pill to pop and a follow up was scheduled. At the follow up he basically did the initial appointment again and prescribed me the same thing until I pointed out he'd already done that and this was the follow up. Despite it being the same GP he had no clue I already had the medication and he was supposed to be checking it was working. I've had numerous test results lost between the hospital and my GP 'they're on a different system', I've been prescribed meds, had a severe reaction and then a few months later been prescribed the same thing. The system is fucked.
Friends mrs is a doctor. She got head hunted to go and work in Norway. She couldn't believe the differences in approach. Her workload is tiny compared to what it is here. When she sees a patient she has 30 minutes and the onus is on wraparound care without just giving them a pill and telling them to go away.
I’ve only been to A&E once recently but I couldn’t believe how lax it was. Anyone could just turn up and sit there for however long they wanted. Two receptionists, and the rest of the doctors and nurses just hidden away. Was there for 9 hours.
a bloke was there waiting all day for pain killers for an infected tooth
When I was sat on the other side for 3 days because they didn’t really want to admit me to hospital but it also wasn’t safe to send me home it was plain to see the absolute chaos for being hugely under resourced for what they were being expected to do.I’ve only been to A&E once recently but I couldn’t believe how lax it was. Anyone could just turn up and sit there for however long they wanted. Two receptionists, and the rest of the doctors and nurses just hidden away. Was there for 9 hours.
a bloke was there waiting all day for pain killers for an infected tooth
I can just WhatsApp my doctor to book an appointment, usually on the same day. I can also email for non-urgent medical questions and get a reply within a few days.
Yes same. I can get an appointment same day, bare minimum is over the phone. Only issue i've ever had was when going into hospital.So can I if I want to unless I want a specific doctor. I’m sure some on here live in another country to me.
Part of me wonders if the older generation like going to the doctors as its some sort of social contact.
At a bare minimum there should be a cost aspect to not attending.People of all ages seem to go for stupid reasons. Also no shows are an issue.
Appointments should be charged and 3 no shows and struck off the register
Yeah there are always piss takersI’ve only been to A&E once recently but I couldn’t believe how lax it was. Anyone could just turn up and sit there for however long they wanted. Two receptionists, and the rest of the doctors and nurses just hidden away. Was there for 9 hours.
a bloke was there waiting all day for pain killers for an infected tooth
I've been and waited about 15 minutes for an old woman to come out. She was telling everybody who would listen about a bruise on her hand. She was in with the doctor for ages about it.Part of me wonders if the older generation like going to the doctors as its some sort of social contact.
Yep exactly my experience of recent GP appointments.I've been and waited about 15 minutes for an old woman to come out. She was telling everybody who would listen about a bruise on her hand. She was in with the doctor for ages about it.
Yeah it was the same for me when I last lived there. I could just turn up at 8am and sit and wait.So can I if I want to unless I want a specific doctor. I’m sure some on here live in another country to me.
I can't, you have to join a phone queue at 8.So can I if I want to unless I want a specific doctor. I’m sure some on here live in another country to me.
I have to do the 8am ring. I might get an appointment at my surgery, I might get an appointment at another surgery run by the same group on the other side of the city, I might get a phone appointment or I might get told there’s no more appointments for the day and to try again tomorrow.Yes same. I can get an appointment same day, bare minimum is over the phone. Only issue i've ever had was when going into hospital.
My GP has my number too.
I'm amazed how much the efficiency varies from surgery to surgery.
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