I served for fourteen years in the RAMC. How long did you serve and which units? I served in NI, Germany, Falklands and very very briefly in Gulf I. (With a few weeks in Nepal, Hong Kong and Belize.).
Eg having to employ people to be bed unblockers. Because the number of beds have been cut to the point where there's little-to-no spare capacity or wriggle room.
I once turned up for what I thought was a gynae appointment follow-up after ultrasound for fibroids.
Was talking to my EMT friend today, who was complaining that 101 were sending them to any patient who mentioned chest pains or difficulty breathing. Almost all of them were actually stuff like muscle twinges while doing physio, or had a cold. Which, of course, were technically chest pains and breathing difficulties respectively.
the evidence base showing that the Military hospitals were dangerous is clearly there for anyone who actually looks. Same as the evidence base for MTCs is clear and was well known ( and why ATLS / BATLs was invented )
www.ncbi.nlm.nih.gov
I assume you mean 111 as 101 is the Police None -emergency Number
It's not that we cannot.
we absolutely can it;s just that the government refuses to fund and commission it properly
I guess I do mean 111, yes
the call taker asks the questions that Pathways pops up based on the answers givenI guess I do mean 111, yes
Not entirely sure I follow the rest, though. Are you saying that the operator can't set a call as Cat1/2, Pathways does that?
If I've understood your last part, it's possible I wasn't clear the first time. My assumption is that if there were more clinicians available, then more calls could be handed over to them like mine was, so an ambulance doesn't have to attend.
Oh, or is the issue that a caller would have to explicitly reject the ambulance, like I did, for a clinician to even be brought into the situation in the first place?
How is that report a bad reflection on military medical services? It reads as good to me, the main negatives being disrepair of facilities which is also common in the NHS.the evidence base showing that the Military hospitals were dangerous is clearly there for anyone who actually looks. Same as the evidence base for MTCs is clear and was well known ( and why ATLS / BATLs was invented )
the fact you ignore the evidence base and clearly obvious inability of the BMHs to generate needed pers without significant Reserve mobilisation even for Gulf 1 is also well documetned
Funny how you think Duration of service gives more insight rather than your Education and Experienced as a Health Care Professional
oh yes, I forget that Clinical governance and evidence base are a dirty words to those in the RAMC who don't have GMC registration
Personal reflections on the inspections of the Defence Medical Services by the Healthcare Commission and Care Quality Commission
The Defence Medical Services (DMS) have been inspected by the Healthcare Commission and by the Care Quality Commission. Both inspections reported a mixed picture: high quality in some areas, particularly those concerned with operational casualties, but ...
So we can't because there aren't the resources.
Because the resources are not appropriately directed.So we can't because there aren't the resources.
Of course we fucking can't....Obviously their are reasons why
that was 15 years after the move to proper clinical governance and the MDHUs being integrated with NHS providers .How is that report a bad reflection on military medical services? It reads as good to me, the main negatives being disrepair of facilities which is also common in the NHS.
the money is there if they wanted ot spend it ...So we can't because there aren't the resources.
I never claimed to be knowledgeable about the military medical services, I was simply replying to the article you posted. So you can stick your 'malicious' comment where the sun don't shine.
And which budget do you take this money from to fund it?
you seem to be missing any context and understanding of the piece in question and what it actually says...I never claimed to be knowledgeable about the military medical services, I was simply replying to the article you posted. So you can stick your 'malicious' comment where the sun don't shine.
What was the point of posting a link to something 15 years after what you were complaining about?
Elton John's outside catering budget.And which budget do you take this money from to fund it?
And which budget do you take this money from to fund it?
Don't think so, that article was pretty clear in that most of the outcomes were positive.
He's given up touring and the claim was "fund it from existing money" at least that's how it reads. Implementing new taxes isn't using existing money.
I didn't realise Elton had given up touring. So, I have to admit the NHS is just irredeemably fucked, then.He's given up touring and the claim was "fund it from existing money" at least that's how it reads. Implementing new taxes isn't using existing money.
the genuine waste we see when once again Donors pockkets are lined for providing utter shite which is not fit for purpose, other donors being paid to store it for years on end and a third set of donoros making profit off scrapping / reselling itAnd which budget do you take this money from to fund it?
COVID PPE? What's that got to do with the military in the '90's?
Do you play football in a fairground with the goalposts mounted on a carousel? Because your goalposts move as much?
you really don't have the slightest clue do youCOVID PPE? What's that got to do with the military in the '90's?
The government spends £26.9billion on social care and lost £8billion on PPE. Not sure that would make that much difference.
Do you play football in a fairground with the goalposts mounted on a carousel? Because your goalposts move as much?
