Do you have any research or data to back up this claim? Is it really a good idea to sack people like this? What about things like training? or coaching? or other development approaches?
How do you know the pencil marks are from four years ago?
Do you have any research or data to back up this claim? Is it really a good idea to sack people like this? What about things like training? or coaching? or other development approaches?The good thing about private sector, people that are not good at the job they do generally get sacked.
How do you know the pencil marks are from four years ago?One example was in the shower area. The builders pencil marks from four years ago where still on the wall. I counted eight lines in total. Why is the cleaners not sacked?
How does she know what they said?There was an article in the English press today about a lady of 108 years being told she had to wait 18 months for an upgrade of her hearing aid!
Would it also depend on the individual hospital(s) you go to? Not the whole Irish Health Dept. overall?I agree with Purple - I don't think we have the worst health system in the world and you can't pay nothing but have everything - I have VHI and all my experiences to date in Ireland have been fine
There was an article in the English press today about a lady of 108 years being told she had to wait 18 months for an upgrade of her hearing aid!
Probably upgraded her hearing aid to tell her, then downgraded again.How does she know what they said?
How does she know what they said?
There is huge waste but there is huge waste in every public health system.
I am in favour of a public health insurance system where hospitals are paid a fee based on the procedure that the carry out or the ailment that they treat. That way both private and public patients would be a source of revenue for the hospitals. At the moment only private patients are a source of revenue whereas public patients are a drain on resources.Do you think a privately owned and operated health system with universal health insurance would be more efficient?
I am in favour of a public health insurance system where hospitals are paid a fee based on the procedure that the carry out or the ailment that they treat. That way both private and public patients would be a source of revenue for the hospitals. At the moment only private patients are a source of revenue whereas public patients are a drain on resources.
Both the PD's and the Labour party have voiced their support of this sort of system in the past so I don't see it as an ideological issue.
I don't have any objection in principle to all hospitals being private, that's not important as long as the HSE can licence the way they are run and audit them effectively to make sure that the rules are followed. Whatever system we have is will need to be regulated by the HSE or some branch of government. That's the theory but in practice we could not pull it off so we should stick with what we have. If and when the state becomes able to regulate a public service that is delivered by the private sector then things can and should change but I think that is a long way off.
I'm not so sure that you can commoditise health services in this way. What happens when a particular patient needs 5-days instead of the 3-day agreed fee? Will the accountants be discharging the patients?I am in favour of a public health insurance system where hospitals are paid a fee based on the procedure that the carry out or the ailment that they treat.
No, the accountants will not be discharging the patients. That's not what happens in other countries that use a reimbursement system. I'm surprised that you didn't know that. I do not know the mechanics of how the system should work here but I support the idea that private patients are treated as a source of income for hospitals, not a drain on resources.What happens when a particular patient needs 5-days instead of the 3-day agreed fee? Will the accountants be discharging the patients?
The same way you set the fee now in the private wings of our mental health hospitals. It's been done for decades.What happens when the patient has a mental health condition? How do you set a fee for treating depression, or schizophrenia?
I'm not suggesting that we go down the UK route. Why did you think that?Hi Purple. All well and good so long as people recognise that when you go down the route you swiftly encounter the problems the UK system is now experiencing with the future health of the nation mortgaged to PPP's (public-private partnerships) and taxpayers' money already in the coffers of private equity.
Auditing is carried out across many sectors and industries. The FDA in the USA probably the most famous body that sets standards and enforces them through auditing. The FDA carry out hundreds if not thousands of audits in this country every year.There are also difficulties with concepts like 'audit', 'clinical governance' and 'evidence based practice'. Who audits the auditors? These are usually government quangos. From experience I can confirm the 'evidence based practice' is a euphemism for cost-cutting and implementation of politicial decisions at local level. The UK now has a quango called (ironically!) NICE (National Institute for Clinical Excellence) which decides what treatments will be available from all possible treatments and rations them out, deciding who will receive them.
I agree.The problem is - there is no utopia. Without objective deep analysis of current systems any replacement for them will contain the same - or worse - elements.
I also agreeThere is definitely a 'two-tier' system in operation which ironically may lead to a reinstatement of the old "Union" system for the have-nots.
To be honest, I'd suggest that firmer, independent evidence would be required before any policy decisions could be based on this approach. The only people that I know personally who got MRSA were in private hospitals, but I wouldn't attempt to draw definite conclusions from this anecdotal experience.Private hospitals are far less tolarent of unprofessional behavour and poor attitudes and work ethics than most public hospitals, I have a number of firends that are nurses. It has been their personal experiences of the above.
I asked two members of staff when the new build had been completed and if any further refubishment works had been carried out.
To be honest, I'd suggest that firmer, independent evidence would be required before any policy decisions could be based on this approach. The only people that I know personally who got MRSA were in private hospitals, but I wouldn't attempt to draw definite conclusions from this anecdotal experience.
Flimsy, at best.
Because you suggested "where hospitals are paid a fee based on the procedure that the carry ou"Why do you think there would be a three day agreed fee for a procedure?
Fair enough. AFAIK the way the system works in Germany is that if this happens the hospital will loose money on that particular procedure but over a year it should balance out.Because you suggested "where hospitals are paid a fee based on the procedure that the carry ou"
To be honest, I'd suggest that firmer, independent evidence would be required before any policy decisions could be based on this approach. The only people that I know personally who got MRSA were in private hospitals, but I wouldn't attempt to draw definite conclusions from this anecdotal experience.
Flimsy, at best.
So what's you suggestion on how to fix it?My personal experience and those of people that I know, is that MRSA is very common, and people I know died from it. My opinion of the hospitals I've seen is that they are poorly cleaned, and audits are in the main paper exercises that are not carried through on the ground. The standard of caring is poor unless you happen to get the "right" person working. Everyone seems to do things to cover themselves from a legal point of view, and if patient care suffers so be it seems to be the attitude.
The Irish health service is in dysmal state in my opinion. Its badly managed and run. Thats from the Govt down to the lowest level. Huge budgets and money is wasted at every turn and yet patients are suffering from low resourcing.
accountablilty
Bring in accountablilty.
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