Coughs, colds, a sick note and even headlice are costing Bolton's A&E £850,000 a year

Coughs, colds, a sick not and even headlice are costing Bolton's A&E £850,000 a year

Coughs, colds, a sick not and even headlice are costing Bolton's A&E £850,000 a year

First published in News
Last updated
The Bolton News: Photograph of the Author by , health reporter

PATIENTS visiting Bolton’s A&E with coughs, cold and even headlice are costing the NHS locally up to £850,000 a year.

Health chiefs say more than 13,680 people who attended the Royal Bolton’s emergency department in 2013/14 could have been treated by a GP or pharmacist.

The figures come after a study from the College of Emergency Medicine found 15 per cent of people who attend A&E departments across the UK — about 2.1 million people — could have been dealt with by an alternative to emergency care.

In Bolton, 15 per cent of all A&E attendances equates to about £850,000 of NHS money a year.

A child with headlice, a request for a sicknote and problems with lower back pain are just some of the issues people arrived at the Royal Bolton Hospital’s casualty department with last year.

A&E departments — the most expensive part of hospitals — are said to be struggling with a shortage in specialist doctors, the rising numbers of people attending centres and a lack of alternatives to emergency care.

The Bolton Clinical Commissioning Group (CCG) launched a campaign last year to stop the swathes of people visiting A&E during bank holidays.

Dr Barry Silvert, clinical director for integrated commissioning at Bolton CCG, said: “These new figures from the College of Emergency Medicine illustrate that many patients are still using A&E departments inappropriately.

“We have done well in Bolton over recent months with fewer people going to A&E with minor illnesses and injuries — this is on the back of our successful awareness raising campaign which has informed people of the alternatives to A&E for people with minor illness, including choosing self-care or to see a pharmacist.

“However, we know that many people still using A&E should not be there so this remains a real problem for our local health economy.”

Minor attendances at Bolton’s A&E are said to have fallen by 6.3 per cent since August but health chiefs say there needs to be better access to primary care.

Dr Silvert added: “The CCG is working with the foundation trust, the council, and Bolton GPs to improve health services so that they better reflect the needs of Bolton people. This includes making health and social care more joined up and improving access to primary care.”

In November last year Sir Bruce Keogh, former NHS medical director, endorsed the closure of A&E departments and called for more care to be provided closer to home.

Yet doctors at the College of Emergency Medicine also pointed out that the findings showed 85 per cent of people going to A&E did need emergency care.

Dr Clifford Mann, president of the college, said: "[But] the fact that only 15 per cent of attendees at emergency departments could be safely redirected to a primary care clinician without the need for emergency department assessment is a statistic that must be heeded by those who wish to reconfigure services.

“Providing a more appropriate resource for the 2.1 million patients represented by this figure would substantially decongest emergency departments.”

Comments (32)

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8:20am Tue 10 Jun 14

oftbewildered2 says...

I am puzzled as to how far 'in' these non urgent cases get before they are turned away and told to see their GP. I would have hoped that they would be 'triaged' at Reception - but I suppose some sort of paperwork has to be done anyway. Pity.
I am puzzled as to how far 'in' these non urgent cases get before they are turned away and told to see their GP. I would have hoped that they would be 'triaged' at Reception - but I suppose some sort of paperwork has to be done anyway. Pity. oftbewildered2
  • Score: 15

8:48am Tue 10 Jun 14

MrUpton says...

I'm Sorry , but signs of a cough or cold COULD COST A BABY IT's life................
........ if it turns out to be meningitis !!!!!!!!!!!!!!!!!!!!
!!!!!!!!!!!!!!!!

Not all parents can diagnose this at first sight.

But isn't this a case of 111 and NHS helpline taking precautions?

Blame yourself not worried parents.
I'm Sorry , but signs of a cough or cold COULD COST A BABY IT's life................ ........ if it turns out to be meningitis !!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!! Not all parents can diagnose this at first sight. But isn't this a case of 111 and NHS helpline taking precautions? Blame yourself not worried parents. MrUpton
  • Score: -36

9:03am Tue 10 Jun 14

soup153 says...

That's just **** education.
That's just **** education. soup153
  • Score: 0

9:06am Tue 10 Jun 14

mollymalone86 says...

Where do you expect people to go Dr Silvert? You've shut the walk in centre and made the OOH service dam near impossible to get an appointment unless it's an emergency. The last time I phoned my GP to get an appointment I was told the next one was in 5 days!!! I had tonsillitis; do you really think I should sit at home with pus covered tonsils for 5 days? It is your services that need to change.
Where do you expect people to go Dr Silvert? You've shut the walk in centre and made the OOH service dam near impossible to get an appointment unless it's an emergency. The last time I phoned my GP to get an appointment I was told the next one was in 5 days!!! I had tonsillitis; do you really think I should sit at home with pus covered tonsils for 5 days? It is your services that need to change. mollymalone86
  • Score: 28

10:01am Tue 10 Jun 14

Jim271 says...

Last time I was ill with back pain I had to wait 10 days to see my GP.

when I did get to see my GP I was the only one speaking English.

More immigrants taking everything and contributing nothing
Last time I was ill with back pain I had to wait 10 days to see my GP. when I did get to see my GP I was the only one speaking English. More immigrants taking everything and contributing nothing Jim271
  • Score: -13

11:14am Tue 10 Jun 14

jimiley says...

Always thought that if larger pharmacies had a permanent (or visiting) nurse, who could prescribe, attached to them for instant consultations (and who could spot serious cases and give a fast-track card to doctors/A+E) would take an awful lot of pressure off doctors and A+E.

Seeing as the walk-in centres have disappeared, I think this would be a great option.
Always thought that if larger pharmacies had a permanent (or visiting) nurse, who could prescribe, attached to them for instant consultations (and who could spot serious cases and give a fast-track card to doctors/A+E) would take an awful lot of pressure off doctors and A+E. Seeing as the walk-in centres have disappeared, I think this would be a great option. jimiley
  • Score: 18

11:26am Tue 10 Jun 14

bluemeanie63 says...

maybe people wouldnt attend the hospital if they could get a doctors appointment, i and my wife rang our doctors the other week and we were told that it would be the following week before either of us got appointments to see the doctor.
fortunatly, as we where both down with the same flu type virus, we went to chemist and dosed ourselves up with meds, rather than attend the a and e.
maybe people wouldnt attend the hospital if they could get a doctors appointment, i and my wife rang our doctors the other week and we were told that it would be the following week before either of us got appointments to see the doctor. fortunatly, as we where both down with the same flu type virus, we went to chemist and dosed ourselves up with meds, rather than attend the a and e. bluemeanie63
  • Score: 13

12:12pm Tue 10 Jun 14

Boltonresident2012 says...

bluemeanie63 wrote:
maybe people wouldnt attend the hospital if they could get a doctors appointment, i and my wife rang our doctors the other week and we were told that it would be the following week before either of us got appointments to see the doctor.
fortunatly, as we where both down with the same flu type virus, we went to chemist and dosed ourselves up with meds, rather than attend the a and e.
With flu, all the dr could have done would be to advise paracetamol, fluids, rest etc etc
It wouldn't have been any use seeing the dr - they don't like to prescribe
anti biotics as flu is a virus and anti biotics would be less effective if really needed at some stage.
[quote][p][bold]bluemeanie63[/bold] wrote: maybe people wouldnt attend the hospital if they could get a doctors appointment, i and my wife rang our doctors the other week and we were told that it would be the following week before either of us got appointments to see the doctor. fortunatly, as we where both down with the same flu type virus, we went to chemist and dosed ourselves up with meds, rather than attend the a and e.[/p][/quote]With flu, all the dr could have done would be to advise paracetamol, fluids, rest etc etc It wouldn't have been any use seeing the dr - they don't like to prescribe anti biotics as flu is a virus and anti biotics would be less effective if really needed at some stage. Boltonresident2012
  • Score: 17

12:14pm Tue 10 Jun 14

Boltonresident2012 says...

Bring back the walk in centres - handy for nipping in and out, not taking up dr's/hosp time for non critical issues!
Bring back the walk in centres - handy for nipping in and out, not taking up dr's/hosp time for non critical issues! Boltonresident2012
  • Score: 20

12:24pm Tue 10 Jun 14

boltonnut says...

I think 850,000 is a small price to pay to ensure the health of the community when you consider the amount of money wasted on things like "do we or don't we build a smoking shelter?" or hiring outside consultant to figure out the problems at R.B.H.If two or three of the MANY executives at R.B.H.were let go then there would be lots of money to safeguard the public.
I think 850,000 is a small price to pay to ensure the health of the community when you consider the amount of money wasted on things like "do we or don't we build a smoking shelter?" or hiring outside consultant to figure out the problems at R.B.H.If two or three of the MANY executives at R.B.H.were let go then there would be lots of money to safeguard the public. boltonnut
  • Score: 2

12:59pm Tue 10 Jun 14

B.met77 says...

Jim271 wrote:
Last time I was ill with back pain I had to wait 10 days to see my GP. when I did get to see my GP I was the only one speaking English. More immigrants taking everything and contributing nothing
contributing nothing ?? I dont think working as a GP is "contributing nothing". Stupid comment.

In terms of the services provided, I understand making an appointment can involve a ridiculous wait and therefore people are resorting to A & E in its place. In addition, people tipping up to A & E for minor things are exhausting the NHS. In an ideal world, services like the walk in centre need to be restored and people must get it into their heads not to bother the hospital with trivial health complaints that can be self medicated.
[quote][p][bold]Jim271[/bold] wrote: Last time I was ill with back pain I had to wait 10 days to see my GP. when I did get to see my GP I was the only one speaking English. More immigrants taking everything and contributing nothing[/p][/quote]contributing nothing ?? I dont think working as a GP is "contributing nothing". Stupid comment. In terms of the services provided, I understand making an appointment can involve a ridiculous wait and therefore people are resorting to A & E in its place. In addition, people tipping up to A & E for minor things are exhausting the NHS. In an ideal world, services like the walk in centre need to be restored and people must get it into their heads not to bother the hospital with trivial health complaints that can be self medicated. B.met77
  • Score: 12

1:03pm Tue 10 Jun 14

Jim271 says...

B.met77 wrote:
Jim271 wrote:
Last time I was ill with back pain I had to wait 10 days to see my GP. when I did get to see my GP I was the only one speaking English. More immigrants taking everything and contributing nothing
contributing nothing ?? I dont think working as a GP is "contributing nothing". Stupid comment.

In terms of the services provided, I understand making an appointment can involve a ridiculous wait and therefore people are resorting to A & E in its place. In addition, people tipping up to A & E for minor things are exhausting the NHS. In an ideal world, services like the walk in centre need to be restored and people must get it into their heads not to bother the hospital with trivial health complaints that can be self medicated.
I mean the people waiting were all immigrants, one was even demanding to be seen straight away because she was 3 hours late,

Soft touch Britian
[quote][p][bold]B.met77[/bold] wrote: [quote][p][bold]Jim271[/bold] wrote: Last time I was ill with back pain I had to wait 10 days to see my GP. when I did get to see my GP I was the only one speaking English. More immigrants taking everything and contributing nothing[/p][/quote]contributing nothing ?? I dont think working as a GP is "contributing nothing". Stupid comment. In terms of the services provided, I understand making an appointment can involve a ridiculous wait and therefore people are resorting to A & E in its place. In addition, people tipping up to A & E for minor things are exhausting the NHS. In an ideal world, services like the walk in centre need to be restored and people must get it into their heads not to bother the hospital with trivial health complaints that can be self medicated.[/p][/quote]I mean the people waiting were all immigrants, one was even demanding to be seen straight away because she was 3 hours late, Soft touch Britian Jim271
  • Score: -5

1:10pm Tue 10 Jun 14

Harold 1 says...

Access to GPs is a major issue.Despite the media portrayal as lazy fat cats the truth is radically different. I know most are overwhelmed by surrogate endpoint and target chasing which takes them away from face to face contact. This of course is part of the Tory plan to privatise primary care by promoting dissatisfaction amongst patients and doctors alike. I can speak with close knowledge of the situation via family and friends who are in the profession
Access to GPs is a major issue.Despite the media portrayal as lazy fat cats the truth is radically different. I know most are overwhelmed by surrogate endpoint and target chasing which takes them away from face to face contact. This of course is part of the Tory plan to privatise primary care by promoting dissatisfaction amongst patients and doctors alike. I can speak with close knowledge of the situation via family and friends who are in the profession Harold 1
  • Score: 2

2:22pm Tue 10 Jun 14

oohmygiddyaunt says...

This is from one of Rik Mayalls characters Alan B'Stard:

We hear an awful lot of leftie whingeing about NHS waiting lists. Well the answer's simple. Shut down the health service. Result? No more waiting lists. You see, in the good old days, you were poor, you got ill and you died. And yet these days people seem to think they've got some sort of God-given right to be cured. And what is the result of this sloppy socialist thinking? More poor people. In contrast, my policies would eradicate poor people, thereby eliminating poverty. And they say that we Conservatives have no heart. :-)
This is from one of Rik Mayalls characters Alan B'Stard: We hear an awful lot of leftie whingeing about NHS waiting lists. Well the answer's simple. Shut down the health service. Result? No more waiting lists. You see, in the good old days, you were poor, you got ill and you died. And yet these days people seem to think they've got some sort of God-given right to be cured. And what is the result of this sloppy socialist thinking? More poor people. In contrast, my policies would eradicate poor people, thereby eliminating poverty. And they say that we Conservatives have no heart. :-) oohmygiddyaunt
  • Score: 9

3:08pm Tue 10 Jun 14

geezer01 says...

Jim271 wrote:
Last time I was ill with back pain I had to wait 10 days to see my GP.

when I did get to see my GP I was the only one speaking English.

More immigrants taking everything and contributing nothing
Jimbob u little envious creature,bad back LOL.. Get up & get yourself a job first mr sicknote then criticise other people,you scum!Bye
[quote][p][bold]Jim271[/bold] wrote: Last time I was ill with back pain I had to wait 10 days to see my GP. when I did get to see my GP I was the only one speaking English. More immigrants taking everything and contributing nothing[/p][/quote]Jimbob u little envious creature,bad back LOL.. Get up & get yourself a job first mr sicknote then criticise other people,you scum!Bye geezer01
  • Score: 0

3:10pm Tue 10 Jun 14

temujin says...

The walk-in centre has been closed.

Because of the awful contract negotiated by the last Labour government, out of hours service by GPs is limited.

Result, surprise, surprise, is that people go to A&E.
The walk-in centre has been closed. Because of the awful contract negotiated by the last Labour government, out of hours service by GPs is limited. Result, surprise, surprise, is that people go to A&E. temujin
  • Score: 3

5:23pm Tue 10 Jun 14

Ernagy2 says...

It'll be worse if the hospital gets 'super' status. We will have them wigganers coming with their hangovers from Wiggin town centre.
It'll be worse if the hospital gets 'super' status. We will have them wigganers coming with their hangovers from Wiggin town centre. Ernagy2
  • Score: 5

5:46pm Tue 10 Jun 14

Gore Seer says...

What Is The Cost Of NHS Employees Sicky?.
What Is The Cost Of NHS Employees Sicky?. Gore Seer
  • Score: -6

6:20pm Tue 10 Jun 14

MrUpton says...

NHS bosses get £166 MILLION in bonuses - while nurses suffer 1% pay cut -- THAT TELLS YOU ALL YOU NEED TO KNOW ABOUT THE NHS
NHS bosses get £166 MILLION in bonuses - while nurses suffer 1% pay cut -- THAT TELLS YOU ALL YOU NEED TO KNOW ABOUT THE NHS MrUpton
  • Score: -22

7:22pm Tue 10 Jun 14

MrUpton says...

Score: -25
Score: -25 MrUpton
  • Score: -7

7:27pm Tue 10 Jun 14

Frotage says...

oohmygiddyaunt wrote:
This is from one of Rik Mayalls characters Alan B'Stard:

We hear an awful lot of leftie whingeing about NHS waiting lists. Well the answer's simple. Shut down the health service. Result? No more waiting lists. You see, in the good old days, you were poor, you got ill and you died. And yet these days people seem to think they've got some sort of God-given right to be cured. And what is the result of this sloppy socialist thinking? More poor people. In contrast, my policies would eradicate poor people, thereby eliminating poverty. And they say that we Conservatives have no heart. :-)
You can see what we are dealing with here 'oohmygiddyaunt' can't you? You quote a amusing piece of dialogue from a well written and very funny TV series and it gets the thumbs down by 3 people. The reason? you used the word 'conservative'.
[quote][p][bold]oohmygiddyaunt[/bold] wrote: This is from one of Rik Mayalls characters Alan B'Stard: We hear an awful lot of leftie whingeing about NHS waiting lists. Well the answer's simple. Shut down the health service. Result? No more waiting lists. You see, in the good old days, you were poor, you got ill and you died. And yet these days people seem to think they've got some sort of God-given right to be cured. And what is the result of this sloppy socialist thinking? More poor people. In contrast, my policies would eradicate poor people, thereby eliminating poverty. And they say that we Conservatives have no heart. :-)[/p][/quote]You can see what we are dealing with here 'oohmygiddyaunt' can't you? You quote a amusing piece of dialogue from a well written and very funny TV series and it gets the thumbs down by 3 people. The reason? you used the word 'conservative'. Frotage
  • Score: 3

8:30pm Tue 10 Jun 14

DeepBreath says...

bluemeanie63 wrote:
maybe people wouldnt attend the hospital if they could get a doctors appointment, i and my wife rang our doctors the other week and we were told that it would be the following week before either of us got appointments to see the doctor.
fortunatly, as we where both down with the same flu type virus, we went to chemist and dosed ourselves up with meds, rather than attend the a and e.
That's sort of the point though isn't it? That you didn't actually need to see a doctor because viral illnesses are by and large dealt with by your own body's immune system, and so seeing a doctor wherever you ended up would have added little more than your own plan of using the remedies from the pharmacy to deal with the symptoms.
[quote][p][bold]bluemeanie63[/bold] wrote: maybe people wouldnt attend the hospital if they could get a doctors appointment, i and my wife rang our doctors the other week and we were told that it would be the following week before either of us got appointments to see the doctor. fortunatly, as we where both down with the same flu type virus, we went to chemist and dosed ourselves up with meds, rather than attend the a and e.[/p][/quote]That's sort of the point though isn't it? That you didn't actually need to see a doctor because viral illnesses are by and large dealt with by your own body's immune system, and so seeing a doctor wherever you ended up would have added little more than your own plan of using the remedies from the pharmacy to deal with the symptoms. DeepBreath
  • Score: 1

8:45pm Tue 10 Jun 14

DeepBreath says...

The biggest problem is not about access to A&E, out of hours GPs or local GPs, but that many people don't seem willing to accept that the NHS is a limited resource. And so it cannot meet an unlimited demand.

In much poorer countries, people perform a kind of self-triage, and often try their own treatments, or often seeing if their own body will manage a condition by itself for a period of time. How many people have antibiotics for urinary tract infections, coughs or tonsillitis... Even though it would be unpleasant, for most otherwise healthy adults (not including most children or elderly people) the body's immune system would manage the infection itself in many cases.

In places where medical people and medicines just aren't in supply, people are forced to look after themselves. And if that doesn't work, they'll walk miles and wait for long times to see a doctor if these don't work. There is a much greater sense of self responsibility for health as a result. Spend any time in the A&E waiting room and you'll hear plenty talking as if the NHS is somehow responsible for all their ills.

I'm not sure people are really aware quite how close to collapse the NHS is, and when I'm feeling more fed up, I sort of wish it would just so those who abuse it could see how they'd fare under a private system. By then it would be too late. The NHS is far from perfect... But it's probably closer than most other health systems in terms of quality and equality of care.

Taking responsibility for our own health and using services appropriately and with a sense of responsibility to each other would actually both save the NHS and increase access for those who really needed it.
The biggest problem is not about access to A&E, out of hours GPs or local GPs, but that many people don't seem willing to accept that the NHS is a limited resource. And so it cannot meet an unlimited demand. In much poorer countries, people perform a kind of self-triage, and often try their own treatments, or often seeing if their own body will manage a condition by itself for a period of time. How many people have antibiotics for urinary tract infections, coughs or tonsillitis... Even though it would be unpleasant, for most otherwise healthy adults (not including most children or elderly people) the body's immune system would manage the infection itself in many cases. In places where medical people and medicines just aren't in supply, people are forced to look after themselves. And if that doesn't work, they'll walk miles and wait for long times to see a doctor if these don't work. There is a much greater sense of self responsibility for health as a result. Spend any time in the A&E waiting room and you'll hear plenty talking as if the NHS is somehow responsible for all their ills. I'm not sure people are really aware quite how close to collapse the NHS is, and when I'm feeling more fed up, I sort of wish it would just so those who abuse it could see how they'd fare under a private system. By then it would be too late. The NHS is far from perfect... But it's probably closer than most other health systems in terms of quality and equality of care. Taking responsibility for our own health and using services appropriately and with a sense of responsibility to each other would actually both save the NHS and increase access for those who really needed it. DeepBreath
  • Score: 12

9:52pm Tue 10 Jun 14

mr.mark.c says...

bluemeanie63 wrote:
maybe people wouldnt attend the hospital if they could get a doctors appointment, i and my wife rang our doctors the other week and we were told that it would be the following week before either of us got appointments to see the doctor.
fortunatly, as we where both down with the same flu type virus, we went to chemist and dosed ourselves up with meds, rather than attend the a and e.
I'm glad you didn't get to see a Doctor. It's people like you that spread Flu without a single thought for other people.
[quote][p][bold]bluemeanie63[/bold] wrote: maybe people wouldnt attend the hospital if they could get a doctors appointment, i and my wife rang our doctors the other week and we were told that it would be the following week before either of us got appointments to see the doctor. fortunatly, as we where both down with the same flu type virus, we went to chemist and dosed ourselves up with meds, rather than attend the a and e.[/p][/quote]I'm glad you didn't get to see a Doctor. It's people like you that spread Flu without a single thought for other people. mr.mark.c
  • Score: 5

11:03pm Tue 10 Jun 14

lv8151 says...

oohmygiddyaunt wrote:
This is from one of Rik Mayalls characters Alan B'Stard:

We hear an awful lot of leftie whingeing about NHS waiting lists. Well the answer's simple. Shut down the health service. Result? No more waiting lists. You see, in the good old days, you were poor, you got ill and you died. And yet these days people seem to think they've got some sort of God-given right to be cured. And what is the result of this sloppy socialist thinking? More poor people. In contrast, my policies would eradicate poor people, thereby eliminating poverty. And they say that we Conservatives have no heart. :-)
excellent post .... got to be the funniest post of the week ... dont worry about the " thumbs down" like Frotage said ... you mensioned the CON word lol
[quote][p][bold]oohmygiddyaunt[/bold] wrote: This is from one of Rik Mayalls characters Alan B'Stard: We hear an awful lot of leftie whingeing about NHS waiting lists. Well the answer's simple. Shut down the health service. Result? No more waiting lists. You see, in the good old days, you were poor, you got ill and you died. And yet these days people seem to think they've got some sort of God-given right to be cured. And what is the result of this sloppy socialist thinking? More poor people. In contrast, my policies would eradicate poor people, thereby eliminating poverty. And they say that we Conservatives have no heart. :-)[/p][/quote]excellent post .... got to be the funniest post of the week ... dont worry about the " thumbs down" like Frotage said ... you mensioned the CON word lol lv8151
  • Score: 4

9:01am Wed 11 Jun 14

Jim271 says...

The NHS is paid for by me, therefore I expect treatment when required.

Its not a service, its a right.

Its backdoor privatisation.
The NHS is paid for by me, therefore I expect treatment when required. Its not a service, its a right. Its backdoor privatisation. Jim271
  • Score: -8

9:52am Wed 11 Jun 14

watchingbolton says...

In some parts of Bolton and throughout the country, there is a Minor Ailments Scheme where patients see the local pharmacy for these minor ailments and are supplied with appropriate medication. There is a reduction in number of GP appointments and visits to A&E. Bolton CCG needs to implement this scheme throughout the town and make use of the well and expensively trained pharmacists and save themselves money in the process.
In some parts of Bolton and throughout the country, there is a Minor Ailments Scheme where patients see the local pharmacy for these minor ailments and are supplied with appropriate medication. There is a reduction in number of GP appointments and visits to A&E. Bolton CCG needs to implement this scheme throughout the town and make use of the well and expensively trained pharmacists and save themselves money in the process. watchingbolton
  • Score: 4

4:53pm Wed 11 Jun 14

DeepBreath says...

Jim271 wrote:
The NHS is paid for by me, therefore I expect treatment when required.

Its not a service, its a right.

Its backdoor privatisation.
The actual amount of funding allocated to local NHS organisations is about £1100 per person per year.

http://www.publicati
ons.parliament.uk/pa
/cm201314/cmhansrd/c
m131111/text/131111w
0004.htm

A common misconception is that National Insurance contributions fund the NHS; they actually largely fund unemployment/materni
ty benefits and state pension costs.

https://www.gov.uk/n
ational-insurance/wh
at-national-insuranc
e-is-for

NHS funding from central government comes from all forms of tax so it is complicated to tease out where an individual's own "contributions" come from.
High consumers of healthcare (the young and elderly) don't contribute much to tax so their use is subsidised by those who pay tax in whatever form. Again, complicated, as the elderly now using the NHS are being funded by current taxpayers.
http://www.nhs.uk/NH
SEngland/thenhs/abou
t/Pages/overview.asp
x

The average costs of care are again complex, but here are some figures from 2012:
- day case is £693
- elective inpatient stay excluding excess bed days is £3,366
- outpatient attendance is £108
- A&E attendance is £114

https://www.gov.uk/g
overnment/publicatio
ns/nhs-reference-cos
ts-2012-to-2013

The cost of a BUPA private GP 15-minute appointment is £70 (excluding any tests/prescriptions/
fit note)
http://www.bupa.co.u
k/individuals/self-p
ay-treatments/gp-ser
vices

By contrast, the amount of funding allocated to a local GP practice is about £72 per patient per year, to include (in theory) unlimited appointments, telephone calls, administrative work, practice nurse appointments, blood tests (taking and reviewing results) and whatever else.
http://www.pulsetoda
y.co.uk/your-practic
e/practice-topics/pr
actice-income/gp-fun
ding-shift-results-i
n-10-rise-in-global-
sum-from-april/20005
611.article#.U5h539q
9KSM

Your own personal circumstances depend on how much you "put in" and "take out" of the NHS. The information is out there with a few searches to confirm or deny your suspicions.
But a system whereby you rely solely on what you contribute IS the definition of a private system!
[quote][p][bold]Jim271[/bold] wrote: The NHS is paid for by me, therefore I expect treatment when required. Its not a service, its a right. Its backdoor privatisation.[/p][/quote]The actual amount of funding allocated to local NHS organisations is about £1100 per person per year. http://www.publicati ons.parliament.uk/pa /cm201314/cmhansrd/c m131111/text/131111w 0004.htm A common misconception is that National Insurance contributions fund the NHS; they actually largely fund unemployment/materni ty benefits and state pension costs. https://www.gov.uk/n ational-insurance/wh at-national-insuranc e-is-for NHS funding from central government comes from all forms of tax so it is complicated to tease out where an individual's own "contributions" come from. High consumers of healthcare (the young and elderly) don't contribute much to tax so their use is subsidised by those who pay tax in whatever form. Again, complicated, as the elderly now using the NHS are being funded by current taxpayers. http://www.nhs.uk/NH SEngland/thenhs/abou t/Pages/overview.asp x The average costs of care are again complex, but here are some figures from 2012: - day case is £693 - elective inpatient stay excluding excess bed days is £3,366 - outpatient attendance is £108 - A&E attendance is £114 https://www.gov.uk/g overnment/publicatio ns/nhs-reference-cos ts-2012-to-2013 The cost of a BUPA private GP 15-minute appointment is £70 (excluding any tests/prescriptions/ fit note) http://www.bupa.co.u k/individuals/self-p ay-treatments/gp-ser vices By contrast, the amount of funding allocated to a local GP practice is about £72 per patient per year, to include (in theory) unlimited appointments, telephone calls, administrative work, practice nurse appointments, blood tests (taking and reviewing results) and whatever else. http://www.pulsetoda y.co.uk/your-practic e/practice-topics/pr actice-income/gp-fun ding-shift-results-i n-10-rise-in-global- sum-from-april/20005 611.article#.U5h539q 9KSM Your own personal circumstances depend on how much you "put in" and "take out" of the NHS. The information is out there with a few searches to confirm or deny your suspicions. But a system whereby you rely solely on what you contribute IS the definition of a private system! DeepBreath
  • Score: 1

10:54pm Wed 11 Jun 14

PAULBWFC27 says...

I kept going to a&e because of severe pain in the neck arms back and thighs,centre chest pain with palpatations,blood out of throat without any real diagnosis I was diagnosed with gastritis,stomach bug,bipolar,hypo, they refused to give me a scan,treated me like dirt!!!!i had cervical spondylisis and imflammation to the stomach lining further test revealed,i would not go there again even if I was dieng!
I kept going to a&e because of severe pain in the neck arms back and thighs,centre chest pain with palpatations,blood out of throat without any real diagnosis I was diagnosed with gastritis,stomach bug,bipolar,hypo, they refused to give me a scan,treated me like dirt!!!!i had cervical spondylisis and imflammation to the stomach lining further test revealed,i would not go there again even if I was dieng! PAULBWFC27
  • Score: -1

11:26pm Wed 11 Jun 14

mr.mark.c says...

PAULBWFC27 wrote:
I kept going to a&e because of severe pain in the neck arms back and thighs,centre chest pain with palpatations,blood out of throat without any real diagnosis I was diagnosed with gastritis,stomach bug,bipolar,hypo, they refused to give me a scan,treated me like dirt!!!!i had cervical spondylisis and imflammation to the stomach lining further test revealed,i would not go there again even if I was dieng!
Thats Arthritis and access acid, I prescribe Co-codamal and Lansoprazole, do not take ibuprofen ;)
[quote][p][bold]PAULBWFC27[/bold] wrote: I kept going to a&e because of severe pain in the neck arms back and thighs,centre chest pain with palpatations,blood out of throat without any real diagnosis I was diagnosed with gastritis,stomach bug,bipolar,hypo, they refused to give me a scan,treated me like dirt!!!!i had cervical spondylisis and imflammation to the stomach lining further test revealed,i would not go there again even if I was dieng![/p][/quote]Thats Arthritis and access acid, I prescribe Co-codamal and Lansoprazole, do not take ibuprofen ;) mr.mark.c
  • Score: 1

4:54pm Thu 12 Jun 14

marco999 says...

Nearly a million quid to treat 13,000 ‘non emergency’ cases over a year? That averages out at roughly 40 patients per day. So, lets say the hospital provides a ‘non emergency’ walk-in centre that operates in tandem with the A&E dept. This walk in centre would be staffed by 4 nurses (10 patients each per day) at a salary of say £40k each per year. So that’s an up and running department that will solve this whole problem for 160k per year saving the hospital and the NHS around 700k per year. People going into A&E can be diverted by reception to the correct area for their complaint to be dealt with – or is that too simple?
Nearly a million quid to treat 13,000 ‘non emergency’ cases over a year? That averages out at roughly 40 patients per day. So, lets say the hospital provides a ‘non emergency’ walk-in centre that operates in tandem with the A&E dept. This walk in centre would be staffed by 4 nurses (10 patients each per day) at a salary of say £40k each per year. So that’s an up and running department that will solve this whole problem for 160k per year saving the hospital and the NHS around 700k per year. People going into A&E can be diverted by reception to the correct area for their complaint to be dealt with – or is that too simple? marco999
  • Score: 0

10:48am Tue 17 Jun 14

BcCccc says...

Charlotte Dobson, are you reading the times, tues 16/6 p15. A govt report says no of specialist nurses 'wholly inadequate' for dealing with severe migraines... 'concerns being dismissed' etc. this then gets reported as misuse of A&E. Show us the full story please.
Charlotte Dobson, are you reading the times, tues 16/6 p15. A govt report says no of specialist nurses 'wholly inadequate' for dealing with severe migraines... 'concerns being dismissed' etc. this then gets reported as misuse of A&E. Show us the full story please. BcCccc
  • Score: 0

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