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UK healthcare
#1
From some of the helpful remarks on site regarding selection of equipment, changing healthcare provider etc. I thought for those unaware of the system we work under the following may be of interest.

I will attempt to keep it non political, however some of my own bias will no doubt show through.

We run a socialised medical care system called The National Health Service, AKA the NHS, or the politically correct version "Our NHS"

Paid for out of general taxation, it is free at point of deliveryDielaughing, so for example my CPAP equipment did not directly cost me anything.

First point of call for day to day medical problems is the General Practioner or GP, waiting time can be 2 days to 2 weeks!!

Should you need to go to hospital to see a consultant or other, you have to be referred by your GP, you have no choice over the doctor seen. Waiting time if not an emergency can be weeks or months.

Should you be unhappy with the NHS, you can go private, insurance if you have it or pay cash, however you still need to get a referral letter from your NHS GP.
You do of course get to see your choice of doctor.

Bad news is, that if you have a private consultation, it is quite likely that the NHS will REFUSE to treat you for that condition in the future, also the doctor is not supposed to access the results of any NHS scans or tests you may have had, so if required you would have to pay for them yourself.

Should the private doctor put you on any medication not provided by or in the NHS, the NHS may refuse to treat you in the future, no one person can be seen to have any advantage over another.

It is thought to be unwise to complain about your treatment while in hospital, revenge may be taken.

The theory goes that you are supposed to have a choice of hospitals, but unless you are living in a large city this choice is worthless.

You are supposed to pay for any medication required, in England that is, but there are so many exemptions that only about 5% pay.

That is about it, there was more I wanted to say but I have run out of steam.
Hope you find is enlightening.Big Grin
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#2
Thank you Phill. Very interesting. I would be interested in some of your personal biases regarding NHS if you wanted to share those too.

Best Regards,

PaytonA

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PaytonA passed away in September 2017
Click HERE to read his Memorial Thread

~ Rest in Peace ~
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#3
(11-24-2015, 12:24 PM)PaytonA Wrote: Thank you Phill. Very interesting. I would be interested in some of your personal biases regarding NHS if you wanted to share those too.

Best Regards,

PaytonA

Glad you found it of interest, will have formulate a reply that does not upset anyone this side of the pond.
It is a subject over here that can be very polarising.

"An obsession with equality of service delivery is just a guarantor of mediocrity".

Regards
Phill

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#4
Thanks for that Phill - always interesting to see how systems work in other places. I think your bias might be showing just a little. Smile There are some parallels with Australian Medicare there, but again many points of difference.

Can you tell us how the system works for apnea - diagnosis, supply of machine, follow up, consumables?
DeepBreathing
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#5
Right, here we go, there are two main schools of thought on the NHS.

Firstly, it is the greatest medical healthcare system in the world, in fact it is the envy of the world, with zero payment at the point of service.
We are all treated to the very highest of standards, by a dedicated staff, whose sole interest is the care of their victims, sorry patients.

http://www.telegraph.co.uk/news/health/h...rusts.html

Those who subscribe to the above, on the whole sneer at and despise those who choose to seek private medical treatment, either by paying from their taxed income or through an insurance policy. They would no doubt take the same view over anyone who should have the nerve to pay for their children to have a private education.

The second view is that the NHS is a state run inefficient operation, over unionised, monopolistic, with restrictions in the care provided, and not fit for service in the 21st. century.
Financially, in its present state it is a bottomless pit, and even when a previous regime threw money at it there was little improvement.

There are many ongoing complaints with the system, some which are difficult to verify, the heavily pregnant women who arrive at Heathrow and get a taxi to the nearest maternity hospital where they receive free medical treatment, along with those who arrive with known medical conditions who know that they will be treated at taxpayer expense, it is possible that these cases are small in number, but still provided at a cost, and of course we must do the decent thing.

Enough!!

I wont even go into putting right peoples lifestyle choices.
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#6
(11-24-2015, 07:51 PM)DeepBreathing Wrote: Thanks for that Phill - always interesting to see how systems work in other places. I think your bias might be showing just a little Smile there are some parallels with Australian Medicare there, but again many points of difference.

Can you tell us how the system works for apnea - diagnosis, supply of machine, follow up, consumables?

Hi Paul in Perth, I was down that way in the 70' & 80's at Kwinana, great city you have there, ****** long flight from the UK though.

Apnea, I saw the consultant and a while later they called me in and provided me with the equipment to do an overnight sleep test, this indicated that I had serious sleep apnea, so they said.
Couple of weeks later I was called back and given a ResMed S9.
Returning in 6 weeks, the machine had failed to download the data! anyway complaining of dry mouth syndrome(like Kevin Wilsons b*ll bag) I was given a humidifier.
Returning in another 6 weeks, I explained that I was still waking in the early hours of the morning, which had NOT been the case prior to starting the treatment.
I was told that I could go back again in 6 weeks or leave it for a year, clearly no further treatment or changes to my present treatment was intended, so will be returning in 50 weeks.

For any improvement to what I am enduring at present I will looking at the setup of my machine & or a mask change, with of course the help and advice from this site.

Of course they have taken my driving licence away.Sad

Hope this helps.

Phill

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#7
(11-25-2015, 11:24 AM)Phill Wrote: The second view is that the NHS is a state run inefficient operation, over unionised, monopolistic, with restrictions in the care provided, and not fit for service in the 21st. century.
Financially, in its present state it is a bottomless pit, and even when a previous regime threw money at it there was little improvement.

We have the same thing in the US. Known as the VA, Medicare and Social Security. Oh, and let us not forget the ACA (aka Obamacare) -- written by an for the insurance companies.

"If you like your doctor, you can keep your doctor."
"If you like your current coverage, you can keep your coverage."

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JustMongo passed away in August 2017
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#8
(11-25-2015, 11:53 AM)Phill Wrote: Of course they have taken my driving licence away.Sad

Hope this helps.

Phill

I assume you are a truck driver. Just rag on them again in 90 days showing proof of compliance, using sleepyhead if you have to.

In the US, it seems insulin use is the only thing that would ever result in someone's license being suspended. Once you have it under control, then it's fine until next year.

I have waking problems myself, although they have multiple causes. For awhile though, I checked sleepyhead and my highest number of events occur around 5 a.m.. I raised my bottom pressure 1 cm and the top pressure to 12.6. It had been 12. Seems to handle it better now. Yes, I should raise my bottom pressure to 10, but I can't fall asleep with it that way, so rather than ramp it, I just leave it since it will go up anyway with the auto setting.

Personally, I think my need for greater pressure is the result of a small weight gain; it is baking season after all.
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#9
(11-28-2015, 11:12 AM)Mosquitobait Wrote:
(11-25-2015, 11:53 AM)Phill Wrote: Of course they have taken my driving licence away.Sad

Hope this helps.

Phill

I assume you are a truck driver. Just rag on them again in 90 days showing proof of compliance, using sleepyhead if you have to.

In the US, it seems insulin use is the only thing that would ever result in someone's license being suspended. Once you have it under control, then it's fine until next year.

No, not a truck driver, retired.
I had another problem, that lost me my licence, then the apnea added to my list of woes.

Interesting what you say about pressures, my thought was that the pressure was set too high so I was going to drop it down a bit.
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