why can’t the political class make intelligent decisions on the #NHS ?

If I catch a cold, or flu, then it’s a case of stay indoors with plenty of hankies etc.
If I, subsequently, secure a bacterial infection, with swollen glands and discoloured mucus, then I need antibiotics.
I understand that abuse of antibiotics has led to a situation, where antibiotics could one day prove ineffective.
I understand that we need to delay this situation, by limiting their use to situations where these infections could lead to serious complications, rather than mere suffering.
This is achieved by requiring the need for a doctor’s prescription.
On the face of it, this is not a big deal, especially if you can “go private” and buy a prescription, without too much bother, or delay, or even proof of need.
The problem occurs only with the NHS, where GP’s are under so much pressure that patients could be dead, or recovered (albeit with possible long term physical damage), before an appointment can be procured.
There needs to be an alternative to the present system.
Before GP appointment were imposed on us, sufferer’s sat in the Surgery waiting room sharing their problems and building up a degree of herd immunity.
This situation was transferred to walk-in centres, where a form of triage meant that fewer qualified doctor’s were needed and patient’s merely required patience.
The present problem seems to have arisen with haphazard and casual closure of walk-in centres and the attempt to replace these with call centres.
As personnel, sitting on a switchboard, can not write prescriptions, or organise scans etc., those plebians requiring such treatment, are turning up at A&E’S, which were not designed to cope with such cases.
It would seem logical to re-instate Walk-in centres, or remove micro-management of GP’s, but that would require politicians to admit to being inept.
A stop-gap could be to trust Pharmacists to prescribe antibiotics, arrange blood tests and organise scans, prior to a G.P. appointment.
The big issue being raised, as the cause of the failure of Government austerity measures is the entirely unexpected(!) issue of an ageing population.
Referred to by the derogatory term of bed-blocker, it can’t be too difficult to start building convalescent homes, freeing up the emergency beds.
Alternatively, as many of these elderly patients could be treated at home, why not organise a system to attend on them at home, instead of requiring on emergency services to ferry them into A&E.
Instead of politicians being “Leaders of the Nation”, we could do with a few problem solver’s managing the house-keeping.

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