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by KaiserPro 2706 days ago
There are inefficiencies in the NHS. Mostly due to it not actually being national, but regional. NHS is split into england, wales, scotland and NI. Then in eact country a county will be split up again into Primary Care Trusts, which cover between 100k-500k people.

This leads to oddities like there is a national contract for medical staff (nurses, surgeons and doctors etc) but hundreds of different employers.

Each PCT negotiates it's own suppliers, and has a number of stakeholders who are normally GPs. Its all totally ballsed up.

Thats not even touching the IT systems.

However using per capita spend on health, it is ridiculously efficient https://data.oecd.org/healthres/health-spending.htm

2 comments

It can cause problems if you have serious conditions and you are having to be treated in two or three trusts eg my local hospital cant do all my bloods.

The outsourced local Patient transport fiasco in my trust caused no end of problems people missing dialysis treatments etc.

> That's not even touching the IT systems.

Yeah, there's a disparate mix of up to date tech and unpatched Windows XP systems, since there's no centralised tech management - some trusts care about patient data and external threats, others don't.