Re: MEDICAL MATTERS
Posted: 26 Oct 2016, 08:59
I'm fully in support of the principle of the NHS and their staff in general do a great job. The problem is that it's a giant organisation and isn't managed well, and - most important of all - it's grossly under-funded. I realised after posting my comment yesterday that I hadn't told the whole story. They told me there is a waiting list of 36 days - but I think that begins from the date when they contact me to make the appointment, not now. They said if I don't hear from them ring again in a month's time. So the total wait from now could be more than 60 days if I don't hear from them earlier.
What adds even more time for the whole process is that you can't just contact the audiologists direct, you have to get an appointment with your GP (which can take a week's waiting) and he has to approve the need for audiology and put in the initial request. The argument is that they can't let people just go straight to audiology because it would waste their time; you might have wax in your ears or you might have something other than a hearing problem (e.g. dementia can give an impression of hearing loss). The GP checks your ears for wax and if necessary you have to then get an appointment with a nurse to get them unbunged or do it yourself. Of course, you might notice a problem with these arrangements - with the long waiting times your ears will probably be blocked with wax again by the time you get to see an audiologist.
In my case I went to the GP months ago and he told me I had ear wax and to get it cleared, come back and then he'd start the appointment process. I used Otex drops and got rid of the wax but by then I was going on holiday and then other things stopped me getting to the GP and I accumulated ear wax again. So I went through another few days of otex drops and got rid of it. Then made another appointment with the GP and this is where we're at now. The sensible, efficient thing would have been for him to have contacted audiology on my first visit to him months ago and I could have got rid of the wax in the meantime. I would have probably had my visit to the audiologist by now and be able to hear properly again. This is all very typical of the NHS - the skilled staff and the appropriate equipment are all there, they just need someone to shake up the management and streamline the system, and a big injection of money. We don't pay enough for the NHS.
In the case of hearing aids I don't see why we should get the aids for free on the NHS, but nor do I think we should pay the exorbitant thousands of pounds that places like Specsavers and Boots charge. We don't get our spectacles free. The NHS should pay for hearing tests, like it does for eye tests, at private businesses and we should be able to buy the aids for a similar price to spectacles. If most people were going to the private shops for their aids then prices could be brought down to a similar level to the spectacles. But it would need the private businesses to get better at the job - the NHS aids are as good a quality as the private and the testing and fitting are better at the NHS. according to the Royal National Institute for Deaf People (RNID).
What adds even more time for the whole process is that you can't just contact the audiologists direct, you have to get an appointment with your GP (which can take a week's waiting) and he has to approve the need for audiology and put in the initial request. The argument is that they can't let people just go straight to audiology because it would waste their time; you might have wax in your ears or you might have something other than a hearing problem (e.g. dementia can give an impression of hearing loss). The GP checks your ears for wax and if necessary you have to then get an appointment with a nurse to get them unbunged or do it yourself. Of course, you might notice a problem with these arrangements - with the long waiting times your ears will probably be blocked with wax again by the time you get to see an audiologist.
In my case I went to the GP months ago and he told me I had ear wax and to get it cleared, come back and then he'd start the appointment process. I used Otex drops and got rid of the wax but by then I was going on holiday and then other things stopped me getting to the GP and I accumulated ear wax again. So I went through another few days of otex drops and got rid of it. Then made another appointment with the GP and this is where we're at now. The sensible, efficient thing would have been for him to have contacted audiology on my first visit to him months ago and I could have got rid of the wax in the meantime. I would have probably had my visit to the audiologist by now and be able to hear properly again. This is all very typical of the NHS - the skilled staff and the appropriate equipment are all there, they just need someone to shake up the management and streamline the system, and a big injection of money. We don't pay enough for the NHS.
In the case of hearing aids I don't see why we should get the aids for free on the NHS, but nor do I think we should pay the exorbitant thousands of pounds that places like Specsavers and Boots charge. We don't get our spectacles free. The NHS should pay for hearing tests, like it does for eye tests, at private businesses and we should be able to buy the aids for a similar price to spectacles. If most people were going to the private shops for their aids then prices could be brought down to a similar level to the spectacles. But it would need the private businesses to get better at the job - the NHS aids are as good a quality as the private and the testing and fitting are better at the NHS. according to the Royal National Institute for Deaf People (RNID).