Also, all ten Ambulance services are currently on the highest level of alert, down to Covid staff shortages and the heatwave.
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A core reason for this is ambulances often not being able to arrive at a hospital, hand over the patient right away or even a short wait, replenish any supplies used and head off to their next call out if not be on standby. If as numerous reports there are waits of several hours a crew might only handle one patient in a full shift.
It's not (just) underfunding - they also need to look at what they spend the funding on. Especially multiple tiers of management, and unnecessary posts like 'EDI Managers' which have appeared from nowhere over the past few years and of which there are now loads, on decent salaries.
For several years up to 2006 I worked for a health service supplier.
If the NHS UK, or NHS England directly bought in bulk I'm sure they could have got better prices from the manufacturer or UK importer. Add on the margin of anything upto 500% e.g. cost of £1 for a pack of 5 and sold at £5 for a pack of 5. No or little discount for 100 packs on one order. A set of components costing ~£15 then assembled and packed in under 10 minutes sold for £60. Plenty of scope to save.
For budgeting the NHS increasing wanted a fixed price package for equipment an 12 months of consumables. The latter were only delivered when called off by a local hospital or home care not to a fixed schedule. The core equipment supplied sometimes was in use 24/7 but mostly no more than 12/7. Compare to a fleet of cars. The provider costs based on every car covering 20,000 miles a year yet the actual average across the fleet is 12,000miles a year. Again additional cost.
Follow on from the above. Homecare was changed from NHS hospital staff to a contracted private provider. This achieved the management objective of cutting a budget. The care provider does not have a pool of eqipment to simply swap out, service then put into stock. Instead care provider contacts equipment provider to deliver a loan item, collect item for service, carry out service, return serviced item and collect loan item. The loan item then has to be cleaned. The patient could be 200 miles from the equipment provider. Using couriers rarely worked well particularly return of serviced item and collection of loan. Hence a driver employed. All the cost of course to the care provider and onto NHS. One Christmas day we heard of £40/hour for a district nurse - this is pre 2006 remember.
I don't think anyone on here denies that FFP3 standard masks IF worn and stored properly AND changed regularly can help to protect the wearer and delay infection, however if they aren't then I don't see how they can help. I would also say that if masks are so important why did infection rates rise after they were mandated and fall again after the mandate stopped? Also why did the health authorities initially say masks weren't necessary then change their minds after other places mandated them?
Exactly.
Recall too the case rate differences from last July when generally some form of face covering was no longer mandatory in England but still so in Scotland and Wales. There was not a corrolation that fitted in with this.
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