Brian Dixon
- Location: Dover
- Registered: 23 Sep 2008
- Posts: 23,940
two concepts here,1,leave as is or 2,cut out the deadwood [to big management].the ideal way would be to cur the deadwood out,renegocate the drug option to a cheaper one etc.
Keith Sansum1
- Location: london
- Registered: 25 Aug 2010
- Posts: 23,942
brian;
there are a number of ways to save money, and redirect resources
but the reforms need support and it will be uphill for this govt
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howard mcsweeney1- Location: Dover
- Registered: 12 Mar 2008
- Posts: 62,352
good point from brian about renegociating drug purchasing, in fact anything bought in.
the purchasing power of the n.h.s. is massive.
Keith Sansum1- Location: london
- Registered: 25 Aug 2010
- Posts: 23,942
yes indeed howard
so theres one way to start to sor the nhs and make massive savings
ALL POSTS ARE MY OWN PERSONAL VIEWS
Just need to point out that one of the things good managers do is make effective use of resources. Pointing out that medications are resources. Duh.
Keith Sansum1- Location: london
- Registered: 25 Aug 2010
- Posts: 23,942
BERN;
You seem to have gone into barryw mode lol
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Could be worse!!!!!!
Brian Dixon- Location: Dover
- Registered: 23 Sep 2008
- Posts: 23,940
yeah you could of,you could have done a mr headroom moment.
howard mcsweeney1- Location: Dover
- Registered: 12 Mar 2008
- Posts: 62,352
my prescription always has the brand names of the drug on it, last time i went into the chemist they said that they only had the generic version and would i accept that.
as it is exactly the same and cheaper surely the prescription should always show the generic in my view.
But it is more complex when it comes to contracts and obligations. of course!!!
Guest 700- Registered: 11 Jun 2010
- Posts: 2,868
I am on some brand-name tablets and they changed the prescription to the generic (plain) cheaper version, which I found had maize in it, which I have an intolerance of, so they had to change it back.
It proves that the cheaper ones are not always exactly the same and can have slightly different 'fillers' or 'bulking agents'.
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Lincolnshire Born and Bred
Guest 698- Registered: 28 May 2010
- Posts: 8,664
And in some cases these fillers can cause anaphylaxis; my grandson is violently allergic to bovine lactose which is often found in pills as a filler. He has been blue-lighted to A&E more than once for that reason.
I'm an optimist. But I'm an optimist who takes my raincoat - Harold Wilson
So, it matters that there is a range of choices for purchase.
Keith Sansum1- Location: london
- Registered: 25 Aug 2010
- Posts: 23,942
but we need to get it right for the patient
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Why "but"? That would be the point of having more choice for purchase.
Keith Sansum1- Location: london
- Registered: 25 Aug 2010
- Posts: 23,942
bern;
would it? not convinced some would look towards the shareholder first
ALL POSTS ARE MY OWN PERSONAL VIEWS
So, what do you think happens now? Several layers of inefficient management pass a series of bits of paper between themselves and then agree to do something that someone else then decides not to do because there is a pre-existing contract that the others didn't know about. Your way is better?
I should add that not all managers are inefficient, and there are some pockets of proper excellence! I sometimes give the impression that I hate the NHS - I don't, I respect and value it, and the people working in it. It is for that reason that I get cross with the others!!!!!
Guest 716- Registered: 9 Jun 2011
- Posts: 4,010
Every organisation have inefficient management..................that indeed needs sorting out....it is not necessary or even
required to make profit out of ill-health...............
That blasted word again. Here's another: incentivise.