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uklocations
5th Aug 2008, 22:36
I could argue that access to care has never been easier in the UK. Extended opening hours for GP's, NHS direct, Minor Injuries, Access Centres & Walk in Centres.

How satisfied were you with your care? Did you get what you wanted, was it accessable, and were you satisfied. What was your experience? (good and bad.)

If you were in charge,how would you change things?

Thanks chaps. Be glad to hear about your experience abroad too. Warts and all.

Rainboe
5th Aug 2008, 23:11
I try and go to my GP. I keep reading about targets of 48 hours to get to see the GP in the UK. When I phone, they accept bookings for 2 weeks hence. Not 15 days...you have to phone up early next day to get that one! Getting an earlier appointment is not easy, in fact impossible. But it can't be like that because the labour politicians tell me it should be 48 hours!

Is the UK now the world's most expensive private healthcare? A procedure I had done 6 years ago at a final cost of over 2,000 (OK, it's not the worlds most popular procedure!) costs in Cyprus 300 almost walk-in, minimal appointment time, where apparently you are welcomed into plush offices and made to feel like a 'customer'. I get the impression the private hospital UK version is carving up the maximum amount that can be screwed out of my very expensive and overpriced medical insurance! The private hospitals apparently kill you through negligence just as much as the NHS, if not moreso.

I have taken to using a German dentist in Spain- I can no longer afford the appallingly low quality dental treatment in the UK. I intend taking as much of my private medical treatment abroad as I can, I can no longer afford the exorbitent UK private costs or the excessively swingeing medical insurance. A good standby I intend to have is Bumrungrad Hospital in Bangkok. Weirdly you can apparently just turn up with minimal notification rather than wait weeks for a private appointment. Nobody can say UK hospitals are better than anywhere now. India has the latest equipment in clean hospitals. They give you MRSA in Britain now, which is why we are all petrified of going to UK hospitals. When my father was ill, I was revolted by the state of the wards and toilets at Southampton General. Disgusting, disgraceful, and a waste of my tax money. Whatever are they up to?

I visited an A&E recently when my broken rib was really painful. I was seen by an apparently demented young female doctor who ignored my explanation of broken rib and decided to give me a BP check and ECG! I looked at her and explained it was a broken rib, not heart attack. She wanted BP and ECG 'for their records'. After 3 hours, she comes happily down the corridor saying they were normal and I wasn't having a heart attack! I said 'I told you that earlier, thank you' and left as fast as my feet could take me out of that madhouse, completely untreated or examined. You couldn't make it up.

A health service that doesn't listen to people, is filthy, loses interest in you completely when you get old, is run by uncaring suits who outnumber doctors, plays political games with expensive drugs and desperate patients who want to pay for them for themselves and aren't allowed to, is full of political dogma, insists on exposing our wounded servicemen to appalling abuse in public wards (http://www.pprune.org/forums/jet-blast/338069-selly-oak-military-hospital.html)....I could go on all night! I feel deeply, deeply ashamed of our medical standards and expense and quality and hygiene (National Filth Service: Report reveals wards overrun with rats | Mail Online (http://www.dailymail.co.uk/news/article-1041968/National-Filth-Service-Report-reveals-wards-overrun-rats.html)). Our cancer survival rates and average lifespan are well behind our competitors.

Is that what you wanted? It helps to get it off one's chest!

Radar66
5th Aug 2008, 23:22
personal experience?

[RANT MODE ON]

zero. fecking bloddy soddin' big fat :mad: ZERO!!



Moved house early in February this year. Still trying to get to see the doc's to 'sign on' at some sort of time of day that also enables me to be at work - this includes lunch hours, before and after work etc. but you know something? I CAN'T MAKE AN APPOINTMENT!! I have to call at 8am that day and hope that they'll be able to fit me in at some time before 6pm, you then have to wait for a return phone call - it's worse than waiting for a plumber!!!

as for dentists? bwwaaaaaaaaaaahaahahahahaaaaaaa.....

I've had to resort to signing on at the local private dentist. 'oh we aren't taking any more people on til September' - this was 3 weeks ago! okay, please may I have your first available appointment as I AM REACHING THE END OF MY TETHER!! Certainly madam, how does October 16th at 3.30pm suit you? 'Not very well but i'll take it!! are you SURE that you are a private practice?!!'

[/RANT MODE OFF]

Grrrrrrrrrrrrrrrrrrrrrrrrrr!!!! :ugh:

con-pilot
5th Aug 2008, 23:23
With my last company we carried international health insurance that is accepted in many countries. If that didn't work we had Gold American Express Cards and a lot of cash. Now that was just for travel outside the US.

(Tip of the hat to G-C. :ok:)

Keef
5th Aug 2008, 23:35
'Tis a bit random.

Our GP didn't operate an appointments system at all till about 2 years ago. We'd just turn up and wait our turn - and a wait of more than 20 minutes was unusual. Then he was compelled by the NHS to start an appointments system - so that he could provide statistics on how quickly patients were seen. I wonder what genius came up with that idea!

Now, we phone for an appointment, usually get one in about 10 - 30 minutes (or later, if that's what we want).

Last November, M (SWMBO) had serious pain around her stomach. I took her to A&E in Suffolk (where we were). They said it was indigestion, gave her anti-emetics etc and sent her away. It didn't get better, so I drove her home and took her to the GP. Half way through the explanation he said "Stop!", phoned the local hospital, and booked her in with pancreatitis. He told me to drive her straight there (quicker than calling for an ambulance). She nearly died: her survival was mostly down to the GP's fast diagnosis and reaction.

So, full marks to our GP and to Southend Hospital. I couldn't fault 'em.

Ten years or so ago, my dentist (now "private only") spotted something unusual on my dental X-rays - nothing to do with my teeth - and sent me to a specialist who later removed an enormous tumour from my jaw. The final diagnosis (phoned to me on Christmas Day by said specialist) was "benign" but only just caught in time before it eliminated my lower jaw.

The dentist is the wife of the GP.

So - no complaints from me. If you want a good GP and a good dentist, there's one of each in Thundersley in Essex!

Viola
5th Aug 2008, 23:44
Good GP practice - phone up early in the morning to get an appointment that same day.

Excellent local hospital treatment - over recent years treated several members of my family. Emergency/urgent treatment has been very fast, less urgent has sometimes meant a wait but all appointments have been made to suit our convenience.

(Think it's a bit pointless to go abroad for treatment. The thought of explaining in a foreign language what is the matter with you!!!!
Not keen on 'choosing' a UK hospital miles away either. Friends and family can't nip in to see you.)

However most dentists now private in my area.

G-CPTN
5th Aug 2008, 23:50
international health insurance that is excepted in many countries.
Don't you mean accepted?
Maybe expected?

con-pilot
6th Aug 2008, 00:45
Don't you mean accepted?
Maybe expected?


Aw shoot, early happy hour, blast! :uhoh:

I'll go back and fix that, thank you G-C. :ok:

merlinxx
6th Aug 2008, 01:54
My local GP, excellent (I'm a degraded, semi geriatric, shagged out trying to be a delinquent).

Been in medical care in the UK, US, Syria, India, Pakistan, Kenya, Nigeria, UAE, Saudi parts of the Euro Zone. The best most immediate care, Syria (yup OK company paid for). Shoot, how did I get to be this old, I feel shagged out at 13.

BlueWolf
6th Aug 2008, 02:16
Being a wolf, when I get sick I simply take myself off to a quiet dark cave, drink a little water, lick myself all over, and sleep until I'm better.

Or dead.

So far, one is Not Dead.

In my human form, I am unable to lick myself all over, thus I must go to a regular quack like everyone else. Sigh...

Metro man
6th Aug 2008, 08:03
Now living in Asia thank God and so far highly satisfied. Experiences so far:

Took wife for immigration medical including chest x ray and aids test, doctor happened to be an ENT specialist and quickly diagnosed a long running ear problem and issued a prescription. When making the appointment, next day was available if wanted. Total cost S$56 (GBP 21) including the medicine !!!

Went to a dentist in Phuket Thailand had a filling done on a walk in basis. Total cost GBP 24, 25% of the estimate my usual dentist had given me.

No wonder medical tourism is growing so fast. If you need major dental work it is cheaper to fly to the Philippines, stay there for two weeks getting the work done and come home. Quality of care obviously needs watching, but there are many western standard hospitals around at prices far below Europe/USA/Australia with far shorter waiting lists.

radeng
6th Aug 2008, 08:11
Last November, I called the GP surgery at 1052, and explained I needed an urgent appointment. They gave me one at 1100 the same day: I got there at 1102 and was seeing the guy at 1104. It was a recurrence of something I had been hospitalised with for 28 days earlier last year. The GP said he was insufficiently expert on the subject and would telephone the experts in Oxford. At 1310 he telephoned me at home, told me to increase the drugs and arranged a further prescription supply to pick up a couple of days later.

Oxford however, arranged an appointment for me in January. They've been putting it off because of 'unforseen circumstances': it's currently down for October.

So although very pleased with the GP, the Oxford specialists don't get my approbation.

uklocations
6th Aug 2008, 09:25
Is that what you wanted? It helps to get it off one's chest!

Yes, thanks.

Anyone tried any of the less traditional routes to medical care, Walk in Centres e.t.c?

green granite
6th Aug 2008, 09:44
My GP system is excellent, I can book an appointment on line (usually 2 or 3 days depending which doc I want to see) book repeat prescriptions on line as well.
If I'm ill and need urgent attention they have a "duty doc" scheme whereby I ring up before 1000 and the doc will ring me back, listen and discus my problem and then either issue a prescription which I can pick up at the surgery or make me an appointment to go in that morning to see him/her. The system works well. :ok:

Rainboe
6th Aug 2008, 11:16
Today, August 6th, I phoned my GP practice and asked when my GP was taking appointments. The response was 'First one available Tuesday 19th.!' I suppose it's an improvement- 14 days down to 13 days!
So, uklocations, I take issue with your comments in the first posting here. Are you in the trade? If so, what can I do about this daft state of affairs, because the labour government seems satisfied it is achieving its target of 48 hours? Am I supposed to be fooled into being satisfied?

If you don't believe me, call the surgery on 02392377514 and ask for yourself how soon Dr. O'Byrne can see you, and then come back tell meI could argue that access to care has never been easier in the UK. Extended opening hours for GP's, NHS direct, Minor Injuries, Access Centres & Walk in Centres.
I had 13 days this morning. Do you think that is satisfactory? I go into the local enormous hospital (Queen Alexandra's, Portsmouth) to have a broken rib examined and some stupid unhearing doctor is convinced as I'm largish, middle aged, chest pains, therefore I am having a heart attack and doesn't even look at my rib? In 3 hours?

uklocations
6th Aug 2008, 11:38
I had 13 days this morning. Do you think that is satisfactory?

In short, no.


Access is an extremely important component of quality of care we give to our patient, and I must say, I'm not trying to defend the current situation, just improve it. Which is why I'm interested in your point of view.

Have you tried any other avenues to access care? And if you did, what did you think?

603DX
6th Aug 2008, 13:45
uklocations:

A while ago I had a questionnaire from the NHS asking very similar things, which I duly completed and returned. Your post appears to come from the same department, but for what it's worth, here goes:


GP Access - No complaints, next-day appointments if I ring very soon after noon. Bookings are quickly filled, so best to be quick off the mark, otherwise it's the day after.
NHS Direct - On-line information can be either comforting or worrying, so perhaps for hypochondriacs it's better if they don't!
Minor Injuries - Mixed bag. When my children were small, my son and youngest daughter stuck plastic beads up their noses (separate occasions!) Junior doctors in Casualty were useless (wrong nostril, in one case!), but experienced Casualty sisters had both out in a jiffy. Oldest daughter sprained her ankle and had 3 different diagnoses and treatments from doctors, with little progress - only when an experienced older consultant had it immobilised in plaster did it heal properly, 2 - 3 months later. Since she is now a consultant herself, daughter clearly didn't hold a grudge, however!Recent experiences - none, touch wood.
Access & Walk in Centres - No experiences of these.I believe it helps if you have a little knowledge of how the system is meant to work, and if you are persistent and reasonably sure of your ground. My late wife was an SRN and RSCN by training, and this helped us as a family a lot. The NHS is brilliant at its best, atrocious at its worst, and what it needs above all else is consistency.

I passionately believe that the NHS is being led by the wrong people, the "bean counters". The system worked well when it was run by experienced medical professionals, consultants, registrars, matrons and senior nurses. They kept MRSA, C. diff. etc. at bay by sheer determination, good hygiene practices, and no "contracting-out" of vital cleaning services to private companies. Nurses were properly trained hands on, not crammed with unnecessary university claptrap so they don't even come across patients until the final part of their course.

The NHS "bean counters" have expanded their empire beyond all recognition, from the days when a Hospital Secretary and a small staff dealt adequately with the admin needs of most hospitals. The rot set in when successive governments tried to force the NHS to be run as if it were an industry, except that it isn't , it's a vital caring organisation which we all need at some time in our lives!!

If it were up to me, I would reorganise the NHS to place medical professionals back where they belong in a Primary role directing the way their hospitals are run, stop contracting-out vital cleaning services, and restore administration to the important but Secondary role it previously held. Oh, and go back to traditional hands-on nursing training, with young student nurses on the wards from the start, interposed with their lectures and exams. Do all that, and we will once again have a health service that the rest of the world really does envy - they did once, you know!

uklocations
6th Aug 2008, 14:28
Thanks for the answers. I know the spin, and I know the stats, and I know what patients tell me, but sometimes that's not enough.

Is there a reason you or the others haven't tried an access/walk in centre or other point of entry other than the traditional route (GP/A+E).

Thanks.

redsnail
6th Aug 2008, 14:41
G'day UK,

I haven't tried a "walk in" as it's not handy. Also, the one in Luton (that was sort of handy) changed the hours so there's no real point.

I have used the NHS phone in thingy when I had a nasty abscess on my abdomen. It's difficult to give an accurate description that will convey what's going on. I was in a great deal of pain, to him it sounded like a standard boil...
2 days later, Sun morning I go to Coventry A&E. I was triaged, (just showed the abscess), got a code "yellow" and was seen within 2 minutes. Again, when the doc pitched up to have a look, I just showed him, within 20 min I was on the table and he was cutting it out. No complaints about A&E. The phone in thing? Good idea but there's flaws.

I went to Luton and Dunstable A&E in March with a suspected broken thumb. I pitched up at 9am Sun expecting a huge queue (brought my magazines and laptop). I was seen within 30 min, X-rayed and out the door 30 min later. Result. No complaints there.

Seeing a local GP can be a challenge. If it's nothing urgent, fine, just make an appointment when it suits the roster. If it's urgent, ie got a cold etc, that's a bit more tricky. What I have found most disturbing was the misdiagnosis of the "thing" on my hand. (Solar Keratosis). Sis-in-law who's a Doc for RFDS picked it immediately. 2 UK docs didn't twig that a 40+ Aussie with a history of sunburn could have solar damage.... One UK doc did so now I trust him and request to see him.

For me, A&E when used "correctly" have been fine. Telephone NHS thing, not so happy with. Local Doc, now happy but can be difficult to see in a hurry.

603DX
6th Aug 2008, 14:58
You are very welcome to my views, but I assure you that there is absolutely NO "spin" involved. Spin is a term that has become associated with dishonest politicians and their flaky minions, and I strongly object to its use in reference to my post. Every word of this is heartfelt, honest, and based on 60 years of experience of both what the NHS was, and what it has become. My views are tempered by many discussions with friends, family, and acquaintances, some of whom are medical professionals, but many more are simply patients like myself.

To date, I have had entirely satisfactory results from following the GP/A+E traditional route. I do not hold with the view that "New means Better", and nor do many others.

uklocations
6th Aug 2008, 15:03
Aplogies if you misunderstood/I misrepresented.

I was referring to the government spin, not your description of events, which is helpful for me.

603DX
6th Aug 2008, 15:14
I accept your apology. Thank you.

Blues&twos
6th Aug 2008, 17:56
I live in South Oxfordshire - GP services in my area are excellent - phone up and if urgent, seen on same day. In two cases I've been asked if I can make it to the surgery "within the next ten minutes".

A+E - not had too many problems...or many visits, but have been seen usually within 45mins (although the dot matrix signs always say there's a 4 hour wait).

Walk-in centres have also been very good on the few occasions I've used them. No more than 30mins wait, good treatment, friendly staff.

Not so impressed with Berkshire's hospital appointments system though. They frequently cancel already-made appointments and re-arrange them or tell me they'll "let me know by post" about an appointment and no notification arrives....:rolleyes:

hippotamus
6th Aug 2008, 18:08
When I lived in the UK , I had a fantastic GP . That was until the practice stopped me seeing him.
I had a ongoing sinus condition, which led to lots of infections. being a school teacher , any cold I picked up off the snotty little darlings led to a sinus infection almost immediately. I was able to pretty much self diagnose when I had infections , my GP listened to me , sympathised and prescribed the appropriate Antiobiotics. He was instrumental in my actually getting the sinus op I needed , writing several strongly worded letters on my behalf when I had abysmal treatment at the local hospital.
We had a long standing relationship , he knew my particular background and case notes.
It became more and more difficult to get an appointment with him , previously when I knew I had an infection coming on , I would phone up get the last appointment of the day (even if it was a couple of days away) pop in , get my prescription and be on my merry way, not a minute of work missed.
Then the practice stopped you prebooking appointments , you had to phone at 8.30 that morning to be seen that day. Of course by 8.30 I was already in front of a class , so couldn't phone easily , but also couldn't get the later appointments either , they would merely issue you then next one on the list.
Eventually it got o the point where the receptionist would triage calls , and decide if you could see a doctor or not ! Inevitably I was told that my complaint ( I resented bitterly having to describe symptoms to the bloody receptionist) was not serious enough to see a doctor , I could see the nurse practioner instead.

inevitably i would have to spen 10 minutes explaining , my history , my symptoms etc to them , only to be told "we don't give antibiotics for colds"
I dont have an effing cold , I have sinusitis and am about to drill a hole in my own head if I don't get treatment for it !!!!!!!!!!!!!!!!!!!!!!!!!!!

So , I would either have to spen twenty minutes begging for the tablets , as compared to the 4 minute "same again?" conversation with my GP or would leave empty handed only to return a few days later with very very very obvious sinusitis , this time leading to several missed days of work.

OK rant over :) but I would be very interested to know about the legality of the nurse having a box of pre printed prescriptions for the most common drugs , already signed by a doctor in the practice and just penning your name on the top.

G-CPTN
6th Aug 2008, 19:27
I would be very interested to know about the legality of the nurse having a box of pre printed prescriptions for the most common drugs , already signed by a doctor in the practice and just penning your name on the top.Interesting, but where is the difference between that and 'repeat prescriptions' where the receptionist presses a button and a doctor signs the bulk issue?

cats_five
6th Aug 2008, 19:56
Seeing my GP is easy - I live less than a minute's walk from the surgery, and when I needed some of emergency appointments earlier in the year there was no problem.

The 'blue lights' bit of the NHS also works very, very well as I found out when my gall bladder burst and I was admitted that way. The care I got was terrific, including two sets of staff staying late to put an abdominal drain in and give me an ERCP, to stabilise me pre-op. I also had a second emergency admission with pleural effusion where the GP ordered a 1 hour ambulance - again efficient and effective treatment was given and I also had all the fun of loads of medical students one day. They were entertaining and helped pass time, and didn't have to do anything much to me. They ranged from pre-med students to a very smart young man almost ready to try for his MRCP.

Where it doesn't work so well is some planned stuff, and things like physiotherapy. I needed a repeat ERCP to retrieve the final stone, and couldn't believe they wanted me in for 2 nights for it - I have a feeling the private sector would make it one night at most. Getting to see a physio takes ages, but at least there's a new NHS dental surgery in my village which I've signed up for. Also - the food. Some of it is absolutely dire. And I couldn't believe the trouble I had getting a clean gown each day during my second admission - I didn't have any nightware to take with me and since it was an emergency admission I was hardly going to trail round Matelan to buy some.

Saintsman
6th Aug 2008, 20:06
I've had cause to visit an out-patients department for a 9.30 appointment to find that there was an hour and a half delay and I know that they didn't start till 9.

NHS is great when you need it in an emergency. If you just want routine treatment then you have to take your chances.

One more thing, if I want to see a doctor, its because I'm ill. I don't go to pass the time of day and receptionists who press you to find out if its an emergency piss me off. :mad:

Blues&twos
6th Aug 2008, 20:33
Saintsman, I feel the same, but I have two close friends who are doctors (one a GP and the other a consultant). The problems they have are with the large number of people "needing" to see the doctor who are repeat offenders who actually don't need to see them at all. They're the ones who take up the time which you and I might be able to use getting treatment for genuine medical problems! So really it's the hypochondriacs on whom you should vent your spleen, as they're the ones who have made it necessary to check everyone out! (Medical reference there included free of charge....)

Gertrude the Wombat
6th Aug 2008, 20:35
Easter Saturday, decided I really did want to see a doctor about something that was bothering me. Phoned surgery, got told phone number of emergency out of hours service.

Phoned emergency out of hours service, told to turn up immediately. Did, was seen immediately (somewhat to the disgruntlement of those who had been waiting a while).

"Think you'd better go to A&E," they said. Went there. Got examined immediately.

"OK, no immediate danger, but we think you'd better see a consultant," they said, "and the quickest way to do that, ie tomorrow morning, Easter Sunday, is for us to keep you in overnight so you get seen in the morning".

Consultant in the morning decided there was nothing to worry about, come back to the clinic for more tests in a few weeks. Did that, confirmed nothing to worry about.

Could have done without the whole business, of course, but can't complain about the NHS service, all for free. Whether the CAA will let me fly again or not is going to take the best part of a year and thousands of pounds ...

uklocations
6th Aug 2008, 20:57
Thanks for the replies, dynamite stuff, interesting to hear it from the other end.

I may nick a few quotes in the future, I'll contact you by pm if I use your experience.




OK rant over :) but I would be very interested to know about the legality of the nurse having a box of pre printed prescriptions for the most common drugs , already signed by a doctor in the practice and just penning your name on the top.

Thanks for that, it depends on what order the doc signs the script, before or after the patient has been seen. One is illegal, one is working at the edge of the law.

Nurses do make excellent prescribers by the way.

lexxity
6th Aug 2008, 21:00
Is there a reason you or the others haven't tried an access/walk in centre or other point of entry other than the traditional route (GP/A+E).


We used to have a walkin at Manchester airport and it was great. Whilst I was pregnant I could nip in and check anything out with them. It closed soon after due to lack of funding.

My maternity care was brilliant, really pleased with it as it was not the easiest of pregnancies. We had cause to use out of hours care a couple of times and was treated really well and as quickly as possible. Ended up having an elective caesarean which was booked, explained and carried out with as much care as if I were the only patient they had and not one of several thousand through the year. :ok:

GP - bloody useless I'm afraid. I've had two recurrent problems though 2006 to this year. Both of them had me literally begging to see an ENT Doctor and a physio for a fall and bust ankle. Everytime I went down I was treated with disdain and the look down the nose. Eventually managed to get both. The ENT Consultant was horrifed that it had taken from Christmas 2006 to March 2008 to get to him. I almost permanently lost the hearing in one ear and a bone in the other due to various reasons. This problem has caused me to take sick leave due to temporary hearing loss and accute tinitus. The consultant actually wrote to the GPs to express his dismay. He was furious.

My physio was also not pleased that it had taken over a year to be seen, could have been treated so much quicker had it been seen earlier. It will probably never heal properly, but the physio has helped immeasurably. Why did I have to wait so long though?

GP's booking system is another of the call at 8am ones, which is fine when not in work, but at work not possible as our second wave of flights is around the 8am mark so am too busy to call and hold for 20 minutes. Also same GP's misdiagnosed meladdo, took a trip to the hospital he was born at to get a proper diagnosis. Not amused at all with them and am wondering whether to move. I also find my GPs to be of the "hysterical mother" variety which is neither helpful nor reassuring.

GoToDoc is our out of hours. The Doctors who man that are saints. They are kind, reassuring and very helpful. The surgery is dismal and dank and in a really rough area. Getting a home call though is impossible. We asked for one earlier this year, 8 hour wait!

The Real Slim Shady
6th Aug 2008, 21:13
I managed to partially dislocate my knee 3 months ago. Went to A+E, on the basis that GP would jut refer me so I cut out the middle man.

Had the X Rays etc on the day and they strapped my leg in to rigid frame: they booked me an MRI scan as they thought the damage wasn't visible on x-ray. Took 6 weeks to get the appointment then another 3 wks to get the results.

Essentially I was left to let it heal by itself, which has taken close on 3 months. I can walk again now and have started back to the gym to build up the muscle again but I cant say I'm overly impressed ith NHS care. Considering BUPA for around 100 a month.

I have private dental care and it is seriously expensive!! I had to have 2 crowns replaced at a cost of over 1100, but the dentist is good and it's painless.

hippotamus
6th Aug 2008, 22:30
Thanks for that, it depends on what order the doc signs the script, before or after the patient has been seen. One is illegal, one is working at the edge of the law.

Nurses do make excellent prescribers by the way.



The nurse had a box with a load of prescriptions filed alpahbetically by drug , she just added your name at the top.

I realise that it is appropriate for nurses to prescribe in some situations, I appreciated it for the many years when I could just turn up and get my repeat contraceptive pill but I resent not being able to see my GP and then being the subject of "medicine by box file"

Foxy Loxy
6th Aug 2008, 22:33
Referring back to Keef's post:

I live in a not far removed part of Essex from Thundersley. Not long after I moved there, I managed to pull a muscle in my ribs (can't remember the name of it?). It was really not pleasant - I could barely move, even breathing hurt! - so I phoned the nearest surgery to me (2 mins walk away) for an appointment. I hadn't yet had a chance to register with them, so I requested an urgent appointment as a "visitor."

"But I have chest pain!" I pleaded. No, I was told, I HAD to be registered there, even for an emergency appointment. (I'm pretty sure that wasn't allowed, btw.) So I struggled down there, registered, and got an appointment for a couple of hours later. OK, so I knew I wasn't in imminent danger, but....

The other gripe I have with them is that you can only book an appointment for the same day. So you spend the first hour and a half after they open getting the engaged tone, and when you do finally get through, they only have emergency appointments available :ugh:

What I will agree with Keef over is Southend Hospital. Back in January, I suffered an accident whilst home alone in which I cut my back quite badly. From calling an ambulance to being discharged took four hours. THAT'S impressive! :ok:

frostbite
6th Aug 2008, 22:41
A nurse friend told me to always call an ambulance rather than get yourself to A&E.

It's the difference between being attended to straight away and waiting around all day.

Viola
6th Aug 2008, 23:05
Why haven't I tried an access/walk-in centre?


What's the point when my existing GP service is very good?

uklocations
7th Aug 2008, 09:08
Thanks for that, fair comment.