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Another Own Goal by the HSE .

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  • 09-04-2020 10:30am
    #1
    Registered Users Posts: 953 ✭✭✭


    You would have thought that the Government take over of the private hospitals would have helped in this crisis , but the opposite is in cas the fact . 600 Doctors in the private sector refuse to sign the HSE contract which demands that they hand over their existing patients to the public system , and rightly so , as it would interrupt ongoing health care programmes their patients are under . As a consequence , the private hospitals are empty . Well done Simon and the HSE .


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Comments

  • Registered Users Posts: 2,386 ✭✭✭Hoop66


    As I understand it, the private hospitals are emptying because they are being readied to take serious non-Covid cases from the public sector - which will handle the Covid cases.


  • Registered Users Posts: 33,990 ✭✭✭✭listermint


    This isnt a HSE problem, this is a consultants problem.


  • Registered Users Posts: 3,636 ✭✭✭dotsman


    I think it's more of an own goal for those that think you can simply destroy the private sector and expect everything to work seamlessly.


  • Banned (with Prison Access) Posts: 3,126 ✭✭✭Snow Garden


    All the hospitals are quiet at the moment apart from the ones dealing with a significant number of Covid-19 patients in ICU etc.
    UCHG has never been as quiet with just 3 in ICU on Monday.

    Look at the Trolley watch numbers too.
    https://www.inmo.ie/Trolley_Ward_Watch


  • Closed Accounts Posts: 18,268 ✭✭✭✭uck51js9zml2yt


    All the hospitals are quiet at the moment apart from the ones dealing with a significant number of Covid-19 patients in ICU etc.
    UCHG has never been as quiet with just 3 in ICU on Monday.

    Look at the Trolley watch numbers too.
    https://www.inmo.ie/Trolley_Ward_Watch

    Mater hospital is reporting they at at capacity in icu


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  • Banned (with Prison Access) Posts: 3,126 ✭✭✭Snow Garden


    Mater hospital is reporting they at at capacity in icu

    Correct. They have 18 ICU beds with a plan to create an extra 18 beds in the high dependency unit. Dublin is being hit the hardest without a doubt.
    I am sure the rest of the Mater is very quiet. There are no elective surgeries taking place. People afraid to go to A&E.


  • Registered Users Posts: 953 ✭✭✭mountai


    listermint wrote: »
    This isnt a HSE problem, this is a consultants problem.

    Why?


  • Registered Users Posts: 9,381 ✭✭✭Yurt2


    mountai wrote: »
    Why?

    I'm open to correction if there is a genuine public health risk associated with the new arrangements, but from the outside, it looks like pandered consultants throwing a strop because they can't get that sweet sweet private patient contact-time money.

    It's an emergency, they need to suck it up.


  • Registered Users Posts: 953 ✭✭✭mountai


    Yurt! wrote: »
    I'm open to correction if there is a genuine public health risk associated with the new arrangements, but from the outside, it looks like pandered consultants throwing a strop because they can't get that sweet sweet private patient contact-time money.

    It's an emergency, they need to suck it up.


    The irony is, Consultants operating in Public Hospitals, treating patients in a private capacity ( as their contract allows), are uneffected. Are you suggesting that Drs who operate only in the private sector be compelled to ignore their " Duty of Care" to their existing patients??


  • Registered Users Posts: 1,801 ✭✭✭Roanmore


    Yurt! wrote: »
    I'm open to correction if there is a genuine public health risk associated with the new arrangements, but from the outside, it looks like pandered consultants throwing a strop because they can't get that sweet sweet private patient contact-time money.

    It's an emergency, they need to suck it up.

    Rubbish.

    My wife is a chronic pain sufferer, her procedure was cancelled last week 2 days before it was due to take place. She can’t get it in the public system, it’s an experimental procedure which is working but wears off.
    She is in severe pain.

    Her consultant is not working and the area where the procedures take place is closed.

    **** like “suck it up” or “get over it” is the stock answer from people who haven’t a clue what’s going on in other people’s lives


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  • Registered Users Posts: 11,015 ✭✭✭✭Tom Mann Centuria


    Roanmore wrote: »
    Rubbish.

    My wife is a chronic pain sufferer, her procedure was cancelled last week 2 days before it was due to take place. She can’t get it in the public system, it’s an experimental procedure which is working but wears off.
    She is in severe pain.

    Her consultant is not working and the area where the procedures take place is closed.

    **** like “suck it up” or “get over it” is the stock answer from people who haven’t a clue what’s going on in other people’s lives

    Every likelihood that procedures would have been cancelled anyway. Private mri clinics not involved in the HSE deal have closed anyway, private hospitals in the UK have been cancelling most procedures. They will want as few people as possible in their hospitals and clinics to minimise risk of Covid-19.

    It's awful people have been adversely affected but I doubt the private facilities would be undertaking most of their "normal service" even if they remained a private entity for these few weeks.

    Oh well, give me an easy life and a peaceful death.



  • Registered Users Posts: 1,801 ✭✭✭Roanmore


    Every likelihood that procedures would have been cancelled anyway. Private mri clinics not involved in the HSE deal have closed anyway, private hospitals in the UK have been cancelling most procedures. They will want as few people as possible in their hospitals and clinics to minimise risk of Covid-19.

    It's awful people have been adversely affected but I doubt the private facilities would be undertaking most of their "normal service" even if they remained a private entity for these few weeks.

    You're wrong, we rang on the Monday and asked would it be cancelled due to C19 and they said no, they were open and conducting procedures.
    They had precautions in place. It was only when it was announced about the Private hospitals being taken over by the Government did we get news the next day to say it was cancelled.


  • Registered Users Posts: 896 ✭✭✭JPCN1


    Roanmore wrote: »
    You're wrong, we rang on the Monday and asked would it be cancelled due to C19 and they said no, they were open and conducting procedures.
    They had precautions in place. It was only when it was announced about the Private hospitals being taken over by the Government did we get news the next day to say it was cancelled.

    The HSE, perhaps the most derided institution in the State and with good reason. Doubt too many posters here would welcome their management 'expertise' coming to take over their businesses. Look at their record since they were created. Private hospitals function very well and will continue to do so after the HSE leave to continue to oversee the shambles they have created.

    Hope your wife manages to get the care she needs Roanmore.


  • Registered Users Posts: 9,381 ✭✭✭Yurt2


    Roanmore wrote: »
    Rubbish.

    My wife is a chronic pain sufferer, her procedure was cancelled last week 2 days before it was due to take place. She can’t get it in the public system, it’s an experimental procedure which is working but wears off.
    She is in severe pain.

    Her consultant is not working and the area where the procedures take place is closed.

    **** like “suck it up” or “get over it” is the stock answer from people who haven’t a clue what’s going on in other people’s lives


    At no stage was I suggesting people suffering from chronic illnesses to 'suck it up,' I'd have your wife get the treatment she needs tommorow in an ideal world - and I'm being serious there.

    These are however extraordinary times in public health and I agree with the difficult measures taken by the health authorities to cancel non essential treatments to increase capacity across the system to save lives.

    It is my suspicion, and I'll admit it's just my suspicion, that consultants have their eye things other than patient care when they baulk at the locum contracts.


  • Registered Users Posts: 1,016 ✭✭✭JJJackal


    listermint wrote: »
    This isnt a HSE problem, this is a consultants problem.

    How is a consultant problem?


  • Registered Users Posts: 953 ✭✭✭mountai


    Yurt! wrote: »
    At no stage was I suggesting people suffering from chronic illnesses to 'suck it up,' I'd have your wife get the treatment she needs tommorow in an ideal world - and I'm being serious there.

    These are however extraordinary times in public health and I agree with the difficult measures taken by the health authorities to cancel non essential treatments to increase capacity across the system to save lives.

    It is my suspicion, and I'll admit it's just my suspicion, that consultants have their eye things other than patient care when they baulk at the locum contracts.

    I find your post most hypocritical . There are many patients , who require ongoing cancer treatment , whose protocols have been interrupted by this ill thought out bullying tactic by the HSE . 600 Doctors refuse to sign this "Contract" , they cant all be influenced as you seem to think . God forbid that you should require urgent treatment , but if you did , will you ask your treating Doctor , " What Contract are YOU on " .


  • Registered Users Posts: 9,381 ✭✭✭Yurt2


    mountai wrote: »
    I find your post most hypocritical . There are many patients , who require ongoing cancer treatment , whose protocols have been interrupted by this ill thought out bullying tactic by the HSE . 600 Doctors refuse to sign this "Contract" , they cant all be influenced as you seem to think . God forbid that you should require urgent treatment , but if you did , will you ask your treating Doctor , " What Contract are YOU on " .

    It is my understanding that disruption to oncology and other treatments life threatening illnesses is being kept to an absolute minimum in all facilities.

    The consultants are still able to treat their most vulnerable patients if they sign the locum contracts, just not on the terms that they are seeking and with the amount of independence they are accustomed to.

    I'm of the belief that the measures will do the greatest amount of good for the greatest amount of people possible. That's what they are seeking to do, and that's probably what's necessary in the current climate. I think it's unfair to call it bullying when the authorities are playing the cards they have with the view to saving as many lives as possible and bringing disruption to absolutely essential services down to the lowest level possible.

    Again, I post this in no way trying to minimise you loved one's situation.


  • Registered Users Posts: 953 ✭✭✭mountai


    Yurt! wrote: »
    It is my understanding that disruption to oncology and other treatments life threatening illnesses is being kept to an absolute minimum in all facilities.

    The consultants are still able to treat their most vulnerable patients if they sign the locum contracts, just not on the terms that they are seeking and with the amount of independence they are accustomed to.

    I'm of the belief that the measures will do the greatest amount of good for the greatest amount of people possible. That's what they are seeking to do, and that's probably what's necessary in the current climate. I think it's unfair to call it bullying when the authorities are playing the cards they have with the view to saving as many lives as possible and bringing disruption to absolutely essential services down to the lowest level possible.

    Again, I post this in no way trying to minimise you loved one's situation.

    Of course its bullying , but nothing new there . I would go so far as to call it "State Abuse " . The fact that existing Drs, practicing within the HSE , are allowed to carry on treating private patients , whilst their colleagues are singled out for "Special Treatment" is bullying and abuse in my eyes . Meanwhile , private hospitals are still empty . Im sure Roanmore and his suffering wife take great comfort from your words .


  • Registered Users Posts: 5,324 ✭✭✭JustAThought


    Having been through the hamster wheel of public ‘doctors’ I wouod have no more trust in them and their qualifications than I would in a vegan or organic pizza. At least with a private doctor you have some chance of them being properly and fully qualified, not being an unsupervised and unqualified student and being able
    to speak the same language as you - not to mention being identifiable, traceable, available and accountable - little of which you will find in the rotating doctors door in public ‘treatment’.
    I applaud their private bravery and private balls.


  • Registered Users Posts: 953 ✭✭✭mountai


    So according to tonights news , an agreement was reached last week , but when contracts were issued , important details were omitted . Typical HSE , now we are informed of false test results being issued re Coronavirus . Of course the usual apologies have been issued . Seem familiar??. HSE = totally inept and unaccountable . Things just never change . In no way are front line staff to blame for this mess .


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  • Moderators, Society & Culture Moderators Posts: 12,524 Mod ✭✭✭✭Amirani


    Having been through the hamster wheel of public ‘doctors’ I wouod have no more trust in them and their qualifications than I would in a vegan or organic pizza. At least with a private doctor you have some chance of them being properly and fully qualified, not being an unsupervised and unqualified student and being able
    to speak the same language as you - not to mention being identifiable, traceable, available and accountable - little of which you will find in the rotating doctors door in public ‘treatment’.
    I applaud their private bravery and private balls.

    Yeah sure. And I'm sure the private doctor will be of much use to you when you're having a stroke or a cardiac arrest and the only place you're gonna get treatment is a public hospital.

    Private hospitals are good for certain things, mostly chronic or minor acute conditions. But in reality, most of them are just glorified clinics with limited treatment availability. When things get serious, they send their paying patients off the public system to pick up the crap after them. Handy way to operate.


  • Registered Users Posts: 15,182 ✭✭✭✭ILoveYourVibes


    The cancelling of operations is not because hospitals are at capacity its because hospitals are breeding groups for viruses. Its to stop the spread.


  • Banned (with Prison Access) Posts: 343 ✭✭Wtf ?


    listermint wrote: »
    This isnt a HSE problem, this is a consultants problem.
    The word ''Greed'' again springs to mind !


  • Registered Users Posts: 15,182 ✭✭✭✭ILoveYourVibes


    Wtf ? wrote: »
    The word ''Greed'' again springs to mind !
    Irish consultants are not rich. They just have better working conditions.


  • Banned (with Prison Access) Posts: 3,315 ✭✭✭nthclare


    Irish consultants are not rich. They just have better working conditions.

    They're making a living like all of us, if that's their choice to become consultants it's their choice.

    They have better living conditions that's for sure, there's a consultant living not far from me and I assure you they're quite comfortable.

    If looking after people's health equates to cost and getting rich then as a society we're the Titanic which deliberately hit the ice berg...or like a bus driver drunk at the wheel.

    When are we going to learn ?

    I eat healthily, get exercise and fresh air get enough sleep, don't drink,drug or smoke because I'm on a modest wage and my health is my wealth...

    I don't care for money, it's only important when I don't have it.

    I know I'm full of clichés and sound a bit hippy dippy, but the sheer greed and ineptitude of the hierarchy in this country is shocking.

    There's still a myopic attitude to public spending and the HSE really need outside help and advice on how to run the show.

    it's not hard to admit one's wrong and needs a shake up.

    A percentage of those clerical staff which are top heavy in the HSE should be retrained as nurses, or put to better use.
    That will ease the strain on the backbone of the system.

    I'm not a moany leftie I'm more moderate slightly right leaning, but if this Corona pandemic doesn't teach society a lesson then I don't know what's going to happen.

    Sheer greed and a total lack of responsibility and empathy is the biggest problem with the running of the show.

    I studied horticulture and botany because I love plant's and the environment, not because I love money and want to become rich...

    When are people going to wake up ?


  • Registered Users Posts: 12,504 ✭✭✭✭mariaalice


    Paul Reid is brilliant.

    Why would anyone try to play politics with COVID 19.


  • Registered Users Posts: 896 ✭✭✭JPCN1


    Certainly not the people who keep bringing us peanuts like PPars, 2 year waiting lists, Cervical Screening, Trolleys in hallways etc if you're lucky enough to get one. Tests taking over a couple of days aren't worth a great deal/

    Obfuscation and misdirection has been their hallmark to date so lets wait and see.


  • Registered Users Posts: 1,801 ✭✭✭Roanmore


    Wtf ? wrote: »
    The word ''Greed'' again springs to mind !

    Please enlighten us. Please explain the greed in this situation?

    The poster you quoted was asked 3 times to explain their statement but never did.

    I think it was already said that an agreement was reached where they could treat their private patients as well but was omitted from the final contracts.


  • Registered Users Posts: 3,572 ✭✭✭2ndcoming


    Roanmore wrote: »
    Rubbish.

    My wife is a chronic pain sufferer, her procedure was cancelled last week 2 days before it was due to take place. She can’t get it in the public system, it’s an experimental procedure which is working but wears off.
    She is in severe pain.

    Her consultant is not working and the area where the procedures take place is closed.

    **** like “suck it up” or “get over it” is the stock answer from people who haven’t a clue what’s going on in other people’s lives

    I genuinely feel for your wife's troubles. If we were to imagine a permanent single tier system there would always be outliers such as this around the time of handover sadly.

    But the unfortunate truth of the quasi American system we've developed over the past 30 years is these kinds of treatments are available to a far lower percentage of the population than they would be in a properly funded single tier system.

    The further we go down the current path, as evidenced in all other aspects of the economy, the less accessible these kind of specialist services become as the pay wall of access only goes one direction and that is up.


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  • Registered Users Posts: 5,324 ✭✭✭JustAThought


    Amirani wrote: »
    Yeah sure. And I'm sure the private doctor will be of much use to you when you're having a stroke or a cardiac arrest and the only place you're gonna get treatment is a public hospital.

    Private hospitals are good for certain things, mostly chronic or minor acute conditions. But in reality, most of them are just glorified clinics with limited treatment availability. When things get serious, they send their paying patients off the public system to pick up the crap after them. Handy way to operate.

    Having had family members had two major heart ops in private hospitals (A&E) and two further family members treated for serious medical emergency needs in private hospitals (private A&E again) I would beg to differ. Also from experience The difference between public oncology treatment and that in a private hospital is eye watering. Not everything ‘free’ is necessarily good, quality or reliable. And from my experience of the sloppy work riddled with mistakes by sub qualified doctors presenting themselves as experts and their laxidisacal errors and disruptive ‘service’ in public hospitals I will remain a firm advocate of private. I wouldn’t bet my health on anything else.


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