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FF/FG/Green Government - Part 3 - Threadbanned User List in OP

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  • Posts: 0 [Deleted User]


    Did you actually read the report to the end before dumping part of it in this thread?

    Anyone who ever had the misfortune to attend A&E with a genuine illness or recent accident, know only too well that others in the waiting room became ill days before. Or the accident happened last week. Or they have a minor illness/accident that could have been treated by their local pharmacist, if not doctor or nurse. Yet, the A&E staff treat them all the same, yet are castigated by some for not being treated immediately.

    Your blind hatred of the government is stopping you seeing the good they do and us a tad unhealthy.



  • Registered Users Posts: 9,366 ✭✭✭Cluedo Monopoly


    You have yet to provide a link on the superior nurse-bed ratio. I provided a link suggesting your metrics were flawed.

    The report highlighted that 'A lack of capacity and a shortage of staff and funding were consistent underlying themes.' How do you explain that??

    The health systems already has major attrition risks where nurses and doctors will choose to go elsewhere rather than work in constant chaos and overcrowding.

    FF and FG have ignored the chaos and capacity issues for decades.

    What are they doing in the Hyacinth House?



  • Registered Users Posts: 27,942 ✭✭✭✭blanch152


    You can look up the statistics yourself

    Ireland in 2018 had 12.9 nurse per 1000 inhabitants, fourth best according to the OECD.

    Countries like Sweden, Denmark, Austria, Canada, UK, all had less than 11.


    Ireland, 8th highest in the world, with all EU countries below us. And us with the youngest and healthiest population in the EU.

    We have more than enough nurses, it is poor working practices protected by unions, combined with poor local frontline management practices (mostly promoted nurses) that cause the problems.

    As I said, this is really for a separate thread.



  • Registered Users Posts: 9,366 ✭✭✭Cluedo Monopoly


    Here we go again.

    Why is everyone in the health system, including the government, saying we need add more frontline health workers except you?

    If we don't have the bed capacity, what are all these excess nurses doing? They seem to be very short on the ground despite what your raw metric shows.

    OECD nurse patient ratios do not give the full picture | Health Manager

    Speaking on “Safer nurse staffing: the right person in the right place at the right time, he said that if you just looked at OECD figures, Ireland, with 12.4 nurses per 1,000 population, had more nurses than most OECD states. However, this was not the full picture, as the Irish figures included nurses working in management and education and that made it difficult to get accurate figures of those working directly in clinical practice. In other countries, part of the registration process involved stating place of work – this did not happen in Ireland.

    IRELAND HAD ONE OF THE LOWEST NUMBER OF BEDS PER THOUSAND POPULATION AND ONE OF THE HIGHEST BED OCCUPANCY RATES IN THE OECD.

    According to the OECD (2015) Ireland had 2.6 beds per thousand of the population, compared to 13.17 in Japan, 6.13 in France, 4.82 in Luxemburg and 4.35 in Finland.

    The bed occupancy rate in Ireland was also very high. According to the OECD, we had a 94% bed occupancy rate, while the rate in Europe ranged from 68% in Slovenia to 84% in the United Kingdom, and 46% in the Netherlands.

    “So nurses in Ireland are working clinical settings with high rates of patient turnover, which leads to increased nursing work. Therefore to accurately predict nursing numbers we need to have reliable data that includes patient dependency and acuity, patient turnover, bed occupancy, elective vs. acute admissions and educational level and skill-mix of the nursing workforce.”

    What are they doing in the Hyacinth House?



  • Registered Users Posts: 27,942 ✭✭✭✭blanch152


    When you are explaining, you are losing. The figures speak for themselves, we have more than enough nurses. It is the way we use them through bad frontline management and poor union-protected working practices that cause the problem.

    The picture painted by that report of nurses running around not knowing what to do, cutting corners, creating workarounds is what makes the problem worse.



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  • Registered Users Posts: 68,936 ✭✭✭✭FrancieBrady


    Waiting for someone like Regina Doherty to blame patients for getting sick.



  • Registered Users Posts: 4,242 ✭✭✭brokenangel


    An expert on county councils a few days ago, now the HSE

    Thr problem with the HSE is the entire organisation structure. It deserves a thread on it own with hopefully some heath professional who can give personal experience and how you can change it.

    Too many reports done without actually asking the nurses etc is what I can see from my limited knowledge. Like the ransomware, circa 100m wasted, PR job done and the same company who ran previous reports brought back in without going to tender

    It was cover up for management. Who has lost their job or a contract over that disaster?



  • Registered Users Posts: 9,366 ✭✭✭Cluedo Monopoly


    When I am explaining, you are ignoring. You never debate - you just ignore what you dont like. I have shown that your metrics are wrong.

    Everyone knows we are understaffed and have capacity issues. I am a bit busy today but I will post a few more links (again) later this evening on this topic. Government policy is to blame here.

    As the INMO said "“We take no pleasure in having to record these figures for a decade and a half. We know the problem, but we also know the solutions: extra beds in hospitals, safe staffing levels, and more step-down and community care outside of the hospital. No other developed country faces anything close to this trolley problem. It can be solved, but a strong political agenda to drive change is needed."

    You never got back to me on local government reform - needed or not? 😉

    What are they doing in the Hyacinth House?



  • Registered Users Posts: 27,942 ✭✭✭✭blanch152


    So the OECD and myself are wrong, but somehow you are correct.



  • Registered Users Posts: 1,324 ✭✭✭Shebean


    It's quite amusing. It's not the policy makers, it's not the government appointed head of the HSE, it's not the minister(s) of health. Despite many decades overseeing health policy in Ireland, it's lazy union workers and the public that's to blame. I suppose Enda Kenny didn't know that when he promised to 'end the scandal' of hospital trolleys. The country would be perfect if not for the people.



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  • Registered Users Posts: 9,366 ✭✭✭Cluedo Monopoly


    No Blanch, the data is the data. You are wrong though. Don't get cheeky.

    Lies, damned lies and statistics are usually used when you have a weak argument. And it's more than weak.

    The whole world is telling you that the Irish health service is understaffed with major capacity issues but you insist our superior nurse-bed ratio makes everything ok. Crazy talk. The lack of capacity and trained nurses is also the reason why we were in lockdown longer than most European countries.

    You are not comparing like with like and you know this. I will repost the reason which you ignored.

    Speaking on “Safer nurse staffing: the right person in the right place at the right time, he said that if you just looked at OECD figures, Ireland, with 12.4 nurses per 1,000 population, had more nurses than most OECD states. However, this was not the full picture, as the Irish figures included nurses working in management and education and that made it difficult to get accurate figures of those working directly in clinical practice. In other countries, part of the registration process involved stating place of work – this did not happen in Ireland.

    IRELAND HAD ONE OF THE LOWEST NUMBER OF BEDS PER THOUSAND POPULATION AND ONE OF THE HIGHEST BED OCCUPANCY RATES IN THE OECD.

    How you like them apples?

    Where are you on local government reform these days? 🤣

    What are they doing in the Hyacinth House?



  • Registered Users Posts: 68,936 ✭✭✭✭FrancieBrady


    Like Enda's 'new politics' that was another load of bluff to buy votes and a large part of why FG are polling their lowest figures ever, because they put another bluffer in charge.



  • Registered Users Posts: 9,366 ✭✭✭Cluedo Monopoly


    These people are all wrong too. 10th March Oireachtas Health Committee

    Irish Examiner View: Health service crisis really is a matter of life and death

    Our political leaders have to take responsibility for the decline in our health service.

    Unless specific and concrete measures are taken to deal with ongoing problems with the HSE we will be facing years, if not decades, of a declining and demoralised health service.

    As the Oireachtas health committee heard yesterday, the ongoing crises being faced almost every day in our hospitals are the direct results of failures by successive governments to properly resource the health service.

    The committee heard from representatives of those working in healthcare that we are returning to pre-pandemic overcrowding levels.

    The Irish Medical Organisation has described hospital overcrowding as a grave danger to patients. IMO assistant director of policy and international affairs Vanessa Hetherington told the committee that persistent overcrowding in hospitals, like record hospital waiting lists, are the direct results of an equally persistent failure to invest in bed capacity, infrastructure, and medical workforce to meet the needs of a growing and ageing population.

    The problem, however, is not just a shortage of beds. There is no point in adding beds unless it is accompanied by hiring more medical and other staff to handle them.

    Our political leaders have to take responsibility for the decline in our health service and the fact that it is consistently in crisis mode.

    The Government’s decision on Tuesday to allow non-EEA doctors who have been working here for two years to access permits and spousal rights without preconditions is a welcome start to addressing the shortage of doctors, but we also need to make working here more attractive for nurses.

    We don’t have enough nurses or hospital doctors and there are certain specialist areas within the health service that are suffering these shortages most acutely. 

    In a report last week, the Neurological Alliance of Ireland (NAI), revealed that there is a serious shortage of neurology nurses in Dublin. Dublin hospitals only have 28 nurses working in the neurology sector — a shortfall of 57 nurse specialists caring for people in Dublin and surrounding counties.

    So do all patients. More than 21,000 patients have been on hospital trolleys waiting for a bed so far this year and the situation is getting worse, not better.

    That makes it, literally, a matter of life and death.

    .....

    Wait, has anyone told them that our nurse to bed ratio is superior and these problems cannot be happening?

    ...

    Fair point

    Taoiseach Micheál Martin was health minister from 2000 to 2004, while Tánaiste Leo Varadkar served in the same capacity from 2014 to 2016. They should be more aware than most politicians of the problems within the service.

    What are they doing in the Hyacinth House?



  • Registered Users Posts: 27,942 ✭✭✭✭blanch152


    That is laughable. The health service is not understaffed. They have poor work practices on the frontline, they have underdeveloped capital programmes, they have extremely poor local supervisory management made up of promoted nurses, they have wasteful practices, under-used facilities at certain times etc. etc., but they are not understaffed or underfunded.

    By the way, there is now a separate thread on this issue.



  • Registered Users Posts: 9,366 ✭✭✭Cluedo Monopoly


    You are laughable.

    Please see this post.

    FF/FG/Green Government - Part 3 - Threadbanned User List in OP - Page 274 — boards.ie - Now Ye're Talkin'

    It mentions the government several times and was pre todays FOI report.

    Where are they wrong calling for more doctors and nurses?

    What are they doing in the Hyacinth House?



  • Registered Users Posts: 27,942 ✭✭✭✭blanch152


    Breaking News - People in healthcare want more people employed so that their jobs are easier.

    Well, blow me down, that was completely unexpected, who'd have thought they would want that?



  • Registered Users Posts: 27,942 ✭✭✭✭blanch152


    More evidence that we are one of the best countries to live in. Corruption index score going up as we continue progress.

    Since 2012 there was been an improvement of 5 in the score for Ireland as corruption becomes less under FG and Green governments.



  • Registered Users Posts: 68,936 ✭✭✭✭FrancieBrady


    Sign of a good opposition calling to account.

    Good you are confronting the corruption that was there too.



  • Registered Users Posts: 9,366 ✭✭✭Cluedo Monopoly


    The sting of a dying wasp...so now you are blaming frontline healthcare workers for the lack of bed capacity and staff? Lovely.

    The frontline health workers are calling out major problems in our health service for decades because they want to make their jobs easier. Lovely.

    How can you actually write this garbage? Try and hold yourself to account. Trying to blame everyone else continually.

    The problem is actually getting worse. Would you like the 'moaning' nurses and doctors to shut up too?

    The Irish Medical Organisation has described hospital overcrowding as a grave danger to patients. IMO assistant director of policy and international affairs Vanessa Hetherington told the committee that persistent overcrowding in hospitals, like record hospital waiting lists, are the direct results of an equally persistent failure to invest in bed capacity, infrastructure, and medical workforce to meet the needs of a growing and ageing population.

    The problem, however, is not just a shortage of beds. There is no point in adding beds unless it is accompanied by hiring more medical and other staff to handle them.

    Our political leaders have to take responsibility for the decline in our health service and the fact that it is consistently in crisis mode.

    What are they doing in the Hyacinth House?



  • Registered Users Posts: 27,942 ✭✭✭✭blanch152


    There is no lack of staff, that is my point, that is what the statistics show, that is what the funding shows. All of the problems are within the HSE, with the culture of frontline staff part of the problem, the attitude towards A&E from the general public another. As I said, it is being discussed well on the other thread.



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  • Registered Users Posts: 4,242 ✭✭✭brokenangel


    The poster never said that and is not blaming frontline healthcare workers. That is very clear so why are you twisting the post? It’s a very disingenuous way of posting


    I see a main thread has been created and hopefully some HSE employee can add to that as I am sure they have some valuable insight



  • Registered Users Posts: 9,366 ✭✭✭Cluedo Monopoly


    Actually he said "People in healthcare want more people employed so that their jobs are easier.", Such a brave comment.

    It was a spiteful comment. Even this shoddy government knows that health is understaffed and under capacity. Blanch is floundering on this topic as he always does in order to protect his precious party.

    There is a real risk of attrition amongst healthcare workers. They will leave because of the terrible working conditions.

    The government wouldn't even publish the report without an FOI request!

    HSE should not use COVID as excuse to not publish reports - INMO

    “Organisations such as the Irish Patient’s Association should not have to get important reports such as the Independent Review of Unscheduled Care Performance through Freedom of Information request. 

    “It has been an extremely challenging two years for the health service on the back of several record-breaking winters in succession. It is not good enough for the HSE to deem COVID as a reason not to publish independent reviews into our health service. 

    “Hospital overcrowding will always be a relevant issue to our members. Since the Chief Operations Officer wrote that COVID has deemed an independent review into overcrowding into nine of our most overcrowded hospitals in the country as not relevant, over 106,813 patients have been without a bed in Irish hospitals. 

    “The results of this review are particularly damning when it comes to the times patients were waiting to be admitted to our emergency departments, with patients waiting nearly seventeen hours in Galway University Hospital. We know that if a patient is on a trolley for more than five hours it can have a significant detrimental impact on their health and indeed their mortality.

    “Reports such as these cannot be written off as unimportant or irrelevant because of COVID, in fact they should be viewed as even more important due to the implications of COVID on overcrowded hospital environments. Hospital overcrowding is a real feature in our hospitals and one that INMO have been sounding the alarm on for far too long.

    What are they doing in the Hyacinth House?



  • Registered Users Posts: 27,942 ✭✭✭✭blanch152


    Nonsense.

    "On health spending, the department annual publication,Health In Ireland(2019 edition), shows the country has the third-highest share of GDP/GNI

    spent on health in the OECD, at 12.0pc exceeded only by 12.2pc in Switzerland and 16.9pc in the USA.Health In Irelandalso shows medical and dental staff in the public health service increased by 32.6pc between 2010 and 2019 and that total public expenditure on health here increased by 28.8pc between 2010 and 2019. Given that Ireland has a far lower proportion of its population over 65 than the other OECD countries, we have to ask why we have such a high healthcare cost."

    The politicians have given plenty of funding to the healthcare system. However, it is the waste, the poor practices of staff, the particularly poor supervisory management etc. that are causing the problems. The INMO whinging for more staff to make their members' lives easier isn't news or newsworthy.



  • Registered Users Posts: 9,366 ✭✭✭Cluedo Monopoly


    Head Topics Ireland??!

    🤣🤣

    Where you dig that one out of? Who wrote it? I don't even think know what you are arguing about anymore? Are you still on about nurse-bed ratio?

    Find a link from a newspaper please Blanch. Head Topics 😂 A new low but made me laugh. And your one word intro, classic!

    What are they doing in the Hyacinth House?



  • Registered Users Posts: 8,829 ✭✭✭blackwhite


    A quick google shows me that Head Topics are an aggregator mainly used for getting around paywalls.

    Original article is by Sean Barrett - economist and former senator, and was originally in the Indo.






  • Registered Users Posts: 27,942 ✭✭✭✭blanch152


    Have a look again. The article is a reproduction of an article by the economist Sean Barrett in the Independent.

    In your overdone rush to discredit a source, you missed that. First OECD is wrong, Health at a glance is wrong, Sean Barrett is wrong, Independent is wrong, but the conflicted union INMO are right.



  • Registered Users Posts: 9,366 ✭✭✭Cluedo Monopoly


    Oh it was an opinion piece from a medical economist is it? OECD is right and all nurses and doctors are wrong?? Is that what you are telling me?

    And again - actually respond to the content this time. It's from a doctor! And it rubbishes your argument.

    .....

    Prof. Jonathan Drennan, Professor of Nursing and Health Services Research, School of Nursing and Midwifery, University College, Cork

    OECD nurse patient ratios do not give the full picture | Health Manager

    Speaking on “Safer nurse staffing: the right person in the right place at the right time, he said that if you just looked at OECD figures, Ireland, with 12.4 nurses per 1,000 population, had more nurses than most OECD states. However, this was not the full picture, as the Irish figures included nurses working in management and education and that made it difficult to get accurate figures of those working directly in clinical practice. In other countries, part of the registration process involved stating place of work – this did not happen in Ireland.

    It had also to be remembered that the environment in which Irish nurses worked was very complex, because Ireland had one of the lowest number of beds per thousand population and one of the highest bed occupancy rates in the OECD. The number of beds in hospitals, patient acuity and dependency, support from other health professionals and patient turnover determined the kind of work which nurses carried out. A small number of beds, increasing patient acuity and dependency and high turnover meant nurses would be much busier.

    IRELAND HAD ONE OF THE LOWEST NUMBER OF BEDS PER THOUSAND POPULATION AND ONE OF THE HIGHEST BED OCCUPANCY RATES IN THE OECD.

    According to the OECD (2015) Ireland had 2.6 beds per thousand of the population, compared to 13.17 in Japan, 6.13 in France, 4.82 in Luxemburg and 4.35 in Finland.

    The bed occupancy rate in Ireland was also very high. According to the OECD, we had a 94% bed occupancy rate, while the rate in Europe ranged from 68% in Slovenia to 84% in the United Kingdom, and 46% in the Netherlands.

    “So nurses in Ireland are working clinical settings with high rates of patient turnover, which leads to increased nursing work. Therefore to accurately predict nursing numbers we need to have reliable data that includes patient dependency and acuity, patient turnover, bed occupancy, elective vs. acute admissions and educational level and skill-mix of the nursing workforce.”

    ....

    Respond to the content above please, it even mentions the OECD several times 😉....no more waffle about how you know better than the medical professionals.

    What are they doing in the Hyacinth House?



  • Registered Users Posts: 27,942 ✭✭✭✭blanch152


    Another insider complaining. All of these nurses and doctors that are complaining about staffing levels are not objective.



  • Registered Users Posts: 68,936 ✭✭✭✭FrancieBrady


    And neither are those on the defensive and trying to absolve responsibilities.



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  • Registered Users Posts: 27,942 ✭✭✭✭blanch152


    Yes, the OECD figures, the Health at a Glance statistics, the ESRI, the economists, they are all trying to absolve responsibilities.......................wait, what responsibilities do they have?

    As usual, you have grabbed the wrong end of the stick.



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