The National Health Service (NHS) is a national institution It's held up around the world as an example of how healthcare can be provided free for all at the point of need. Founded in post-war Britain by the Labour government in 1948, it is a socialist's dream designed to ensure everyone is treated equally. It's been a huge success, but its not without its problems. Whether it's the inability to get a GP appointment or the infected blood scandal, everyone has a view on the NHS and isn't afraid to vocalise it.
The NHS is a big organisation. It employs 1.5 million employed in 10,000 buildings, including 1140 hospitals, and treats 1.3 million people daily. Treatment covers everything from ingrowing toenails to life threatening illnesses. It employs not only doctors and nurses. Dentists, physiotherapists, social workers, GPs, hospital porters, receptionists, pharmacists, and midwifes or just some of the professions.
In human terms if you're 78 years old, things start to go wrong with you. As you get older you need more help with your health. So just how healthy is the NHS? People today are quick to criticise it when they fail to get a dentist appointment or wait five hours in A&E. We all know the NHS isn't perfect, so just how good or bad is it?
My experiences of it are mixed. Yes I have issues getting a GP appointment when I need it. Yes my family have experienced poor service from healthcare professionals. Here's the thing though. I've also experienced some first class healthcare when I've needed it most.
To illustrate the good and bad NHS service, take one of my experiences. I fell over heavily whilst out running. I quickly realised I had an issue and unable to walk. Unfortunately I fell on a path where virtually no one went on. I had my phone and phoned 999 only to be told that I had to wait three hours for an ambulance. As I got colder and started to shiver, I rang again only to be told there was nothing they could do. I crawled in a lot of pain down to the street where I was able to hail a cab to take me to hospital. Once there I received good care, even if the x-rays and scans took a total of seven hours, and I was admitted to a ward with a pelvic fracture. Although the care I received on the ward from the nurses was largely exceptional, the service by the orthopedic surgeon was the opposite. This was partly due to it being a weekend, and that my bone fracture was in an unusual position requiring a second opinion. It took four days for anything to decide on my course of treatment.
On leaving hospital I had physiotherapy sessions, but this was done privately. I'm fortunate to have private health care through my job, and will more than likely continue to pay for this when I retire. It doesn't cover everything. It has it's limits, but it does provide a safety net for when you may have issues getting NHS treatment. I also have private dental cover as NHS dentists where I live are as rare as a Donald Trump admission of a lie. For most though, private healthcare doesn't provide full health care. It's OK for small elective procedures like cataracts and frozen shoulders, but it won't cover you for heart attacks or major cancer treatment. That is where the NHS must take the brunt.
So is the NHS is crisis? It depends on your view. If it is there to fund universal healthcare for all, the current taxation model could change to ensure it has the funds to meet demand. You could add top up fees or levels of health insurance in the same way as my private health care provider does. The problem is that drives a coach and horses through the NHS's original aim of free healthcare for all. It would also likely be political suicide for the government who made that decision.
It's not just healthcare that's the issue. Decades of under investment by successive governments in infrastructure, has left many healthcare facilities in a woeful state of disrepair. footing the bill to bring them up to scratch whilst ensuring the technology and drugs are available to treat patients will require massive investment. Who'll pay for that? We will of course, but will be want to?
The risk is that unless there is the required investment, the NHS will steadily turn into an organisation with poor service for those unable to afford private health care. The UK government is making efforts to reduce the time patients wait for treatment. According to Private Eye magazine, there are nearly 7.5 million cases waiting for treatment, with a wait of 14 weeks for elective consultant treatment and two months for cancer treatment!
The 2023 social attitudes survey reported that only 24% of people are satisfied with the NHS, and only 13% with social care. It also reported that 48% said they'd support further taxation to spend on the NHS, but just how much would they be willing to give up and would it be enough?