My Solution to the NHS (by sarah)
Having spent alot of time stuck in hospitals or on waiting lists I then fall off of or never got the letter that told me I had an appointment I thought I would write down how I'd run things if I had complete power!
I would allow privatee patients - but this would not entitle you to jump queues or get better medicine - all it would mean is that you'd get a private room with TV wifi etc... you would still get the same food as that should be regulated to your specific condition. (I did lots of thinking about this whilst in hospital! Especially when they forgot to fed me).
I would also use the private rooms for over spill if there were bed shortages and the pivate patients would get a refund and have to lump it.
I would try and stop the 'us and them' attitude between the doctors and nurses by making drs train as nurses first. (I know this is major over hall of our current education of medical professionals) I would also make them work on ambulances as ambulance stuff before they could qualify etc... and probably make them do 'reminder' stints after qualification.
I would make sure that any management type people have a medical back ground so that (hopefully) they will know what is essential and what is not - again being a nurse first would help with this - they would realise that pillows and blankets are actually needed.
For washing people ect.. I would encourage the spanish system of having the family do it (if they are able to/willing) and only use hospital stuff for that when needed.
I would get food preperation people to come and over hull all the wards and operating theatres so they are easily cleaned - beleive me butches have better hygien than our hospitals. In fact our hospitals or at least the ones I've been in are badly designed in this respect with lots of nooks and crannys for the germs to lerk.
I would implement the design me and hubby came up with for effiencient and hard wearing and modular (so when a bit breaks you just replace that bit.) medical monitors for oxygen, heart rate etc... This would reduce the wires and things and I would make sure there were enough of them! I would also make sure the nurses had a basic understanding of the electronics so that they know when something is broken before the accidently use it on pregnant women and panic when they can't hear the baby (fortunatly I had been in the ward long enough to have worked out which one of the baby monitor things worked and which didnt but if I had been just admitted to the ward with a problem it would have scared me as it was the poor student nurse was in a right state).
Have nutritionist and dieticians incharge of the food so diabetics didn't end up with sugar sweetened friut juice etc (happened to my dad). This would reduce the convelesance time along with proper physiotherapy and excersises regimes for people stuck in hospital etc..
As far as GPs are concerned I would have home visits back and I would have 'check ups' ie you go and see your doctor just for a chat and to mention all those little things like the festy toe nail you wouldnt normal get around for making an appointment for (and you therefore end up causulty cos its gone green and you have a nasty fever - Alaric). I would add in a big smattering of preventative medicine here including talking therapies as well as recipies for garlic consumption for blood thinning etc... - this should in the long run decrease the number of patients in a really bad state before they go to the drs and therefore would save moeny in the long run (not something that is going to interest a government who might only be in term for the next four yrs etc...).
The other thing that I think would be essential is to get rid of medical patents this way as long as there is no longer drug company monopolys and the best treatments will be used rather than the current state of affairs - of course this would mean that alot of drug trials etc... would have to be payed for by the tax payer etc... as the companies that do the research etc... are doing it purely for profiets
The last thing I would do is give hospitals the ability to choose their own contracts for repairs etc... and have harsh penalties for companies that try to screw them over - lots of money is currently wasted on building maintance that is unnessaccery.
I would have an appointment reminder system that emailed patients/phoned them a week/day before depending on prefernce. I know there are security issues here with patient records but I am confident that they are not insermountable. I also have issues with how they are digatizing the medical records but thats another story... All I can think is that I currently have over half the records from the pregnancy missing and as the hospital technically doesn't exist anymore I doubt they will ever be recovered so the only copy of alot of stuff is what me and Alaric made copies of and its not like it was minor stuff :/
Well thats all of the top of my head and there are probably lots of problems I havent accounted for etc...