| Cottage hospitals on 20:09 - Jan 3 with 3555 views | Boundy |
My mum last Autumn was another example of being well enough to leave hospital but not quite well enough to fend for herself without receiving rehabilitation , eventually she was in Bonymaen House ( converted from a care home ) where she received enough help to allow her to leave . The system is broke , not because of what's happening now but because of a lack of vision by those who should provide the answers and resources which would have prevented today's tragedies and they are tragedies , which without significant policy changes will affect to each and everyone of us at some point |  |
| "In a free society, the State is the servant of the people—not the master." |
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| Cottage hospitals on 20:13 - Jan 3 with 3548 views | Gwyn737 |
You can make a really good argument that it’s not the NHS that’s broken, it’s the care system. | | | |
| Cottage hospitals on 20:16 - Jan 3 with 3545 views | britferry |
they're quick enough to build all these housing blocks in Swansea for the students, perhaps if 2 or 3 were done for these patients to go in to, it would make a massive difference | |
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| Cottage hospitals on 20:48 - Jan 3 with 3515 views | Luther27 |
| Cottage hospitals on 20:16 - Jan 3 by britferry |
they're quick enough to build all these housing blocks in Swansea for the students, perhaps if 2 or 3 were done for these patients to go in to, it would make a massive difference |
Thoroughly agree. Closing down the cottage hospitals over the years to use the major hospitals as Centers of Excellence has failed….big time. Big is not better as the pandemic proved.
Also it now seems the NHS is about to throw their rule book out of the window regarding removing bed blockers….hate the effing terminology….to free up bed space. Well let’s see how that works in real life.
Going back to subject…didn’t Cardiff have a lot of brand new build student accommodation that is literally rotting away due to non occupancy? Are we heading the same way in Swansea I wonder. | | | |
| Cottage hospitals on 21:11 - Jan 3 with 3494 views | dobjack2 |
| Cottage hospitals on 20:48 - Jan 3 by Luther27 |
Thoroughly agree. Closing down the cottage hospitals over the years to use the major hospitals as Centers of Excellence has failed….big time. Big is not better as the pandemic proved.
Also it now seems the NHS is about to throw their rule book out of the window regarding removing bed blockers….hate the effing terminology….to free up bed space. Well let’s see how that works in real life.
Going back to subject…didn’t Cardiff have a lot of brand new build student accommodation that is literally rotting away due to non occupancy? Are we heading the same way in Swansea I wonder. |
On your last point I asked a local councillor the very same question a few years ago.
The answer I got was that it would reduce the demand for student accommodation in Brynmill/Uplands and help bring the area back to being more family friendly.
Whilst a laudable idea I had doubts that it would work. Posters living in the area would know how effective it's been. | | | |
| Cottage hospitals on 21:57 - Jan 3 with 3451 views | Luther27 |
| Cottage hospitals on 21:11 - Jan 3 by dobjack2 |
On your last point I asked a local councillor the very same question a few years ago.
The answer I got was that it would reduce the demand for student accommodation in Brynmill/Uplands and help bring the area back to being more family friendly.
Whilst a laudable idea I had doubts that it would work. Posters living in the area would know how effective it's been. |
Yes I remember that. Residents were getting fed up with the number of HOMO’s. The same problem has emerged at Baldwin’s opposite the Uni on Fabian Way. Residents lives there have been pretty miserable since the new Uni opened.
I’ve gone off the thread now haven’t I? Apologies for that. | | | |
| Cottage hospitals on 22:36 - Jan 3 with 3434 views | britferry |
| Cottage hospitals on 21:11 - Jan 3 by dobjack2 |
On your last point I asked a local councillor the very same question a few years ago.
The answer I got was that it would reduce the demand for student accommodation in Brynmill/Uplands and help bring the area back to being more family friendly.
Whilst a laudable idea I had doubts that it would work. Posters living in the area would know how effective it's been. |
If I was a student up the Singleton Campus, I'd live in the Brynmill area with my mates in a HMO and walk in rather than living in a self contained flat by the train station.
Just imagine if they'd converted the Oldway House building, top of Orchard St in to a Cottage hospital instead of student accommodation. City centre, easy for people to get to, car parks nearby for visitors... could have solved a lot of NHS problems | |
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| Cottage hospitals on 22:45 - Jan 3 with 3428 views | JACKMANANDBOY |
Leaving the politics aside, let's face it Wales, England and Scotland are in a state.
What concerns me is the lack of strategy in the NHS itself. Telling everyone in the NHS the are great and what a wonderful place the NHS is different from a message which says NHS does great work and we need to adapt to changing demands from an ageing and increasingly overweight population. |  |
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| Cottage hospitals on 09:50 - Jan 4 with 3363 views | Sandanista |
| Cottage hospitals on 22:45 - Jan 3 by JACKMANANDBOY |
Leaving the politics aside, let's face it Wales, England and Scotland are in a state.
What concerns me is the lack of strategy in the NHS itself. Telling everyone in the NHS the are great and what a wonderful place the NHS is different from a message which says NHS does great work and we need to adapt to changing demands from an ageing and increasingly overweight population. |
Only so much can be done on a finite resource and this needs to include better social care and public health which will reduce the burden of some, but not all disease through lifestyle. Ageing we can't control and with ageing comes wear and tear as the body's repair and control processes become less efficient. There is enough complaint when a cancer chemotherapy drug is refused (at perhaps a 20K per week cost).
But ultimately the NHS needs to be removed from political decisions. I hold the view that an independent body such as Royal Commission looks at funding, structure and management. Maintain the principle of free care at point of need but nothing else off the table. I suspect a compulsory public insurance model (employer and employee) such as used in Germany which has a degree of local control (and shaped to local need) at the level of the Landen (regional states) may the answer. Hospitals etc. are basically private entities in a public system. I also expect this comes at a higher cost to the individual. Either way it's not 1948 and healthcare is going to cost a lot more. We need a dose of pragmatism and reality. [Post edited 4 Jan 2023 11:30]
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| Cottage hospitals on 10:32 - Jan 4 with 3347 views | CountyJim |
Trouble is it's a staffing issue you can put as many beds as you want in but if you can't get staff because pay and conditions are poor |  | | |
| Cottage hospitals on 10:39 - Jan 4 with 3342 views | CountyJim |
| Cottage hospitals on 09:50 - Jan 4 by Sandanista |
Only so much can be done on a finite resource and this needs to include better social care and public health which will reduce the burden of some, but not all disease through lifestyle. Ageing we can't control and with ageing comes wear and tear as the body's repair and control processes become less efficient. There is enough complaint when a cancer chemotherapy drug is refused (at perhaps a 20K per week cost).
But ultimately the NHS needs to be removed from political decisions. I hold the view that an independent body such as Royal Commission looks at funding, structure and management. Maintain the principle of free care at point of need but nothing else off the table. I suspect a compulsory public insurance model (employer and employee) such as used in Germany which has a degree of local control (and shaped to local need) at the level of the Landen (regional states) may the answer. Hospitals etc. are basically private entities in a public system. I also expect this comes at a higher cost to the individual. Either way it's not 1948 and healthcare is going to cost a lot more. We need a dose of pragmatism and reality. [Post edited 4 Jan 2023 11:30]
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I think your right it should be a non political thing
Get the right people to make decisions such as doctors nurses where the money goes | | | |
| Cottage hospitals on 10:44 - Jan 4 with 3335 views | Scotia |
| Cottage hospitals on 20:13 - Jan 3 by Gwyn737 |
You can make a really good argument that it’s not the NHS that’s broken, it’s the care system. |
I think they need to be brigaded together, they are both dependent on each other so need to be better linked.
Similar to what has been reported on here happened to my Grandfather. He was released from hospital with a home care package, he needed to be re-admitted to hospital and as this was for longer than 48 hrs his care package ceased and had to be re-organised. This took over a week, he caught an infection and was never well enough to come home again.
Had the care package not been stopped he'd have freed up a bed for a while at least. | | | |
| Cottage hospitals on 10:46 - Jan 4 with 3332 views | Scotia |
| Cottage hospitals on 10:32 - Jan 4 by CountyJim |
Trouble is it's a staffing issue you can put as many beds as you want in but if you can't get staff because pay and conditions are poor |
I agree.
The care home in my area seems to be mainly staffed by Fillipinos, I know of another care home that was staffed by eastern Europeans.
The care system is highly dependent on immigrants that some people don't want here. | | | |
| Cottage hospitals on 10:57 - Jan 4 with 3324 views | CountyJim |
I know for a fact theres patients only the NHS can deal with because of complex needs any private providers want an absolute fortune to look after them
So not the patients fault but these are beds taken | | | |
| Cottage hospitals on 11:22 - Jan 4 with 3317 views | Joesus_Of_Narbereth |
| Cottage hospitals on 10:46 - Jan 4 by Scotia |
I agree.
The care home in my area seems to be mainly staffed by Fillipinos, I know of another care home that was staffed by eastern Europeans.
The care system is highly dependent on immigrants that some people don't want here. |
It’s been the model for our society for decades. Importing cheap labour willing to work for peanuts is far more preferable than taking the time and effort to train up young British people. Successive governments have always preferred the easy cheap option rather than looking long term and we are reaping the benefits of that now in pretty much every sector. |  |
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| Cottage hospitals on 11:29 - Jan 4 with 3310 views | CountyJim |
There's people doing personal care not getting paid any more than myself or my colleagues that can't be right
I couldn't do it I can tell you that for certain | | | |
| Cottage hospitals on 11:30 - Jan 4 with 3310 views | pencoedjack |
| Cottage hospitals on 22:45 - Jan 3 by JACKMANANDBOY |
Leaving the politics aside, let's face it Wales, England and Scotland are in a state.
What concerns me is the lack of strategy in the NHS itself. Telling everyone in the NHS the are great and what a wonderful place the NHS is different from a message which says NHS does great work and we need to adapt to changing demands from an ageing and increasingly overweight population. |
100%
There is also no point in telling everyone in the NHS they are doing a great job as not everyone is (the same as any organization). Id imagine the vocal strikers are the ones who know this.
It is a waste of taxpayers money to continually throw money at the NHS as you say the whole system is broken & needs repair.
Personally I believe it should be managed by joint political parties & not be used as a political football as its far too important for that.
Cottage type hospitals would be a great starting point the majority of us can see it so not sure why someone doesn't have the balls politically to make it happen. |  | | |
| Cottage hospitals on 11:36 - Jan 4 with 3295 views | Joesus_Of_Narbereth |
The communication in the NHS is absolutely pathetic too. When my dad went in he was nil by mouth but on the second day the doctor said he could start eating again, but this wasn’t communicated to the nurses who refused to feed him for another two days until the doctor came around again. So he was essentially denied food for the best part of five days. I have horror story after horror story I could share with you about how f*cked the NHS is. You’d probably be safer treating yourself honestly. | |
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| Cottage hospitals on 11:57 - Jan 4 with 3275 views | dobjack2 |
| Cottage hospitals on 22:36 - Jan 3 by britferry |
If I was a student up the Singleton Campus, I'd live in the Brynmill area with my mates in a HMO and walk in rather than living in a self contained flat by the train station.
Just imagine if they'd converted the Oldway House building, top of Orchard St in to a Cottage hospital instead of student accommodation. City centre, easy for people to get to, car parks nearby for visitors... could have solved a lot of NHS problems |
Agree entirely, proximity to the campus and the number of HMO''s already in the area suggested that idea wouldn't work, although I lived in a HMO in mumbles when I was a student.
A few years ago I had to be stay in hospital for a couple of days following minor complications after what should have been an in and out operation. There were 3 elderly patients in the ward I was in that couldn't be released because of a lack of social care.
A lack of cottage hospitals, lack of nurses and doctors (pay them more as well) and running down social care have created this mess. Political decisions by governments from Blair onwards have played their part. IMHO some of those making these decisions have probably been rewarded very well by some of those profiting from their decisions. | | | |
| Cottage hospitals on 13:51 - Jan 4 with 3243 views | KeithHaynes |
| Cottage hospitals on 11:22 - Jan 4 by Joesus_Of_Narbereth |
It’s been the model for our society for decades. Importing cheap labour willing to work for peanuts is far more preferable than taking the time and effort to train up young British people. Successive governments have always preferred the easy cheap option rather than looking long term and we are reaping the benefits of that now in pretty much every sector. |
Young British people are the problem according to some things I’ve read. |  |
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| Cottage hospitals on 13:51 - Jan 4 with 3243 views | majorraglan |
| Cottage hospitals on 20:48 - Jan 3 by Luther27 |
Thoroughly agree. Closing down the cottage hospitals over the years to use the major hospitals as Centers of Excellence has failed….big time. Big is not better as the pandemic proved.
Also it now seems the NHS is about to throw their rule book out of the window regarding removing bed blockers….hate the effing terminology….to free up bed space. Well let’s see how that works in real life.
Going back to subject…didn’t Cardiff have a lot of brand new build student accommodation that is literally rotting away due to non occupancy? Are we heading the same way in Swansea I wonder. |
The situation with cottage hospitals isn’t straight forward and there’s been a lack of joined up thinking across several levels of “government” over an extended period which has left us where we today.
For numerous years health budgets have been under pressure and resources scarce, an increased focus from government on “privatisation” and shifting responsibility from the State to people is a major factor reducing bed numbers, getting patients out of hospital into care homes or back home. This shift from the State to the individual If patients are cared for at home or in a care home, then payments generally do not come from the NHS budget and are covered by the Social Services or the individual themselves - this is a thorny issue and governments have kicked the can down the road as they don’t want to deal with the issue. Mental Health and care in the community is another example of a system that hasn’t worked.
The concept of using cottage hospitals for anything other than recuperation etc isn’t going to work. Health care provision has changed significantly and it’s much more specialised and expensive. Doctors want to work in major/ specialist centres such as Morriston, Cardiff, Stoke, etc as that’s where the cutting edge of current practice is, places like Withybush and Bronglais can really struggle to recruit doctors and consultants.
What we’re seeing now has been years in the making, but it really started to Ho down on Cameron’s watch. Boris started to increase nurse numbers but 10 years of underinvestment takes a long time to address. Boris also started discussions about care funding, but I think it fell by the wayside as it was very contentious. | | | |
| Cottage hospitals on 14:52 - Jan 4 with 3222 views | Scotia |
| Cottage hospitals on 11:36 - Jan 4 by Joesus_Of_Narbereth |
The communication in the NHS is absolutely pathetic too. When my dad went in he was nil by mouth but on the second day the doctor said he could start eating again, but this wasn’t communicated to the nurses who refused to feed him for another two days until the doctor came around again. So he was essentially denied food for the best part of five days. I have horror story after horror story I could share with you about how f*cked the NHS is. You’d probably be safer treating yourself honestly. |
I can well imagine.
A friend of mine recently described her shift over Xmas in Morriston A&E as "horrendous" and she isn't one to complain. | | | |
| Cottage hospitals on 15:14 - Jan 4 with 3207 views | Joesus_Of_Narbereth |
| Cottage hospitals on 13:51 - Jan 4 by KeithHaynes |
Young British people are the problem according to some things I’ve read. |
In some cases yes but the only way of breaking the destructive cycle of poverty the frustrations that arise from that is to provide opportunities for people to train to become something. There are so many barriers thrown up to prevent people training, whether it’s the cost or the time it takes to do something. | |
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| Cottage hospitals on 10:27 - Jan 6 with 3094 views | Brynmill_Jack |
| Cottage hospitals on 13:51 - Jan 4 by KeithHaynes |
Young British people are the problem according to some things I’ve read. |
I know we were all criticized when turning up as sixteen year olds fresh from school onto the workplace, as an older person I see this from the other side now obviously. It may be worse with mobile phones being so addictive to them - there’s one lad (in his 30’s) working with me now who can’t leave his phone alone.
Working life does take time to adjust to for young people though. If they are living at home without the pressures of mortgages/bills etc they are definitely going to be in a different place mentally than they’re more senior colleagues . Perhaps proper mentoring from some of the workplace old timers should be more widespread or even better more focussed preparations in schools to prepare them for there long careers ahead of them? |  |
| Each time I go to Bedd - au........................ |
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| Cottage hospitals on 10:30 - Jan 6 with 3092 views | CountyJim |
It happens abroad just wondering if patients families will have to do the personal care in hospitals and doctors nurses do the medical stuff
The way things are going it could happen | | | |
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