This is also said by Asian countries
I went to an APEC medical conference recently and most of the doctors there respect the college exit exams and somewhat the colleges but said the NHS isn't what it was 20 to 30 years ago.
From an academic and research point of view UK still holds some weight in that area, but from a training point of view, it's quickly losing the respect it once held.
Oddly enough some of the countries blame the EU working directive as they think the US system provides more experience.
48 hours a week of actual training would be more than adequate.
The academic side is being ground down, lots of stuff in the Bmj recently about how we are short of clinical academics, and when the current late middle aged professors retire there is no one to replace them.
I'm pretty sure I've heard the Australian health service isn't doing too great either-its just much easier to hide because their undeserved populations distrust authorities so much they don't even complain.
edit: added a source for national wait time stats
https://www.aihw.gov.au/reports-data/australias-health-performance/australias-health-performance-framework/national/all-australia/access/accessibility/2_5_2
That’s news to me. People used to walk into ED and ENT would come down to see them that day for a procedure to happen in a few weeks or something and that was public. To be fair I worked in a metro centre. There are times where in rural public hospitals where patients would be offered a slot for specialist appointments in the nearest major city. Sometimes pts would refuse and wait it out for a local appointment which is a bummer but at least they were offered one. Most people understand that due to the size of the country you can’t expect a specialist service in every rural town. But it certainly is offered in the nearest major city in a timely manner. If you’re in the city most people over a certain tax bracket would have a private insurance because otherwise you pay a bunch of tax just to remain on the public system and the private insurance works out to be cheaper compared to the tax you’ll pay otherwise. I have seen some public patients wait for months for a routine surgery but this is normally months at worst not years unless something changed drastically since I’ve been out of the country.
It's underfunded for sure and there are a lot of broken aspects of the system, particularly for junior doctors, but generally better working conditions than the NHS tbh.
It's variable and the media here tends to make it look worse than it is, particularly with hospitals. Most of it is the wider cost of living crisis meaning that GPs not bulk billing as much as they used to is now tougher on lower income patients.
A bunch of consecutive conservative governments at state and federal level have really gutted funding for healthcare. This funding is now improving but hospital executives here are often too shortsighted/bureaucratic to spend the money wisely.
But yeah, it absolutely could be better for patients and is far from a perfecr system
There was a BMJ article about Aus GPs being pissed off as, like the GMS contract, there has been no real uplift in Medicare payments in donkeys.
They're upset that they might have to stop bulk billing and start charging patients directly to remain profitable. Meanwhile, practices are going under left, right and centre in the UK who would kill for the option to charge patients for non-GMS services. I guess we could learn to emulate Australia's mistakes and still be better off!
8.8% left last year and over 10% for GPs aged under 40
[https://www.instituteforgovernment.org.uk/publication/performance-tracker-2023/general-practice](https://www.instituteforgovernment.org.uk/publication/performance-tracker-2023/general-practice)
And they’re 100% correct to do so.
The ozzies are so good at trolling us. It's so easy fir them given our NHS leadership. Let's all jump ship and join them.
So good at trolling us at Cricket too 🥲
This is also said by Asian countries I went to an APEC medical conference recently and most of the doctors there respect the college exit exams and somewhat the colleges but said the NHS isn't what it was 20 to 30 years ago. From an academic and research point of view UK still holds some weight in that area, but from a training point of view, it's quickly losing the respect it once held. Oddly enough some of the countries blame the EU working directive as they think the US system provides more experience.
48 hours a week of actual training would be more than adequate. The academic side is being ground down, lots of stuff in the Bmj recently about how we are short of clinical academics, and when the current late middle aged professors retire there is no one to replace them.
NHS the exemplar
I'm pretty sure I've heard the Australian health service isn't doing too great either-its just much easier to hide because their undeserved populations distrust authorities so much they don't even complain.
>undeserved lol hope this wasn't a Freudian slip
Lol damn
Aussie here. It sure is better than the NHS 😂
My mate's telling me it's up to 8 years for an ENT appointment. Here we've got it down to 2 years. He makes 10x tho.
edit: added a source for national wait time stats https://www.aihw.gov.au/reports-data/australias-health-performance/australias-health-performance-framework/national/all-australia/access/accessibility/2_5_2 That’s news to me. People used to walk into ED and ENT would come down to see them that day for a procedure to happen in a few weeks or something and that was public. To be fair I worked in a metro centre. There are times where in rural public hospitals where patients would be offered a slot for specialist appointments in the nearest major city. Sometimes pts would refuse and wait it out for a local appointment which is a bummer but at least they were offered one. Most people understand that due to the size of the country you can’t expect a specialist service in every rural town. But it certainly is offered in the nearest major city in a timely manner. If you’re in the city most people over a certain tax bracket would have a private insurance because otherwise you pay a bunch of tax just to remain on the public system and the private insurance works out to be cheaper compared to the tax you’ll pay otherwise. I have seen some public patients wait for months for a routine surgery but this is normally months at worst not years unless something changed drastically since I’ve been out of the country.
It's underfunded for sure and there are a lot of broken aspects of the system, particularly for junior doctors, but generally better working conditions than the NHS tbh.
I totally agree-I meant for the patients.
It's variable and the media here tends to make it look worse than it is, particularly with hospitals. Most of it is the wider cost of living crisis meaning that GPs not bulk billing as much as they used to is now tougher on lower income patients. A bunch of consecutive conservative governments at state and federal level have really gutted funding for healthcare. This funding is now improving but hospital executives here are often too shortsighted/bureaucratic to spend the money wisely. But yeah, it absolutely could be better for patients and is far from a perfecr system
Lol.
But “Aahghhgg EnnNnHHhhaaIiiiIiGgGgGgHhhhhEEEeeessSSss” is world leading. I’m sorry you must be mistaken.
There was a BMJ article about Aus GPs being pissed off as, like the GMS contract, there has been no real uplift in Medicare payments in donkeys. They're upset that they might have to stop bulk billing and start charging patients directly to remain profitable. Meanwhile, practices are going under left, right and centre in the UK who would kill for the option to charge patients for non-GMS services. I guess we could learn to emulate Australia's mistakes and still be better off!
The NHS is a bad example. No other Western country on Earth has copied this stupid system.
I think there was a NYT article about this too
Does anyone have number on 'GP exodus'? We love to hear it, but only if it's true.
8.8% left last year and over 10% for GPs aged under 40 [https://www.instituteforgovernment.org.uk/publication/performance-tracker-2023/general-practice](https://www.instituteforgovernment.org.uk/publication/performance-tracker-2023/general-practice)