“Jan - had to explain HJ to Rachael - thanks for making me feel old !!!
”
OK, guilty - I too had to ask the question
Didn't realise that was her surname, ohhhhh matron 

image courtesy of wikipedia
Blimey, Jan getting political on us
I've seen two sides to the NHS. Having nippers and some of the complications they had along with their mother during birth, then the NHS were outstanding. The previous NHS Direct helpline and the current A&E care have been exceptional. To be honest from GP's to minor injuries clinics, or seeing an out of hours doctor, the system seems to have worked incredibly well, from weekends to out of hours crisis.
I think a lot of the problem from what I see is people just turn up at A&E for trivia or stuff that can wait. Phone the helpline first and get an advice, see a GP, book an out of hours appointment if you are concerned but its not an emergency, normally run by the local hospital and takes the pressure off A&E. Common sense will dictate if you really need to phone 999. If you don't then then phone the 111 helpline.
But where the NHS does fall down IMHO, and only from what I've seen with family members ties in with what Jans saying. For older relatives care and compassion has been missing sometimes. Communication flow has been poor, which breeds distress. Some younger nursing staff can come over as condescending or patronising. Old folk can be hard work and cantankerous, but training needs to be able to deal with this. Imported night staff that can barely speak English hardly help things. Then worse, older folk getting shunted into a nursing hope to free up a bed while they convalesce but still need hospital care before going home, only for it to be a hellhole resulting in them getting readmitted in a worse state.
It seems to me that in ever increasing demands on the NHS as a whole, it is at the end of the lifecycle where care seems to be the worst, and which everyone concedes is consistently growing as we live longer. We should all be proud of the NHS and staff that work there, but a rethink is needed for how we fund and manage geriatric care, whilst ensuring dignity and compassion. Its going to need a lot more cash from somewhere, no doubt from all of us, but also needs a radical change in thinking, not just a blank chequebook.
Whoops, humour to politics! I blame Jan 