Tuesday, September 04, 2007

The NHS

First off, my apologizes again for forgetting to update blog for a bit too long.

So the UK has national health care. And I've gathered enough individual experiences to form some sort of bases about the whole thing. So, when I first got to Southampton I had to register with a doctor. This is done at a doctor's 'surgery' which does not mean they operate on you, it's just what the normal offices are called. There is a certain catchment area for each office so you really just go to one that you live near, and for myself that meant one of the two connected to the University.

Once you have a doctor, you can simply call them up or drop in if you need an appointment and they'll accomodate you. If you go in for whatever reason, sore joint/sickness/bleeding wound, the appointment is free. You don't fill out any paperwork at any point in time and you are free to deal with the general practioner. If you have a 'real' problem, you may then get forwarded on to a second party, such as a physical therapist or a podiatrist. Again, no matter where the office of these other parties may be, it's free and appointments don't require any paperwork. If you need an operation, again its free, you just may end up having to get sliced open on your birthday.

Of course, it's not all a total free-for-all. As alluded to, you can't really afford to be picky when it comes to services outside the GP's office. If you miss appointments, you may not get any more. And any request for rescheduling could possibly result in long delays as backlogs are being dealt with. In all of this, there's no way for me to compare the standards of care, having truly limited experiences with both systems. Also of potential interest is that the Emergency room is simply referred to as 'A&E' here. For the life of me I can't recall what it actually stands for but I think of the tv channel everytime I hear it!

5 comments:

Anonymous said...

ooo an interesting debate...i think in principal the free to all system wins hands down. though unfortunately the system does suffer - its the largest single employer in europe and as such leaks money - though this has been recently improved with 100's of people losing 'unnecessary' jobs! it also cant afford to offer people the latest (expensive) drugs, and people dont normally have insurance as a backup. however i think its great as your not offput going to see your GP as its free/ plus on the whole the system works great!

Having said this margo will be soon paying for the service with one of the two taxes that will be taken from her pay check! though just like the tv licence (no adverts) it is in my opinion a bargain!

Anonymous said...

Our old friends Fred and Theresa's daughter Abby is majoring in health care administration at Western Oregon University, and spent the summer in London learning about the UK's health care system as her "study abroad" experience. Perhaps I'll see her some day (most likely not until Christmas) and can ask her opinion about the comparison of the two systems.

I think there are good things about both systems. I think walking into an immediate care situation for free can't be beat. What can be beat, however, is lack of choice in your doctor. If you can't stand someone here, you can go elsewhere easily. Some doctors are sadly lacking, like my mother's doctor who somehow completely missed her osteoporosis until it hit the severe stage and caused her all sorts of grief. If I had known he hadn't tested for that, I had the choice of taking her elsewhere. And I obviously should have.

Buehler Recipes said...

Before last spring's hip surgery I did a lot of reading on my 'condition'. Seemed most of the people in Europe who were seeking the same latest and greatest arthroscopic surgery were traveling to either Germany or Colorado. Some super bone surgeon in Vail developed the procedure so Vail is the hip surgery mecca.
Point is, nobody had it done in the UK. Which brings up my personal concern, free is great but just don't get REALLY sick or hurt.

Chris O said...

A&E = Accident and Emergency

Although a point of interest, apparently they're trying to change the standard name to "Emergency Department"; I don't know why...

Anonymous said...

thats like changing opal fruits to starburst...everyone still calls them opal fruits! or when they changed coco pops to choco krispies and then swiftly changed the name back (well i think)

yeah i totally agree with those points...there are a lot of private hospitals in the UK too where you can get refered to from your GP if you choose to go the private route (many jobs also offer health insurance as a benefit). these hospitals are great but expensive. the doctors are the same as the nhs ones - doctors have to work a certain percentage of their week for the nhs - it just means operations etc happen quicker, as at times waiting lists can be months.

but yeah the system especially with the lastest drugs / techniques does at times suffer - then for many it is often cheaper to go abroad to get 'it' done privately.


ahhh another essay...im avoiding work...opps