Revolution on Prostate Cancer Care

There is someone here who had a suspicious DRE, TRUS found some ‘abnormal’ non-cancerous cells, but his MRI was clear. I think it significant that he has not been discharged by urology back to his GP, and is now under observation.

Fingers crossed for him.

Cheers, John.

If the NHS had less pen-pushers and so-called managers, with more clinicians in charge, then we might be able to afford more scanners.

https://www.statista.com/statistics/282401/density-of-magnetic-resonance-imaging-units-by-country/

Edited by member 13 Dec 2018 at 02:17  | Reason: Not specified

Hmmmm Maybe slightly true in a few cases but organizing things in a hospital has many aspects that are broken down into time consuming processes that it would be too expensive and wasteful of their time for clinicians to oversee.  One example for instance, is allocating appointments to patients. For various reasons relating to hospital work load, equipment breakdown staff sickness and also patient related cancellations and alterations to appointments which are originally allocated by administrative staff that have to be changed and juggled around.  There can be insufficient staff and organization to deal with even this one area. I was allocated two different scans at overlapping times in two different buildings on one occasion for instance.  Perhaps this was due to human or system area or overload pressure I don't know.  Take delays in reporting back to GP's and patients on their progress as another example.  We all know what a time it can take to communicate results because some of the delay relates to inadequate administration. Only yesterday for instance , I received a copy of a letter from UCLH to my GP saying inter alia that I will be having a biopsy.  This was  some 2 weeks after the biopsy was actually done.  Some times the reports are a couple of months behind.  So in some areas we need more and better organized 'pen pushers' and supervisors as well as more clinical staff. Running a hospital is a very complex operation.  The main reason why we don't have the scanners and sufficient suitably qualified staff is that the NHS has not been properly funded and invested in to meet the ever growing needs of an expanding and ageing population in a more costly and technically advanced medical environment.

Edited by member 13 Dec 2018 at 04:41  | Reason: Not specified

Maybe I should have suggested Waitrose?

Cheers, John.

What’s wrong with Indians? People from the sub-continent are the backbone of the NHS 😉

Complex organisations are often heavy on pen pushers and managers.   If you run a factory with a 1000 machines doing similar things you can have a few managers but if you run a diverse, changing and responsive organisation you most likely need more pen pushers and managers.

If you want focussed high quality attention on specialisms then you need people with enough status to have credibility and weight in an organisation.