Cut 95% of the red tape in the NHS (especially the Mental Health side).

I believe that we could cut 95% of the red tape in the NHS (especially in the Mental Health field) and provide a better service to more patients while reducing stress of front line staff and saving money.

So much of the paperwork, audits and computer inputting is not needed to give practical and psychological healp to the patient and is in fact a major distraction and hindrance to this aim.

By using IT systems intelligently and allways focussing on whether an action will benefit the patient or just sustain our own organisation we could be so much more efficient, effective and a better service.

Why is this idea important?

I believe that we could cut 95% of the red tape in the NHS (especially in the Mental Health field) and provide a better service to more patients while reducing stress of front line staff and saving money.

So much of the paperwork, audits and computer inputting is not needed to give practical and psychological healp to the patient and is in fact a major distraction and hindrance to this aim.

By using IT systems intelligently and allways focussing on whether an action will benefit the patient or just sustain our own organisation we could be so much more efficient, effective and a better service.

Allow Pension Increases and NHS care to Ex Pats

Pensioners are denied state pension increases if they choose to live in certain countries.  The situation is unjust.  A person  who has contributed all his life and chosen to live in Greece gets pension increases but, if he choses to live in Australia, he does not.

A similar unfairness relates to NHS entitlement.   A retired person who has contributed and is exempt from any further National Insurance contributions is denied free NHS treatment if he spends more than a certain time abroad each year.

Why is this idea important?

Pensioners are denied state pension increases if they choose to live in certain countries.  The situation is unjust.  A person  who has contributed all his life and chosen to live in Greece gets pension increases but, if he choses to live in Australia, he does not.

A similar unfairness relates to NHS entitlement.   A retired person who has contributed and is exempt from any further National Insurance contributions is denied free NHS treatment if he spends more than a certain time abroad each year.

take a stab at it

we should  charge for health care if an offence has been committed. Example. A man/women drives whilst over the legal limit and has an accident, if they or a third party need hospital treatment they should contribute to that care. if a person stabs another individual they should pay for their care plus face the usual wieght of the law.

Basically if you or a third party need hospital care as a result of law breaking a contribution should be made toward the care provided.

The revenue collected could be substantial.

A problem with this idea is of course is that there is likely to be difficulty in collecting the money.Solution, we need to get tough, in the drink /drive example take the car away they will not need it,or send baliffs to their house and remove goods to the value of the costs.

Why is this idea important?

we should  charge for health care if an offence has been committed. Example. A man/women drives whilst over the legal limit and has an accident, if they or a third party need hospital treatment they should contribute to that care. if a person stabs another individual they should pay for their care plus face the usual wieght of the law.

Basically if you or a third party need hospital care as a result of law breaking a contribution should be made toward the care provided.

The revenue collected could be substantial.

A problem with this idea is of course is that there is likely to be difficulty in collecting the money.Solution, we need to get tough, in the drink /drive example take the car away they will not need it,or send baliffs to their house and remove goods to the value of the costs.

Patients should have control over their data – there should not be any surprises

Patients should have the right to choose whether or not their personal and/or clinical data is processed (including but not restricted to, uploading to databases, shared, accessed and so on).  Explicit informed consent should be required BEFORE any personal or clinical data can be added to databases or other means of storing or sharing data.  Automatic opt-in should not be allowed to avoid patients being surprised to find out that their data is being processed for any purpose other than the specific purpose they were provided for.

IT should not drive patients' rights – patients need to be in control of their data.  Going to your GP should not be a worry as to whether your data is going to end up on some database that you are not aware of, or that some researcher is going to be able to trawl through your records without your consent.  This is not acceptable.

This applies to all data processing possibilities concerning patient data (personal and clinical).  To help to avoid surprises and to ensure that patients are kept fully informed of any processing of their data (and to ensure that only processing that has been consented to is taking place), patients should be provided with a regular list of all potential forms of data processing possible regarding their data together with a list of any processing that they have currently consented to.

Why is this idea important?

Patients should have the right to choose whether or not their personal and/or clinical data is processed (including but not restricted to, uploading to databases, shared, accessed and so on).  Explicit informed consent should be required BEFORE any personal or clinical data can be added to databases or other means of storing or sharing data.  Automatic opt-in should not be allowed to avoid patients being surprised to find out that their data is being processed for any purpose other than the specific purpose they were provided for.

IT should not drive patients' rights – patients need to be in control of their data.  Going to your GP should not be a worry as to whether your data is going to end up on some database that you are not aware of, or that some researcher is going to be able to trawl through your records without your consent.  This is not acceptable.

This applies to all data processing possibilities concerning patient data (personal and clinical).  To help to avoid surprises and to ensure that patients are kept fully informed of any processing of their data (and to ensure that only processing that has been consented to is taking place), patients should be provided with a regular list of all potential forms of data processing possible regarding their data together with a list of any processing that they have currently consented to.

Overhaul NHS dental contract systems

There are now a ludicrous amount of people without an NHS dentist & this has to stop. As well as the obvious dental health issues there are serious future heart health implications for a nation with rotting teeth.

The system was excellent in the '70s. Shouldn't we be progressing by 2010? Rather than routinely hearing tales of people extracting their own teeth with pliers?!

It's barbaric.

Why is this idea important?

There are now a ludicrous amount of people without an NHS dentist & this has to stop. As well as the obvious dental health issues there are serious future heart health implications for a nation with rotting teeth.

The system was excellent in the '70s. Shouldn't we be progressing by 2010? Rather than routinely hearing tales of people extracting their own teeth with pliers?!

It's barbaric.

Abolish NHS

The goal of NHS appears to be minimising costs rather than treating diseases. As a direct result of withholding or delaying treatments, the 5-year cancer survival rates in the UK are much lower than Canada and far lower yet than in the USA. The Fascist gang currently ruling the USA appears to have a goal of repeating Britian's folly at the same time as Canada is having serious second thoughts about the value of their healthcare system. Socialized medicine has been an abject failure wherever it has been tried. It is high time that the UK accept the verdict of history and experience and file NHS on the asheap of history where it richly belongs!

Why is this idea important?

The goal of NHS appears to be minimising costs rather than treating diseases. As a direct result of withholding or delaying treatments, the 5-year cancer survival rates in the UK are much lower than Canada and far lower yet than in the USA. The Fascist gang currently ruling the USA appears to have a goal of repeating Britian's folly at the same time as Canada is having serious second thoughts about the value of their healthcare system. Socialized medicine has been an abject failure wherever it has been tried. It is high time that the UK accept the verdict of history and experience and file NHS on the asheap of history where it richly belongs!

To stop people sueing NHS

The NHS is free at the point of use and need. If people find Drs and staff lacking in some way then an internal investigation should take place with the appropriate consequences. These should not include the financial compensation of patients, although an apology should be issued if required/apt.

 

If, in extreme circumstances, it is judged that a person has been seriously compromised by extreme unprofessionalism, then they should be able to sue the individual concerned under their professional insurance as, for example, currently happens with negligent lawyers/solicitors. No Dr should be practising without medical insurance.

 

This should stop an ever-ballooning and opportunist drain on the NHS.

Why is this idea important?

The NHS is free at the point of use and need. If people find Drs and staff lacking in some way then an internal investigation should take place with the appropriate consequences. These should not include the financial compensation of patients, although an apology should be issued if required/apt.

 

If, in extreme circumstances, it is judged that a person has been seriously compromised by extreme unprofessionalism, then they should be able to sue the individual concerned under their professional insurance as, for example, currently happens with negligent lawyers/solicitors. No Dr should be practising without medical insurance.

 

This should stop an ever-ballooning and opportunist drain on the NHS.

Let patients completely remove their medical info from national ‘Summary Care Records’ and return it to their local GP control if they want (i.e. not just ‘masking’ the data).

The NHS is uploading information from patients' GP medical records onto the national NHS Spine database in the form of 'Summary Care Records'. These records would hold contact details & private medical data (e.g. prescriptions) in a national database.


Patients should be able to remove their health record data completely from the national NHS Spine database, and bring it back to GP control if they wish. None of their personal health data should be kept, even in a masked form, on a national database if they don't want it there.

 

Why is this idea important?

The NHS is uploading information from patients' GP medical records onto the national NHS Spine database in the form of 'Summary Care Records'. These records would hold contact details & private medical data (e.g. prescriptions) in a national database.


Patients should be able to remove their health record data completely from the national NHS Spine database, and bring it back to GP control if they wish. None of their personal health data should be kept, even in a masked form, on a national database if they don't want it there.

 

Patients data and databases – there should be no surprises

Patients should be autonomous – have the freedom to control – the processing of their personal and clinical data/records.  They should also be kept fully informed as to the processing of their personal and medical data on a regular basis.

So BEFORE any personal or clinical data can be added to a database/register or other data storage system the patient should be asked to give informed consent.  If the patient refuses consent then the data should not be processed (that includes sharing, uploading, accessing and so on).  

There should not be any surprises for the patient regarding processing of their personal and clinical data.

Why is this idea important?

Patients should be autonomous – have the freedom to control – the processing of their personal and clinical data/records.  They should also be kept fully informed as to the processing of their personal and medical data on a regular basis.

So BEFORE any personal or clinical data can be added to a database/register or other data storage system the patient should be asked to give informed consent.  If the patient refuses consent then the data should not be processed (that includes sharing, uploading, accessing and so on).  

There should not be any surprises for the patient regarding processing of their personal and clinical data.

Remove IVF from the NHS

I would like to precede this idea by saying that this website is a wonderful idea – I really hope some changes can be made as a result.

I personally believe that IVF is one of the biggest drains on the NHS possible. It has a low success rate, a high infant mortality rate, and is incredibly expensive. 

As a result, we should remove IVF from the NHS completely. If not permanently , then at least until the nations finances are back in order.

Why is this idea important?

I would like to precede this idea by saying that this website is a wonderful idea – I really hope some changes can be made as a result.

I personally believe that IVF is one of the biggest drains on the NHS possible. It has a low success rate, a high infant mortality rate, and is incredibly expensive. 

As a result, we should remove IVF from the NHS completely. If not permanently , then at least until the nations finances are back in order.

Serious about crime? Then de-criminalise drugs!

Serious about Crime

We are all aware that the fight against drug use and abuse over the last 50 years has failed spectacularly, no one can deny this.

We are also aware that the increasing use of drugs illegally has increased the levels of crime and violence to levels not seen in the last 100 years.

The number of public servants, social workers, police, NHS staff etc has risen to levels never required before, this is in response to the illegal use of drugs.

The number of people in prisons has exploded, around 84,000 currently.

It would be irresponsible to enact legislation, as proposed by Ken Clarke, to reduce short term prison sentences until the de-criminalisation of drugs is tackled.

Many prisoners are there for petty crime offences to pay for the illegal use of drugs. They will be forced to continue to support their habit / addiction illegally if they are not jailed  and so crime will continue to increase.

It is plainly a nonsense to prohibit drugs, as it would be plainly wrong to end prohibition without a proper structure to allow drug users to avail themselves of drugs legally. 

Now is the time for the Coalition Government to tackle this huge drug issue and put it at the front of our agenda for dealing with many of the problems in our society.

Why is this idea important?

Serious about Crime

We are all aware that the fight against drug use and abuse over the last 50 years has failed spectacularly, no one can deny this.

We are also aware that the increasing use of drugs illegally has increased the levels of crime and violence to levels not seen in the last 100 years.

The number of public servants, social workers, police, NHS staff etc has risen to levels never required before, this is in response to the illegal use of drugs.

The number of people in prisons has exploded, around 84,000 currently.

It would be irresponsible to enact legislation, as proposed by Ken Clarke, to reduce short term prison sentences until the de-criminalisation of drugs is tackled.

Many prisoners are there for petty crime offences to pay for the illegal use of drugs. They will be forced to continue to support their habit / addiction illegally if they are not jailed  and so crime will continue to increase.

It is plainly a nonsense to prohibit drugs, as it would be plainly wrong to end prohibition without a proper structure to allow drug users to avail themselves of drugs legally. 

Now is the time for the Coalition Government to tackle this huge drug issue and put it at the front of our agenda for dealing with many of the problems in our society.

Allow NHS Organisations / Departments to Profit from Entrepeneurial Activities

I work at a leading NHS Trust and feel that, with my colleages, my department has made many new innovations which have been both cost-saving and profit-generating. Unfortunately, the current policy is that any monies made over and above one's operating costs are ploughed back into the hospital central budget, and are of no use to the department in question.

Whilst I recognise that this policy was based on the idea that all money supporting the NHS comes from the taxpayer, this is no longer true, with many hospital departments offering private and external services to paying customers, and therefore generating real profits rather than the false profit earned when hospital departments sell their services to each other.

Why is this idea important?

I work at a leading NHS Trust and feel that, with my colleages, my department has made many new innovations which have been both cost-saving and profit-generating. Unfortunately, the current policy is that any monies made over and above one's operating costs are ploughed back into the hospital central budget, and are of no use to the department in question.

Whilst I recognise that this policy was based on the idea that all money supporting the NHS comes from the taxpayer, this is no longer true, with many hospital departments offering private and external services to paying customers, and therefore generating real profits rather than the false profit earned when hospital departments sell their services to each other.

Get rid of pay & display in hospital car parks

Get rid of pay & display in hospital car parks – it is unfair that you can get clamped in hospital and have to pay to park and worry about it when you're in A&E in the hospital.

Why is this idea important?

Get rid of pay & display in hospital car parks – it is unfair that you can get clamped in hospital and have to pay to park and worry about it when you're in A&E in the hospital.

Right to Patient Choice in Mental Health Services

End the exclusion of all NHS mental health services from the Patient Choice agenda to ensure patients with mental health issues get an equal right to make choices about their treatment and care. 

Why is this idea important?

End the exclusion of all NHS mental health services from the Patient Choice agenda to ensure patients with mental health issues get an equal right to make choices about their treatment and care. 

Make ephedrine more accessible

Ephedrine is a caffeine-like stimulant with antidepressant properties that has potential health risks when taken in excessive doses, but on its own is relatively harmless and used to be present in many cough medicines.  A facet of our nanny state is that no one is considered responsible enough to regulate the intake of such substances.

At present, ephedrine is not a controlled substance but is prescription only as colds and flu medicine, to be sold in quantities no more than 180mg.  To my knowledge, only one product meets this strict requirement.  In effect, ephedrine has been made unavailable.

Whereas caffeine tablets are available for purchase in pharmacies as a "pep me up" medicine without prescription, ephedrine is not.  The reported health risks stem from combining ephedrine and caffeine for the combined effect of an overdose, which can result in heart palpitations and deliria.

Herbal sources long used for increased alertness and as an antidepressant, that ephedrine has been made virtually inaccessible is unfortunate.  Caffeine can be bought over the counter in 50mg tablets, and the same should be true for ephedrine, with suitable warnings about overdosing.  The health concerns are only relevant for excessive doses as typically taken by bodybuilders for extreme but health-deleterious boosts of energy.

I want this supplement to be made available without prescription in small doses, perhaps as 50mg tables, for increased alertness (for studying, etc).  It is time for the nanny state to take a step back.  We can be trusted with tablets containing a responsible dose of this substance.

Thank you.

Why is this idea important?

Ephedrine is a caffeine-like stimulant with antidepressant properties that has potential health risks when taken in excessive doses, but on its own is relatively harmless and used to be present in many cough medicines.  A facet of our nanny state is that no one is considered responsible enough to regulate the intake of such substances.

At present, ephedrine is not a controlled substance but is prescription only as colds and flu medicine, to be sold in quantities no more than 180mg.  To my knowledge, only one product meets this strict requirement.  In effect, ephedrine has been made unavailable.

Whereas caffeine tablets are available for purchase in pharmacies as a "pep me up" medicine without prescription, ephedrine is not.  The reported health risks stem from combining ephedrine and caffeine for the combined effect of an overdose, which can result in heart palpitations and deliria.

Herbal sources long used for increased alertness and as an antidepressant, that ephedrine has been made virtually inaccessible is unfortunate.  Caffeine can be bought over the counter in 50mg tablets, and the same should be true for ephedrine, with suitable warnings about overdosing.  The health concerns are only relevant for excessive doses as typically taken by bodybuilders for extreme but health-deleterious boosts of energy.

I want this supplement to be made available without prescription in small doses, perhaps as 50mg tables, for increased alertness (for studying, etc).  It is time for the nanny state to take a step back.  We can be trusted with tablets containing a responsible dose of this substance.

Thank you.

Make people pay for self-inflicted illnesses/injuries.

I don't see why the NHS/the general public should continue to shoulder the cost of people who need masses of nhs care due to smoking/drinking/drugs/general bad lifestyle. 

Why is this idea important?

I don't see why the NHS/the general public should continue to shoulder the cost of people who need masses of nhs care due to smoking/drinking/drugs/general bad lifestyle. 

Fine alcohol related injuries / crime to fund alcohol awareness

The NHS is stretched by accident and emergency departments delaing with alcohol related injuries. All of this is a burden on the tax system.

A tax/fine should be placed on patients who present themselves with injury where alcohol has been a contributing factor.

With this, substance abuse awareness should be introduced to schools; allowing for counselling services to children where substance abuse is within the home.

Why is this idea important?

The NHS is stretched by accident and emergency departments delaing with alcohol related injuries. All of this is a burden on the tax system.

A tax/fine should be placed on patients who present themselves with injury where alcohol has been a contributing factor.

With this, substance abuse awareness should be introduced to schools; allowing for counselling services to children where substance abuse is within the home.

NHS Database

Citizens' medical data should only be uploaded to the NHS Database when they have given their express consent to their GP (or hospital) for this to happen – an "opt in" system. The current and hated  "opt-out" system should be halted without delay – as the BMA says, patients do not understand that silence equals consent.

Why is this idea important?

Citizens' medical data should only be uploaded to the NHS Database when they have given their express consent to their GP (or hospital) for this to happen – an "opt in" system. The current and hated  "opt-out" system should be halted without delay – as the BMA says, patients do not understand that silence equals consent.

Remove the internal market in the NHS

All the while we have hospitals, GP's and other NHS providers in competition with each other we are getting away from true clinicla care. For example, if you go into A&E and they put a canula into your hand you become an admission, hey presto, more money, did you actually need the canula? was it put in 'just in case' this is the sort of gaming that goes on all over the UK in our health care services and it should be stopped. You should only have a canula if you actuially need it not to keep you in hospital. If there was no internal market, in other words, all health providers were properly financed there would be no need for gaming and Doctors & Nurses could concentrate on real clinical need.

Why is this idea important?

All the while we have hospitals, GP's and other NHS providers in competition with each other we are getting away from true clinicla care. For example, if you go into A&E and they put a canula into your hand you become an admission, hey presto, more money, did you actually need the canula? was it put in 'just in case' this is the sort of gaming that goes on all over the UK in our health care services and it should be stopped. You should only have a canula if you actuially need it not to keep you in hospital. If there was no internal market, in other words, all health providers were properly financed there would be no need for gaming and Doctors & Nurses could concentrate on real clinical need.

NHS….ENGLISH V BRITISH

i think the nhs is one of the best things in the country,i,like many others,have paid my nhs contributions all my life. i think that if you have lived here all your life and payed your nhs contributions then the nhs should be free as it is now but if you have moved to this country then you should have to pay a percentage depending on how many years you have lived here etc, i think it should be the same for English people who have moved abroad,.they should pay a percentage depending on how many years they have been living abroad.we cant keep letting people take from the nhs and not give anything back, it would only be a matter of time before we all have to pay for any treatment we receive.

Why is this idea important?

i think the nhs is one of the best things in the country,i,like many others,have paid my nhs contributions all my life. i think that if you have lived here all your life and payed your nhs contributions then the nhs should be free as it is now but if you have moved to this country then you should have to pay a percentage depending on how many years you have lived here etc, i think it should be the same for English people who have moved abroad,.they should pay a percentage depending on how many years they have been living abroad.we cant keep letting people take from the nhs and not give anything back, it would only be a matter of time before we all have to pay for any treatment we receive.

Do away with Connecting for Health

The theory of having all your medical notes in one place is excellent. However, the money that has been wasted so far trying to make this work with no progress and endless problems makes it ideal to accept it does not work and move on. No one wants to have thier records held centrally potentially for all to see so scrap it and put the money where it is really needed, frontline services.

Why is this idea important?

The theory of having all your medical notes in one place is excellent. However, the money that has been wasted so far trying to make this work with no progress and endless problems makes it ideal to accept it does not work and move on. No one wants to have thier records held centrally potentially for all to see so scrap it and put the money where it is really needed, frontline services.

Decommission Cancer Networks in England

The NHS is a business, so it is appropriate to present ideas for improvement through reducing red tape here.

For any business, regulations which have run their course and achieved their aims can reasonably be withdrawn so long as the improvements they were designed to achieve remain embeded in the organisation.

About 10 years ago, to raise standards of care in the NHS, Cancer Networks were established. They have led to great improvements in standards, but it is now possible for their work to be devolved to individual Hospitals who have the staff, expertise, and understanding of Cancer Services to be able to carry on this work in a more streamlined fashion.

Why is this idea important?

The NHS is a business, so it is appropriate to present ideas for improvement through reducing red tape here.

For any business, regulations which have run their course and achieved their aims can reasonably be withdrawn so long as the improvements they were designed to achieve remain embeded in the organisation.

About 10 years ago, to raise standards of care in the NHS, Cancer Networks were established. They have led to great improvements in standards, but it is now possible for their work to be devolved to individual Hospitals who have the staff, expertise, and understanding of Cancer Services to be able to carry on this work in a more streamlined fashion.

OPTING OUT OF THE NHS MEDICAL RECORDS DATABASE

The way the current system works,everybody is automatically opted in the medical record database system. My idea is to  make it neccessary for you the patient to opt into the system rather than opt out. The database managers should have to sell their idea to the patients, so that the patients can make an informed decision on this matter rather than automatically being added to this centralised database system.

Why is this idea important?

The way the current system works,everybody is automatically opted in the medical record database system. My idea is to  make it neccessary for you the patient to opt into the system rather than opt out. The database managers should have to sell their idea to the patients, so that the patients can make an informed decision on this matter rather than automatically being added to this centralised database system.