Mike on Nostr: Badly. Healthcare was not as complex as it has become. New, better treatments have ...
Badly.
Healthcare was not as complex as it has become. New, better treatments have come along which are more expensive (mostly) requiring a different skill mix.
There are greater expectations on health care, and none of the 'doctor knows best' nonsense.
The paper trails even in the late 70s showed disconnected care are multiple points of failure and error.
The NHS estate - particularly in mental health services - was largely victorian and ill suited to modern nursing apart from being expensive to heat & maintain.
The elderly, the mentally ill and those with learning difficulties were left to rot in appalling conditions.
GP services were arguably more accessible, and District Nursing more comprehensive but there was no concept of preventative Healthcare, and isolated clinicians were answerable only to themselves.
Ambulances were 'scoop & run' leading to many preventable deaths & injuries.
We've come a long way since I joined the NHS in 1972.
Healthcare was not as complex as it has become. New, better treatments have come along which are more expensive (mostly) requiring a different skill mix.
There are greater expectations on health care, and none of the 'doctor knows best' nonsense.
The paper trails even in the late 70s showed disconnected care are multiple points of failure and error.
The NHS estate - particularly in mental health services - was largely victorian and ill suited to modern nursing apart from being expensive to heat & maintain.
The elderly, the mentally ill and those with learning difficulties were left to rot in appalling conditions.
GP services were arguably more accessible, and District Nursing more comprehensive but there was no concept of preventative Healthcare, and isolated clinicians were answerable only to themselves.
Ambulances were 'scoop & run' leading to many preventable deaths & injuries.
We've come a long way since I joined the NHS in 1972.