- Joined
- May 23, 2015
- Location
- Belfast
Its changed a bit now, any contracts in place are generally in place throughout NI so they all pay the same for POM/Appliances etc. There are now 6 trusts ( 5 hospital and a 6th which covers the Ambulance Service), but still too many hospitals, I think its 17 at the moment which is probably at least 8 too many.Some of the doctors will also see the private patients in the same hospital, in their same consultancy room as well; not sure if it’s changed but the Trust would rely on them telling them what was used, for how long etc so a charge could be raised; needless to say there were a lot of undeclared/understated
My lasting memory of my stint there was the commissioning of goods; you’d have two trusts, 15 miles apart, paying completely different prices for the same product; absolutely mental.
The problem we have is nobody has the appetite politically to close down the hospitals that need closed, they see it as a vote loser and thats the last thing that they want. There have been a few independent reports over the years with recommendations on the NHS in NI, I think the last one was 3 years ago, but they are never acted upon.
Its frustrating when you see the wastage in the NHS here knowing that the powers that be are reluctant to do anything about it.
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