¡Este video ha sido una larga cabaña! Hoy profundizaremos en nuestros pensamientos honestos sobre el NHS basado en nuestras experiencias familiares durante el último año viviendo en Escocia. Sabemos cómo su experiencia es diferente. Para obtener más información sobre el recargo de salud inmigrante (IHS) y la visa familiar, visite este enlace: https://www.gov.uk/uk-family-visa capítulos/nombres de tiempo: 0:01 Ingrese 1:30 América Obtenga acceso «gratuito» al NHS? 2:47 Regístrese en GP 4:28 Programación y tiempos de espera 6:16 La temida sala de espera 7:58 La contribución actual (forma de cama, educación del paciente, etc.) 9:09 enviado por Snail Mail 12:08 Aftercare & Prescriptions: ¿Cuál es el acuerdo? 14:45 Costo 16:07 Norte –
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I believe that what I am about to describe is nationwide, but it's possible Scotland have an opt-out. What you described as the experience of being told "this will be your consultant and this is the appointment time" is normal — but it is not the last word — and this is another of the things like choosing schools, where there are complaints that the articulate middle classes have advantages over people intimidated by authority and perhaps not understanding English well. Firstly, there will be a phone number on the appointment letter which you can ring to see if there is a more convenient appointment time, though TBH there are often only one or two clinics per week, lasting perhaps 3 hrs each, so it may not help much. It is good though if you have a problem with a particular day due to a school event or a vacation, for example.
More fundamentally, you can look online (or perhaps have other knowledge) to see which NHS consultants work in that field and request to see them instead and, unless there is a good reason not to, that will be accommodated. I've only once considered that, and discussed it with my Doctor, but ended up taking her advice, and in hindsight, I'm sure she was correct. This option is most often used by people asking to go to a more-distant hospital with a shorter waiting list for a particular treatment. However, as the Covid pandemic recedes, that is less of an issue, and there is another "patient right" to demand the NHS buys you private treatment if they can't start your treatment within 18 weeks (or 4 weeks for cancer treatment). IIRC, you live closer to Inverness than to Edinburgh, so if you are being sent to Edinburgh, that suggests it's a treatment not done at Inverness — so your options for an alternative within Scotland might be rather limited!
Historically, NHS doctors had a terrible reputation for running very late (indeed sometimes even starting late due to an emergency). It is now much better, but do allow half a day for a hospital visit in case your clinic runs very late, and indeed don't expect that your GP will always run to time — nurses almost always do, but doctors have more events that can delay them.
After huge birth pains, the NHS system of electronic patient records finally went live a few years back, and you can get an NHS login to at least read the notes, and usually much more — however, GP practices (which are nearly all private businesses who submit their bills to the NHS rather than the patients) have been given some latitude on how many services they offer electronically. You should be able to see test results (but only IIRC once your GP has seen them) and book at least some types of appointment. Hopefully, you will find your GP's notes on consultations with you, copies of their requests to consultants, etc. And hopefully, you will be able to choose to accept electronic mail as the normal method of contact. Sometimes you will then receive appointment details etc by email, but anything particularly private will only be viewable via the NHS App, to which in the case of my GP, I am alerted by a text.
Your experience of prescriptions does seem to be common — if you have a doctor's appointment, a prescription will be issued on the spot, but otherwise they require "2 working days". I can understand that they do them all as a batch, but the odd thing is they always seem to do it on the 2nd day — so there's no obvious reason why they could not always do it on the 1st day! You can, in most GP practices, request a prescription renewal on the NHS app and also use the app to make sure it has been approved. One thing to watch is that most prescriptions need an annual review — you will see a note on it saying to please book a review appointment before the next request — but if the prescription is sent automatically to a pharmacy, that is sometimes missed, so it is worth asking the pharmacist if there is any review note on it. FWIW, the prescription cost in E & W rose a few months ago to £9.90 per drug.
It sounds as if the way out-of-stock issues are dealt with differs slightly from the US system. If the pharmacy the prescription was sent to is out of stock, they pass it back into the national system, and you can then collect it from any pharmacy in the UK which has it in stock (usually, you only need your name and date of birth, and they might ask you for your address and some idea of what the drug was (you don't need to know the exact name) as a security check when they hand you the packet. To save an abortive visit for any item which might be out of stock, ring your pharmacy to check it's in stock. If not, they'll usually say they can get it for the next day, but if it's urgent or there's a general supply problem, and the pharmacist isn't too busy, they will often phone round their competitors to see if any of them have it in stock. If no one local has it in stock, the pharmacist isn't allowed to give you an alternative, but they will usually ring the GP and if they are available, will propose an alternative to them, and with a following wind, the issue may be resolved while you are in the shop. I have even known my local pharmacist to phone the GP to hassle them to approve a prescription they have not sent out! It's well worth cultivating your local pharmacist!
Native Scot here who had 3 babies under the NHS. Have been living in California for 47 years now and have been on Medicare now for 20 years. While health coverage in the U.S. is expensive I have no complaints about the care received here. My husband has just had a hip replacement and we have no worries about payment as it will be fully covered. Appointments are mostly fast….doctor says in May that surgery is needed and pick your date in July. However, all that being said, American needs Medicare for all.
No system is perfect but compared to the American healthcare system the NHS is much fairer. To have to worry about the cost of being ill is ridiculous.
I had to respond about the wait times to see a doctor in the US – I am a US Citizen. My Healthcare provider system sends me a survey on many of my office visits and hospital stays. I never wait more than 5-10 minutes in the waiting room and maybe 5 minutes in an exam room. In the hospital not just for myself but other family members too – we don’t even have to ask for a cup of water – they make sure you have some – meds are very timely and Nurses are very attentive – though VERY busy and still friendly. In all a pleasant stay in spite of needing care. This is The Henry Ford Healthcare system in the Detroit Michigan area. Though 2 other healthcare systems in this area cannot hold a candle. Henry Ford Healthcare is a model to follow!!! I know I am very blessed to have them. This has been my experience for the past 25 years or so. Prior to that time there were a few issues but not any more.
Something not spoken of here is the amount of debt you will be forced into in the U.S. if you get a chronic health problem or are in a major accident. A friend here in the US had prostate cancer. Even after using the insurance he was put into over $100,000 in debt. Another UK friend in London had the same exact cancer. No charges. Just the care he needed to heal. He also wasn't harrased by hostpitals wanting payment or had to lawyer up just to get the insurance company to pay the part they promised to pay. In the UK you just have to heal up without worrying about if you will loose your job or your home. NHS isn't perfect by any means but it sure beats out the US just fir financial reasons.
Basic medical care is good in England; however, when it comes to advanced medical care or life-saving procedures, no other country comes close. The US is number one, but it is not free; you have to have good insurance. When COVID struck, which country took the lead in saving lives? The United States was first, and second was Germany.
Jeeze – I don't know what planet these people are on. The NHS in UK is in shambles. Over 7 million people on elective waiting list. Median waiting list for treatment is over 16 weeks. It goes on and on. All outcomes in Scotland are worse. Doctors and nurses on strike.
In the U.S., the patient can transfer a prescription to any other pharmacy by calling the pharmacy & requesting the script go to x pharmacy. This is allowed across state lines and to any another pharmacy company. This works as long as it’s a non controlled medication. I take time to educate people that they can do this independently.
But here in the UK we have law's that allow us to take the time off work for doctors appointments etc and ur wages won't get taken away for time off for the appointment
I looked down the comments below and nobody seems to have mentioned how the NHS came about. It was created by the Labour government that was voted in when the war ended in 1945. A lot of doctors fought against it because they felt their income would decline rapidly but eventually everybody came round to the view that it was a good thing to have health protection for every person in the UK. In the next election the Conservatives were voted in but by that time people were so enamoured of the benefits of the NHS they could not repeal it without a national outcry.
During the same 1945 – 1951 Labour government another bill was passed in parliament that created National Insurance so that any person who became unemployed would receive a decent weekly amount of money until they could get another job. None of this was free of course – National Insurance and the NHS was paid by everybody through income tax. But most people – quite rightly – see that as a tax worth paying. I'm glad you have had such good experiences with the NHS.
If you don't have insurance in the US do they just let you die ?
One thing that i find very useful is the NHS app – i know it is not a great piece of software, that can be clunky and difficult to navigate but it is great for getting repeat prescriptions and a place where you can find all the letters your GP or hospital has sent you. I can order medication on a Sunday night and pick it up from the chemist/ pharmacy on Wednesday – which is a pretty good turnaround.
NHS is probably the worst implemented version of public "free" healthcare. There are quite literally dozens of better public healthcare systems just in europe alone.