Singapore General Hospital has a programme called Get Rid Of Stupid Stuff. I want to hear from NHS staff about the stupid stuff that wastes your time, patients’ time, and taxpayers’ pounds. Let me know how you think we can deliver a better NHS here 👇

Thanks for asking As some one who has worked in the NHS for 35 yrs and examined its working throughout that time my list of what needs changing would start with Stop breaking the system by defunding it in the name of efficiency. It is way beyond the point at which trying to cut things can improve efficiency. It is doing the opposite. Now not enough diagnostic centres, not enough doctors, not enough beds (numerous reports - ask @NuffieldTrust or @TheKingsFund or @HealthFdn) The rest are relative minutiae but areas to address include * understanding that promotion of the private sector as a realistic alternative to the NHS is flawed. The private sector can do sone things well (low risk procedural stuff) but is no substitute for real NHS hospitals with the full gamut of services (staff, systems, space) *don’t dumb down medicine. There appears to be a concerted effort to suggest that medicine has become less complex, easier to learn, answers available on google etc and as a consequence medicine can be taught over a shorter period and the role substituted by others who are notably less trained/qualified. The truth is that medicine has become more complex, delivered to ever older more complex and more comorbid patients with ever higher expectations (most of which are actually met). This all happens in the framework of an environment in which litigation (certainly costs and numbers to an extent) is mushrooming. While there may be value in working in new ways the lie that doctors can be replaced by less qualified alternatives because the job has become easier is misplaced, disingenuous and dangerous (as well as quite likely being cost-ineffective). There is a danger these systems will be brought in without testing of efficacy, safety or cost effectiveness. * IT systems that are slow, outmoded, inefficient and don’t talk to eachother. Wasting thousands of hours of clinicians time every day. Hope that is enough for now. At the core it is FUNDING. No point in reform without funding.

Get rid of Wes Streeting

Stupid stuff to get rid off: Privatisation Wage suppression PFI debts Chronic underfunding

The biggest waste in the NHS are the fortunes lost to fund the profits of the Private Heath Companies. If Labour would care about the NHS, they would end this waste by ending the outsourcing of services to Private Health Companies.

PAs: - waste of our time - pts didn’t ask for them & neither did we - rip off for the NHS & taxpayer @ 40k a pop. Pure bureaucracy. But you won’t listen. We already know this.

You need an integrated computer system that is linked to every form and letter produced by the NHS which will transport data to all at touch of a button - current medication should transport too. Then staff would just need to confirm data with patient not complete endless forms

1. Can we talk about the fact that there are people in the NHS who are paid - as part of their job - to look at Twitter accounts of doctors and nurses? 2. Anyone wearing a suit in a hospital should work a "helper" shift in A&E every month, helping wherever needed.

are you genuinely interested?

I'd like to get rid of politicians who have private health funders and plan to accelerate the outsourcing the NHS

The NHS being a political volleyball. It’s about time NHS became a cross party issue. Tories have destroyed it. Labour won’t make any difference. Work together. It shouldn’t be political.

I don’t share your pessimism about the ability of a Labour government to make a real difference