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Maybe we have two NHSs in England?

(Friday/Saturday blog)

I was recently treated by the NHS and I don’t recognise all the stories of an overburdened, collapsing NHS that I see in the media. The ambulance came within 40 minutes – it would have been sooner if my case had been life-threatening; I was taken straight to A&E on arrival; was seen within 30 minutes by an A&E nurse with blood samples taken; saw a doctor within an hour of arrival; was assessed by a specialist nurse within 2 hours of arrival; had a CT scan within 3 hours of arrival, but this was just a precaution and would have been faster if it had been judged necessary; and then I was discharged with a promise that further appointments would be arranged. Sure enough, within 4 days I was seen by a neurologist and, the day after that, the hospital rang me with dates a few days later for an MRI scan and other tests.

At no time did I get the impression that the hospital staff were in any way rushed off their feet or lacking in resources. Of course, I wasn’t scheduled for any operation, so can’t comment on things like operation waiting times and cancellations. But my experience echoed the one I had 12 months ago when my mother spent four weeks in hospital after a stroke. The whole system seemed to be running with reasonable efficiency and in no way looked close to collapsing under excessive demand.

All this got me wondering whether we actually have two quite different NHSs in England – the ‘English’ NHS and the ‘multi-culturally-enriched’ NHS

The ‘English’ NHS

This version of the NHS can be found in two types of towns – towns where the majority of people are indigenous English or towns where there are quite a few migrants but these migrants are generally from Eastern Europe, are often well-educated and have come to England to work and not sponge off other people’s efforts. If these migrants have families, these usually consist of one or at most two children.

Most people using the English NHS only go to hospital when absolutely necessary; if they go to hospital they might be accompanied by at most one relative or friend; most of them wait patiently for their turn to be seen; most of them treat hospital staff with respect and most of them behave like reasonably civilised First-World human beings.

The towns where I live and where my mother lived are both ‘English’ towns where the population is mostly indigenous English and migrants are mostly hard-working Eastern Europeans. In both towns there is what I have called the ‘English NHS’

The multi-culturally-enriched NHS

This version of the NHS is found, I believe, in towns and cities where there is a large population of people from the Third-World who have generously sacrificed their lives in their home countries to come to Britain to share with us their rich cultural heritage – violence, crime, intolerance, first-cousin marriages, FGM, homophobia, misogyny, parasitism and hatred of everything Western civilisation stands for.

Rather than only going to hospital when absolutely necessary, the multi-cultural enrichers turn up at A&E at the slightest hint of any medical problem. When an enricher goes to A&E, they are usually accompanied by at least 5 to 10 male relatives – brothers, cousins, uncles or whatever. Many of these male relatives will never have done a day’s legal work in their lives and thus will never have paid any taxes to support the NHS. But they will all feel that they are entitled everything the NHS has to offer.

The enrichers will often barge into the hospital shouting at hospital staff and demanding that their relative is seen immediately, all the time jabbering into their mobile phones. The enrichers are not particularly given to queuing or waiting their turn. If the supposedly sick relative is female, there will be much histrionic ululating and moaning from under her Darth Vader fancy dress as if she is on the brink of an immediate and very painful death.

The enrichers are also very particular about which hospital staff are allowed the privilege of treating their supposedly sick family member. If the patient is male, the enrichers will often refuse to allow a female doctor to examine them as they consider females lower than dogs. But if the patient is dressed up as Darth Vader on a bad hair day, the enrichers will probably demand that she is only seen by female nurses and female doctors.

Because of all the shouting, pushing, arguing, threats and intimidation of hospital staff by the enrichers, it can often take at least five times as long to treat a multi-culturally-enriching patient as it does to treat an English one. Moreover, given the enrichers’ tendency to have huge families and their predilection towards first-cousin marriages, which often result in physically- or mentally-damaged children, enricher families put much more pressure on their local NHS than more civilisationally-advanced English or hard-working East European families.

I suspect that the hospitals which are collapsing under the demands of increasing numbers of patients tend to be those in the more multi-culturally-enriched areas of our once great country. But nobody dares suggest this as that would be a heinous crime against political correctness.

But hey, what do I know?

5 comments to Maybe we have two NHSs in England?

  • Colin

    I think you will find it’s a post code lottery. I too am being treated by the NHS and whilst I have no complaints about the staff in the Hospital and they are usually pretty good once you are under a consultant, the waiting times are a bit long though. My main gripe is with the primary care ie the GP surgery. This is your first point of contact with any problem normally and ours are not fit for purpose as they are so over subscribed they just cannot function properly and so to compound this problem they recently took on patients from a closing surgery outside our area. It is nearly impossible to get an appointment quickly as they have a system whereby you telephone in the morning for limited appointments on a first come first served basis, these are gone within 5 mins if you can get through. The GP’s are always rushing you and It becomes a problem when you just cannot get them to listen to you properly. A&E is also not very good around here, it’s a bit hit and miss but luckily I haven’t had to use it yet. Obviously being under the control of the Welsh labour party hasn’t helped at all. My brother lives in Germany and has since 74 and by all accounts their health system is miles better than ours. Also members of my family have used the NHS in England with better results than in S Wales.

    I guess my point is it depends on who is running the show as to how good or bad a health authority is.

  • David Brown

    RE the comment above – They spend more but its better planed and less none essential staff a bit like lidl and Aldi. The NHS has a far higher ratio of high paid Managers to beds than I think any hospitals in Western Europe.

  • Mr J G Fields

    As much as the NHS has faults, and I have seen them
    when my wife died in hospital, you have to be
    thankful that it is available to us for FREE.
    My daughter lives in the world’s number one country,
    the great USA. I go there for Christmas and New Year.
    The greatest fear is becoming sick. This applies to
    millions at the bottom end of the ladder.If you have a
    serious illness, you are in deep trouble.The reason is
    simple. Sheer greed by doctors and specialists.
    If you have sympathy for our so called over worked GP’s,
    just remember that if the American system was applied
    here, they would fall over themselves to slap you with
    extortionate medical bills.

  • A Thorpe

    This debate should centre on the state provision of services which they do not have to provide. The state is the cause of all our problems. We need the freedom to take responsibility for our own lives. Nothing demonstrates the failure of states than the Syrian crisis. We have a dictator in Syria who can do what he want and in the West we have democratically elected governments who are no better. We have given them the right to take our money and spend it on arms and the reason they do this is they want to use them to show how powerful they are. We need to limit the power of the state and stop them providing public services and prevent them creating armies if we want peace.

    Colin talks about the GPs. Their problem is that they do not listen to patients. They just want them out of the surgery as quickly as possible. Mr Fields talks about the US system but for the intelligent in the USA they understand that looking after their health means lower bills and they do not have unnecessary surgery. Here, it is not free, as he says. The problem is that we have no idea how much any treatment costs and so we demand anything that we can get. The political parties have no control because as soo as they try to change anything they know they will not get elected. It is downhill all the way until this dreadful state controlled health system fails completely. It is a system design to support poor health because it keeps job in the NHS. It created unacceptable problems for the elderly resulting in years of poor health ending up in more misery in the care home system. We do not treat animals as badly as the dreadful state controlled health systems treat their populations.

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