Medicine in the UK

National Health Service (NHS) Public health has been based in the UK Labour Party in the late '40s. The system is funded from taxation. Is free. Just say, that I believe a priori that many expect from the free medicine do not have to, obviously, and also paid off, an example of what the United States. Health care can not be perfect and unproblematic in principle, in any country, it is a utopia. But the fact that the UK will not let you die, would not take any money for it — is fine I think. But every system has a lot of problems. And Britain is no exception. Those who believe that the West a great range of medical services — are sadly mistaken. Everywhere the human factor. Better luck with your doctor, then you are lucky with the treatment.

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Disease in the UK requires a lot of effort, patience and health

The first stage of interaction with the health system — registration at the place of residence in surgery, call it conditionally "terapevtnoy" counterpart to this institution in Russia. Institution has little to do with health center. In Britain there is no such thing as a health center, this luxury available only to the countries of the former Soviet Union.

Terapevtnaya — this is usually a small room with several rooms, where sits a secretary, a nurse, a couple of physicians (general practitioner abbreviated GP) and all that there are no tests do not, just take a urine test at registration. If sitting two or three therapists — believe in luck. After the crisis began dramatically save costs and, for example, in my terapevtnoy takes only one GP, and is located in a densely populated area of central London. Therapists also sometimes called "family doctors" sounds nice, but in practice it's pretty sad. Registration is easy, it is necessary to fill in a piece of paper and be examined by a nurse.

Here's an example of how it looks institution. Sometimes it can be in one of the houses

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Disease in the UK requires a lot of effort, patience and health

The first stage of interaction with the health system — registration at the place of residence in surgery, call it conditionally "terapevtnoy" counterpart to this institution in Russia. Institution has little to do with health center. In Britain there is no such thing as a health center, this luxury available only to the countries of the former Soviet Union.

Terapevtnaya — this is usually a small room with several rooms, where sits a secretary, a nurse, a couple of physicians (general practitioner abbreviated GP) and all that there are no tests do not, just take a urine test at registration. If sitting two or three therapists — believe in luck. After the crisis began dramatically save costs and, for example, in my terapevtnoy takes only one GP, and is located in a densely populated area of central London. Therapists also sometimes called "family doctors" sounds nice, but in practice it's pretty sad. Registration is easy, it is necessary to fill in a piece of paper and be examined by a nurse.

Here's an example of how it looks institution. Sometimes it can be in one of the houses

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By the way, few people know that "terapevtnye" is a private shops, with all state statustnosti medicine, it is in fact a limited liability partnership in the legal sense, ie limited liability partnerships for the most part. Therapists have the status of a partner, a partner can become a nurse if she has the means to buy a stake. The constitutions of the activities of the practice is described as "business". Business is dislodging funding from the state.

Not all practices receive equal funding, and patient care depends on the distribution of funds, respectively. Two adjacent practice in one area may have a completely different funding. The therapist earns decent. If funding is limited practice, he can earn from 80,000 feet a year. If funding is good, and then to 120,000. Also, the therapist has the right to make private, whether it will include income from secondary activities in the total income of the practice — in its sole discretion.

Paracetamol, Ibuprofen-Dream (IPR) — the three pillars NHS

Let me describe the scenario in the event of any non-emergency ailments.
Let's say you started to torture constant headaches. First you have to go to the therapist, the therapist goes through your admission to any type of the company and the doctor appointed by the preliminary analyzes. It is imperative to be recorded in advance, just so utrechkom to run at the reception will not work. The secretary records you often have to wait for the reception about a week. Terapevtnye do not work on weekends. If you take three therapist, you can get there faster.

You come at the appointed time, but will have to wait their turn to have a good 30-45 minutes, and now you finally have got the same to the therapist and talk about your complaints and …. You sent home by writing Paracetamol Ibuprofen-Saone (IPR). You will be given advice not to get nervous and a little more rest. You will not make any diagnosis and even a simple blood test.

Let's say there was something more serious, for example, the body was covered with scabs incomprehensible: the therapist felt his scab, nor did he wash his hands before or after (the sink in my therapist's office for example there is no good if put on gloves, but this is not always ) prescribe IPR certify that the scab will fall off after a couple of days, will suggest to protect pets and babies, so their case on zashiblo wreckage and sent home. Warned that if she did not fall off a scab, you should come across a couple of weeks and he will prescribe antibiotics, and then it just turn into a butterfly. If the scab you will rack up to six months, then you might get lucky and the same therapist will prescribe you a referral for tests and only after referral to hospital.

That's about the principle is receiving a number of diseases. I'm exaggerating, but the scenario is quite vital. Thus treated, almost all strange rash. If there is a suspicion of cancer of the skin, then do diagnostics. 80 percent of all other complaints eliminated approach "self-pass". Some advise to lie and pretend that folds over in pain to get at least a minimal diagnosis. But I can tell you that most therapists understand when you lie and they are not easy to navigate, plus they simply neproshibaemye, no tears and no help requests. Neither of which the presenter in the form of brandy or candy is not out of the question.

Are you in the hospital! Happiness is what!

How is the long-awaited visit to profile the doctor in the hospital for proper diagnosis and treatment. If the therapist is still relented and decided that your condition should be diagnosed and referred you to a specialist, you will not see anywhere else a month. You go home, and there are waiting for a letter from the hospital to the data on which you need to call and make an appointment (email arrives for a then 2 weeks), then the expectation of the reception around 3 weeks. If we add to this the expectation appointment with a therapist, sometimes you get to a specialist in just two and a half months. during this time, and you can die if something serious.

Continue your health depends on the mercy of profile doctor and his professionalism. He will also ask you to send back home and do not do any diagnosis, but generally, if you sent a therapist, a doctor still makes the diagnosis and prescribes the minimum treatment. This process is not too fast. As a result of the moments of going to the doctor until they receive treatment (if you're lucky), held from 3 or more months. Medicine is free, all solid line

I should say positive things about all medicines sold in Britain is clearly a prescription, the pharmacy you can buy just the cough drops, constipation and so on. It's good. If a person is unemployed or on disability that medicines are free of charge. Most birth control pills for women issued a therapist is also free. If you are lucky with the therapist, then you are lucky, and with all further treatment

Syndrome janitor

Therapists and doctors work at all clear on the instructions, no amateur, voluntarism and excesses are not places. At the reception given to a patient for 10 minutes and each therapist has a clear sequence of actions for every occasion. The main function of therapists is not a cure, no, this filtration system to save money, it is in fact a great janitors medicine: screening of patients with indolent chronicle of patients with serious illness, life-threatening. I just said it in the hearts of my therapist, they say you're not a doctor, you just watchman, to which she did not object, and added that such a system and it can not do anything. Yes, change the "terapevtnuyu" you can, but only within their district. Usually obtained the same testicles, only in profile.

If the therapist is a good pro and knows how to identify serious and dangerous disease, then treat them to the conscience (but full of Dunces, even those which are difficult to speak English, so the early diagnosis of cancer for example is completely in the hands of the therapist). Also, if there was a serious incident as an accident, then quite promptly delivered to the hospital and prishyut everything came off. In general, do not die will die in the event of an emergency (though outrageous malpractice cases fully and here on this later). The main problem — this diagnosis. If you have already been diagnosed, such as asthma, then you will observe, treat, prescribe medication regularly, in most cases, the problems do not arise, but many doctors will also treat you, saving money, so the best medicine can not count on too frequent receptions a doctor, too, do not look. You also diagnosed, what are you all go and go ….

All are equal, but some are more equal than others

Health funded very differently. For emergency care and treatment of cancer and other allocated a lot of money, but the austerity of preventive medicine and many other areas. For example, outpatient rehabilitation therapy or balneologia — these concepts simply do not have the local heard about such, there is no definition in the English for "preventive health pension or health resort."

If there is a strong suspicion of a serious illness, it is diagnosed quickly enough. But it is difficult to define what is serious, and it is a "serious" should first of all get sick much that you still have made a special regime. For example, many types of gynecological cysts do not cause any pain, but quite dangerous. In Russia they are usually detected by routine random inspection by ultrasound, in Britain, you have to look at ultrasound, it will be the most compelling reasons, such as suspected cancer, for example. Again cancers sometimes do not manifest themselves until the terminal stage, so the percentage of detecting serious problems lurking through routine screening is extremely small.

If you need surgery when the disease is not life threatening, how could you not suffered from the painful symptoms, you will wait in line for surgery sometimes up to half a year, including all preliminary tests and diagnostics. The urgency of the operation determined by the physician. Doctor you choose not to have the right to choose a doctor can only be on private health insurance. The situation is recording to the eminent luminary medicine is almost not possible. If you're lucky, you will get the insurance if his name is included in the available list. Well, or privately if he is practicing private. Operation, all are free, but if the case is quite rare and complex, and treatment of such cases have been put on stream in the system will not help you, yes, and say, I'm sorry, but we have such cases are not treated, and then have to seek refuge in other countries and thus pay for it.

Migrants who come home, the first thing run by doctors. Because a full examination in the west luxurious luxury that is not available even on private insurance, because insurance companies every step must be explained and appropriate to again pass through the janitor, ie therapist. Insurance will not cover a couple of days in the hospital on a full examination, if you suddenly feel unwell (Meanwhile, in the Russian part of the full survey — the usual case) on a full examination in a private clinic without insurance will take a considerable amount of money, not comparable with Russia.

Belohalatnost

Liability for negligent doctors are not particularly afraid, because they are protected in the UK by Professor liability insurances and legal system of checks claims in such cases, plus a mutual responsibility, it is very difficult to prove anything, the high cost of legal fees and the list goes on. The common man is very rarely sue a large object. Class actions happen, or claim quite so blatant in single instances of this in the second part

Dental or an old English tradition of medieval torture

Dentistry here is in a terrible state, and then I do not exaggerate, but this is not surprising, have you ever seen a good free dentistry, although in most cases there will have to pay, NHS pays only 50 percent. (Another problem that the private is not much better). In free dental care from the NHS can not climb in any case, although there are queues, and that with a great desire not prosunesh. There is one principle of treatment — cut and tear that poorly kept. If you put the seal, then iron, free orthodontist is almost impossible, especially for children. Root canal filling procedure is considered to be equal to the complexity of neurosurgery. Tearing of the tooth is also very complicated procedure can be carried out under general anesthesia, cutting floor jaw in advance. Americans often joke over the sad state of British teeth, and with good reason. Private dentistry is not such a terrible nightmare, but only for good money. My dentist Lithuanian jokingly told me once that he had to fix patients after private local zubopravov, my hair was standing on end

The output from the "ring-fencing". Insurance

So what outputs from the common man in this often neproshibaemoy system and fenced. You can take private insurance. According to her doctor to profile you fall much faster than the NHS, but again through the therapist-porter, which may take a couple of weeks, but then he must have missed. The most common medical insurance company in the UK — Bupa.

But for the insurance you will have a number of limitations. Well, if you know about special regime to what you exactly need, but if you are plagued by headaches, the cause of which could be anywhere, that without a common detailed examination here is not to understand, and it is for the insurance you are not supposed to. Moreover insurance coverage usually excludes the case in some of the most common ailments, especially in the case of diabetes and various cardiac disorders. So it make sense to take sometimes is not there. It can cover all diseases, but then it will cost much more. If you take the whole family, then a month will go a decent amount. Insurance gives you a list of doctors to whom you can sign up through the direction of a therapist, this is usually the same doctors that work in the NHS, and insurance companies are trying to add to the list of those who least need to pay, so not the best private specialists. The insurance covers any naturopaths often do not need a referral from a general practitioner. If facing surgery or something serious, it is always better to have insurance. It never hurts, and the operation and post-operative care for a good insurance

Reception at a private doctor without insurance is not as expensive to 80ti pounds or more (this is a short initial consultation without any diagnostics, and testing and treatment), but if you need a detailed diagnosis with analyzes, it can result in a lump sum.

Our never disappear

There is another way — to go to private clinics, which have created migrants from the former Soviet Union and Eastern Europe. There you can take the majority of analyzes, to get on to many experts, will also quite expensive, but cheaper than the British private clinics. In recent years, the clinics became very popular among Britons, excellent business way, and help people

Bad for all ills

In Britain, the riotous color flourishes so-called alternative medicine: Chinese and Hindu "clinic" where they treat herbs, acupuncture, massage, huge popularity of homeopathy, NDA. Admission to these clinics should Conception more than welcome at the private doctor of traditional medicine. A huge number of shops that sell all sorts of dietary supplements that are completely useless. Over the past 20 years, a lot of British naturopathic clinics where you stoned spices, conduct hypnosis and psychotherapy and dietary supplements will be discharged. The course of such procedures is expensive. Wealthy people hooked on it like a drug.

Why is it sometimes more expensive than the standard private medicine. Because in 2011 a law for all EU countries that the sale of all herbal medicines subject to the same licensing, as well as drugs. Pharmaceutical lobby has finally got rid of the competition in the market, pocketing profits from herbal and inflated prices it accordingly. Herbal treatment all the time, it was believed in the official medicine effective, and most importantly gentle and affordable treatment, and in the UK as well. But now you can forget about my grandmother's recipes, which are well-treated, or relieve symptoms of colds and other ailments because herbs have disappeared from the public sale, they may only issue you a licensed naturopath for decent money, and only those that he deems fit, well, or herbalist from NHS, which still need to get through.

Not quickly help

What happens in an emergency situation when you need urgent help. In this case, an ambulance, but it can not always come again expediency, if not in danger of life — do not come. then you have to go feet in Accident & Emergency (A & E) department, ie hospital emergency room, where a huge queue and usually visits the nurse who decides whether to admit you to the doctor or not

If the situation is not very critical, and it does not go to a therapist, then you need to go to the walk-in centre at the hospital, where the same procedure as in A & E. Not so long ago introduced a new telephone support service to a difficult situation when it's not a case of emergency, NHS 111 service. There is created a complete confusion and vacillation for lack of specialists, in fact it is a call center where people sit without any medical education. I will write more in detail in the second part.

The good doctor Dachtobtebya

If a young child is sick, then the interaction with the system can turn into a complete nightmare as a child more difficult to diagnose than adults and it is again going through economical therapist janitor, not a pediatrician. The pediatrician examines a child at birth only in the future to record it on the scheme as a specialist for an adult janitor for you to decide how much your child needs help. There is no routine home visits to primary care physicians in Russia, it is too expensive. Very badly treated many diseases. For example do not cure a sore throat. IPR you, mother, in the hands of that seated, home to sleep, you are not here. Here you are, the official page NHS c such recommendations. (In English angina will tonsillitis, there is a term angina, but it is angina)
I agree that antibiotics right away and stuff is not necessary, but there is a different washing and other procedures.
Wachter you can even send home if the child is screaming bloody murder. If, however, you have a good therapist in the area, it will be reinsured and actually treat the child. Again, the human factor, the system in each country clumsy. When the therapist can not accept to go to the emergency department care, but there is no guarantee that once you have a baby after serving overstrain of all, you do not send out home nurse with Pismo, not allowing the doctor. A huge problem with the diagnosis of meningitis reason. Comes to the frequent deaths.

Pregnant women are much different. Sometimes very good, reinsured for any reason, sometimes very badly. As lucky. A large percentage of births to stimulation, caesarean, birth injury, often poor monitoring of infants up to one year is quite a high percentage of sudden infant death syndrome.

But the sex you will be cured quickly

And that's what the British actually baked, it's about sexual health and all the sexual comfort of the population. It is very easy to play in a box, for example, gallstones, because it simply does not diagnose, or from food poisoning, because you will be discharged IPR and advise to go rest in peace away from sin … but there are some sexual health clinics, the doors are always open . You can always get tested for all STDs without an appointment and a long wait, can run into the clinic on the way to work and to have an abortion in the early stages of what convenience, get pills and other contraceptives, a heart to heart talk with an expert, there is no regulated , and much more …. krasotaaa. There are enough money here generous system. There are even some sexual health clinics for children and young people. Well, about the children, I have bent so far, is not the time, but the young adults involved in every way … but in spite of this concern in Britain, the highest figures for teenage pregnancy and sexually transmitted diseases in Europe.

I would not sneer on sex health, if, for example, the scope of Gastroenterology has been developed on the same level and there flowed the same amount.

But if, without irony, in these clinics can quickly get at least an external examination for testicular cancer or breast. Oh, and all the women every three years, the letter comes with a reminder of what should be tested for cervical cancer. It is always easy to do, without the queues

You will live

At the end of this part, I note that the UK is not all that bad, especially when you can go home if pripret (so at least there was diagnosed with an existing diagnosis in the UK you can get treatment), and when you can afford private medicine. Well, or if you're lucky with the therapist.
What are the positive aspects of health care in Britain: people do not heal, not stuffed pills without a reason, do not scare. Pharmacies released strictly on prescription drugs and they are not counterfeit, the majority of the population is not engaged in self without the doctor's instructions (although there is a market of counterfeit products, as in any other country, but more on that later). Therefore fewer people suffer hypochondria and think that they are sick all the medical reference book. Not heal from non-existent diseases such as ureaplazmoz, autonomic failure, erosion of the uterus. Well, in general, in principle, if there will be something really terrible, then it is likely that the same will save.

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