The Structure of the NHS - SIMPLIFIED

[@nutachat]

Hey, I'm a GP in Thailand, Your video is so helpful for initiating my knowledge of the UK NHS. Thank you very much, Dr.Ollie.

[@drollie]

Not at all, I'm glad they're helpful! 😊

[@AR-fy2qo]

Take this message, trust no one.

[@BrianMartin-ox2ru]

​@@drollieStill doing TikTok dance routines in empty hospitals?

[@kofosuonbass]

I’m a Pharmacy student, yet I’m glad I’ve come across your channel. Great content. 🤝

[@drollie]

Awesome! Thank you!

[@mikemasr21]

Wow so happy I bumped into you Dr Ollie, I have an interview coming up in Jan and this was very helpful!! :)

[@drollie]

I'm so glad! This is the exact reason I make these videos. Best of luck in your interview! 😊

[@IlhaamDawood]

Dr. Ollie, thank you for this brilliant video! It was so straightforward and easy to understand!

[@drollie]

You're very welcome!

[@ingridancona6098]

Hey Dr. Ollie. I am from California, and yes I constantly hear how our healthcare system is terrible here in the US. We all know this too, haha. I'm taking a class on healthcare policy and my assignment is to compare the NHS to the US Healthcare system. Thanks for breaking it down into a simple mainstream explanation. I had no understanding how NHS worked, but I do now thanks to your video. I wish we would adopt a similar system to yours, but the Affordable Care Act, despite its flaws has been the best of the worst we have been. Take care!

[@drollie]

I'm glad the video was helpful 😊

[@momentumnhs5747]

Please please, don't overlook how the NHS we had has slowly been restructured so now what we have is California's very own Kaiser Permanente HMOs/ACOs, maybe starting with a short video: kzbin.info/www/bejne/bafNoIVtgdN3p7c

[@alice1374]

The NHS is surprisingly getting even closer to the US healthcare model via privatisation of concurrent governments. I do sort of hope it never ends up fully privatised where healthcare - and even ambulances cost you to have to pay as that's what the NHS wasn't set up to do but we're heading that way.

[@rj14053]

​@@alice1374Yes...Tories plan for NHS ahead. Steps : 1. Privatisation of hospitals build with public money 2. More profits for corporate and CEO 3. To maximise profit , create a glut of healthcare staff and pay as less and as cheap you can. 4. But greed is not yet finished. Now start raising Price of services to astronomical proportions eventually leading to US healthcare system !!

[@alice1374]

@@rj14053 Indeed, and these astonishing people from Labour are also continuing it as well. We have two Tory parties. I suppose three if you count the LD's since they have kept their pledge of privatisation but in the sense of public benefit so the public come first before profits that's how privatisation could work properly not in the current system though

[@jacquelinecrouch1983]

Great video Dr. Ollie but can this be updated since CCGs have been replaced now by ICBs?

[@ewragg1]

Our NHS is clearly NOT WORKING!!! people are not being treated in a timely manner and waiting lists are horrendous, ambulance services are hopeless, not coming to people when they need them, older people cannot leave hospitals when they are better as there is nowhere for them to go, there are HUGE queues at A and E depts as sick people have to wait sometimes for DAYS waiting to be seen, etc etc etc.. Who is repairing all these faults?

[@DaringBread]

Joe

[@TwoWheelsGood-ym3st]

Scrap the NHS

[@jannoottenburghs5121]

​@@TwoWheelsGood-ym3stis easy to say but would hardly be helpfull

[@TwoWheelsGood-ym3st]

@@jannoottenburghs5121 I disagree Scrap the NHS

[@MrYashwantt]

UK has become much worse than the third world country, where atleast doctors see the patients while in UK I heard that Physician Assistants do the consultation and procedures. If you stay quiet still, be sure that NHS is a lost battle. It’s you who fight for it, don’t believe that some person will come and make it better ….that’s not possible TBH. U shd fight for everything, u r paying money for healthcare, u have every right to ask for better services and make sure govt rolls out services which u want instead of services which they want.

[@kabuteshiitake7071]

The best video on the NHS I've ever watched. Thank you.

[@drollie]

Wow, thank you!

[@capybaraonly487]

Hey thanks for the wonderful video! Could you explain the new Integrated Care board/ system that has been adopted? How did it replace the CCG? Which organisation commissions general practise?

[@211Magi]

Each ICB absorbed at least one Clinical Commissioning Group and more commonly, several CCGs. CCGs ceased to exist on 1 July 2022.

[@jclam]

Really helpful! I have an interview coming up (not as a practitioner, but analyst), so thank you. Also, it would be great if you could do a video on what hospital trusts are, as there aren't any of those on KZbin.

[@drollie]

Best of luck in your interview! Thanks for the suggestion, it's a great idea 😊

[@tonyjohnson2065]

It is now eight years since health & social care was delegated to Greater Manchester with a £6.3bn budget. The concept of delegation is that there is some responsibility is given to GM to manage that money. Normally, when organisations come together their immediate objective is to seek quick wins and then seek synergies to save money to plough back to improve services and increase pay. There should also be an obligation to report back to Greater Manchester residents yet we have not received performance reports. We must remind ourselves that Greater Manchester had a referendum on whether we would like to have a Mayor and the Labour majority voted against and one was imposed the Mayor and we now have Andy Burnham. Attention needs to be drawn to the fact that in the City of Manchester the councillors are all Labour except two Greens and one Liberal Democrat - no Conservatives! Whilst most councils are twinned with European cities and towns, the City of Manchester had links at the beginning of 2022 only with St. Petersburg, Wuhan and Chemnitz which was in East Germany. The link with St. Petersburg was severed by pressure from the Ukrainians due to the invasion. Sadly, there is no information on any representations made with their St. Petersburg friends! St. Petersburg is Putin’s home town and East Germany was where Putin worked for the KGB. The focus of accountability needs to be shifted significantly to the GM Labour leadership. Whilst devolution has been achieved, accountability has not. What were their motives in seeking devolution if they did not have a vision for improvement? The Party should be agree to good governance with openness and accountability. We need to hear about savings being achieved from synergies and improvements including with a reduction in administrators and PR staff so that the money can be recycled to improve services and salaries. Let's have a meaningful and objective discussion to improve health and social care in Greater Manchester and throughout the UK.

[@joandind]

This is absolutely brilliant. I am hoping to use this with our staff to help them understand better the basis and plans for the move into the ICS. Thanks so much.

[@drollie]

Glad it was helpful!

[@momentumnhs5747]

It's important to know that the origins of "Integrated Care"'s fixation on reducing hospital use and encouraging "efficiency" (as in efficiency savings, meaning cuts) with financial incentives is corporate, has come straight from the US over many years, and has been pushed by the corporations themselves. Please give this 10 minute, evidenced video a watch: kzbin.info/www/bejne/bafNoIVtgdN3p7c

[@PHDiaz-vv7yo]

I’m a 47 year old former PCN CD. Yeah, watching and learning here. Ok- watched the video. A great video for someone who gets to the interview stage after the usual exaggerations on a UCAS form. The jobbing GP never could really influence policy at CCG level. Only a core of usual suspects at local level, pulling levers to ensure their practices thrived while others suffered. And don’t get me started on the CQC. The unilateral enforcement by NHSE of the new contractual demands on General Practice will worsen the GP haemorrhage. And one has to really ask if the NHSE demands conflict with the care and duties of a doctor through the GMC. Yes, get to med school. Get crapped on in the ward rounds and get drunk at the bar. Qualify- get through basic jobs and LEAVE THE UK. While the govt is in charge of policy on free healthcare at the point of delivery, being a British doctor will be akin to servitude. It’s a great job. And it will never be recognised by politicians

[@drollie]

Haha, thank you for a view from someone who's actually been there and done that as a clinical director!

[@johnfarley4201]

Bless your heart and thank you for posting.

[@alihamajid9004]

Great video! Why does the registered nurse and hospital doctor have to be from outside the area?

[@davidgill4112]

Looks good also I was happy with my service

[@amaubajohnuchechukwu2801]

very informative , educative and inspiring

[@junaidashraf1835]

Hey Dr Ollie, just began as Macmillan's Engagement Lead in Scotland. Although you've covered England, I've found this to be a great video to learn from

[@drollie]

Best of luck in the new job! Glad you found it helpful

[@ShiningStarsOfficial77]

watching your video from Aberdeen I am a medical student

[@nithikab]

hey abit ranodom but i have my aberdeen interview any tips or questions likely to come up?? thank you

[@adedoyinadesina3139]

Great job @Dr Ollie. Can I confirm if you have another video that mentions the ICB?

[@drollie]

I don't actually but an updated version of this video is on my to-do list!

[@drkhan5401]

Hi Dr Ollie. Can you please guide me on how to prepare for my upcoming interview for the position of Speciality doctor crisis resolution and home treatment team Milton Keynes NHS Foundation Trust. Thank you.

[@robertkonig9589]

Thank you for this!

[@drollie]

No worries!

[@ueenelisabeth6256]

Hi, i'm just wondering how would this apply to Scotland NHS?

[@nkosinathitchavango5473]

Great content. Thank you

[@Dr.Sri_Harsha_Guthikonda_G]

so it is not UK any more? or was that England remark jibe at something?

[@Jacob-yd7ju]

Great video lad

[@drollie]

Haha thank you.

[@kayedal-haddad]

Can you do a video of the NHS Trusts please?

[@arniepatel9841]

Really good!

[@drollie]

Thank you! 😊

[@Jeannelawes]

Can you tell me Dr Ollie why GP's are incentivised to deny treatment?

[@drollie]

I'm not sure I can..!

[@Jeannelawes]

@@drollie I've found out, as I understand it, each GP is allocated a budget by the CQC, so too many recommendations for knee, hip etc operations will soon eat it up, especially in a senior area, so take a paracetemol except for those with private insrnce. Ive since come aware many Americans go bankrupt. do we and you want this system where people are denied care? kzbin.info/www/bejne/b4fcgpueedygqJo and this dt Ollie kzbin.info/www/bejne/gmWymIeqg95oabs

[@jacquimorgan3100]

This is out of date now. CCGs ceased to exist from 01 July 2022. Replaced by Integrated Care Boards- ICBs

[@humphreys38]

Just a heads up this is now wrong, CCGS have been replaced by integrated care boards since 2022

[@Jeannelawes]

BUT, but, but. why is there a monetary profit element in it. We all know what happens in the long term. A 2 tier system, dumbed down care. go private....

[@PHDiaz-vv7yo]

If you include AQPS and private providers a profit will always be needed and chased. Damn the service provision. Just do the basics to fulfill the KPI if contract so it can be renewed and feed the fat cat CEO.. Look at the current govt. See what boards they serve on as umbrella companies to the AQPs We’re going the way of USA. Good luck everyone. Hope you have a friend / relative who can offer mates rates for medical services

[@barbaraedwards4802]

Dead right Jeanne, a complete waste of money, thats what the NHS is

[@Jeannelawes]

@@barbaraedwards4802 Its not the NHS, yes it does need to be improved but not to the American system whereby people go bankrupt:- kzbin.info/www/bejne/b4fcgpueedygqJo

[@markbenjamin1703]

Do you think charging drunk and drug cases, charging people for phoney AE/GP visits could help the NHS?

[@drollie]

It's an interesting idea Mark. Although it could provide a short term boost in revenue, I think the negative impact of policies like these would far outweigh the benefits. If people are afraid to come to the doctors because they think they might get fined we may miss important diseases in people who otherwise would have presented. I also think it would be incredibly difficult to draw the line as to what we should fine and what we shouldn't. Should we fine someone who turns up to A&E drunk? What about if they've broken their wrist because they fell over when they were drunk? How about if the reason they're drinking is because of undiagnosed depression? You get my drift, but it's certainly an interesting area of debate.

[@saimak7079]

Why don't you break it down by the quangos and outside 'care providers' and money managers (like Kaiser Permante and KPMG) that keep services trim and on a shoestring budget (and effectively work to decrease services, privatise the NHS) so they can make themselves PROFIT at the servicer user and taxpayer's expense. 'Integrated care systems' = the NHS being increasingly stealthily privately owned by American companies (such as the mental health side) and increasingly commercial. This breakdown only discusses the veneer of how the NHS is organised. The deeper analysis is way more politically alarming. But I guess that's not what this channel is for.

[@woody1646]

Absolutely agree with you. I have been doing a lot of digging into the background of the people in my local Integrated Care Board and many of them are in finance or have a background in private healthcare. These are the people who will decide what services are offered and what gets handed over to private companies. They can also decide to start charging for services. As far as I can tell, this new Health and Social Care Act 2022 is the last nail in the coffin for the NHS. The NHS is becoming nothing but a brand which private companies can stealthily operate under. I strongly suggest that people start digging into the background of the people on their local ICB and do everything they can to make that information public. No one voted for this. We have no say in who is appointed to the ICB. Integrated Care Boards are just a rebrand of the USA’s Accountable Care Organisations. Also, my local service has just replaced their entire computer system with a system made by a company called Epic. A company from the USA. This system not only allows for the collection of analytics, but also enables hospitals to start charging for services. I suspect they will use the analytics to work out which services they can get away with cutting and privatising.

[@momentumnhs5747]

@@woody1646 Have you seen how the 2022 act merely rubber-stamped the existing changes Dr Ollie refers to in the Long Term Plan, but as part of a move to ACOs/HMOs which have run throughout the 3 decades of privatisation legislation and policy? kzbin.info/www/bejne/bafNoIVtgdN3p7c

[@gmpro9159]

The NHS is too many powerpoint presentations with at best a 10% success rate of well patients. Literally like the police, put their uniforms on, drive around a bit then clock off, with nothing inbetween. Shameful blaggards. Its not a money problem, its a competence problem.

[@AR-fy2qo]

The GP pays for toilet roll in the surgery, the Consultant doesn't. Hospital gets tariffs for activity, GPs don't. Understand that.

[@eGPlearning]

Unfortunately this well-explained video is out of date. CCGs have been collapsed for 1 year in place of ICB's which run the ICS which includes the places and the neighbourhoods.

[@drollie]

Very true, I need to make an update!

[@normanchristie4524]

The model was destroyed by Thatcher's obsession with control from central government.

[@MrYashwantt]

Is NHS worth it?

[@drollie]

Definitely!

[@DayWalker745]

Definitely not.

[@MrYashwantt]

@@drollie my impressions in 2 years, being a registered GMC medical practitioner now. Still it’s very tough to get in. I feel NHS is too biased to take opinions and act upon it. If you stay quiet still, be sure that NHS is a lost battle. It’s you who fight for it, don’t believe that some person will come and make it better ….that’s not possible TBH. U shd fight for everything, u r paying money for healthcare, u have every right to ask for better services and make sure govt rolls out services which u want instead of services which they want.

[@BrianMartin-ox2ru]

Bone idle and vastly overpaid for providing an appalling "service". 50% of nhs employees could be sacked tomorrow with no detrimental effect.

[@TwoWheelsGood-ym3st]

Scrap the NHS

[@jute6317]

Make it simple “Where’s all our money gone “

[@DayWalker745]

Bank accounts of big wigs. The NHS is really bad, its shocking how bad it is.

[@MrYashwantt]

UK has become much worse than the third world country, where atleast doctors see the patients while in UK I heard that Physician Assistants do the consultation and procedures. If you stay quiet still, be sure that NHS is a lost battle. It’s you who fight for it, don’t believe that some person will come and make it better ….that’s not possible TBH. U shd fight for everything, u r paying money for healthcare, u have every right to ask for better services and make sure govt rolls out services which u want instead of services which they want.

[@JR-1983]

Too many managers managing managers it needs to get back to clinicians running it.

[@benstevinson764]

❤️ NHS 🌈 👏 🇬🇧

[@DayWalker745]

The NHS is so bad. Have you ever had to actually use it? It's shocking how bad it is.

[@LeahRebecca]

🙏🏾🙏🏾

[@etaokha4164]

Am grateful we've got this system compared to USA

[@drollie]

Me too! 😁

[@barbaraedwards4802]

Your having a laugh aren't you? The NHS? Its a complete and utter shambles. Just reading one punter saying that the usa think that the uk is lucky to have it, he's right, lucky that we have it and they don't

[@momentumnhs5747]

@@drollie Have you had a chance to examine the US and corporate origins of ICSs? -And begin to get to grip with their corporate purpose? When they were called HMOs, Michael Moore in Sicko describes how they successfully shrank US state provision which expanded corporate healthcare's power in the US. kzbin.info/www/bejne/bafNoIVtgdN3p7c

[@orangepotato2112]

Nice video, sorry about the unkind people in the comments.

[@abdulrahman31350]

Its a scam

[@Christmascancelled]

Labour Party will privatise the NHS says Starmer.

[@Rezavocation]

👀👌

[@timothystephendarlow3658]

Yes Ollie, but why can't I see a doctor? And in the meantime while you are working out your explanation, who paid you and how much to talk all this crap?

[@edenh3930]

don't blame him, i'm sure this is what he does in his free time? can he not have other hobbies outside of work?

[@christiankent8964]

FYI this is now out of date.

[@LukeSolo-One]

The nhs does not care about you