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spyguy

NHS's record hospital stay paitent.

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I was expecting some sort of UK tramp.

Crosses so many threads.

http://www.bbc.co.uk/news/uk-england-norfolk-38731937

' Adriano Guedes, 63, was admitted to the James Paget Hospital in Gorleston, Norfolk, after having a stroke in 2014. '

' Mr Guedes, who moved to the UK from Portugal for work 15 years ago, is now living in a council flat in Suffolk. '

' The Department for Health says the average daily cost of a hospital bed is about £400, meaning the man's stay at James Paget would have cost about £340,000 for the two years. '

I hope someone can confirm that Portugal has been billed for this waste of space.

 

 

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13 minutes ago, spyguy said:

I was expecting some sort of UK tramp.

Crosses so many threads.

http://www.bbc.co.uk/news/uk-england-norfolk-38731937

' Adriano Guedes, 63, was admitted to the James Paget Hospital in Gorleston, Norfolk, after having a stroke in 2014. '

' Mr Guedes, who moved to the UK from Portugal for work 15 years ago, is now living in a council flat in Suffolk. '

' The Department for Health says the average daily cost of a hospital bed is about £400, meaning the man's stay at James Paget would have cost about £340,000 for the two years. '

I hope someone can confirm that Portugal has been billed for this waste of space.

 

 

Did he come to work as a doctor or engineer?

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If I was from Portugal I would wish to return to Portugal in my retirement; not see out my days in a council flat in a colder, wetter country.

The motivation to stay here is fair enough if you're from some grot hole like Afghanistan or Somalia, but Portugal?  Portugal's nice.

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6 minutes ago, Frank Hovis said:

If I was from Portugal I would wish to return to Portugal in my retirement; not see out my days in a council flat in a colder, wetter country.

The motivation to stay here is fair enough if you're from some grot hole like Afghanistan or Somalia, but Portugal?  Portugal's nice.

Not if has had not paid for his benefits.

I would guess his social ran out in Portugal and came to the UK to sign on.

 

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1 hour ago, spyguy said:

I was expecting some sort of UK tramp.

Crosses so many threads.

http://www.bbc.co.uk/news/uk-england-norfolk-38731937

' Adriano Guedes, 63, was admitted to the James Paget Hospital in Gorleston, Norfolk, after having a stroke in 2014. '

' Mr Guedes, who moved to the UK from Portugal for work 15 years ago, is now living in a council flat in Suffolk. '

' The Department for Health says the average daily cost of a hospital bed is about £400, meaning the man's stay at James Paget would have cost about £340,000 for the two years. '

I hope someone can confirm that Portugal has been billed for this waste of space.

 

 

For me, the real question is how the f*** can it cost £400 per day for a hospital bed?!

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10 minutes ago, Craig_ said:

For me, the real question is how the f*** can it cost £400 per day for a hospital bed?!

Its no the bed. Its the support staff around it.

A beds a bed.

A bed in ward, staffed by 10+ Nurses, 5 medical helpers, 1 consultant, 2 Drs all add up.

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Just now, spyguy said:

Its no the bed. Its the support staff around it.

A beds a bed.

A bed in ward, staffed by 10+ Nurses, 5 medical helpers, 1 consultant, 2 Drs all add up.

But a bed could be a lower level of staffing like they put in place to free up proper hospital beds from old people just not able to be allowed home.

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Just now, SarahBell said:

But a bed could be a lower level of staffing like they put in place to free up proper hospital beds from old people just not able to be allowed home.

True. But this guy was refusing all options offered to him.

 

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2 hours ago, SarahBell said:

But a bed could be a lower level of staffing like they put in place to free up proper hospital beds from old people just not able to be allowed home.

This is true, not all beds need the same level of staffing. The issue is whether a hospital that specialises in acute treatments, and is staffed and built for acute services, has low-staffing facilities.

I've noticed a number of acute hospitals now building or setting up step-down or intermediate care wards which are specifically intended to address this. People who are not quite well enough to go home, or are well enough, but need upgraded social care but don't really need an acute ward.

The better run hospitals had realised the need for this type of service long ago, but it never ceases to amaze me how some hospital managers just never seem to see what is round the corner.

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I would like to think in his 13 years of work, presuming he was working, he paid in more than this £340,000 needed for his care. Only £26k a year in tax...

Jeez, bet this bloke has cost us £500,000 already in entitlements/services and he'll probably retire here on a pension with about 15-17 years NI "paid".

I was quite concerned when it became obvious the relatives of the first wave (18-30s) of EEs were coming over. 50-60 year olds in low skilled work - really bad idea on a medium and long term basis. Not long until they'll retire with little (to nothing given wages) paid into the pot. All the health issues to pay for, potentially for the next 30 years (off the back of 10-15 years in work). Admittedly this presumes they will stay but one should factor this as a distinct possiblity when working out costs.

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How does that £400 a day hospital bed cost compare to the social care home cost? I have heard the costs can be equally eye watering (article mentions he had a stroke so maybe he needs a lot of care, hoists,etc).  What was the care system in the past ? 

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Typical residential home costs are in the region of £70-100/day at the basic end. The sky's really the limit for more luxurious facilities, easily £200-250/day if you want an upmarket one in Surrey

Nursing home costs are more - typically £100-£150/day at the low-end with basic level nursing care. If special nursing is required due to specific medical problems, then the costs can rise very rapidly. 

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2 hours ago, SillyBilly said:

I would like to think in his 13 years of work, presuming he was working, he paid in more than this £340,000 needed for his care. Only £26k a year in tax...

Jeez, bet this bloke has cost us £500,000 already in entitlements/services and he'll probably retire here on a pension with about 15-17 years NI "paid".

I was quite concerned when it became obvious the relatives of the first wave (18-30s) of EEs were coming over. 50-60 year olds in low skilled work - really bad idea on a medium and long term basis. Not long until they'll retire with little (to nothing given wages) paid into the pot. All the health issues to pay for, potentially for the next 30 years (off the back of 10-15 years in work). Admittedly this presumes they will stay but one should factor this as a distinct possiblity when working out costs.

similar could be said of BT workers retiring at 50.

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The old cottage hospitals are being used for this purpose ie transferring those with less acute problems freeing up space in large modern hospitals. However I have not noticed a in difference in staffing ratios for example bays in wards for 4 patients only had 2 beds in and one wing of the ward was unused despite having beds and seemingly most other equipment.

Attempts are made to move older patients care but this is resisted by district nurses who are then put under more pressure attending to needs such as dressings and catheters of these patients.

Care home fees here (Notts) seem to be a minimum of £110 per day but that is when paying privately and I have seen paperwork showing that the going rate for council funded patients is more like £60-£75 per day. In effect the private patients are subsidising the others.

Edit -Perhaps it would be more accurate to say self funded rather than private.

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6 hours ago, Craig_ said:

For me, the real question is how the f*** can it cost £400 per day for a hospital bed?!

How can it not cost £400/day? Take the money required to run one ward for one day and divide it by the number of beds. That gives you a fully overheaded cost of a bed.

The actual accounting will be slightly more complex than that as there will be various departments that are allocated the overhead, but it won't be much more complex than that.

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I recently visited a nhs hospital. Staff (mixture of nationalities) were doing amazing things but a real eye opener in the patient mix. What i saw was loads of vulnerable older people,  ungrateful and sometimes rude shouty brits exhibiting behaviour such as charging into lifts , graffiti in lifts, slagging off staff, driving rapidly around the hospital site, smoking pot outside the hospital  , swearing at others in the car park waiting for spaces, and chargeable patients who i over-heard had over-extended their visas (Ghana) who also proceeded to moan about the poor service waiting time. Maybe I went on a bad day! I don't normally get annoyed by this sort of thing but struggle to understand the viewpoint.  I have seen hospitals in other countries where you are told to bring your own equipment!

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On 24/01/2017 at 2:59 PM, Frank Hovis said:

If I was from Portugal I would wish to return to Portugal in my retirement; not see out my days in a council flat in a colder, wetter country.

The motivation to stay here is fair enough if you're from some grot hole like Afghanistan or Somalia, but Portugal?  Portugal's nice.

We have never been at war with Portugal.

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3 hours ago, Ash4781 said:

I recently visited a nhs hospital. Staff (mixture of nationalities) were doing amazing things but a real eye opener in the patient mix. What i saw was loads of vulnerable older people,  ungrateful and sometimes rude shouty brits exhibiting behaviour such as charging into lifts , graffiti in lifts, slagging off staff, driving rapidly around the hospital site, smoking pot outside the hospital  , swearing at others in the car park waiting for spaces, and chargeable patients who i over-heard had over-extended their visas (Ghana) who also proceeded to moan about the poor service waiting time. Maybe I went on a bad day! I don't normally get annoyed by this sort of thing but struggle to understand the viewpoint.  I have seen hospitals in other countries where you are told to bring your own equipment!

The oaps may be vulnerable but they should nit be in an acute hospital.

Ive never seen much in the way of the behaiviour. Closest was when my kids were born and youd get a small number of mums bringing in about 10 of  their family who sat round watching telly and eating crisps and talki g crap.

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That's probably not a record stay. I've come across someone who'd been a hospital for 2 years. The relatives would refuse all placements offered as unacceptable, and while in the patient's health deteriorated until only increasingly specialised (and hence rare) placements would have been able to take them.

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There are a lot of Portuguese doctors, nurses and dentists working in the UK. Their very expensive training was paid for by Portuguese taxpayers who are a lot poorer than the UK taxpayers who are enjoying the fruits of that training.

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18 minutes ago, Dorkins said:

There are a lot of Portuguese doctors, nurses and dentists working in the UK. Their very expensive training was paid for by Portuguese taxpayers who are a lot poorer than the UK taxpayers who are enjoying the fruits of that training.

For free?

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6 hours ago, spyguy said:

For free?

The Portuguese state isn't being repaid for the training so in a way, yes.

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