I have worked in the NHS, in various jobs, from 1986 until 2006. I started as a physio department porter, then night telephonist, occasional CSSD storesman, domestic assistant in Stoke-on-Trent, and then as a student nurse in Hull. I flunked the Health Promotion section of the Foundation examinations.
I was then a nursing assistant working with the elderly mentally ill until the hospital closed and I was made redundant. The policy was to move patients out of institutional hospitals into the community. My last job in the NHS was as a domestic assistant in North Devon District Hospital.
There are two relatively recent policy changes that have, in my view, messed up the NHS. The first is Margaret Thatcher’s decision to bring ‘the market’ into the NHS. Second, is the system of Nurse Training.
But there is also a third aspect that also messes up the healthcare system: the way it was structured when the NHS was created in the first place. No-one in particular is to blame for this. Our politicians and doctors did not have the skills and knowledge that is available now to construct a timely and responsive sytem that reacts to the clinical and psychological healthcare needs of the patients/clients as they arise.