Paddy Murray Is (a bit) Unwell (this time) III

I don’t want Mary Harney to trip and break her leg today. I don’t want her to get a mild bout of food poisoning or to sprain her wrist or cut her hand.*
However, if any of those things were to happen to her, I hope she is brought directly to Accident and Emergency in one of Dublin’s hospitals. The one I’m in would, I’m sure, be fine.
I hope she is placed on trolley (an experience a friend of hers seemingly thought wasn’t too bad).

Whether she is then treated publicly (very unlikely) or privately (odds on), the level of care she receives from front-line professionals will be second to none.
That will be no thanks to her.
Mary Harney is presiding over an increasingly demoralised health service.
The current round of cutbacks, which she well knows are affecting patients, will be, for some, the last straw.
Soon, morale in the Irish health service will be as low as it is in the British health service. For reasons best known to herself, Ms Harney constantly compares the two when, if she had ambition or vision, she would look instead to the health services of Northern Europe.
While Ms Harney was in hospital receiving treatment for her leg or her wrist or her stomach, she would notice a few things.
Let’s, for the moment, make the daft assumption that she believes what she says about our health service and goes public.
After her day on the trolley, surrounded by drunks and druggies and overworked doctors and nurses, she would be taken to a ward which she would share with five others.
These would not be five people of her choice. They might be poor people. (They sure as hell won’t be rich people.) They might be people with drink problems. They might be people with dementia who shouldn’t be there but can’t be moved to suitable accommodation because of the cutbacks. The might, God forbid, even be voters.
She would see one, or at best two, television sets. If one of her companions hasn’t got one tuned to an Australian soap, she might get to see the Jeremy Kyle Show or Doctor Phil. (So busy are the real doctors, that she might actually get to see more of Phil than she does of them.)
The chances of her actually getting to see something she wants to see are slim.
But there’s always the radio.
Well, no, there isn’t always the radio.
Sure, there are radios built into the bedside lockers. But there are, no longer, any earphones for them.
Well, she can open the window and breathe in the air.
No she can’t. Many of them are nailed shut - illegal surely - to prevent dust from building work getting into the wards.
Depending on which ward she’s in, Mary may or may not be able to have a shower.]
If she has damaged her foot, the six inch step - yes, it is six inches I measured it - into the shower might prevent her from getting in.
But what would surely stop her, is the gap into which those wishing to have a shower have to squeeze, to get through the doors.
Whether it is politically correct to say it or not, it’s a fact. Mary Harney would not fit in most of the showers in St James’s hospital.
At least she could occupy herself on the web. She can, in fairness. If she manages to get to the cafe in the entrance hall where, for the price of a cup of coffee you get a few minutes on the web.
At least in the cafes in the entrance hall, the food is ok.
So why can’t it be ok in the rest of the hospital?
I’m pretty sure Mary wouldn’t like the food on offer in the hospital.
There is no excuse in 2007 for food to be other than tasty, appetising and nourishing.
Mary Harney seems to think the health service can be run like a budget airline. It can’t.
It won’t pay for itself. It won’t make money.
One of the primary functions of the state - it’s actually enshrined in the Constitution - is its duty to look after the citizens.
Mary Harney and her highly paid colleagues have failed to look after the citizens of Ireland on many levels.
The Health Service is only one area of complete and abject failure.
*This is a lie. I wouldn't mind if Mary Harney got food poisoning and ended up in one of the hospitals she seems to think are wonderful.

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Paddy Murray Is (a bit) Unwell (this time) II

WHEN you walk into a ward in an Irish hospital, one of the first things you will see is the television. Or maybe two televisions.
You may think that these televisions are a sign that the hospital and ultimately the HSE, wants to keep patients entertained, keep them occupied.
In fact, they are a sign of the utter contempt in which patients are held by the HSE.
In they eyes of those who administer our health service, right up to Minister Harney, patients are irritants, barely better than doctors and nurses.
Why else would one television set, or at best two, be put into a ward containing four or six patients?
If there is one thing that makes spending time in an Irish hospital bearable, it is the knowledge that those in whose care you have been placed, are dedicated, hard working and good at what they do.

It is, of course, a cliché to speak of the ‘caring professions.’ But there is no doubt that doctors and nurses, and indeed, the vast majority of those who work in hospitals in whatever area, are caring people. Sure, they get paid. And some of them get paid very well.
But the work is hard and the pay isn’t always what it should be.
It is a mystery, then, as to why our health service is constantly criticised and seems, forever, to be under attack from patients, their relatives and, indeed, those who work on the front line.
If I was employed by the health service, i would find it hard not to become demoralised in the fact of the relentless criticism.
But then, the criticism is rarely directed at those on front line.
It is those behind desks, be that in the Department of Health or in the HSE, that justifiably, bear the brunt of the criticism.
(Who was it who decided to put two television sets on the wall in a ward for four, or indeed six patients?
If the person furthest from the television wants to watch it, the sound has to be so loud so as to disturb the person nearest the set who doesn’t want to watch at all. And do they suppose that the two, or three, on each side of a room all want to watch the same thing?)
There are something like 17,000 administrative workers in the HSE.
Some of these people, the ones at the ‘top’, are the ones who get bonuses for, presumably ensuring less money is spent.
They are also the people who hire and fire in the HSE. And so don’t expect an announcement about thousands of redundancies amongst administrative staff in the HSE any day soon.
(Who was it who decided to install showers in hospital bathrooms, that have four inch steps up to them and which have doors so narrow,that many, if not most people, would struggle to get through them?)
It seems unlikely that the thousands who work in administration in the HSE have avoided illness all their lives, have managed never to spend a night in hospital or do not have relatives who have spent periods of time in the care of of our health service.
And so it is a mystery why the facilities for patients are so utterly dire in Irish hospitals. It is as if the decisions made are made by people who believe they will never darken the door of a hospital for any reason and don’t really care about those who must.
You could describe most Irish hospitals as ‘minimalist.’ But not minimalist in the sense of chic or fashionable. Minimalist in the sense of providing the minimum facilities for patients and, probably, staff.
(Who decided on the size of patients’ rooms in the new wing of St James’s Hospital? I ask because, to my certain knowledge, someone involved in planning the new building asked some of the hospital’s nurses if there was any way of improving the design of the hospital’s wards and rooms. The nurses told this man that the ‘side rooms’ were too small. He took it on board. The ‘side rooms’ in the new wing are smaller.)
It is well established, that the environment in which patients ‘live’ can help - or hinder - their recovery.
And yet, St Luke’s, arguably the country’s best known cancer hospital which at least, has the benefit of gardens, has been marked for closure.
Not a word from the highly paid Ms Harney about her plans as the good people of south Dublin and, it has to be said, beyond, dug deep into their pockets over the years to help keep Luke’s at the forefront of cancer treatment.
Ms Harney would like to move Luke’s into the already congested James’s campus, where the only grass you’re likely to see is that being smoked by some tattooed yobbo outside the front door.
(Who decides on the unchanging and unappetising menu? Do they eat it? Do they know what ordinary people eat? Do they know that sick people sometimes like to have good food?)
No doubt it’s because she’s always chauffeur driven (by a garda) that the same Ms Harney doesn’t realise the panic and fear that will sweep over unfortunate parents everywhere who have to rush their sick offspring to the proposed new children’s hospital on the Mater site.
The health service seems to be run for the convenience of those who run it.
This remains one of the few civilised countries where no attempt is being made to make wifi broadband available to patients.
It is one of the few civilised countries where no effort is being made to make the food served to patients appetising or presentable.
It is one of the few civilised countries where the old are left to rot in hospital wards designed for the sick so that books can be balanced.
It is one of the few civilised countries where there is a belief that if enough money is thrown at the health problem, it will go away.
Did I say civilised?
There are countries on this earth with little or indeed no resources, whose rulers make a better job of looking after the sick.
Civilised?
Ms Harney and her bureacratic pet the HSE achieve nothing, but to insult those of us who must use their service and those who work in it.
Enjoy your pay rise Mary.

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Paddy Murray Is (not that) Unwell (he hopes) VII

STEVE McQueen tried to do it on a motorbike.
They tunnelled out of Colditz.
But I got out in a taxi.
Hospital’s not that bad really. The staff would cheer you up.
It is absolutely correct to say that everyone on the front line of our health service works hard, does everything they can and tries their best for the patients.
It is equally true to say that they don’t really have a hope.

This week, six porters tried to do the work of 17 in the x-ray department at St James’s Hospital in Dublin.
Four phlebotomists tried to do the work of seven, taking blood samples from around the wards.
The doctor who saw me at 8am on Friday morning, was the same one who discharged me twelve hours later.
That’s thanks to the cutbacks, put in place by the HSE. They’re the cutbacks, we are told, which are having no effect on patients. That’s just simply a lie.
The one thing most health service front line workers seem to have in common with each other, is a desire to get out.
It would take an article the length of a short novel to detail the problems in Ireland’s health service.
Suffice it to say, that comparing it with Britain - as Health Minister Mary Harney did during the week when comparing the ratio of administrators to front line staff - isn’t a good place to start.
If there is a health service in a worse state than ours, it’s theirs.
Politicians have, of course, chucked money at this problem for years. But it’s they’ve done.
They have written cheques without, it seems, having the foggiest idea as to why.
Bureaucrats told them the service needed more money, and so, fearing an electoral backlash, more money was provided.
But was was needed, and what IS needed, is a root and branch examination of the service.
Someone needs to find out why the vast bulk of workers are unhappy, unfulfilled, frustrated, planning to leave - or all four.
Doctors tell you their job is all but impossible.
I can vouch that my own doctors work incredible hours. And if they are rewarded with salaries similar - when even everything is taken into consideration - to that our TDs get, well, so be it. They’re actually worth more.
The facilities in which the medical staffs have to work, and therefore in which the patients have to be treated, are abysmal.
Waiting rooms are overcrowded. Newly built buildings were designed a decade or more ago and are now completely unsuitable.
If our minister and those she has appointed to run the health service were even vaguely serious about improving the situation, they would, for example, ensure that the food served to patients was top class. It isn’t.
They would ensure that free broadband was provided for patients. It isn’t.
They would ensure a standard of cleanliness that was second to none. They haven’t.
They would provide sufficient staff in every area, and fund it by cutting administration costs. But they haven’t.
Imagine. There is one administrator for every five frontline staff in the health service. Why?
I’m at home and receiving my intravenous antibiotics from a super company called Tara Healthcare. If such a company was used more, hundreds of beds could be freed up in hospitals.
But no. We just blather on, with the Minister spending more time on RTE than she does behind her desk.
She is providing over a demoralised service.
And while she may talk about improvements, the reality is, nothing has changed.
I’m getting good treatment. I hope I’m not well.
Sadly, though, the health service is critically ill.

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