Surviving the NHS

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© Noel Rands 2024

When I was moved by my bank to Bombay in 1984, the two main cars were the Hindustan Ambassador, based on a 1955 Morris Oxford, and the Padmini Premier, the most popular car for taxi drivers, which was based on a 1947 Fiat design. This was roughly the same time as the founding of the NHS. Having been transferred from Cairo, where I had driven a Volvo, I was not happy with these obsoletely designed cars. Over the years, there has been some tinkering with the NHS’s original structure, including some reforms in 1973, but these have been about as effective as putting cloth seat covers over the plastic in the non air-conditioned Indian taxis, to stop passengers trousers sticking to the seats.

As a child, I suffered from allergic eczema, which mainly affected my hands with the skin cracking and me having a variety of treatments, prescribed by my GP, including boric acid powder and various cortisone creams. Fortunately, it disappeared in my middle teens. In view of the number of treatments, I was grateful for my GP and the NHS chemist.

In later years, I stayed reasonably healthy with my only UK hospital visit occasioned, in 2000, by the breaking of a metatarsal (before David Beckham made it fashionable) outside East Croydon Station when I jumped off the Tram platform and landed on the side of my foot. I was 7 hours in a crowded A and E before I saw a doctor and was amazed at some of the other patients. “My daughter has got a stomach ache”. “My wife has a sore knee”. “Have you visited your GP?” “No!” This is supposed to be Accident and Emergency. Does a sore knee qualify as an emergency?

In 2021, after shortness of breath, my GP recommended an angiogram at Croydon University Hospital and that turned into the need for a quadruple heart bypass, at King’s College Hospital with Mr Habib the surgeon. To say I was impressed by my treatment, including the 6 hour operation and the aftercare, is an understatement. I cannot see that I would have been treated better by a private surgeon, hospital and nurses. One of the delights was waking up before breakfast and a beaming Jamaican face appearing at my bedside and the nurse asking “Hello Noel, did you sleep well? Have you opened your bowels this morning?” and I’d think “If only!”. The other delight was my son and daughter-in-law arriving one afternoon with chicken sandwiches on white bread. After the hospital food, I had never tasted anything so delicious!”

Grandma Rands, who lived to 86, used to swear by two things; Dr Mackenzie’s Smelling Salts and her Daily aspirin so I suppose that my being prescribed aspirin, as part of my recovery, should not have been a surprise. In hospital, you are prescribed handfuls of tablets which are changed, dropped, as your condition improves. Now, I am down to 4; Aspirin, Ramipril, Bisoprolol and Lipitor which I take religiously. After all, I would quite like to stay alive and be able to run for a bus.

Last August, climbing up to the loft to collect a suitcase, a ladder collapsed beneath me smashing onto my left leg causing a huge haematoma. Back to A and E; more tablets and a plaster. Two weeks later, they decided to operate and the wound has still to heal but patience is required. I’ve seen a nurse, weekly, at my G P’s to have the wound checked and plaster changed. We are nearly there.

In 1998 I was in New York, staying with a friend. A jog through Central Park caused me to trip and dislocate the index finger on my right hand. A lady pointed to a nearby doctor’s surgery. I rang the bell. “Good morning. I have an American Express Gold Card. I’ve dislocated my finger” I was called inside, the doctor clicked it back into place, I got a fibreglass bandage around my hand plus medication. Back in Hong Kong, where I then lived, I commented to my Chinese Doctor on the cost and the watchfulness of the US doctor. He told me that when he had practised in the States, he needed US$20M of personal liability protection cover in case of claims by patients disputing treatment. It is now much higher.

Back in the UK, we don’t need a Gold Card to see a doctor. We are working on a 1947 NHS model and maybe it needs a major upgrade but no government has the courage to do it. (The selection of cars in Bombay has improved, massively) I am fortunate that although, I need an array of pills, I can talk to my GP, I can see a nurse and it is all covered by taxes which I am more than happy to pay.

I am very aware that not everyone is as fortunate as I am, with Friends Road Medical Practice in Croydon. Bearing in mind the US alternative, we do have a lot to be thankful for.

However, to add a bit of balance and following on from Her Late Majesty saying. on one occasion, “Recollections may vary”, No 1 grandson, aged 27, has had respiratory problems. Friends Road did not have a respiratory nurse available and so he had to go Private, to Shirley Oaks Hospital, paid for by his employer. I was lucky with my G P but maybe he wasn’t. Perhaps it’s the luck of the draw

Noel Rands,    February 2024

© Noel Rands 2024