In some ways, the UK's NHS is a great success. You only have to read stories of how people in the USA are treated when they don't have private healthcare to know that a national system relying on taxation is fairer and less expensive. However, the current model seems unsustainable (partly because it was never properly funded from the start and always relies on current tax income). As with many system it follows the 80/20 rule in many ways. Twenty per cent of the users use eighty per cent of the resources.
Whatever its faults it's usually the case that the failings are systemic rather than being down to individual incompetence or apathy but my recent experiences had me doubting that somewhat.
It started early in February with a sore throat. Nothing too bad but it gradually got worse, I had a hacking dry cough that was preventing me from sleeping, and was still around after four weeks so I contacted my local surgery via an online system. I was told that an appointment wasn't necessary because a local pharmacy could assist me using a scheme called Pharmacy First - just ask for a Sore Throat consultation. This scheme was introduced recently to try and take some of the pressure off GPs and I was happy to try it although I had my doubts. I first spoke to someone at my surgery and asked which pharmacies in the area were scheme members. They didn't know but thought it was all of them. I wasn't about to wander from one to another so started by ringing in advance. The first was Boots, my nearest chemist. They told me their system was down and they couldn't help. The next one I tried said the person with the login details was on leave so they couldn't help either. The third one I tried said the pharmacist was busy but could I call back in an hour? This was more promising and I called back and was told to come in between two and three o'clock and they could help.
I walked to the pharmacy later that day, after phoning again to make sure they were ready for me. My coughing was so bad I could hardly drive and parking's not great in town so I thought I could manage a walk of about a mile. When I got there I had to wait for nearly thirty minutes only to be told that their system was now down and they couldn't help. Apparently, they hadn't tried to log on for a while and didn't realise it was out of order. At this point, I'm afraid I lost my temper with them and told them what I thought of their professionalism.
I next tried a walk-in centre that told me I could have an appointment in three hours but couldn't leave the centre in the meantime. I wasn't prepared to sit in a waiting room for that long but they suggested I try dialling 111 which is the non-emergency health number. Surprisingly, I got through quickly and after detailing my symptoms was told they would contact my local surgery and request a throat swab among other things. I should hear back within twenty-four hours.
As you may have guessed I never heard back and a few days later I tried my local surgery again. This time they told me to come in immediately and I left with a prescription for antibiotics as well as some heavy-duty painkillers. These were needed as I had pulled several rib muscles after a particularly violent coughing fit experienced during my wasted afternoon hunting a competent pharmacist.
After a couple of days the sore throat and cough began to calm down and after five days was barely noticeable. So it seems an earlier intervention would have saved many sleepless nights and some excruciating pain.
Not the end of matters though. Once the course of antibiotics had finished the cough started to return. I immediately contacted the surgery and got an appointment that morning. This time I had blood taken for tests (all negative) and was told to expect a chest X-ray appointment. I'm still waiting for that but at the moment the cough is just a nuisance and my rib muscles have almost recovered.
In the end, I took three days off work one of which was time spent seeing various health workers and two which were because I couldn't attend calls or work properly due to the combination of losing my voice and constant, painful coughing.
I'm not sure what the lessons learned should be on this. I even sympathise somewhat with the pharmacy for being too overworked to have time to test their system before booking an appointment. I'm sure everyone was trying their best and in my case, it was a prolonged and painful experience but that's all. It's easy to see how a sequence of relatively minor cock-ups could result in something a lot worse.