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Hello and welcome

Everyone back to britain under the microscope advanced

So you sound better

Uh much better

Much much better

Thanks

Great

So are you ready to carry on the conversation about nhs

About health service in the uk

Absolutely last time we talked about gengenal al how you go see see a doctor

What happens if you get ill in the uk

But i think still a lot of our listeners might not really know or understand the concept of nhs

Could you give us some just general background of nhs

Yeah

Cause so hs is quite new

Really

Really

If you think about it

So the nhs was actually founded in nineteen

Forty

Eight

Eight

And it was founounded after the end of the second world war

And

And main name was to provide free health care to all uk residents

Which we talked a little bit about before you often here determ welfare state

Yes

Ah this part of the welfare state

Yes

This all part the welfare state including pensions on employment

Benefit and other things that the state does to support people

But obviously when you talk about the welfare state

The nh chest is one of the first things that you'think of of so welfare state

You said it's right after the war

Um was it because the situation

The aftermath of the war

Which prompted us

Yeah Well

It was the idea that after people suffered so much

After people injured so much

During the war ar socisocity had had to change the whole i dear of becoming more open

And the state looking after people and the idea of welfare as well which before the war started to become important

But then it was interrupted

It became orananiccent

It became something that people wanted out of the war

They wanted something to show for all the suffering

That they are been through

So now everyone is taken care of essentially

Yeah

It sounds great for the general public

But it also sounds very be very expensive

It is very very

It sounds prohibitively expensive

You said it's paid for by taxes

Yeah

It's paid for by taxes and other sources of income as well

But overall spending on the nhhs is around ten percent of britain's gdp

Ten percent of gdp that is a lot of spending

I imagine is a huge organization

Then if it includes all the hospitals

All the public hospitals and clinics

The nhs is actually one of the world's top ten largest employers

So how many people does it employee

It employees around one point seven million people

You're kidding one point seven million people

Yeah

So roughly on average one in every trees in the uk works for the nhs

That would include all the doctors or the nurses

Yeah

It include my mom

Yeah

It worked for the nhs

Oh Well

I did not know that she worked in one the liberal trees

And that's why the mmany people is not just thought as a nurses

It's all the support staff that work within the hospital

As well

That will par the nhs

No wonder

This is a huge group of people that work for the nh s

But

But now i'm going to ask a quite blund question

Yeah

The idea is really good

And we know it's expensive

But sure

There are some issues

I've read about some of the issues

They're always some criticisms about the nh s

But so what are the issues

Well

One of the main issues is obviously dogs pay

Especially junior doctors and nurses they get paid a very small amount of money

Considering the train ing

The education

That they've had to reach that level

Oh

Really in the uk as well

Because in china you often hear medical professionals complaining about that they're underpaid

Yeah

If you think about it the training

The years they devoted it the studying so in the uk

As well in the nhs system

Yeah

So it's the whole idea that the n atatis is actually very expensive

It still underfundit

It still needs more money

Um

But where is the money coming from that is the question

That's when tough decisions have to be made

And tough decisions have been made repeatedly as in cutting certain things

Cutting certain services or closing hospitals

They're always of just trying to support the nass

But no one wants to see it disappear

No

There's another common complaints at which i experienced first hand

And i was was a friend

Even though you said yes

People can make appointment in the energy system

But sometimes appointments takes so long the waiting time it's extremely long

And also on the actual day of the appointment

You have to wait as well i remember once going in was a friend

So the appointment was supposed to be at twelve thirty

We wait until four to actually see the doctor

Yeah

That's very common

It is unfortunquite common

Yeah

What we call the wawaiting list

So the waiting list is a whole idea

That if

If you have something that's not serious

That's not life thretening

That's not life threating

Than people who do have more serious illnesses

They go in front of you

Um

But even if it's not life threatening

It can still cause the lots of pain

So for example

Problems with needs or problems with hips

So things that are not actually live thretening

But they still impacts on the person's quality of life

And they have to wait much much longer yeah

And also you have to wait at the hospital

I for assume that's because they're understafed a lot of hospitals

There is a lack of nurses and doctors in the uk

And actually many immigrants work for the nhs

That i've noticed a lot of the hospitals

That i've seen nurs hospitals

You can hear all sorts of accents yeah from medical professiones

Sometimes is quite strong accent

Yeah

As for example

We have nurses and doctors that come from the philippines

Yethey come from europe in the papaststan

They have doctors and nururses from all over the world

So you see it's always important to remember that people do speak with accents

Even doctors in uk

They are not necessarily having a standard british access as you see on tv

Very really

嗯

And also one of the general issues

That is affecting a lot of the countries

Nonowadays is the aging population

The population is getting older

Which means fewer

People are going to pay taxes

But more people are going to need medical treatment

Yeah

That's one of the big things

Because i talked a little bit about it before in our last episode

That's elderly people

People v age age sixty five don't pay for treatment

Even if they can afford it

And we do have a rapulagean population the same as most countries in the world

So the question is who's going to pay for it

And how can it carry on

Especially since the nhs was founded in the ninety forties

When the population was still relatively young

Exactly i think if you read any newspapers in the uk or watch tva news related programs

Nhs is one of the issues that are constantly been mentioned one of the topics

But i should say as well

That even though there are lots of issues

Nobody would ever suggest getting rid of it

Nobody because the benefits

There are so many benefits

There's so many benefits

And i also think that soottish people a genely very proud of the nh ches as well

And also the welfare state yeah

But here is the question say i am really rich

I'm well off in the uki don't want to wait for the nhsi can get private healthcare right

Yeah

Privhehealth are are avavable

It's very expensive

Ve i know how expensive i talk to some doctors who work in private healthcare

But i've never really see a doctor

How much does it cost going to see a doctor

To go to see a doctor for pripriate ate heth ltation would be around two hundred pounds for how long about fifty minute

Fifteen minutes talking to a doctor in private healthcare

You have to pay two hundred pounds probably more

So you have a lot of private doctors in london

At least in the arary o called honey street

It's for harley yeah

It's in the west end

It's close to oxa street

And it's famous in the centre for private health care

Oh

So many private clinics yeah

Are there guess that's for the social elite ite go

Oh

It's for the socially

And also for people who are lucky enough to get health care

Added as a benefits for their work

Some companies actually offer private houseare are well well private health are

Are a health insurance

But that's gota also be some very profitable companies

Yeah

But why do people still go to private health care

If they have nhsi know first of all the waiting time are there any other benefits they're more choice

That's because the nh s they assign doctors to you

But if you are in private health are

You can choose the doctor

If you say in china when we go to hospitals

We can pay a bit more to choose which doctor that i want to see

If he's the leader in the field

Yet we pay more

So in nhs you cannot do that

No

Whoever gets the sign to you is the one that treats you

Yeah

Private health care you can do that

And also the nhss well well mentioned junior doctors as well so less experience doctors theare still learning in private health care

You wouldn't have junior doctors so there are all experience

Yeah

Ah so this is one of things about being a doctor in the uk

Is

Is after being a junior doctor and bebecome someone with a lot more experience

Then you can start working for the nh chess

And also working for private health care as well

I remember some friends in london

They're doing both they do like for example three days in in nhs and four days in private clinic

Yeah

So for some doctors

This is way for them to balance their career and their income

I know we're only scratching the surface of nhs

But if you're interested in knowing more about the health system in the uk

It's very simple

You just go online and do your research

Or just read some major newspapers in uk

Am sure the topic of nhs will pop up

Eventually

There's always always the story about the nhss at least

Once a week

So if you have any experience of the nhs

Or if you been to the uk

Or if you are doctor study in medicine

Please let us know in the comment section

And also if you have any other further questions as well especially for those of you

Who are planning to go to the uk

To live or to study

Let us know

What you think in the comment section

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