27 March 2021  /  Updated 17 July 2021
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Overwhelmed NHS

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Nomad
Posts: 72
(@nomad)
Joined: 1 year ago

Yes isn't really time this heralded NHS, is called out for what it really has become.

NHS is now the Gates' Vaccination Service

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BJC
Posts: 24
 BJC
(@bjc)
Joined: 1 year ago

I got my pencil and fag packet out today and did a few sums. Wouldn’t it be great, I thought, if each city hospital in the UK had 100 beds held in quarantine for times such as this, or it would seem, for use every winter. I figured each bed would need around 10 sq mtr of real estate at circa £10k per sq. metre giving £100k per bed. This includes all the infrastructure, e.g. a separate building, services, etc. So a 100 bed isolation unit would cost £10M. Factor in some costs for ward medical equipment, etc. and you might arrive at £12M. This would provide a readily available facility should it be needed.

Of course the main issue is not infrastructure but people so recruit the necessary numbers of nurses and doctors to staff such a facility. Not sure how many nurses you need per bed, my experience suggests it’s about one per 6 beds but let’s say you need one nurse for every 5 beds and also one doctor for every 20 beds. Multiply by three for 24/7 care so you need 60 nurses and 15 doctors to cover 100 beds. Let’s say a nurse costs £50k per year and a doctor costs £100k per year. That’s £3M for nurses and £1.5M for doctors. These resources would not be needed most of the year but they could be deployed to improve the “normal” service and eliminate agency fees.

So for a rather modest initial outlay of around £12M and an annual running cost of circa £5M plus annual maintenance and renewal of say £2M gets you 4 spare wards. Multiply by 25 cities and your capital budget becomes £300M and annual revenue costs of £175M. Sounds like a bargain to me given the Nightingale’s cost £220M and they have been binned.

Lots of assumptions of course, e.g. the land is available in existing hospital grounds, staff are recruited over a five year period, buildings are modular, medics help with the specifications (and they are not changed once agreed), etc., but it seems to me building 25 identical units is a sure way to significantly reduce costs and timescales.

Sounds awfully cheap to me - does a bed cost more than £100k? Why has the NHS “winter problem” not been solved if this is all it takes. Even if it was £1Bn it is a fraction of what we have spent on the Covid fiasco. Anyway, that’s my thought for the day.

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chocolatemalteser
Posts: 105
(@chocolatemalteser)
Joined: 12 months ago

Missed it the first time. Catchy tune! I am embarrassed for them all.

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fon
Posts: 1356
 fon
(@fon)
Joined: 12 months ago

NHS is now the Gates' Vaccination Service

No. The Oxford vaccine is not for profit. My advice, forget conspiracy theories, stay in the real world.

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Symiester
Posts: 2
(@symiester)
Joined: 11 months ago

How about the following data. It suggests hospital ICU’s admissions and bed occupation are far higher than bad flu years?

https://mobile.twitter.com/jburnmurdoch/status/1347200855376875523?s=19

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