Aychessee Sinking?

What’s that about? It took me a while before the penny dropped.

The “Aychessee” is a sinking ship according to Prof John Crown. “A suitable alternative needs to be launched before it sucks our health service and our economy down with it into Davy Jones’ Locker.”

You can read all about it here.

If you’re still confused as to what this is all about, it may be because you pronounce “H” as “Haych” in keeping with Irish ways.

Aychessee = HSE. Geddit?

It remains to be seen if Captain Harney and First Mate Drumm, will stay with the sinking ship.

15 Responses to Aychessee Sinking?

  1. Angry Tech says:

    I’m glad you explained the pronunciation thing as I think I would have been confused for a while!!

  2. Steph says:

    Thanks! AT

    I’ve amended the pronunciation thingy to make it a little clearer.

  3. Baino says:

    It that Mr Drumm trying to ‘patch’ things up?

  4. Mike says:

    It will take more than apatch to keep the good?ship HSE afloat
    Q1
    why the f**k is part of health budget being spent on “PR” when senior citizens are suffering extreme back pain as a result of lying on an A&E trolley for 3 days
    Q2
    Why cant consultant saleries be line with other European countries

  5. Steph says:

    Baino – to confuse you even further, in Ireland school children are taught to pronounce “R” as “OAR”. My poor dyslexic hubbie (who’s English) has no chance of getting his head around the “Hayches” and the “Oars” when someone spells something out for him. It can be hilarious!

    Mike – I think you should address those questions directly to the HSE. I wonder why the word monopoly springs to my mind!

  6. Ellie says:

    Mike-consultant salaries are not draining the HSE. Poor management is. I would not do a consultant’s job in Ireland for any amount of money. No wonder they moan, for a million a year I would not do it. I have taken my admittedly junior skills to NZ and will train here , as have a lot of Irish juniors this year, and the Irish system can try and cope without doctors, that seems to be what they want to do anyway.
    Here are some ideas for improving service and saving money, just off the top of my head.
    1)One form for all blood tests. Yes I know it sounds a small thing, but it saves money printing all different forms in each hospital in the same city, and saves time when filling in forms, figuring out what form for what etc, which equates to a fair amount saved in doctor wages every year as that amount of time isn’t spent hunting down a simple form.
    2)Nurses do what they do in other countries-yes-I said it- ECGs, bloods, IV lines, allied health referrals, bladder scans, and first dose IVs like every other bloody civilised country in the Western world. We spend money educating these motivated women (and men) to degree level, and then piss away their skills on bedpans and how to bleep doctors. Some nurses that can read ECGs are not allowed to do one. Where is the pride in that job? or the motivation to stay in it? Care assistants can feed and wash, nurses should NURSE. No wonder they’re all buggering off as well.
    3)Following on from 2) if junior docs aren’t incessantly called out of clinic or ED to give a fucking dose of Augmentin, send a SALT referral or run off an ECG, then clinics/Emergency depts run faster, more people get seen, and lists and waiting times decrease. Which results in a more efficient health service. Simple, no? Apparently not!
    4)Fax machines on all wards and departments to fax and receive Xray requests/consults/ECHO requests etc. When you want an Xray done, fax a request to the dept. Done. Never left the ward. Still with patients.
    No more running around from one side of the hospital to the other all day long dropping things in different boxes and slots, wheedling and pleading, phoning people up and writing long lengthy consult notes in the medical charts. Fax one pro-forma consult form through to the relevant dept. Call to follow up on it ONLY if it isn’t being acted on in a reasonable time frame. Less time fartarsing around=more time reviewing patients, doing procedures, diagnosing, treating and generally providing an efficient service, which is by extension a cost effective service because doctors spend their apparently overpaid time doing doctor things, nurses spend their time doing nurse things, and care assistants take on aspects of caring that do not require a registered nurse’s supervision and input.
    5)Computerised discharge letters that send automatically to GP surgeries by email. No posting hundreds of thousands of GP letters every year=savings when compared to the once off cost of installing the software and purchasing the computers. Again-saves time which=money, and also provides an accessible and legible record of the previous admissions which is invaluable if someone gets admitted somewhere very ill and there are no old notes available.
    Ulimately though, I actually think the HSE LIKE the level of chaos the health service is in. All of the above are easy solutions. I could go on. I have hundreds. But if the public service is in tatters, well, what an excellent time to begin promoting the privatisation of Irish medicine? hmmm…
    Sorry for the rant! just got back from the dentist and am a bit “ranty”!

  7. Knipex says:

    Ellie

    I like your post.

    Sound, sensible recommendation easily implementable with immediate benefit and minimal cost.

    My one concern would be how much extra money the nursing unions would look for.

  8. Roy says:

    update on co location… beacon medical will break ground in Limerick ,January

  9. Steph says:

    Hi! I’m back. Mind you, it looks as if I’m not really needed around here any more πŸ˜‰

    Ellie – like Knipex, I like your suggestions a lot.

    The crazy thing is that the HSE hires in expensive, outside consultants to tell them how to run the health service when all they need to do is to ask the opinion of people, like yourself who’ve worked at the coalface and know the flaws and how best to fix them.

    Knipex – surely the money saved in having a more efficient health service, would go some way towards nurses being paid what they deserve?

    Roy – according to a press release last week, the Beacon medical group intend to turn the first sod in Limerick as early as September.

    I’m not exactly thrilled to hear this having just had another expensive visit to the Beacon in Sandyford today. I discovered (too late) that the Beacon Hospital is not covered by VHI for outpatient x-rays. Why? Because it won’t agree to the settlement rates offered by the VHI so the insurance company have refused to cover patients for these services. Says it all about privatisation, doesn’t it? I reckon, in a few years time there’ll be enough material for an Irish film version of ‘Sicko’ 😦

  10. Ellie says:

    Don’t worry Steph-I’m starting a blog soon so will quit hijacking yours! Thanks for providing such a useful and interesting blog to bring up these issues! πŸ™‚

  11. Steph says:

    Ellie – Flattery will get you everywhere! πŸ˜€

    Don’t worry, I enjoy your comments. They bring another welcome dimension to the debate and I can’t wait to read your own blog once you’ve got it up and running.

  12. Am I right in getting the impression that the sinking ship is sinking faster as opposed to anyone coming to it’s rescue? Is the Aychessee turning into another Titanic. Is there any chance of anyone melting the iceberg?
    D was saying the other day, why don’t we go to Ireland instead of the UK and I said, “Well, for one reason because I expect the Aychessee is worse off than the Enaychess”.

  13. Steph says:

    AV – Lovely to hear from you!

    I’m sure John Crown would appreciate your ‘Enaychess’ analogy – brilliant!

    The Aychessee has been a leaky ship ever since it’s launch in early 2005 and has used up a lot of tax payers money to keep it from sinking. It should have gone to the scrap yard long ago but continues to steam full ahead like a ship without a rudder.

    The Enaychess has structural problems too but has more buoyancy to keep it afloat πŸ˜‰

  14. Ian says:

    The haitch/aitch difference would have been a shibboleth in certain places I have lived – Catholics would have been spotted by the haitch!

    Similarly the writing of the letter R.

    A nun explained to me that the tendency to write ‘R’ instead of ‘r’ even when the rest of the word was in lower case arose from learning Irish in the old script, and knowing Irish in the old script would not have been too common amongst Northern Protestants.

    My kids say ‘haitch’ now.

  15. Steph says:

    Ian – I just knew that the pronunciation thing would appeal to you πŸ™‚

    My son and daughter have both been accused by their peers at times of being English despite being born and reared in Ireland. When they visit their English cousins, they get ribbed for their Irish accents. And as members of a minority religion in this country, they don’t really fit in anywhere!

    My youngest says ‘haych’ and ‘oar’ when spelling despite neither of her parents or her brother using that pronunciation.

    I’m don’t think the Queen would approve of Haych Oar Haych, do you? πŸ˜†

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