Grins. Just looked. Screw up happen i make more then my share :) PS sorry for any typos im visually impaired, after a while it just gets annoying to hunt for them.

Yeah, my calling wait list’s pointless comment was more about having an effective alternative to measure NHS effectiveness. So we technically agree here.

My caution about using customer satisfaction. Is customers are less qualified than anyone to do so. In general they have 0 understanding of the workload involved and needs to triage the needs of a population. Heck, even if we just look at an ER environment. Where triage is litrally about life and death. Most patients are unable to place their own priorities appropriatly to those they see. Let alone based on medical knowledge, they cannot or should not see due to privacy or lack of medical understanding.

That same triage needs to happen when it comes to the effect of medical issues on quality of life.

If we accept more money is not going to happen ( Once again ill say it def needs to. But unlimited resources are never going to happen, no matter what % of our GDP we spend ). There will always be a need to prioritise some types of care over others. And the people receiving that care are the least qualified to make that decision.

Satisfaction is important. But, as this is not a retail or restaurant environment. The opinions of the recipiant of care are much less important data wise when it comes to how wer need to allocate the resources we have.