nhs.. get your calling quickly and text, we always get lots of text and you don't have to tell us your name is if working nhs. we have a consultant who has got in touch. hi to helen in manchester. you're a good person to talk about, sir. do we need more taxes? will that soar to? will money help? i we need more taxes? will that soar to? will money help?— to? will money help? i don't think it's the solution _ to? will money help? i don't think it's the solution by _ to? will money help? i don't think it's the solution by any _ to? will money help? i don't think it's the solution by any means. - to? will money help? i don't think it's the solution by any means. i l it's the solution by any means. i don't have the answers but i think the model is probably no longer fit for purpose. i've been in the nhs for purpose. i've been in the nhs for 32 years and see massive changes in that time. it's been chronically underfunded, the funding is much worse than when i started out the early 90s and things take much longer to happen, appointments with much longer waiting times. my issue is that if the nhs is such a good model, why hasn't any other country lodge decided to adopt it? == lodge decided to adopt it? -- country in _ lodge decided to adopt it? —— country in the world. and in the �*605 country in the world. and in the �*60s and 70s, when life expectancy was 65 or something we didn't have extensive treatments and the public were much less demanding, not saying it's bad but they were expecting much less, now everything is different. life expectancy is longer, people survive heart attacks and the healthier nation gets, the more you have to spend on it. if i may, in 2010, 70% satisfaction, a lot of money poured into the nhs. there were a lot of faults, staff and introduced private provision, but people love the nhs and as i was saying, there's an religious attachment to the nhs. in saying, there's an religious attachment to the nhs. in the 2000 it would have _ attachment to the nhs. in the 2000 it would have helped _ attachment to the nhs. in the 2000 it would have helped significantly . it would have helped significantly clearly because of the financial crash and everything that came with it, undoubtedly that it is important. but i don't think the public understands how much it costs. you showed a couple of weeks ago how expensive health care for pets was and it is the same or more... what i mean is we thought we might be building a new hospital, depending on how much one night in hospital might cost the public. having insurance systems and health care, people are fully aware of how much health care costs and it's very expensive. funding itself, there is no way more money can possibly cope with the ever demand we will have ongoing for the next... with the ever demand we will have ongoing for the next. . ._ with the ever demand we will have ongoing for the next... thank you. the view of — ongoing for the next... thank you. the view of a _ ongoing for the next... thank you. the view of a consultant _ ongoing for the next... thank you. the view of a consultant in - the view of a consultant in birmingham. thank you very much. barry and claire, still a chance for you. helena manchester, good morning. tell me about your satisfaction. 1 morning. tell me about your satisfaction.— morning. tell me about your satisfaction. ~' ., satisfaction. i think for me, the thin i satisfaction. i think for me, the thing i wasn't — satisfaction. i think for me, the thing i wasn't happy _ satisfaction. i think for me, the thing i wasn't happy with - satisfaction. i think for me, the thing i wasn't happy with was . satisfaction. i think for me, the i thing i wasn't happy with was the ambulance service. my mum recently had a fall and she is elderly and when i phoned 999 with expectation for them to be there before i could get to her, i was told it was a 9.5 hour wait. and it really hit home of what is going on with the nhs. when you have an elderly parent, the fall was bad but when we did eventually get to the hospital at amd, the staff were fantastic. but it's just that initial call to 999. it was a 9.5 hour wait for my mum. hahn that initial call to 999. it was a 9.5 hour wait for my mum. how is she? she — 9.5 hour wait for my mum. how is she? she is _ 9.5 hour wait for my mum. how is she? she is getting _ 9.5 hour wait for my mum. how is she? she is getting better, - 9.5 hour wait for my mum. how is she? she is getting better, six - she? she is getting better, six weeks non-weight _ she? she is getting better, six weeks non-weight bearing - she? she is getting better, six weeks non-weight bearing at i she? she is getting better, six i weeks non-weight bearing at the weeks non—weight bearing at the moment, she had quite a bad fall. but i can't understand how that could happen when you look at the promises made, one of them is at the national wait time is eight minutes for an ambulance. we need to be on it with the forecasting. a few years ago manchester with funding, we could see medics on bikes in manchester, we could have paramedics in cars, get into an incident quicker than an ambulance to see whether they need to go to hospital. but that's disappeared and am concerned there are people out there who need an ambulance in their home and just can't get that service any more. , ., , , ., i. more. listen, all the best to your mum. more. listen, all the best to your mum- 9-5 — more. listen, all the best to your mum. 9.5 hour— more. listen, all the best to your mum. 9.5 hour wait. _ more. listen, all the best to your mum. 9.5 hour wait. the - more. listen, all the best to your| mum. 9.5 hour wait. the question more. listen, all the best to your- mum. 9.5 hour wait. the question is, after stories like that, is more money the answer? martin in warwick, kerry and peter bro. claire, is money the answer?— kerry and peter bro. claire, is money the answer? money has to be ut into money the answer? money has to be put into the — money the answer? money has to be put into the nhs. _ money the answer? money has to be put into the nhs. let's _ money the answer? money has to be put into the nhs. let's look - money the answer? money has to be put into the nhs. let's look back- put into the nhs. let's look back historically, it is broken. year after year, historically, it is broken. year afteryear, is historically, it is broken. year after year, is getting worse and worse. forthe after year, is getting worse and worse. for the end users, the staff... i'm really fortunate that i live... i want to say thank you to the amazing staff working in the nhs, no matter what you do you are superheroes. unfortunate that my local hospital is in my opinion one of the best in the country and can't fault any treatment i've ever had there or any emergency i've had to go to there. for me my issue is there are sections across board of there are sections across board of the nhs being understaffed, underpaid. my issue of the nhs currently is i have a son like many parents in this country and in this county that have children waiting for assess under cams. the system is broken. by the time my child would have been seen by my local department, he would have left secondary school which means he's gone his whole secondary life through school being misunderstood, not achieving, underachieving and not achieving, underachieving and not getting the qualifications that he should achieve. ichild not getting the qualifications that he should achieve.— he should achieve. child and adolescent _ he should achieve. child and adolescent mental _ he should achieve. child and adolescent mental health i he should achieve. child and - adolescent mental health services is such an area of huge concern for all sorts of reasons.— sorts of reasons. these are our children, _ sorts of reasons. these are our children. our— sorts of reasons. these are our children, our future. _ sorts of reasons. these are our children, our future. these - sorts of reasons. these are our children, our future. these can| sorts of reasons. these are our i children, our future. these can be children, ourfuture. these can be future politicians. i do not understand. i have approached my local mp about it, currently waiting for a reply but i'm not sure what he will tell me. i'm not sure i will get... might not hear back. like many families, i have paid privately to have my son diagnosed but that diagnosis gets put into another queue so he still can be seen by a physician to help him access the physicians under the child and mental health guide. it’s physicians under the child and mental health guide.— mental health guide. it's a brilliant point _ mental health guide. it's a brilliant point and - mental health guide. it's a brilliant point and thank i mental health guide. it's a. brilliant point and thank you mental health guide. it's a - brilliant point and thank you for raising it. martin in warwick, right with you. right now, let me give you some breaking news. this hasjust come in and it's about sewage spills. there was a 54% increase in sewage spills from storm overflows across england in 2023 compared to the previous year. we will talk more about this with our panel of mps on 5 live and bbc sounds after 10am. we have three mps for you. you can ask them absolutely anything. they will be answering your questions. sorry, martin, on you go. it is money the answer? it martin, on you go. it is money the answer? , �* , ., martin, on you go. it is money the answer? , �*, ., . answer? it is. it's a resource problem — answer? it is. it's a resource problem basically. _ answer? it is. it's a resource problem basically. that - answer? it is. it's a resource problem basically. that is i answer? it is. it's a resource| problem basically. that is my opinion. i think the reduction in national insurance recently is a bad move. think about national insurance, is a statutory induction as your colleague said. like income tax, if you are a high earner, you can offset expenses against your payment of income tax whereas with national insurance, it's a statutory reduction and if you are earning, you have to pay it. is reduction and if you are earning, you have to pay it.— you have to pay it. is interesting ou oint you have to pay it. is interesting you point out — you have to pay it. is interesting you point out the _ you have to pay it. is interesting you point out the reduction - you have to pay it. is interesting i you point out the reduction recently and thank you for doing that. we are getting lots of cause, we want to getting lots of cause, we want to get as many voices as possible. gas in penzance, mental health nurse. you may want to refer to what we have just heard from clare in witney. camhs, isjust one of have just heard from clare in witney. camhs, is just one of the factors. what do you think? hi. factors. what do you think? hi, nikki. factors. what do you think? hi, nikki- i'm _ factors. what do you think? hi, nikki. i'm not— factors. what do you think? h , nikki. i'm not originally from penzance, but i think the money is spent wrong and i agree, i've said this for years, scrap the nhs and start again. it really is far too top i don't know what the managers do, honestly. i'd love to see their job description. the money they spend is ridiculous. i was speaking to... a friend. spend is ridiculous. i was speaking to... afriend. her spend is ridiculous. i was speaking to... a friend. her husband needed a hip replacement and i was asking how it works and she said we have an nhs and is similarto it works and she said we have an nhs and is similar to the one in the uk, and is similar to the one in the uk, and he'llare going and is similar to the one in the uk, and he'll are going next week, see the specialist and is a couple of year waiting list for a new hip. she said no, he'll get it in the next week. it's a very similar thing. they keep the money off their wages every month. just like we do in this country or how they used to do it anyway. that's exactly what they do in france. and he was in the next again week getting hip replacement. why can that happen in our country? you have got nurses and doctors, workers, professionals, they are leaving the country and going to work in australia, new zealand, canada, whatever. they are earning more money, why can't we keep them? we are bringing in nurses from third world countries which i totally disagree with... i world countries which i totally disagree with. . ._ world countries which i totally disagree with... i absolutely hear ou. that disagree with... i absolutely hear you- that is _ disagree with... i absolutely hear you. that is what _ disagree with... i absolutely hear you. that is what people - disagree with... i absolutely hear you. that is what people say. - disagree with... i absolutely hear i you. that is what people say. thank you. that is what people say. thank you very much. alison. right with you. i want to read a text. good to hear your voice. you. i want to read a text. good to hearyourvoice. lots you. i want to read a text. good to hear your voice. lots of texts coming in. we read them all and put them into our knowledge base. i took half a day off work for a urology appointment i'd waited nine months forjust to be told it was cancelled. i could see my records they had my correct e—mail address and phone number but neither had been used to send me notification of cancellation. the following day a taxi arrived with a letter telling me my appointment to previous day had been cancelled. the taxi journey would have been approximately eight miles through busy urban traffic. i'm reminded of the neil kinnock speech, rememberthat i'm reminded of the neil kinnock speech, remember that one if you are old enough. alison, good morning. give us your expertise after 13 years. i give us your expertise after 13 ears. ~' �* . . give us your expertise after 13 ears. ~ �* , ., years. i think it's a multifaceted issue with _ years. i think it's a multifaceted issue with the _ years. i think it's a multifaceted issue with the nhs _ years. i think it's a multifaceted issue with the nhs but - years. i think it's a multifaceted issue with the nhs but the - years. i think it's a multifaceted issue with the nhs but the bits| years. i think it's a multifaceted| issue with the nhs but the bits i wanted to come in on was the poor staff retention, the staff that stay in mice with experience are demoralised and happy staff are more productive and unhappy staff. they need to stop recruiting managers with no skill set. throwing money at it is just throwing money good after bad because they need to sort the money out internally and look inwards as to why they are not retaining staff. 0bviously inwards as to why they are not retaining staff. obviously the lack of staff impacts down the line to the patient. of staff impacts down the line to the patient-— of staff impacts down the line to the patient._ they - of staff impacts down the line to | the patient._ theyjust the patient. thank you. they 'ust need to lookfi the patient. thank you. they 'ust need to look at i the patient. thank you. they 'ust need to look at the i the patient. thank you. they 'ust need to look at the way i the patient. thank you. they 'ust need to look at the way they h the patient. thank you. they just | need to look at the way they treat their staff and managers need to... it's really difficult but i see it from both sides because i'm an nhs patient, i've worked here for 13 years and mental health and i think people aren't being treated properly and have become so disillusioned with it and i can't do it any more and i left for my own sanity. filth. and i left for my own sanity. oh, wow. and i left for my own sanity. oh, wow- it's — and i left for my own sanity. oh, wow- it's so _ and i left for my own sanity. oh, wow. it's so badly _ and i left for my own sanity. oh, wow. it's so badly managed - and i left for my own sanity. oh, wow. it's so badly managed in i and i left for my own sanity. 0h,| wow. it's so badly managed in my oinion. wow. it's so badly managed in my opinion. thank _ wow. it's so badly managed in my opinion. thank you. _ wow. it's so badly managed in my opinion. thank you. barry, - wow. it's so badly managed in my opinion. thank you. barry, how. wow. it's so badly managed in my opinion. thank you. barry, how is| opinion. thank you. barry, how is our opinion. thank you. barry, how is your treatment? _ opinion. thank you. barry, how is your treatment? similar- opinion. thank you. barry, how is your treatment? similar perhaps | opinion. thank you. barry, how is i your treatment? similar perhaps in the wa of your treatment? similar perhaps in the way of argument _ your treatment? similar perhaps in the way of argument to _ your treatment? similar perhaps in the way of argument to your - your treatment? similar perhaps in the way of argument to your last. the way of argument to your last caller. i tried to keep myself healthy and fit but inevitably age takes its toll and a couple of weeks ago i was in my local hospital and appeared to get lost somewhere in the system. after three days, i took up the system. after three days, i took up a bed that could have been leased for someone who needed it or for the sake of two simple procedures could have taken something like 15 minutes. i always felt money was the main thing and i would have always been prepared and still would be prepared to pay more for my nhs treatment but my recent experience shows that good, plain management and administration can be lacking. it certainly was in my case. i took up it certainly was in my case. i took up a bed for three days and i didn't need it and i wondered... i never saw the ward manager in the whole week i was there and i wondered if the old matron system is a good one because i can't help but feel that even though it may not have to be hattie drakes, a matron could perhaps have sorted it out my final treatment and i could have gone home and not take up a bed for three days unnecessarily. and not take up a bed for three days unnecessarily-— unnecessarily. references to the 19605 unnecessarily. references to the 1960s and 70s _ unnecessarily. references to the 1960s and 70s classics. - unnecessarily. references to the 1960s and 70s classics. i - unnecessarily. references to the 1960s and 70s classics. i like - unnecessarily. references to the 1960s and 70s classics. i like it. | 19605 and 70s classics. i like it. the thing 19605 and 705 classics. i like it. the thing is, what you say about banging heads together, common sense, all that stuff is interesting. that's a really, really interesting. that's a really, really interesting insight. this is a no—brainer, why is this happening? are you still there, barry? j are you still there, barry? i thought you asked me a question. i wish i knew but i completely agree, bits of common sense. simple communication management and perhaps that could solve a few problems. we have got to... let me see. martin. what would you like to say? are you there? gary in peterborough. long waiting lists for this and is great to hear voices. gary, waiting lists for this and is great to hearvoices. gary, my waiting lists for this and is great to hear voices. gary, my apologies. what would you like to say? inaudible i'm going to sort your line—out because it is not of sufficient clarity. sarah, not your name. you work in the nhs. tell us more. hi. work in the nhs. tell us more. hi, nikki. work in the nhs. tell us more. hi, nikki- thank _ work in the nhs. tell us more. h , nikki. thank you for having me on the show. i reckon the nhs as a health care worker. i agree with a lot of previous callers. it is too management heavy and i've been hearing this for the last 12 years from senior health care workers, consultant surgeons. there is too much money spent on management and for this reason, i think one of your anonymous callers earlier said that it's just that each trust is doing what they want to do. i wonder whether the nhs should go back into a hole in it over the whole nation and not have separate trusts because they can be kept an eye on. it's so management heavy, not enough money is being spent on actual health workers. then the health workers who are working are under stress, they will bring were asked to work overtime, tired workers, mistakes being made etc. i think before i go on my mum who died in hospital a couple of years ago... i’m on my mum who died in hospital a couple of years ago. . ._ on my mum who died in hospital a couple of years ago... i'm so sorry. how lona couple of years ago... i'm so sorry. how long ago? _ couple of years ago... i'm so sorry. how long ago? i— couple of years ago. .. i'm so sorry. how long ago? i think— couple of years ago... i'm so sorry. how long ago? i think we _ couple of years ago... i'm so sorry. how long ago? i think we need - couple of years ago... i'm so sorry. how long ago? i think we need to i couple of years ago... i'm so sorry. i how long ago? i think we need to pay an extra tax — how long ago? i think we need to pay an extra tax to _ how long ago? i think we need to pay an extra tax to the _ how long ago? i think we need to pay an extra tax to the nhs _ how long ago? i think we need to pay an extra tax to the nhs primarily, - an extra tax to the nhs primarily, means funded but we need to pay an extra tax per year of whatever that might be to get a better service. it's not anyone's full of who works in the nhs, it needs funding. my mum died a couple of years ago the strike, taken into hospital with lots of waiting times and was put into a renal ward where she had a stroke because there were no beds on the stroke unit. more importantly, she died of cardiac arrest... this is difficult for me to talk about. i is difficult for me to talk about. i completely understand and if you don't want to that's fine. h0. completely understand and if you don't want to that's fine.- don't want to that's fine. no, i'm fine. don't want to that's fine. no, i'm fine- she — don't want to that's fine. no, i'm fine. she had _ don't want to that's fine. no, i'm fine. she had a _ don't want to that's fine. no, i'm fine. she had a cardiac _ don't want to that's fine. no, i'm fine. she had a cardiac arrest - don't want to that's fine. no, i'm fine. she had a cardiac arrest not noticed for about ten minutes. this was simple machines in wars, there were only two in the ward and i asked, i asked afterwards and during complaints about the funding wasn't there to just get another simple ops machine. that is another example of how the nhs needs to be more funded. definitely management heavy. i’m 50 definitely management heavy. i'm so sor about definitely management heavy. i'm so sorry about your _ definitely management heavy. i'm so sorry about your mum, _ definitely management heavy. i'm so sorry about your mum, that - definitely management heavy. i'm so| sorry about your mum, that heartache and given what happened is absolutely dreadful. thank you for talking about it. on the management front, two or 3% is spent on management and it's way lower than comparable health care systems in europe. 0ne comparable health care systems in europe. one of our experts earlier on when we were on the radio was saying is a bit of a myth about money spent on management. that's not your experience? h0. money spent on management. that's not your experience?— not your experience? no, definitely not. definitely _ not your experience? no, definitely not. definitely management - not your experience? no, definitely not. definitely management heavyl not your experience? no, definitely i not. definitely management heavy and what good that is i question. i know that a lot of health care workers come up with brilliant ideas that management are meant to be coming up with. we come up with a brilliant idea is to make units work a bit better and we are getting paid peanuts to do ourjob and also come up peanuts to do ourjob and also come up with ideas when actually, what is management for? i think that's the question in the hs, what is it for? what are management meant to be doing these days? i think one of your previous callers said that the nhs needs to be completely back to grassroots basically. start nhs needs to be completely back to grassroots basically.— grassroots basically. start again. completely- _ grassroots basically. start again. completely. and _ grassroots basically. start again. completely. and i'll— grassroots basically. start again. completely. and i'll say - grassroots basically. start again. completely. and i'll say this, i i completely. and i'll say this, i don't have allowed, what governments come matter what government is in power, who will be brave enough to start this? who will be brave enough, whoever is in power, he will be brave enough to say, right, we will start again with nhs? it needs to happen. will start again with nhs? it needs to ha en. . .. will start again with nhs? it needs to ha en. ., ~ i. will start again with nhs? it needs to ha en. . ~' ,, g will start again with nhs? it needs tohauen. . ,. g ., ., to happen. thank you. my condolences aaain about to happen. thank you. my condolences again about your— to happen. thank you. my condolences again about your mum. _ to happen. thank you. my condolences again about your mum. you _ to happen. thank you. my condolences again about your mum. you can i to happen. thank you. my condolences again about your mum. you can say i again about your mum. you can say absolutely anything you want. leaving out the fruity language. but apart from that, if any point... dawn, thank you. is money the answer? what about your experience? hello. i think money possibly is the answer. my husband was diagnosed with motor neurone disease two months ago and what i have seen from the caring side of somebody with such debilitating disease, itjust isn't there. we have to contribute and pay for stuff ourselves, carers going forward into the disease as it progresses. the care that would be required for such a specific debilitating disease isn't there around the clock. i would have to do that myself. that has a knock—on effect for working, means i'd have to stop work. it will mean as you said savings, it would mean more money we have available to us being used on it because it is means tested and you can't get ordinary equipment you need on the nhs. it is more money required, 100%. do i think it spent on the right way? i actually don't know. maybe too much management, may be too much talking and not enough hearing possibly. but certainly from my perspective, i'm expressing cold faith on the lack of finances for the nhs to supply the equipment. the nhs staff have been amazing and i can't fault doctors and they have been spectacular. everyone is saying that. they say to us we just need to go and raise the money for you to get wheelchairs and rounds and equipment in the bathroom, to get equipment to help you be seen. all of these things that the average person doesn't realise you need. in that situation like i'm in now, we need equipment and are having to pay for it. and i object to that and i feel that we can do that but my worry is i will spend all money we have caring for him because we don't know how long he will be alive. 0nce him because we don't know how long he will be alive. once he is died, what do i do with when all the money is gone? thank you. i really appreciate that. tina. northern ireland. tina, the nhs and you. northern ireland. tina, the nhs and ou. ., ., ~ ., you. tell me. i have worked for social care _ you. tell me. i have worked for social care in _ you. tell me. i have worked for social care in mental— you. tell me. i have worked for social care in mental health i you. tell me. i have worked for. social care in mental health from 1991 and the nhs in northern ireland from 1995. there have been huge changes, staffing, funding and everything. the lack of investment in training nurses and doctors and actually paying their nurses and doctors to stay in the service, it's a vicious circle with more and more junior staff who cannot cope with the pressures because there is no senior staff to support them. at that stage where terror working at the moment, in an acute psychiatric hospital with seven wards, we have a crisis in beds and staffing, our staffjoins crisis in beds and staffing, our staff joins an crisis in beds and staffing, our staffjoins an agency because they are not being paid enough here, there no continued care for our patients, no beds, this is regionally within northern ireland and we are having to utilise pull out chairs in quiet areas in the ward because there is no beds. that is underfunding because we are closing the hospitals down, the psychiatric hospitals. and ifeel passionately about the nhs, i can see how it's abused but i can also see... my husband took a series hit a few years ago in the nhs saved him. there was absolutely no issues, straight to a&e, he was seen quickly and hand from bill iss and was kept. now the after—care is not as good because there is no funding for it. he was very lucky because of that care. he ended up with not as many deaths as he would have from it. to me, the nhs is absolutely amazing for that. ., , ., for that. tina, you said it so well and i for that. tina, you said it so well and i want _ for that. tina, you said it so well and i want to _ for that. tina, you said it so well and i want to reflect _ for that. tina, you said it so well and i want to reflect that - for that. tina, you said it so well and i want to reflect that in i for that. tina, you said it so well| and i want to reflect that in many of the texts we are getting. thank you for getting in touch. that positive note, lots of people are sending in massively positive texts about the nhs, huge praise for people who work within it. television will leave us now. we carry on on the radio. good stuff coming up, mps to answer your questions. the nhs in east devon is amazing says someone. brighton is brilliant. the treatment i received from my gp practice is hospital is fantastic. there are amazing people doing amazing things but can the nhs be even more amazing? live from london, this is bbc news. six people missing after a road bridge collapsed in a river in baltimore are now presumed dead. public satisfaction with the uk health service is at a record low, according to a new report. israel's defence minister faces tough words in washington, as the rift over the gaza conflict grows deeper. thailand has become the first south—east asian country to pass a marriage equality bill, paving the way for same—sex marriage. and, check your passport — the message to millions of britons planning a trip to europe to avoid being caught out by a ten—year rule. hello i'm nicky schiller. come to the programme. welcome to the programme. we start this hour in the us city of baltimore. six people still missing after a container ship brought down