Friday, December 29, 2006

Reconfigure your Bullshit!



Having got more than a little warm under the collar about
politicians crapping on about their 'difficult
decisions’
, I have realised that there’s another bit of
political word salad that seems to crop up every
time a bus is driven through local health services by
Patsy Fuckwit et al. As you can see from Dr Mustard’s
astoundingly life-like representation of Ms Hewitt doing
the job for which she is most suited, the latest bit of
New Labour bullshit to get my goat
is…….'reconfiguration' .

Basically, when it has been decided that a particular ward
or hospital should cease to exist, it has not been cut back, slashed, axed or destroyed - the service has been reconfigured!

New Labour found out about the average person’s irrational
dislike of having their local hospital shut at the 2001
general election, when Dr Richard
Taylor
stuffed them in the Kidderminster constituency.
Since then, the reciprocal fear of being
Kidderminstered has loomed large in many Labour
MP’s consciousness. Therefore, Hazel
Blears’ seemingly brave actions
this week look
slightly less altruistic, and slightly more like ‘own
bacon-saving
’ to the trained eye. Ms Blears’ actions
don’t quite come up to the standards set earlier in the
year by the resignation of junior health minister Jane Kennedy who
even Dr Rant can’t criticise.

After the Kidderminster disaster, the government
introduced a marvellous new Quango called the Independent
Reconfiguration Panel
. This august body was supposed
to act as an apparently independent expert body to rubber
stamp closures and deflect some of the blame from the
government, as part of the central decision making -
local blame
tactic that hasn’t fooled anyone yet.

So a new Quango was born, and one that could only pass
comment on cases referred to it by the Secretary
of State of Health
. How many times 2003 has the
illustrious IRP been woken from its expert slumber? Dr
Richard Taylor asked the same
question in parliament
earlier in the year:

What has happened to the panel? We asked another
Minister at a Health Committee meeting a few weeks ago.
The answer was that eight cases had been referred by
overview and scrutiny committees to the Secretary of
State, and at that time only one of them had been passed
on to the panel. One had been withdrawn, one awaited
decision and five had been decided by the Secretary of
State without reference to the advice of the panel.


So there you have it, reconfiguration is
yet another meaningless load of bollocks brought to you by
our marvellous leaders. To illustrate this, the team has
tried to think of a situation outside the hallowed
corridors of power where using the word ‘reconfiguration’
wouldn’t make you look like a pretentious
twat
……and we failed. However, as you can see, Dr
Mustard had a good go….…….

38 comments:

youdontknowme said...

I think Labour are intentionally trying to piss us off. They are doing everything they can to destroy the country.

Dr Mustard said...

I don't think they are that clever!

I just think that they have become bedazzled by the emperor's new clothes, and have the conceited arrogance to believe that doing something must be better than doing nothing.

Unfortunately for us, this isn't true, but the deeper the hole, the greater the impulse to dig it would seem.

Anonymous said...

fundamentally the problem with our political leadership is that none of them are of the correct calibre to run a large business, mostly lawyers, public servants of one kind or another etc

no understanding of how to motivate a workforce, manage change, assess proposals for change

a few idiots from the labour party and a loud mouthed twat from one of the consultancies around a blank bit of paper were NEVER going to design a good IT strategy for the nhs, either in terms of project, the way its split, or whole other dimensions

and the other problem is none of them are prepared to admit that the stalinist model of state controlled enterprises does not work, aka the nhs, even the fucking soviets and chinese have figured out this is not the way to run things

and of course the electorate get the square root of not many choices and crap implementation (good PR being the only political skill left) and we have mass disengagement from the political process

not helped by idiots campaigning to keep the worst hospitals in the country open, for fucks sake some of the really crap ones should have been shut years ago

Sproutpicker said...

My local PCT has been "Reconfigured" - along with many in the country. It is now almost directly analagous to the old Area Health Authority that we had 20 years. The large university (PFI) hospital is about to swallow up 3 local DGHs in yet another reconfiguration. But they would have you believe that they are improving the service! LOL!

Spin spin and more spin.

They are all lying bastards.

Anonymous said...

Yeah you have to wonder why the medical schools are teaching holistic medicine and communication skills, when the NHS is being turned into a conveyor belt construction line where each doctor has one task and one location. Except the GPs who are expected to suddenly become all-round specialists (which is how it used to be, but changed because the old practice of tonsils-out-on-the-kitchen-table has a high mortality rate)

Perhaps instead of medical school we'll soon see schoolkids choosing to go to CABG school, or left knee replacement school.

Anonymous said...

give the patients the real buying decision, only way to force change for the good

Dr Mustard said...

Does that mean you're also in favour of 'January Sales' in Healthcare if you espouse commercialisation so vociferously?

'Get one hip done, get the other half price - and if you hurry we'll do the varicose veins as well - ABSOLUTELY FREE' Crazy Prices!

Nutty said...

The way some PCTs adjust their spending and policies according to the time of year, you'd think they were running cheap fashion shops.

DocJ said...

One of the wards at the hospital I work at has been closed. I can tell it's been closed -there are no staff there and no patients.
the official line is that these 18 beds have been 'released'.

Anonymous said...

re "Does that mean you're also in favour of 'January Sales' in Healthcare if you espouse commercialisation so vociferously?"

yes

you can already negotiate prices with bupa at times, its called a free market, and it keeps the standards up

its only cos we have no choice that we are subjected to dirt, bad manners and long waits

Dr Mustard said...

'Released!

Bloody brilliant! I've aded that to my Encyclopaedia Spucati Tauri Britannica for future reference.

As for 'anonymous', you may soon be able to see a doctor in Boots or Sainsbury's, so can take your pick. Remember that market forces may dictate price, but they have an uncertain influence on quality. Caveat Emptor?

The other way of looking at it is that 'Market Forces' will also allow doctors to pick which patients they see - if you're a pain in the arse,and treat your doctor like a monkey boy - he'll tell you to **** *** *** ******* ****** !!!!. Not every doctor has his price - we're a strange bunch with motivations that aren't solely financial.

You may find yourself having to see one of them doctors that don't speak English proper like what you was talking about before.

Anonymous said...

re "uncertain influence on quality"

yea well i doubt many docs who cannot even understand janet and john level english will earn much if the public get the buying decision

there is a difference between complaining about docs practising in the UK without basic English, and the racism you imply, sadly racist is one of the cards the politically correct crowd like to bring out all the time - normally the same people who will talk down to folk with working class accents

to be honest being able to get to see any doc at all for a non emergency would be an improvement for me, so yes Caveat Emptor - but a clean consulting room would be another improvement which would be nice which I should be able to spot fairly easily and I am sure Boots et al will pull off

I dont think I will have any probs with docs not wanting to take my money, I have never really had many problems with docs (apart from the ones who cannot communicate in English) my main gripes have been dirt, waits, rude receptionists, impossibility of access, lack of common sense in admin etc, poor management of nhs

Would be nice if the docs had the power to keep the violent drugs dealers off their patient lists, that would help my friends greatly by improving their quality of wait

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