Thursday, August 09, 2007

Plus ça change


Dr Rant came across this 2005 piece yesterday after doing a google search on Gill Morgan. His interest was triggered by this piece in BMJ and her happy, shiny photograph. Apparently she is a medical doctor (at some stage in the past before she emerged as a fully fledged twateratus.)

Some quotes from this 2005 interview, when she was asked about her hopes for the incoming SOS Potty Patsy.

“We haven’t taken everyone in the health service with us in recent years and there is a lot of disconnection between the people who deliver frontline services, like clinicians, and the people who think up the policies.”

“At the heart of my speech will be a call for us to think about how we begin to tell a story that actually begins to effectively engage everyone that works in the NHS."

Patricia Hewitt is also speaking at your conference on Friday. What are your hopes for the new secretary of state?

Dame Gill Morgan: I think my first hope is that she will engage in this agenda.”

Well she didn’t, and I don’t think anyone was sad to see Potty Patsy go apart from a daft old coote, and the ever nice Niall Dickson, who nobly avoids kicking a woman when she’s down. I don’t think there’s any excuse for Mrs Hewitt. Dr Rant hopes she’s having her best year ever now.

The interview continues,

“If we fail to meet the challenge then delivering on our ambitions becomes more and more difficult. We have an incredibly ambitious government with big visions for the NHS. The more disconnected clinicians are with that vision, the harder and harder it becomes to achieve everything we want.”

These words from 2005 are eerily reminiscent of the current talk of “clinical engagement” from David Nicholson et al.

Dr Rant suspects the new Labour Health reforms are in even bigger trouble than anyone realises, and that the managers asking the doctors to man the lifeboats is not a sign of great strategic thinking but a sign of management desperation.

Just for the record:

The current NHS reforms are wrong in concept, destination and implementation.
The line of health service policy making around the concept of an “Internal market” is flawed in concept, and mangled in implementation.


Most doctors are despairing of New Labour and its health policies. We’re glad Blair and Hewitt have gone, we want Donaldson to join them. We’re far from convinced that Brown, Johnson, Darzi et al will be any real improvement over Potty Patsy. And we suspect the listening will stop the minute ministers hear anything other than what they want to hear.

13 comments:

Anonymous said...

agree with most of this

but as ever we need good ideas of substance to replace whats there now

my vote remains with giving the patients control of their health spend

rantrebuttal said...

Are you contradicting yourself again, Doc?

Two posts ago you were praising undertakers for their efficiency, concluding that this might be because they are "well run businesses rather than state sponsored bureaucracies."

Now you are saying that markets are flawed in concept.

Until you have a coherent narrative yourselves you will continue to come across as entertaining but ultimately foolish.

Dr Blue said...

Rantrebuttal
Markets work for some things and not for others. They seem to work well and in reasonable balance for funeral director business.

The NHS internal market is not really a market, and to us seems ill conceived. We have a post up "The Internal Market of Doom" which expresses our doubts clearly.

There isn't a coherent NHS narrative at present, at any level. There's desperate bullshitting by the NHS chief executive (who looks more like the pointy haired boss from Dilbert every day). Nicholson is desperately trying to get to a coherent NHS narrative as he knows he cannot get current NHS reforms through without some clinical engagement.

At the moment Dr Rant is not engaged, and he represents the thoughts and feelings of many real doctors. THe twaterati are collaborating with current NHS reforms, tragically thinking there is no alternative.

Dr Rant et al are lobbying very hard for alternative scenarios. We need to do a piece that sets out a positive vision of what a good primary care service would be like- that vision has been lost.

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