Dr Rant is astonished to discover that MPs have branded last year's Modernising Medical Careers as a disaster.
The cross-party group of MPs said there had been inappropriate governance, management and communication by the Department of Health, while chief medical officer Sir Liam Donaldson had failed to take responsibility despite being the architect of the reforms.
And they said the new application system, which has now been scrapped, was little more than a "creative-writing" exercise that failed to recognise the best applicants.
The BMA comes in for criticism too. The bastard NuLabour-loving BBC helpfully does not distinguish between the Quisling BMA leadership arse-licking the DoH and the Heros of the Revolution Remedy UK who the BMA stabbed in the back with doctors own money, the evil fucks.
The Devil has a more accurate take on the BMA:
is it not the case [Dr Meldrum] that you are now head of the BMA only because your predecessor had to resign?
And is it not true that the main reason for said resignation was because of the BMA's unquestioning support for the government's position?
And is it not also true that, so egregious was your support for government policy on MTAS and MMC, doctors set up a new organisation—Rememdy UK—to represent their interests?
Further, is it not true that the BMA supported the government to such an extent that it even testified on behalf of the government against Remedy UK?
And, finally, do you think that—just maybe—all of this might fairly be described as "a damning indictment" of the BMA's "failure to listen" and, as such, that you should shut your fucking face, you fucking hypocrite?
Well, knock me down with a feather! Who'd have guessed it?
Dr Rant
Dr Cardigan
Dr Blue
Dr Brown
Rev Dr Green
Dr Mustard
Mr Orange
Dr Pink
Dr Purple
Mr Salmon
Dr White
Mr Beige
Ms Scarlet
Dr Informed
12 comments:
It's ok though.
As has been stated;
a spokesman added: "We understand and have apologised for the problems that the 2007 recruitment process created."
Thanks that all ok then.
Where is the list of your private practice alter-egos?
Dr. Greedy
Dr. Give me all your money
Dr. How could I possibly live on £250k a year
Dr. But if you go private i could do you tomorrow
Dr. If you were an NHS patient i would have to ignore you
Dr.No I am not washing my hands just thinking about the fee
and don't forget
Dr. I don't want a reformed NHS, it keeps me VERY rich!
Anon,
I am on 21K a year (well ok 21 1/2 K)after 8 years of study and work.
Am i a greedy money grubber.
Maybe i should just let my patients die until i move into private practice.
Funny - people die everyday on waiting lists. Many of those lists are the result of lack of physician leadership or a "I can't change anything why should i try" attitude. By the way we are the only European country where that happens.
I would imagine that since you were trained in one of the least efficient systems on the planet you are already, unknowingly, already putting patients on the waiting lists.
I wouldn't worry, you are already a part of the problem!
Troll
Well at least i can now say your just a Troll. Not misguided or hurt by the system.
Just a Troll.
Bugger i was hoping for more.
We are the only country in Europe where people die on waiting lists???
You ignorant stupid cunt.
Why are they setting up an organ donor system for Europe...beacuse so many people die waiting for transplants.
http://assembly.coe.int/Main.asp?link=/Documents/AdoptedText/ta03/EREC1611.htm
Your a stupid ignorant fuck.
Well i thought it would take longer for me to grow to dislike some sections of the public...guess not (so far section - about 6, 4 drunken louts who assault nurses, 1 very nasty man in outpatients and you).
I have never "put someone on a waiting list".
but if you meant the 2-3 weeks some of the patients i have dealt with have had to wait for surgery or the all day lists i have stood in theatre for where people are complaining because they want to go home but the surgeon has called the director to keep the theatre open so he can carry on...then yeah its a shit system.
People die, some people are on waiting lists. The two are sometimes coincidental.
You havn't a fucking clue, try going to somewhere outside Europe and see what constitutes "treatment".
I really didn't realise how good we had it until i lived abroard (In Europe and 3rd world countries).
As you say, your not a aprt of the medical profession so you know fuck all.
Take a leave of absence, work in a hopital for a short while then come back with more than your drivel.
Fuck it, i will smile, be nice to you and charge you "mates rates" when the new order of healthcare comes in.
You really think fucking over the doctors is going to make things better?
Doctors are not the hard done ones here. That's the point. You are irate, call names act like a child because an ignorant "patient" should choose to challenge you.
I don't need to work in a hospital, although I have, to know about one just in the same way I don't need to manufacture my car to choose and operate it.
I have been to many other places in the world in my rather long life and in the two or three where i needed care found it to be a world apart from the impersonal, unprofessional, unkempt NHS. How do you think I know what little value for money i am getting for my pound from this antiquated system?
You abuse those who challenge you on this site as an anonymous doctor, you must hold us all in contempt while at work. Your attitude is one of 'look mate I am doing you a favor to even be a doctor and see you".
Your organ bank example is once again just smoke and mirrors. It is not a result of waiting lists here or in Europe, just an attempt to make it easier to have a transplant. I bet it was a european idea not UK. By the way most of Europe does not have waiting lists and so by definition people don't die because they DON"T exist. Take your time over that piece of news, might take some time for the concept to sink in. You seem to be a little slow on the uptake.
As for your abusive language and name calling; just what we have come to expect. Believe me, health-workers abuse and kill patients constantly by treating them like objects, not doing their job, not cleaning their hospitals and not caring if we live or die. Look at Maidstone.
For the moment the politicians are trying desperately to keep the lid on the fact that we have a third world health system with third world doctors. As information about outcomes becomes more accessible to the public the last rocks under which you hide will be turned, and then, we will begin the real reformation of the NHS based on equal access to data, accountability by doctors, and real measurement against other health systems.
Enjoy it will you can.
Err the article states 15-30% of people in Europe die waiting for a transplant.
How is that smoke and mirrors?
Oh and waiting lists do exist on other parts of Europe, i lived there, i had an operation (not urgent but needed) and went onto a list.
Maybe i just dreamt it and the scars are from something else.
I will enjoy it for longer than your going to be alive.
Strange how doctors fromthe UK have little problems working abroard in first world countries. maybe NZ, Oz, Canada and the USA just dont realise how bad we are when offering jobs to UK doctors.
I mean look at those poor US doctors, starving they are with all the stats available on the web.
I think greater regulation and stats would just show that its notthe Drs that are fucking things up.
Funny how the consultants and GP's earn more when the gov put in place more "checking of work done"...they do more than it seems and people like you have no clue how hard they work and how much they do to keep the system afloat.
I can honestly say i don't believe you have ever worked (or not in the last few decades) in a hospital unless you were a catering manager.
I will concede, doctors are not hte ones being screwed, most are not trying to protect themselves but the system they believe in. They do the best they can, you will only be happy when your treated as a "customer". Funny how even at medical school where i moved from firm to firm with various consultants as bosses nearly all of them got on well with patients and seemed to be nice to those on the ward.
Maybe they just stopped when i wasn't there.
Hmm. Maybe your version of events is as polarised as mine.
Balance is hard to achieve in life. Doctors will not make headway in this brave new world if they don't acknowledge it is changing.
I have worked in hospitals on both sides of the Atlantic and more recently than you might imagine. We have a real problem with our health service. Obesity, COPD, diabetes and many other long term conditions are going to swamp us. Make it impossible for you to do your current job in the financial envelope that is available. You will then be forced to ration care based on condition. I don't envy you and would not want to have to make that call. Want the truth, I couldn't doit. You are a better person than I.
We can't have these polarised debates if things will change just in the sam way we can't have a polarised delivery system continually pegged at the curative end. We have to begin to move the needle to the preventative. That is going to require real change from you and your fellow colleagues. Not continual rants about the "man".
So maybe I am at one end of the spectrum because you are at the other.........................
How do we move from the cure to prevention?
Patients don't listen t doctors advice until something happens or they get ill.
The only way things are going to change is if people are made responsible for their own health to some degree.
They have to realise you can't fuck your body up then roll into hospital and be all fixed.
make kids visit a dialysis ward and meet a few drinkers (many are people who would not be classical "alcoholics" but just overindulged).
Make pictures of those who have died from lung cancer be put on cig packets.
My views are not at the extreme, I think your are but mine seem to reflect the views of the lower and middle class people I associate with (family is not quite middle class but work mates and uni friends are in the main).
Doctors know better than most how things are changing. Who else gets to see such a cross section of society? As well as having to cope with changing cultural aspects. Whether it be immigration, drug/ alcohol use or changes in behaviors (obesity due to sedentary lifestyle or rises in STI's).
Things can always be made better but the grass i not always greener.
Not too long ago doctors in France were on strike due to the gov limiting how much could be pent per patient.
Rationing is a reality but we do pretty well with it, funding is now at a level that is the envy of most Western countries. Why are things so bad?
You need to detail where the money is going, as junior I will do everything I can for my patient but tell me how I overcome the problems in the system and I will try.
I can honestly say when it comes to deciding where morals, compassion, and dedication are in greatest demand I don’t really think of my mates in finance etc.
COI: a seriously involved member of the medical profession who sees the good and bad in the system but still believes we are doing more good than the alternative. Try and tear it down though and I will fight (and I mean fight) to keep the system we have going.
Be a solution not an obstacle.
your last paragraph is killing patients. Fight all you want to keep things the same. That's what you are saying.
In a way I don't blame you as you were brought up and taught in a severely flawed and wasteful system and really don't know any better regardless of your tales of "world travel".
What you are fighting for is not yours by right to preserve. The fact that you see yourself as the rightful defender of the system that is broken makes you the problem not me.
Also, this has nothing to do with class. My father was a coal miner and my mother a dinner lady but it does not give me any extra moral authority. It does make me much more working class than you if you are still measuring people that way, and I suspect you are it would fit with your general outlook on life.
Rants most recent rant says it all really. Professionals in the NHS killed a woman because they were grossly negligent. Instead of saying that doctors and nurses were the problem and they killed the lady, he blames the mythical NHS, taxpayers and patients. That means he attacked your imperfect system better get after him.
The supposed professionals on this blog routinely show their real colours and they are those of people who are far more wrapped up in themselves than they are on what they should be doing for others.
You sound young and idealistic which comes with ignorance due to lack of age. One day you will realise there is much more bad than good being done here. The only difference with medicine is that people die as a result. Since you are in the system you won't get killed because you know the doctors to avoid and the hospitals not to get caught deal in. Tell me that's not true.
You are right I am polarised. I am the end of the spectrum where I am tired of people being put at risk by the doctors who are trying to protect their turf. I am tired of that battle killing people like it did the nurse in Swindon.
Anon don't be condesending.
I'm older than most, had a good career before medicine (even worked in the NHS for a while).
You don't have to be young to be idealistic.
Actully my "world travels" include being posted abroad in the military and "junior" as a doctor means anything up to consultant.
Don't take me for young or a fool.
I would rather keep things the same than go through "MMC" or its ilk again. Most of the changes in the NHS don't help patients they just fuck over the staff.
Out of 250 nurses graduating frmo the local nursing school only 150 have a job. How when we are short on the wards can so many not have jobs?
You really don't have a clue, i am the defender..of the patients and am one of the few things that keeps the bits of the system that work keep ticking along.
Japan with its vaunted health care system is creaking. Been there and they are struggling to cope with spiraling costs due to an ageing population and were the first nation in the world to have VRSA.
Germany almost bankrupted itself with its amazing healthcare system and France....well as i said before they had strikes because the gov was cutting spending on patients.
The NHS is not perfect but i am its defender and you don't realise how lucky you are that i am others like me are.
As for the class thing, you were the one talking of elitist groups with evil intentions.
I was saying the sterotype you portray is outdated.
I'm leaving this conversation.
I think you just enjoy widing us up and to be honest i feel i do have the moral authority over you. Put yourself in a position to help or change things rather than come here and be a pain and we'll talk.
Until then i will save lives and you can rage about my evil ways.
Anonymous,
Way are young and aspiring doctors being wasted?
Like you, many do come from working background and have worked very hard to get where they are now. Why are their efforts, hopes and dreams being wasted in this cruel manner?
Surely you in particular must know how this incredible worry is affecting whole families?
Post a Comment