Comments on Dr Rant: Polyclinics 'on the hoof' make no sense

My heart rose at the thought of the Ginger Limpet'...

2007-12-14T17:12:00.000Z

My heart rose at the thought of the Ginger Limpet's 'legacy'. Surely he must be gone then? Rid of him at last? Then, sadly a mention that maybe he hasn't yet.

He could be advised to do so for everybody's benefit, before he's forced to cotton on to the strange idea in the management consultancy fad business of the inverse appraisal, where bosses are appraised by their JUNIORS!!!!

His marks there would be unlikely to remind one of another bit of management consultant speak, that the main part of 'appraisal' is 'praise'.

Show him the door, and apply the boot in the right place for all our sakes!

Yep,Our local health board has been selling off al...

2007-12-14T00:34:00.000Z

Yep,

Our local health board has been selling off all its day and maternity hospitals in a desperate effort to clear its PFI debt; now we're being told 'care in the community' is the answer. I think it's 'The community cares so we don't have to' kind of care.

"If you're feeling "iffy" while at work then the p...

2007-12-13T23:22:00.000Z

"If you're feeling "iffy" while at work then the polyclinic is where you want to be. If you are ill you need the hospital"
I may have paraphrased the comments of the CEO of the PCT in Rotherham but this is what he said on the Gerry Robinson program.
12 million pounds well spent then. 12 million here and 12 million there and soon we will be talking serious money.

But real patients have multiple problems,Quite. (E...

2007-12-11T19:08:00.000Z

But real patients have multiple problems,

Quite. (Even when they have a Fat File, perhaps particularly then... .)

Or they have a good GP who wraps it all up into one.

I sense it's increasingly difficult for GPs to do that (given 'completed consultant episodes' and the like).

i like the walk in clinics myselfits great seeing ...

2007-12-10T21:33:00.000Z

i like the walk in clinics myself

its great seeing a nurse who can prononce on a fracture without bothering with those Xrays doctors always insist on

i think its great getting antibiotics like sweets

and fab that they can tell the difference between TB and a cold just by holding hands

fucking magic these nurses, fuck the docs what we need are more walk in centres

yea GPs great value, fab at looking after folk in inner cities GPs are, great advocate for the patients, if youre lucky enough to actually ever get to see one, and you can tolerate the stroppy cow on reception

i love the freedom of choice the patients have

the nhs when if was dreamed up after the way made a little sense, in 2007 it doesnt

Anonymous,You misread us entirely. Yes we are NHS ...

2007-12-10T21:21:00.000Z

Anonymous,
You misread us entirely. Yes we are NHS supporters on here. However we hate new Labour and all its works.

That's why we hate what Labour is doing to the NHS. We think Nye Bevan would cheer us on.

We don't see the private sector as the answer to any of NHS ills. Indeed we think privatisation would deliver less care at higher cost.

It's all right trying to break health care down into smaller costable components such as "a completed consultant episode" or "diabetes care" But real patients have multiple problems, and end up needing a lot of components to make up their complete care package.

Or they have a good GP who wraps it all up into one.

But if NHS, and the Press, fail to realise what a bargain it gets from GPs and integrated, continuous care, then we will need to do a dentist, or retire, or move abroad, at some stage.

Coming back to Gerry Robinson and his comments on the policlinic. He's right- it probably serves little purpose that the DGH could not provide. It is a form, without an additional function.

The lack of overall NHS strategic planning, and the lack of proper clinical engagement may well eventually destroy the NHS.

As individual workers within an unstable structure we will keep our options as open as possible.

gerry is a nu labor sympathising nhs supporter jus...

2007-12-10T20:48:00.000Z

gerry is a nu labor sympathising nhs supporter just like the rant team

hardly unbiased advice from a business person is it?

lets hope murdochs son hates the nhs, thatll set the agenda betta than any of these other wankers