Comments on Dr Rant: NO, NO, NO to current NHS reforms

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Darzi's minions are steamrollering his plan throug...

2007-12-02T22:24:12.623Z

Darzi's minions are steamrollering his plan through. It doesn't seem as if the views of patients are being respected.

we dont need an internal market we need a real one...

2007-12-02T16:15:55.995Z

we dont need an internal market we need a real one where the PATIENTS control the purse strings
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This may actually happen according to these quotes from David Nicholson:

'I think we will see a move towards [giving] more individual budgets to people - individual allocations of resources, either yearly resource or episodic resource.'

Mr Nicholson said he anticipated this would lead to the development of 'brokerage'. Organisations could bring people together to buy services on their behalf. 'I think we will see that and that we should encourage that development.'

Well for a start lets get rid of GPwSI and let GP'...

2007-12-01T22:00:53.084Z

Well for a start lets get rid of GPwSI and let GP's return to looking after their patients and allow real consultants to handle the tricky work!

It's not that doctors are biased- of course we are...

2007-12-01T21:58:12.692Z

It's not that doctors are biased- of course we are.

The madness comes as DH and its minions pretend not to be biased.

Long ago and far away I worked for the Department ...

2007-12-01T20:32:47.789Z

Long ago and far away I worked for the Department of Health. I recall an administrator telling me that doctors shouldn't be involved in making policy because their experience of working in the NHS meant that they were biased. The preferable alternative seemed to be to use his own unbiased views.

That, oldgit, is an interesting point. I have been...

2007-12-01T15:28:57.523Z

That, oldgit, is an interesting point. I have been looking at the PCT's web site to try and find out exactly what it is that might be broke and might need fixing. Apparently patients have been finding it difficult to get through to their GP's practice by phone. So the PCT has been phoning GPs up to 10 times a week to check if the phone gets answered. There's a link on this page to the results. They don't look that bad to me. But perhaps having worked for the NHS for many years my standards are too low. I can't find any other documentation to show that anything else is broke in their patch. So why are they fixing it?

If things are so bad that something radical needs to be forced through we really should be told what the problem is.

Part of the problem is the inability of politician...

2007-12-01T12:52:17.363Z

Part of the problem is the inability of politicians and quango types to pay heed to the old engineering adage “if it ain’t broke don’t fix it”. They want to make their mark and if ends up in a giant cock up they just walk a way denying all responsibility and blaming someone else or just claiming an unmitigated success.

My nap for the next major balls up near you is the proposed demolition of the old Victorian town centre prisons to be replaced with small “community prisons” presumably in the suburbs and/or industrial estates.

Being a successful trade title is about getting un...

2007-12-01T11:55:40.703Z

Being a successful trade title is about getting under the skin of your market, according to PPA business and professional magazine editor of the year, Richard Vize.
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Richard Vize certainly knows how to get under my skin. Doctors are keen to embrace changes for the better but it's been well-nigh impossible to get arrogant managers to listen to doctors about what would be better. Change for change's sake is just not sensible. It's dangerous even. It's time doctors stood up and said so. We didn't with MMC and MTAS (though we all knew this was a policy for cloud cuckoo land) because we have been cowed by vitriolic attacks against us claiming that we are luddites and protectionists along with sundry other unwarranted and untrue allegations stemming from the likes of Mr Vize. Can he really believe what he has written or is he on some bashing the doctors gravy train?

There are some wonderful turns of phrase in his bizarre article. Right up front is a full blooded attack on the doctor-patient relationship. He sets about 'Exploding the myth that there is something numinous in the relationship between GP and patient..' when everybody knows full well that there is something very special about the GP-patient relationship which has nothing to gain from the Asdas, Tescos and Virgins of this world.

Why for goodness sake does he laud the PCT for being 'gutsy'? We need less not more of mindless bludgeoning management. That's what has led to all the new NHS money being squandered.

This nonsensical article needs to be exposed for the bare-faced lie that it patently is.

I agree with you Dr Rant; the money is being squan...

2007-11-30T22:15:43.614Z

I agree with you Dr Rant; the money is being squandered on anything but patient care! I hope Tooke's review is amplemented especially re doctor and other health staff role definition so that doctors and nurses go back to to what they do best rather than the current blurring of roles and the mountain of paperwork that is causing a mess in our hospitals. I also hope that Darzi sees sence and stirrs away from wanting to bring the failed american system here.

No to the prvitisation of the NHS

I was to learn later in life that we tend to meet ...

2007-11-30T21:47:17.118Z

I was to learn later in life that we tend to meet any new situation by reorganizing; and a wonderful method it can be for creating the illusion of progress while producing confusion, inefficiency, and demoralization.

Said to be by Gaius Petronius around AD66

vize's article is staggeringly thick, even for an ...

2007-11-30T21:00:11.397Z

vize's article is staggeringly thick, even for an editorial piece. The assumed notion that if a doctor opposes an action it is probably the right thing to do sums up quite how bad things have become.

fuck me youre talking sense, whats wrong?yea we do...

2007-11-30T19:06:33.127Z

fuck me youre talking sense, whats wrong?

yea we dont need an internal market we need a real one where the PATIENTS control the purse strings

no one