Coroners often write Letters to the Profession as the outcome of their hearing. The odd thing is, they actually believe people read them.
How many cars will we need to get there?
Two, said three experts
Three, said three more.
NHS solution - buy three cars, cut one in half, throw half of it away and give the results to primary care. Repeat and repeat.
Copyright Institute of Ivory Medicine.
the GMC said:
w'eve done nothing wrong
we believe in justice and fairness
we've done nothing wrong
things need to improve
we've done nothing wrong
changes need to be made and learning undertaken
we've done nothing wrong
we don't need to change a thing - why should we?
Coroners- such a worthy and ancient race.
I've dealt with a few - they often attempt to marshall detailed medical knowledge in a genuine attempt to provide a learned summary... and fail. They have no context, no framing and no experience. Very worrying that NICE guidelines are now being held up as the best of all possible practice and the precedent is established in court. But hold on - surely a better guideline could have been recommended in court - how about follow up every 36 hours for the first 3 months?
My Real Concern's Getting Prestige ?
Achieving growth in numbers is easy - drop the standards, and keep dropping them until the pool is overflowing with floating matter.
Don't EVER tell the trainees - as we have previously been advised - how bad things are. Keep them happy at all times - short days, limited on call, reduced admin, lots and lots of learning time. Any problems or concerns, wheel in the bleeding hearts and dribbling mammaries from the regional office with a "concern has been raised" face, tell those bad trainers how insensitive they are and - horror of all horror - how the trainee felt "unsupported"/ Then when they finish ( let's not say graduate, that implies a step up ), express surprise but understanding when they want all of the above plus late starts, early finishes, learning time for every course going, time to reflect between patients and compassionate leave for zumba, long weekends and Waitrose shopping. Do all of that and your statistics will be overflowing - like a drain.
" I work 4 days a week doing .... something else, at a desk, in an office, with no patients, and no access to me except through a secretary, just me and my computer and the internet, reading stuff, writing stuff, sending emails ( mostly via my secretary ), drinking coffee with like minded people who... also don't see patients "
The true investment figure net is 9p per patient per year
GMC spokesperson said " we've thought of this after spending 6 months in 5 star hotels having meetings - do it"
RCGP spokesperson said "it's really important and stuff and really great we must all do it - thank you GMC"
BMA spokesperson said " please can I have my OBE now?"
Oh dear why must Public Health England employees keep Putting Head up End?
looking at the raw baying hatred spewing out in the Mail (where else) I wonder why any of us want to practice medicine in Britain 2019
" so we can ensure there are toolkits and audits available for them to do within their practice software."
Great that is just what I need, toolkits and audits. can't wait. thanks.
Poor Susan, all those years of A levels and medical school and you really don't have a clue about the real world. Next week, PHE advises public that using toilet paper is better than using a bucket of sand...
So that's 22000 more people referring problems to the GPs on a just basis - just not happy, just wanted to be sure, just in case, just cast an eye over...
"I have done a lot of research on this and rarely use painkillers for it. you really don't need controlled drugs for pain, you just think you do"
wow. just wow. are you in the right job?
Thank God for this sort of thing, let's have more of this sort of thing, this sort of thing is the answer:
"The Health Foundation, The King’s Fund, and Nuffield Trust, outlines a series of policy recommendations"
That's NICE - lower targets with no resources to achieve them.
Always interesting to look at the expert opinions when NICE brings out new guidelines. Take as one example the comments of Prof MacMahon from Oxford :
"But other experts said the guidelines did not go far enough.
"Much lower blood pressure targets are required and multiple drugs need to be used right from the start, if patients are to achieve the largest reduction in the risks of stroke and heart attack," said Prof Stephen MacMahon, from the University of Oxford."
and now bear in mind that Stephen is a director of George Enterprises:
" By the end of the decade, global sales for all cardiometabolic drugs will exceed $200 billion. Over the same period, the global market for antihypertensive drugs alone will exceed $40 billion annually, while the market for diabetes drugs will surpass this, reaching more than $70 billion annually.
George Medicines is developing a series of affordable high-quality novel drug formulations proven by research at The George. Using the infrastructure of George Clinical and the scientiﬁc expertise of the Institute, George Medicines can move quickly into late-stage drug development (rather than early high-risk stages of drug discovery and development). Our ﬁrst product is a combination medication, for patients with a history of coronary, cerebrovascular, or peripheral vascular diseases. A multi-million investment in the development of this product was secured in Australia from our partner, the global health insurer, BUPA, under the name SmartGenRx. The product is expected to be launched in 2019. George Medicines has a pipeline of several other products, some of which have patents pending. "
come on Pulse journalists, dig... dig... dig !
but when Brexit comes I won't be able to speak English anymore will I? can the DOH and BMA help me with a Brexiresilience online mandatory training video?
This will commoditise general practice into neat business units with every aspect of administration and practice costed and recorded - much easier and more profitable for private companies to buy a supermarket chain than two dozen corner shops
"create a space for people to be reappraised preferably around their passion".
what lousy management speech from NHS Director
And what to make of the Balancing manoeuvre? I interpret that as high earning partners having money taken off them and redistributed to the "network" and lower achievers - that is, money taken off PERSONAL INCOME and given away. This apparently will improve public confidence. What it won't improve is me working hard to be a high earner- I'll employ any old twerp in any role, reduce my income and sit back while the rot spreads.