can anyone prove that vaccinations have never made anyone's head fall off? NO ! ( readers on the spectrum - that is a joke )
DO NOT give antibiotics for anything like impetigo or could be impetigo
DO give antibiotics for anything like Lyme disease or could be Lyme disease
DO NOT give a damn
The Trust said:
"we have done nothing wrong at all. Lots of us spent months designing this form it's really good. We like it and we aren't going to change it. Of course, we could always contact the patient directly for more information ourselves, but we aren't going to do this it's too much trouble!"
Amazing but True :
Gordon Brown said EXACTLY the same on his first day in office as PM. Spooky.
NHS England in our area did the opposite - they attempted to apply NHS Premises Directions to any CIL applications ( illegally), not that anyone got any of it.
can we now have the names and occupations of all the tribunal members and the legal team in the public interest? surely they have failed and need to reflect in an open and peer reviewed manner? if not, why not?
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?