........blind defence of an indefensible Capita?
Be honest .
After the Madangate scandal , NHSE basically refuses to learn any lesson . Blaming us for the fiasco on flu vaccines and this blind defence is an indefensible Capita ?
Please , get me a break . This war can only go on and don’t say we are militant and belligerent.
Remember , NHSE , you need us more than we need you .
‘’'Every woman’s case is being reviewed, but there is no current evidence that this incident has led to harm to the women involved, and our priority now is to ensure that anyone affected by this incident is contacted, and knows how to get checked if they are due a cervical screen.'‘’
So you guys (BMA) , stop being a cry wolf . We(NHSE) know what we are doing . You GPs should concentrate on your job instead. Look at the mess of over 65 flu vaccines, you are responsible!!!
In a way , this is like telling me my mother is a woman .
But I suppose the government has done very little to help us to tackle obesity up to now , trying to entangle obesity with a mental health condition is understandable , as mental health had earned some high profile attentions in the media, at least.
Ha ha ha
First of all , are we surprised ?
Second , one should only worry when your enemy starts praising you rather than pointing a finger on you .
Simply, the battle is never over until it is over
Ha ha ha
We are currently having enough ‘fun’ from hospital colleagues (not just consultants) already giving plenty of follow up workload (can you kindly do .....).
Imagine sitting on the screen talking to patients from a remote site . ‘I have a few video calls waiting, you can talk to your GP if you have any further questions.’
It is coming whether we like it or not .
The interest question is , what will doctor-patient relationship become (both primary and secondary care) in the foreseeable future?
Well , since we are on Eagles:
This is specifically for the PM from lying eyes:
‘’You can't hide your lyin' eyes
And your smile is a thin disguise
I thought by now you'd realize
There ain't no way to hide your lyin' eyes’’
Would like to know the data on spending in bariatric surgery in type 2 diabetics .
Dedicate my favourite song from Eagles to all of us who are ‘entangled’ by this Brexit :
Desperado, why don't you come to your senses?
You been out ridin' fences for so long now
Oh, you're a hard one( the blood difficult woman ?)
But I know that you got your reasons
These things that are pleasin' you
Can hurt you somehow
Don't you draw the Queen of Diamonds(no deal?), boy
She'll beat you if she's able
You know the Queen of Hearts(a deal?) is always your best bet
Now, it seems to me some fine things
Have been laid upon your table
But you only want the ones that you can't get
Desperado, oh, you ain't gettin' no younger
Your pain and your hunger, they're drivin' you home
And freedom, oh freedom, well that's just some people talkin'
Your prison is walking through this world all alone..........
(1) The government has the duty to ensure that patients are not compromised in NHS no matter what outcome ( a deal , no deal , more referendum etc) of Brexit we are going to have after March next year . This is responsible politics . And the transition period is there for a reason .
(2) Yesterday we witnessed even more extreme polarisation in a country after its midterm election with more predictable infightings within a nation .The question we want to ask ourselves here , is that really what we want in here as well ?This is ethical politics.
(3)Evidently, the ruling party of our government is currently fragmented into three pieces : the cabinet supporting the Chequers Proposal, the Brexiteers opting for a no-deal Brexit and the Remainers supporting another referendum (even rejecting a soft Brexit now). The opposition party is no where better in terms of making up its mind and ensuring party unity . This is reality politics .
Holding back own sentiments and emotions on this , I am open-minded and interested in the outcome of this debate.
My only bottom line is ,always remember who or what is our common enemy (enemies)?
I understand why this kind of motion got slagged off easily because it appeared to be looking for a single , discrete ‘antidote’ to our problem of workload. Indeed , it is , to a large extent , about the ‘type and quality’ of the patients on my list . 1500 university students are clearly different from same number of over 65 years old on a GP list ( which is why we are loathing what Babylon and GP at hand had done so far).
But , always a but , if this measure was only one of many other ways to reduce our workload alongside with appropriate resources increase( time , manpower , expertise and of course, money at the same time), it is still worth debating.
It is always a double edge sword argument. The only positivity I want to take out of this is DHSC and hence, NHSE was ‘forced’ to show honesty and put the foot down making a decision from the top , rather than leaving it to GPs to exercise discretions , for instance.
Addressing our workload is , by all means , the current priority. Whether the government is targeting a small group of people should be judged by the public and voters , I suppose .
‘The main injustice is never really about inadequate resources but instead , their very poor distribution.’
An NHS England spokesperson said: ‘IAPT is widely-recognised as the most ambitious programme of talking therapies in the world.
NHSE needs to know the word ‘humility’ properly . Keep bragging that NHS is the first in the world to do this and that; the philosophy that we are ‘good’ because many countries are worse than us , does not take you very far in solving problems.
Sort out the arithmetics , consistently fund a mental health therapist for each locality of GP practices ( ideally , one for each practice ). After all , it was a pledge in GP Forward View , anyway.
I do feel uncomfortable about a lot of those ‘evidences’ where the size of population was relatively small and follow-up period was short.
Apart from keeping the index of suspicion of a differential diagnosis, I believe depression is a condition associated with multiple perpectuating factors. A scoring system to grade the severity at the time of diagnosis is helpful but the definition of ‘treatment resistance’ using same scoring system could be parochial as quality of life and social circumstances were changing as well . Biological depression is presumably more difficult than reactive depression.
All in all , we do not seem to have an united view of how to approach and manage this , in my view , heterogeneous condition.
The reason I had a go on ‘US academics’ is not because we do not have our own problems in here . But we perhaps, need to re-establish British common sense and pragmatism under the heavy influence of Americanisation culturally (remember yesterday was Halloween?), politically(far right ideologies, for instance) and obviously, academically in here .
Don’t forget it was the American colleges first bringing along the lower threshold of 10% CVD risk for statin prophylaxis in Primary Prevention.
How long has it taken to go round in circles before we turn back to our common sense .
It is not surprising that the hawkish American academics would want to lower the treatment threshold in stage 1 hypertension as their whole nation is struggling to get people to lose weight , stop smoking and exercise.
Would not expect E-cig to be the safest thing in the world.
Like to read more evidence, certainly