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Vinci Ho

Vinci Ho

  • E-consultations resolve ‘40-60%’ of GP consultations without attendance

    Vinci Ho's comment 23 May 2018 11:38pm

    One has to understand that NHSE has a ‘duty to spin’ and find some merits from what the government/DHSC had done so far on NHS . The reality is condemning reports(including those from National Audit Office) about outcomes in hospitals and primary care are everywhere .
    Too bad the opposition leader is not a potent pressor/orator though he keeps choosing NHS as a battleground against the PM during Prime Minister Question Time. But that does not discard the embarasssing fact that there is a diminishing credibility and reputation of NHSE and Mr Stevens day by day . The latter might appear to be the ‘acting’ Health Secretary where the real McCoy is perhaps more ambious to become the next prime minister(his extraordinary readiness and lower threshold to apologise to the public could be a glimse of evidence).
    The ‘success’ of 5 year GP forward view , so far , has clearly contradicted the word ‘forward’ . At least , it is evident in terms of which way the total number of GPs is going .
    This brings back to my old argument; no matter how ‘noble’ a policy pushed forward by NHSE and its leader is , it is doomed to fail simply because it does not have the trust of people.

  • E-consultations resolve ‘40-60%’ of GP consultations without attendance

    Vinci Ho's comment 23 May 2018 11:36pm

    (1)‘In early adopter practices, 40-60% of consultations are resolved without the patient needing to attend in person.’
    The statement is so duplicitous: is the median figure more likely towards 40% or 60% ? This is essential for spinning because it can be easily portrayed as either under or over half of the appointments could have been dealt by e-consultation.
    (2) While we cannot hold a parochial view that e-consultation has no place to stand , how do we know this is not , as I wrote before , a way of NHSE forcing an over-compensatory mechanism because it will not ,otherwise ,fund general practice directly and fully to meet the realistic amount of demands we have to face everyday. We are certainly not to be ‘spiritualised’ by £45 million . It is not a big deal for anyone with some common sense .
    (3) The other question is about the total number of ‘appointments’ and time a GP can provide for patients everyday. These e-consultation appointments can only exist as ‘replacement’ but not ‘add-on’ of the current number of appointments a GP is providing. But I am sure NHSE will try its best to coerce practices providing more add-ons , satisfying the obsession of increasing access(while the total number of GPs continue to fall). Utilitarianism remains the theme . Worst of all , there is also a landslide fallacy NHSE wanted to believe that increase in quantity will eventually lead to better quality .

  • CCGs successful in reducing GP referrals, says NHS England

    Vinci Ho's comment 23 May 2018 11:02pm

    One has to understand that NHSE has a ‘duty to spin’ and find some merits from what the government/DHSC had done so far on NHS . The reality is condemning reports(including those from National Audit Office) about outcomes in hospitals and primary care are everywhere .
    Too bad the opposition leader is not a potent pressor/orator though he keeps choosing NHS as a battleground against the PM during Prime Minister Question Time. But that does not discard the embarasssing fact that there is a diminishing credibility and reputation of NHSE and Mr Stevens day by day . The latter might appear to be the ‘acting’ Health Secretary where the real McCoy is perhaps more ambious to become the next prime minister(his extraordinary readiness and lower threshold to apologise to the public could be a glimse of evidence).
    The ‘success’ of 5 year GP forward view , so far , has clearly contradicted the word ‘forward’ . At least , it is evident in terms of which way the total number of GPs is going .
    This brings back to my old argument; no matter how ‘noble’ a policy pushed forward by NHSE and its leader is , it is doomed to fail simply because it does not have the trust of people.

  • GPs have already cut back on prescriptions for 'low-priority' medicines, study finds

    Vinci Ho's comment 23 May 2018 9:26am

    ‘Co-proxamol, liothyronine and trimipramine illustrate a concerning phenomenon, where despite successful efforts to limit prescribing numbers, costs have risen sharply,’ the authors said the paper.’
    Mmmm
    Can not recall the last time I signed a prescription on any of these , can you, guys?
    The only other point is yet another illustration how much the government needs a gatekeeper for NHS.

  • Emergency admissions reduce when older patients see ‘regular GP’, report finds

    Vinci Ho's comment 22 May 2018 6:48pm

    Ha ha ha
    It is just because political parties ( and their propaganda media machineries) refused to accept how important general practitioners(particularly partners and non-locum GPs) are to NHS , this resulted in unnecessary going-around-the-circle debates and researches which eventually led back to the starting point . Waste of efforts and resources!
    The value of Continuity of Care (COC) is undisputable but only if we have the right amount of resources , particularly manpower and time .
    Ignoring these fundamentals , politicians are digging a grave for NHS and for themselves (since majority of the people/voters in this country evidently care about NHS very much) . On its 70th anniversary , NHS is at a state totally self-inflicted by these despicable politicians. (Yes, I am ranting, whether you like it or not!).
    The ideology of working by scale is entirely an over-compensation because our resources are starved to bare minimum. Hence , it is a mechanism adopted to adapt to the reality which was never satisfactory, in my opinion .
    More and more GPs are leaving and less to join in , this is our natural ‘protest’ to these leaders , technocrats and politicians who are lacking vision and insight of exactly how NHS could have delivered .
    Is it too late now? I don’t have an answer . But I know my slogan/soundbite is right , ‘ the government needs GPs more than they need it.’

  • Leading GP to advise GMC's medical manslaughter review

    Vinci Ho's comment 21 May 2018 10:54pm

    It is all about ‘intent’ , no matter who is to represent on this panel , in my opinion .
    The difference between murder and manslaughter is all down to motive and intent . And the difference between manslaughter and medical manslaughter (I do think this should be a new terminology instead) should originate from same philosophy. The difference between Ian Patterson and BG is remarkably a illustration of intent to wound versus intent to heal . Both were struck off GMC list. The fact that ‘intent to heal’ fails to materialise and for the worst , leads to a killing due to multiple aspects of a system failure(hence, accident) , does not fit into any category defined as manslaughter in UK legislations by my understanding. This is simply because ‘intent to heal’ is neither malicious nor reckless by nature .

  • GPs to refer patients without cancer symptoms under PM's new AI strategy

    Vinci Ho's comment 21 May 2018 10:17pm

    As he wrote ,’New technologies may further erode the dignity of work. Some Silicon Valley visionaries anticipated a time when robots and artificial intelligence will render many of today’s jobs obsolete. To ease the way for such a future , they propose paying everyone a basic income . What was once justified as a safety net for all citizens is now offered as a way to soften the transition to a world without work . ‘ Michael J Sandell
    Aren’t we seeing some signs of this already in our profession??

  • GPs to refer patients without cancer symptoms under PM's new AI strategy

    Vinci Ho's comment 21 May 2018 10:08pm

    Ha ha ha , the mesmerising theory of big data , algorithm and AI . Welcome to dataism of 21st century . Clearly , Auntie May does not want to take the lesson of Cambridge Analytica-Vote Leave- Face Book seriously. After all, Mark Zuckerberg walked out unscathed after testifying before US Congress . FB share price shot up against all odds .
    China has now blueprint to use big data to categorise its people into different social classes with the more ‘privileged’ ones with more chance to be successful and rich. People all carry a score according to calculations with big data . Together with facial recognition technology, anybody can be ‘tracked down’ easily within a matter of minutes. Ha ha ha , 21st century Big Brother . Orwell is a prophet !!
    No doubt , robots/AIs will replace many manual occupations, question is how do we define the word ‘work’ , a question brought along by Michael J Sandell in his article in this week’s NewStatesman,’How to save democracy’.

  • GPs facing brunt of patient complaints due to OTC prescribing cuts

    Vinci Ho's comment 17 May 2018 5:58pm

    ‘I can see the argument from both sides but feel stuck in the crossfire.’

    You see , that is so typical of the government(s) , they want us to do the dirty job for them but they want treat us like sh** with zero respect . As I always say lately, the government needs us more than we need it .
    So if you let it walk over you , you will feel even more stuck as there will be more crossfire , mate .
    Call me ranting again .

  • NHS England 'asked Capita to halt primary care support office closures'

    Vinci Ho's comment 17 May 2018 5:12pm

    Time and history have become the judge of Health & Social Act (particularly section 75) . We saw the devastation and desolation it can cause from day one.
    ‘Cheaper the better’ had worked for NHSE for saving this £60 million at all costs to us. We are clearly expendable in the eyes of this government and no wonder that many GP colleagues have left . You don’t pay us any respect, why should we carry on for you??
    As I wrote many times before, the historic sin committed by Lord Vader cannot be repaid by him dying ten thousand times. One might be willing to just give a bit of sympathy to Nick when he said ‘ Live by the sword and die by the sword’ when he was defeated in last general election......

    From another angle , the so called pro-business policies of the government had ironically set up ‘traps’ for all these private companies to overbid . They ended up making a big loss of profit . The services provided were substandard . The companies are at risk of folding up . Carillion was dead ; Capita is probably hanging by a thread . Look at the story of the Rail Services on the East Coast Mainline being brought under the government control : Stagecoach and Virgin overbid under the same pattern .
    End of the day , nobody is happy (except NHS England in this story!). Yes , the government might have sucked some money from these ‘greedy’ companies to balance its book .Choice between the two evils , I would rather to raise tax on companies to achieve the ‘goal’......

  • Capita GP support contract 'potentially compromised patient safety', find auditors

    Vinci Ho's comment 17 May 2018 4:02pm

    Correction
    Capita is probably hanging by a thread .

  • Capita GP support contract 'potentially compromised patient safety', find auditors

    Vinci Ho's comment 17 May 2018 3:48pm

    From another angle , the so called pro-business policies of the government had ironically set up ‘traps’ for all these private companies to overbid . They ended up making a big loss of profit . The services provided were substandard . The companies are at risk of folding up . Carillion was dead ; Caprica is probably hanging by a thread . Look at the story of the Rail Services on the East Coast Mainline being brought under the government control : Stagecoach and Virgin overbid under the same pattern .
    End of the day , nobody is happy (except NHS England in this story!). Yes , the government might have sucked some money from these ‘greedy’ companies to balance its book .Choice between the two evils , I would rather to raise tax on companies to achieve the ‘goal’......

  • Capita GP support contract 'potentially compromised patient safety', find auditors

    Vinci Ho's comment 17 May 2018 3:11pm

    You see
    Time and history have become the judge of Health & Social Act (particularly section 75) . We saw the devastation and desolation it can cause from day one.
    ‘Cheaper the better’ had worked for NHSE for saving this £60 million at all costs to us. We are clearly expendable in the eyes of this government and no wonder that many GP colleagues have left . You don’t pay us any respect, why should we carry on for you??
    As I wrote many times before, the historic sin committed by Lord Vader cannot be repaid by him dying ten thousand times. One might be willing to just give a bit of sympathy to Nick when he said ‘ Live by the sword and die by the sword’ when he was defeated in last general election......

    ‘’Useless laws weaken the necessary laws.’’
    Montesquieu

  • Finding solace in A&E

    Vinci Ho's comment 16 May 2018 4:23pm

    Life is always about ups and downs(in fact, more likely downs). I always believe there is some kind of ‘meaning’ when somebody really close to you had passed away . Although I am not that religious, I think it is a ‘test’ to let you recognise the strength you did not think you posssess. Do not underestimate what you can achieve as a result. Dad had passed for five years and I could only say that my ‘vision of life’ seems to be clearer.
    Perhaps, this combination of A/E and hospice is perfect for you right now. You do not need the stress and tension from a ‘normal’ GP position which is underprivileged and underesourced for some despicable political reasons.

  • NHS England wins legal case impacting new care model contracts

    Vinci Ho's comment 16 May 2018 3:31pm

    Can only say ' support the appeal'.

  • NICE reconsults on depression guidelines after experts warn of 'significant flaws'

    Vinci Ho's comment 16 May 2018 3:26pm

    Once , twice , three times and more.
    Second consultation is NOT unusual anymore for an establishment like NICE. Don't tell me there is nothing fundamentally wrong of how they 'work out' guidances . On top of that , is the question how much taxpayers' money being spent for their 'activities' to finish the end product. We already have had enough with regulatory bodies like GMC , CQC etc. NICE needs to think seriously how it should conduct itself . And the argument of NICE guidelines are only 'guidelines' is not sustainable as the court and legal system always consider them as references for the 'right' treatments patients entitled for .
    Call this a ranting.......

  • Soho GP practice targeted by CQC after losing all Chinese-speaking GPs

    Vinci Ho's comment 16 May 2018 12:17pm

    Correction
    open minded

  • Soho GP practice targeted by CQC after losing all Chinese-speaking GPs

    Vinci Ho's comment 16 May 2018 12:16pm

    Obviously without all details, one has to be open mi fed on this subject. As as a Chinese-speaking GP , my view is :
    (1) This is UK , the first language of communication is English, full stop.
    (2) If the patient cannot speak English at all , it is not their ‘fault’ . Services to help them to communicate must be adequately funded . By all means , language line is available but I am not totally convinced that it is living up to expectations. CCG and NHSE cannot say they have no responsibilities on resources providing.
    (3) CQC cannot and should not prosecute a practice merely because they have not got any GP who is capable of speaking a language other than English . That is not substandard care as far as the practice is concerned.

  • GP data to be protected from immigration officers after ministers reverse position

    Vinci Ho's comment 09 May 2018 9:25pm

    .... where the position was appointed.....

  • GP data to be protected from immigration officers after ministers reverse position

    Vinci Ho's comment 09 May 2018 9:23pm

    The 'right' thing only happens at the right time and place in politics.
    If it was not Windrush , if Amber was still the Home Secretary and if it was not make-history political circumstances where a the position wis appointed to a politician from ethnic minority family background, this will not have happened.
    Sorry , call me being harsh to you guys, Sarah(and Helen).
    We want more 'good news'......