Entirely predictable: Bloody appraisals carried out by doctors still wet behind the ears ( better than seeing patients!!) were what caused me to give up.
What a surprise: another NICE guideline not fit for purpose. Their methodology, which they have created for themselves, is so good and helpful that it has not been adopted by anyone else. They are largely engineered by technocrats with little clinical experience. Any dissenters are removed from the guideline process. This organisation which costs some £70m per annum to run needs to be reformed so that it produces guidelines which reflect clinical reality and which are clinically useful and relevant.
The decline of primary care accelerates with this Babylon, hanging gardens for GPs. It is a short term fix to satisfy the "needs" of patients to who T Blair and his cronies promised you can every service you want all the time, not that the current lot of miscreants have done anything to preserve the jewel in the crown of the NHS. primary care.
It is clear that this is a get rich scheme to benefit it's creators with no thought for the consequences for the patients or those who are stupid enough to wok for them. One of the many slow train crashes occurring under our current, rudderless leadsers.
This initiative demonstrates clearly how our so called managers fail to understand the clinical environment which they purport to be managing. There has been a massive investment in management and management consultants the result of which is to have to slash clinical costs so that they may increase the power and influence of their own little empires. Slashing management would mean cost reduction which could be invested in clinical services obviating the need for a reduction in service provision. Furthermore, reducing management committees, which multiply like weeds, changes for the better might occur as decisions of value would be made. For this to happen, Doctors have to take over leadership; a managers job is to configure services according to clinical need, not to dictate to doctors what they can and cannot do.
I wouldn't trust those eejits any more than the current crew of feckless imbeciles. It was Milburn who started the rot with QOF and targets!!
You would think that those 29% might realsie theuy never needed to see a doctor in the first place!!
NICE simply does not understand clinical implementation. The level of asthma knowledge is really quite poor across the spectrum of care both here and in many other European Countries. A recent paper from primary care demonstrated that about 30% of those with a diagnosis of asthma did not have asthma, after detailed review. It is well recognised that most doctors and nurses do not know how to use an inhaler and are thus unable to check or review inhaler technique. One of the answers is to institute training at practice level on making a diagnosis and performing structured clinical reviews in order to improve care delivery.
I am one of those who retired early; Unrealistic demands, constant CCG disorganisation; inappropriate targets such as well person checks ( no clinical benefit) dementia "screening " (possible harms) the futile exercisee of appraisal and re accreditationsouped up with an expensive and wholly inappropriate CGC inspection and constant deprofessionalisation as a result of guidelines: It would take a lot to tempt me back even to do some locus sessions.
There was a story about a chap called Adolf who believed that he was sending legions out to counter the Russian advance in May 1945.
It is clear that Mr Hunt shares a similar delusional framework, conjuring up legions of doctors and other professionals to provide a seven day service. It is worrisome that he has not yet been dismissed from his post by the Prime Minister given that it is only Mr Hunt and his lackeys who believe that they have all the answers, boding ill for the future of medicine in this country .
One of the BMA's preconditions should be to get rid of this odious little man ( and do everyone a favour)
Is this a process of turning a silk purse into a pig,s ear?
The yield rate is so low with two week waits (typically 5% for GI referrals) that it really has become a case of referring everything. If Patients did not have to wait so long for routine appointments the 2WW system would be superfluous. The downside of 2WW is that it is very resource heavy compounding the problem of delayed access to routine referrals. Furthermore, if the patient does not have cancer they go back to the staring line.
It comes as no surprise to me. NHS England have not exactly covered themselves in glory. The excrement they heap on others should be heaped on them.
Just goes to show what a tenuous grasp Hunt has concerning clinical care.
Well deserved Kamlesh.
Another nail in the rapidly being constructed coffin of primary care. When will the Government learn that dumbing down increases costs while diminishing quality in equal measure.
Conflicts if interest writ large: what would I do if I were not championing this waste of time and energy. Mr Dickson, revalidation is a waste of everything.
Jeremy Hunt demonstrating that he has not a clue what he is talking about. All other skill mix exercises to save money have led to a deterioration in quality and an increase in costs. I retired six months ago and nothing I have seen would drag me back.
Kinsey is a toxic organisation: They were the ones who recommended that GP consultations should only take 6 mins.
Ah, nurse! Clearly lacking in insight.