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Bullying GPs into following guidelines is not nice

According to the Chambers Englsh Dictionary, a ‘guideline’ is an ‘indication of a course that should be followed’. Whereas a ‘diktat’ is a harsh settlement forced on the defeated or powerless.

According to the Chambers Englsh Dictionary, a ‘guideline' is an ‘indication of a course that should be followed'. Whereas a ‘diktat' is a harsh settlement forced on the defeated or powerless.



OK, now look at this.

So NICE is no longer churning out take-it-or-leave it guidance, nudging us gently in the right clinical direction. It's dictating care, with the threat that, should we digress from the prescribed path, the Care Quality Commission will whack some electrodes on our genitals.

How fab. We GPs have regularly been roughed up by media and politicians over the last year or two. We're already on the pavement, battered and bruised. So how nice of Baroness Young of the CQC to give us a good pre-Christmas kicking.

It also demonstrates a complete misunderstanding of primary care. Being generalists, we GP are pretty good at everything, but perfect at nothing. This works fine and very cost effectively, particularly as we have specialists for the tricky stuff.

The law of diminishing medical returns dictates that patients derive most benefit from us getting the basics right. Using NICE guidelines to beat us into exemplary experts isn't feasible or sensible.

We simply don't have the capacity – besides, pitching for some guideline driven ideal will over-medicalise the populace, overwhelm secondary care services and over-stretch the NHS budget, for a tiny return.

Baroness Young doesn't comprehend or doesn't care.

‘I have an image of a patient,' she's quoted as saying, ‘Sat in front of their GP or consultant with the NICE guidance so they can interrogate their healthcare provider.'

And I have an image of a healthcare provider doing something terrible with some rolled up healthcare guidance, some KY jelly and a patient.

Nice. Quality.

Copperfield blog - bullying GPs into following guidelines is not nice

I have an image of a healthcare provider doing something terrible with some rolled up health care guidance, some KY jelly and a patient.

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