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'Managers attend board rounds to see how many patients they can dispose of'

A foundation year 2 doctor working in A&E and general practice left the following comment on our recent story about the poor quality, of hospital discharge information. Do you recognise the picture she paints? What are your views?

A foundation year 2 doctor working in A&E and general practice left the following comment on our recent story about the poor quality, of hospital discharge information. Do you recognise the picture she paints? What are your views?



"As an F2 in GP & A&E, this is absolutely no surprise. Currently in many A&E departments there is no procedure to inform GPs of a patient attending A&E.

Generally it is only when there is something that needs to be communicated to a GP that any documentation is given to the patient. This is not helped by understaffed departments overly concerned with 4 hour targets.

Junior doctors are often too busy to write proper discharge summaries which is problematic for GP's, and for other departments.

Much of this is a direct result of the excessive pressure from management to discharge patients, leading to a very high turnover rate and not enough time to complete paperwork adequately.

Whilst they do not work 72 hour shifts, as in the 'old days', the turn over rate for an MI is now a few days, rather that weeks.

Managers in some trusts now attend daily 'board rounds' to see how many patients they can 'dispose' of, often on the day with no warning to the patient or medical team.

This is a further nail in the coffin of the NHS driven in by hammer wielding management.

The only people suffering are the patients, aka the tax payers, whose tax seems to be paying for management to have very comfy chairs in which to dream up even more unrealistic targets."

Helen Ball.

Pulse Team Blog

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