tag:blogger.com,1999:blog-2481298417819219839.post628178117408262186..comments2024-03-28T19:27:59.772+00:00Comments on A K Haart: More on the NHSA K Haarthttp://www.blogger.com/profile/05897490979828603179noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-2481298417819219839.post-66805756135905064192016-09-26T17:22:45.022+01:002016-09-26T17:22:45.022+01:00A,K. Deskilled? With notable exceptions GPs don...A,K. Deskilled? With notable exceptions GPs don't need to be that skilled, beyond simple infections, bumps and bruises they refer you to an expert who knows what they are talking about, often on less than half the pay of a GP. It's a nonsense.Flyintheskyhttps://www.blogger.com/profile/08727985139542701667noreply@blogger.comtag:blogger.com,1999:blog-2481298417819219839.post-14296348188465317192016-09-26T16:55:54.646+01:002016-09-26T16:55:54.646+01:00Edward, Cash incentives have no place whatsoever i...Edward, Cash incentives have no place whatsoever in primary care. I find it a travesty that a doctor can summon you to the surgery to facilitate their next earning opportunity but if you actually need one you can't get an appointment. A standard appointment is usually four weeks, if it's urgent patients are often referred to a walk in centre or A&E.<br /><br />The problem with healthcare and many other things is what we once had as services we have allowed them to morph into authorities, even the dustbin man, oops, refuse and recycling operative, has dominion over us. Boy have they all grasped the opportunity with both hands.<br /><br />Flyintheskyhttps://www.blogger.com/profile/08727985139542701667noreply@blogger.comtag:blogger.com,1999:blog-2481298417819219839.post-77564367536291805892016-09-26T16:12:42.607+01:002016-09-26T16:12:42.607+01:00Edward - if the trend continues, which it will, th...Edward - if the trend continues, which it will, then doctoring will be deskilled. Add up all these centralising encroachments and you have a totalitarian outcome on the horizon.A K Haarthttps://www.blogger.com/profile/05897490979828603179noreply@blogger.comtag:blogger.com,1999:blog-2481298417819219839.post-41275495632650674542016-09-26T14:05:33.223+01:002016-09-26T14:05:33.223+01:00When we moved out of Derby, our old practice asked...When we moved out of Derby, our old practice asked if we would stay on - which we did. Very good care on the whole but I was irritated once by a letter which began " The Department of Health recommends" . I told our doctor of many years." I don't want to know what the department thinks. They know nothing about me but you do" . He was a little nonplussed.<br /><br />For a completely different reason, we have been kicked out of this practice - because we are outside the official catchment area. Doctors used to be able to decide who they had as patients. Now, if someone within the catchment area applies, they have to accept them ( non discrimination, you see). So, with a full complement, patients from outside the area are chucked out.<br /><br />We have found a good, new practice but it is obvious that we are being treated to gain the most brownie points and cash. The position of doctors as professional, independent contractors has been undermined and they are chasing various bonus payments - more like salesmen on commission.Edward Spaltonhttps://www.blogger.com/profile/04168350315689612490noreply@blogger.comtag:blogger.com,1999:blog-2481298417819219839.post-71787624206549738972016-09-26T12:16:17.237+01:002016-09-26T12:16:17.237+01:00Fly - my care has been good too, but not so much t...Fly - my care has been good too, but not so much the concern and I know of a case where neither have been good. <br /><br />"The NHS is creating, often for dubious benefit, a fear inspired need it can not ever hope to service."<br /><br />Indeed it is - you have it in one sentence.A K Haarthttps://www.blogger.com/profile/05897490979828603179noreply@blogger.comtag:blogger.com,1999:blog-2481298417819219839.post-82611947307841505292016-09-26T12:00:43.381+01:002016-09-26T12:00:43.381+01:00The care and concern I have received from the spec...The care and concern I have received from the specialists, nurses and doctors, has been exemplary.<br /><br />I had the liberating experience of being without a GP for 6 years. The reasons I have one now is to give me a rest from funding my own medication and I cannot certify my own disability.<br /><br />I have now got a shiny new GP practice, a poly practice specifically designed to monetise every patient and extract funds from the NHS.<br /><br />While giving me placative reassurance of being there to help it is my experience that that the only interest they have in me is triggering QOF payments. Considering the diagnosis and indeed prognosis of my disease I find it difficult to decide the best descriptive but useless and crass are right up there.<br /><br />The NHS is creating, often for dubious benefit, a fear inspired need it can not ever hope to service.<br />Flyintheskyhttps://www.blogger.com/profile/08727985139542701667noreply@blogger.comtag:blogger.com,1999:blog-2481298417819219839.post-17413267696651786752016-09-25T19:38:27.872+01:002016-09-25T19:38:27.872+01:00DCB - yes I'm sure that's a key to the pro...DCB - yes I'm sure that's a key to the problem - the insulated bureaucracy.<br /><br />James - we pay and get good treatment. If it declines we can simply go elsewhere.<br /><br />Demetrius - what rotten luck. A K Haarthttps://www.blogger.com/profile/05897490979828603179noreply@blogger.comtag:blogger.com,1999:blog-2481298417819219839.post-55965222458177930992016-09-25T12:31:21.915+01:002016-09-25T12:31:21.915+01:00I had an uncle who was a doctor. He died young af...I had an uncle who was a doctor. He died young after being wrongly diagnosed.Demetriushttps://www.blogger.com/profile/17198549581667363991noreply@blogger.comtag:blogger.com,1999:blog-2481298417819219839.post-70278029217976245152016-09-25T12:22:10.823+01:002016-09-25T12:22:10.823+01:00I'm paying through the nose for a course of de...I'm paying through the nose for a course of dental just now - stories about the NHS abound. Pity but no choice at this time.James Highamhttps://www.blogger.com/profile/14525082702330365464noreply@blogger.comtag:blogger.com,1999:blog-2481298417819219839.post-81582424181573814142016-09-25T11:49:05.367+01:002016-09-25T11:49:05.367+01:00What? You criticise the medical expert at the desk...What? You criticise the medical expert at the desk? Know your place! The NHS is a top-heavy self-serving bureaucracy which has lost sight of the fact that the end user is its raison d'etre. It has done this because it "works" to instructions from masters who can afford not to be affected by it.The Janniehttps://www.blogger.com/profile/13079381718278953267noreply@blogger.com