Well the change in the UK Government and its great White Paper of NHS liberation has locally led to the very loud sound of the scurrying of claws being heard on the wooden deck of the super liner that is NHS management.
In our local shires loads of rats are apparently leaving, nay, high jumping and triple jumping away from their ships and looking for pastures new. They continue to deposit their droppings for as they scurry away their underlings are being promoted above and beyond their limited incompetence. Lots of their junior offspring are struggling to function for NHS management is a rigid Soviet style dictatorship and no-one dare make a decision without the say so of the local Great Leader(s).
New junior rats, in the same way as in war field promotions are rapid, are crawling up the stairways of the sinking ships of local PCTs. While grandiose titles are being bestowed upon them and may sound good they are merely the equivalent of being promoted to being the executive officer on the RMS Titanic.
The captain of the Titanic at least had the grace to go down with the ship he had mismanaged. The rats however are climbing the greasy pole in the hope that if they sh*te hard enough on their colleagues they may just reach the heady heights of the as yet undefined new super carrier of NHS management called the NHS Commissioning Board.
The rats that are jumping the sinking PCT/SHA ship may yet live another day and unfortunately populate the new SS NHS Commissioning Board when it is finally launched. This means that however good GP consortia may become those who have mismanaged the local Soviets for years may scupper any improvements that might come out of GP consortia when they are finally allowed to do something.
We thought, after talking to some colleagues from other Northern shires, that this process was just peculiar to the local and neighbouring Soviets but it would appear that the rats are now more like lemmings if this article is to be believed.
Praise be to the Party who will ensure that the new NHS Commissioning Board will be full of great captains like Admiral Nelson. Or will it be more like the Caine mutiny?
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Northern Doc was once a blog originally written by a group of GPs in Northernshire and expressed their experiences and frustrations of working in today's NHS. The pieces were compiled at social meetings after work and published anonymously in a once free society. Following the Government's Medical Council clamp down on freedom of thought, speech and expression by doctors and our belief that the views of a few doctors DO NOT represent the views of the profession as a whole their views will now be written by and published by a journalist who has previously contributed to the blog by virtue of social ties. Any inference that the word Doc means a doctor is now purely coincidental. This is as of the 22 April 2013.