An article in one of the GP news rags made us wonder just how thick you need to be in order to dictate UK health care policy? We suspect that a medical degree would automatically disqualify one. We also suspect that an art’s degree and the word politician automatically qualifies one to dabble in areas where one has no experience and as a result come up with ideas of how to screw up the health service.
Read through it. The second paragraph rings alarm bells for it says that:
“GP consortia will roll out the Department of Health’s flagship urgent care clinical dashboard . . .”
Is a “clinical dashboard” the same as another buzzword bingo word called “tool” or “toolkit” which is usually a functionally useless, but expensive piece of crap software paid for by NHS managers who think that if it is on a computer it works for they don’t?
A bad workman is said to blame their tools but in the health service bad care is usually the rest of “tools” manufactured by even worse “tools”. Think productive ward.
This dashboard “will hold GPs in their area to account for their patients’ A&E attendance, unscheduled admissions and hospitals”.
Take for example the condition known as appendicitis. This is an unpredictable surgical emergency and as it is such it would be classed as an unscheduled admission. Should GPs now beat with rubber hoses any patient that dares have an “unscheduled admission” with appendicitis after reading their dashboard?
Then have a look at this Department of Health’s flagship urgent care clinical dashboard. We bet your average GP would like to sit down on its bespoke leather heated electrically adjustable seats, smell that expensive new dashboard and get their sweaty palms on this “tool” before pressing some “knobs” and buttons hard enough to push this “tool” to its max to feel its throbbing boost to their professional performance.
Read on and weep as the dashboards performance stats are that it:
can slash unscheduled admissions by 20%(we know slash has another meaning?)
help hospitals cut length of stay by a quarter(ditto length?).
Look here and see what is claimed with a bit less spin. Can you see how many practices can achieve this success story before a roll out as per Choose and Book occurs? One out of how many?
In contrast to the Ferrari and the 747 dashboards, both of which have controls that allow the user to adjust performance in real time, where are the controls, the accelerators, the brakes, the flaps needed to restore an acceptable level of performance on the Department of Health’s flagship urgent care clinical dashboard?
If the car goes too fast you can slow down, if the aircraft goes too high you can level off but the clinical dashboard?
The final paragraph of the article makes out how really good the project is:
“The project delivery will be the responsibility of the local NHS/PCT/GP consortia and there is no central funding available to provide local resources, hardware or software.”
Imagine Boeing or Airbus saying we have a new aircraft but cannot provide the aircraft, fuel it or fly it. What do you have as a result that is flyable?
Still they want 10 GP commissioning consortia to start “piloting” the Department of Health’s flagship urgent care clinical dashboard. Sink estate, or spearhead PCTs, and their consortia only should apply. And probably will.
Praise be to the Party for spending on offensive brown smelling ideas instead of what patients actually want and need.
Healthcare from those that can deliver it.
You don’t need a dashboard to do that, just training.
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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.