Thursday, 15 January 2015

You reap what you sow.

One of the most important qualifications to become the Secretary of State for Health in the United Kingdom is to have a complete lack of knowledge about the National Health Service. They introduce policies that have usually been thought up by a class of five year olds being asked how could they make a visit to their doctor better? You know the sort of things “I think if doctors had fluffy pink bunny chairs it will make me better”.

Target, after target, after target being devised to completely miss the target of most health professionals which is to treat patients not tick boxes. Current Tripartite health policies are akin to someone saying in the Second World War lets win this by taking Berlin and then deciding to take Kabul this week and Baghdad the next. Just think of another target and completely miss the point but redirect the troops in numerous different directions to achieve nothing useful.

Remember such schemes as avoiding unplanned admissions? Such a good idea say certain Party organs just like a named doctor for older patients (although patients were already nominally registered with a Dr) and QraPing.

All politically determined crap, all of which anyone who has worked in medicine on the frontline would realize would fail even before it started. The unplanned admission DES political joke has clearly worked as it has led to the current NHS “crisis” via admission avoidance via political diktat and hence there has been an increase in admissions to record levels. And did we neglect to mention the winter pressures/system resilience monies pumped in pre election? 

To paraphrase what someone who has been working on this wasting their time on this said politely “We have spent an hour with this patient writing a care plan, filling in boxes, deciding what to do if X, Y and Z happened and one chuffing phone call (can you guess to whom?) and they are admitted. What a complete waste of our f**king time for nothing”. (Sorry for the grunt word but this was polite compared with the original comment). And you can repeat this over and over again across a whole nation in every general practice. 

So a public school educated idiot felt it was far better to waste doctors’ and nurses’ time to write “care plans” to avoid unplanned admissions than for doctors and nurses to actually see and treat patients which might avoid admissions? At least there is a trail of paper to show that “something” has been “done” and the British public has been well and truly done.


And then there is the Tripartie private good NHS bad mantra. Just look at Hincingbrooke hospital. And the reasons given?

The A&E “crisis”?

So a hugely successful private, efficient healthcare organization (Party speak) can be derailed by the NHS market because a few extra patients turn up to A&E?

Most NHS hospitals will struggle because the Tripartite system of politics in the UK wants bread and circuses for the masses and they want it for free. The NHS is like a McDonalds where the great British public can turn up and eat to their heart’s content and eat for free whether they are hungrey or not. Just want and go.

The private sector are happy to provide a service but they expect people to pay for it. When they are not making money they can just walk away. The rest of the NHS has to try and live within its limited means profit or loss but the ideal is break even.

There is no crisis in the NHS for people get treated if they wait and are treated on the basis of medical need and not political want.

Yet politicians with no healthcare experience still know best as the above two examples illustrate so well and they interfere with healthcare for no benefit for the alleged consumer the patient, always their first thought after profit and self gain, before they bugger off and leave those in for the duration to pick up the pieces.

Praise be to the Party for ensuring that if healthcare professionals follow politicians and their enlightened diktats there will be no illness whatsoever. It has worked so well this winter after years of retarded, ill thought out planning and healthcare professional time wasting to deliver tick box ticking. No wonder NHS admission targets are up exceeding all centrally determined plans comrades.

Should there be a move to keep the idiots out of the National Health Service before they come up with some more bright ideas to waste other people’s time and divert those from delivering healthcare to delivering more bureaucracy instead?

Like cuddly pink bunny chairs or CQC et al?

1 comment:

kilo said...

Maybe if all those lovely care plans were shared with the ambulance service along with a medical history, these patients might not end up being taken to hospital when the paramedics are presented with an ill patient at 0300 who doesn't know why they're on all these pills or have any idea what's wrong with them or what the care plan is?