tag:blogger.com,1999:blog-6694764488430015508.post5066273031628787033..comments2023-10-28T05:31:29.714-07:00Comments on Northern Doc: I cannot ever get to see my GP, it always takes weeks to get an appointment. Some thoughts. The basics 001.Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-6694764488430015508.post-60131091239302705072010-07-02T03:20:09.045-07:002010-07-02T03:20:09.045-07:00A consultation exercise that I carried out 20 year...A consultation exercise that I carried out 20 years ago at a busy general hospital OPD asked how out patient clinics could be improved. One of the proposals (which came from patients who were involved - alongside clinical staff) ,suggested charging £10 for evening appointments. This was one of 30 actions that respondents were later asked to prioritise. The results were then subjected to cluster analysis and compared to related biographical data. To my surprise a significant group of respondents scored this proposal very high compared to everyone else. On closer analysis this turned out to be not the contented majority of "worried well", but - by and large - manual workers who would otherwise lose half a day's pay to attend the clinic. <br /><br />Like many challenges to pre-conceived ideas it was - of course - blindingly self obvious in retrospect. So I think the idea of Northernshire's masses paying to see the doctor (at a time that is most convenient to the patient - i.e. "when they want to be seen") may not meet with as much resistance as you think.<br /><br />On the whole I agree that there is much scope for "up front" payments which - like the French system - could then be claimed back 6 months or so later from either personal or national insurance depending on circumstances.Prisoner of Hopehttps://www.blogger.com/profile/12101614242785360125noreply@blogger.comtag:blogger.com,1999:blog-6694764488430015508.post-15626529720911970042010-06-29T16:05:22.005-07:002010-06-29T16:05:22.005-07:00Dear N Dr
We have cultural iatrogenesis. Health c...Dear N Dr <br />We have cultural iatrogenesis. Health clubs needing a letter from the doc re fitness to exercise.<br />Schools insisting on doc's letter re child's absence from school.<br />Hospital OH insisting on vaccinating you for childhood illness already had. I fought that one but had to have a blood test to confirm immunity. <br />AnnieAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-6694764488430015508.post-30684771297180956282010-06-29T08:07:11.686-07:002010-06-29T08:07:11.686-07:00Hear, Hear! Brother! Preaching to the choir.
Peopl...Hear, Hear! Brother! Preaching to the choir.<br />People value things by what they pay for it and as NHS is 'free' then value is zero.<br /><br />Real heartsink moment in triage - "I am just here to get it checked out".<br /><br />My dad, born 1933, talks of 'half a crown' (2 shillings and 6 pence or 12and a half pence today) to see a doctor.<br /><br />Unfortunately, if you institute payment then A&E will have a massive increase in attendances - 4 hour target out the window. Plus, in the A&E I work in we do not do GP things, patients are sent back to their GP.GrumpyRNhttps://www.blogger.com/profile/06774717062401988853noreply@blogger.com