Wednesday, 22 April 2015

Another screw to tighten

In the very first month of DZ blogging I highlighted how the medical profession were becoming the potential victims of more & more organisations that could pursue doctors for alleged misconduct. Well here's another one to add to the list. We must now be one of the most overscrutinised, over-regulated group of people in Britain.

Glad I'm retired.

Monday, 20 April 2015

Revisited quote

In 2012 DZ wrote this.

"Appraisal........a purposeless, unfit abortion of a concept, with revalidation as it’s bastard offspring."

I still think so.

Sunday, 19 April 2015

Lunatic running the asylum.

Jesus H Christ!!!!!!!!!!!!!!!! I've just found that this guy has actually been nominated as a candidate for president of the Royal College of General Practitioners.
Fuck me sideways can you imagine if this guy won? Talk about going back to the middle ages. Please guys Don't do it!

Monday, 13 April 2015

Patient choice

I see that in Liverpool there is some soul searching going on about the provision of homeopathy on the NHS. One of the arguments that the altmed lot like to trot out is the concept of patient choice, that if a patient wants homeopathy, or chiropractic, or any one of a number of alternative therapies, he should be accommodated, and the NHS should pay for it.

Far be it from me to question "patient choice". That a professional, with years of specialist training and experience should have his practice dictated by some twat waving a google printout.

Of course if I take my car to the garage and the mechanic identifies a problem, then naturally my uninformed opinion on how he fixes it will take precedence over his view. And if I want him to fix the brakes guided by astrology then that's what he should do. I don't think!


I once had a patient turn up in clinic with a particular problem. I set out the treatments that were available, with advice of efficacy rates, adverse effects etc. She replied that she didn't want any of that but instead demanded that I provide an alternative medical treatment. In the fullest spirit of "patient choice" I spelled out her choices. I didn't put it in the following words exactly, but the meaning was clear. "If you don't want the treatments I'm offering just fuck off and stop wasting my time" She never came back. Result!

Sunday, 12 April 2015

Quote

“Frankly, it’s very corrupt... no rational government, looking at the interests of the citizenry as a whole, would do this.”

Jean Shaoul, professor emerita at Manchester Business School. Talking about PFI.

Monday, 16 March 2015

Professionals.

I do appreciate of course that, in the modern NHS each and every simple task requires that the practitioner have special training. Everything from wiping bottoms to opening the window seems to require a certificate allowing the holder to proceed.

I also accept that giving morphine tablets to patients in accordance with a prescription obviously requires a special expertise, gained on a course, and certified in writing.

But I can't help thinking that someone who doesn't hold such an important qualification should have a better way of communicating it than..........

"I DON'T GIVE ORAL"

Fucking nurses these days. Aren't they just rubbish?

Sunday, 15 March 2015

Education

This is meant as a criticism of the USA, but remember when the UK was the same?  See the parallels here to see how low the UK has sunk