Friday, 29 January 2016

Bad or thick?

Jeremy Hunt is very fond of highlighting the apparently poor prognosis of patients admitted to NHS hospitals at the weekend, and (mis)using this data to push his agenda. Those who work in the NHS however know full well that, because weekend admissions are disproportionately emergencies, that mortality is inevitably bound to be higher. A recently published study has confirmed that patients admitted at the weekend tend to be older and sicker than those in the week. This may seem like the bleedin' obvious but it's important to have factual data to refute Hunt.

So what do you suppose are the chances that Hunt will mention this study? I wouldn't hold your breath.

To my mind there can only be two possible reasons why he persists so tenaciously with his factually flawed pronouncements. The first is that he is deliberately mendacious and deceitful, and that he is pursuing his own agenda with a complete disregard for factual reality, and a staggering contempt for the intelligence of the medical profession, and the public. That is, he know's full well that he's wrong, and that we all know that he's wrong, but he just doesn't give a fuck.



The other possibility is that he really is pathologically stupid.


Friday, 8 January 2016

Whiplash

Britain is apparently the "Whiplash capital of Europe".


No not like that unfortunately, like this.  DZ was once involved in such a claim. While reversing into a parking space he very gently knocked the front of a car behind. The lady driving took details and then flounced off to her aerobics class, and subsequently submitted an insurance claim for whiplash injury. The Insurance company simply paid up rather than fight the obviously spurious and opportunistic claim. So DZ is more than happy to see that Aviva fought this time and won, sending the claimants packing.

But there is a medical issue here. Apparently the claimants were "able to supply medical evidence to lawyers in support of their claim." So some of our colleagues were perfectly prepared to collude with this blatant attempt at fraud, in order to line their pockets. What greedy dishonest fuckers they must be.

DZ makes no apology for repeating something he's said before.

The only difference between some doctors and prostitutes, is that there are some things prostitutes won't do for money.

Tuesday, 5 January 2016

Reflection

DZ once had a close friend, a German. She used to have a saying "Mann denkt man ist was selbst er ist". A rough translation would be that people assume others are as they are themselves.

If this is true take the following situation. Our glorious leader dear Jeremy wants to introduce weekend elective working in the NHS. Nothing wrong with that in itself. After all much of  NHS hospital facilities stand idle at the weekends. But this would represent an increase in workload of 40%. Logically then it would require a corresponding increase in all staffing, resulting in a 40% increase in costs.

But Jeremy isn't keen on that cost thing. He wants to increase the throughput without any financial input. The only alternative to increasing staffing levels is to get the existing staff to increase their hours by 40%, but this would cost even more, and has the added disadvantage that, under the terribly inconvenient working hours laws, and current contracts, this is not allowed. Totally verboten!

The solution is easy. Unilaterally change the doctors' contracts so as to remove those safeguards so hard won over the years, and take us back to the days DZ remembers well, when we worked over 100 hours a week.

That this is how his mind is working is obvious. As plain as the nose on Pinochio's face.

So how does he think he can get away with this. He must think we're incredibly stupid, imperceptive and unthinking.

And by my friend's philosophy perhaps that tells us something about him.


Monday, 21 December 2015

Unholy trinity

1. The CQC. An utterly worthless organisation of box tickers who achieve nothing but to demoralise and demotivate wherever they stick their furtive carping noses, making life even more difficult for practices already on the edge.

2. Professor Stephen Field, a smug self serving arse licking arrogant utter bell end.


3. The Daily Mail!

And no, I'm not going to provide a link.

Thursday, 10 December 2015

Human rights

December 10, today, is Human Rights Day. The UN declaration on human rights was issued on this date in 1948. Although in the UK we have a Human Rights Act is was not passed into law until 1998, some 50 years later. For reasons DZ can not understand there is considerable hostility to the Human Rights Act in the gutter press (daily mail) and even the present government seems hell bent on repealing it.

DZ feels that those who criticise or oppose the act can not possibly be familiar with it's articles. To summarise;

Article 2. (there is no article 1!). The right to life.

Article 3 The right not to be subjected to torture, or inhumane or degrading treatment.

Article 4 The right not to be held in slavery or servitude. (Jeremy Hunt take note)

Article 5 The right to liberty and security.

Article 6 The right to a fair trial. (GMC take note)

Article 7 The right not to be punished without law. (This is particularly relevant to the GMC, who insist on knowing if a doctor has committed an offense overseas, even if it is for something that is not illegal in this country, such as being gay for example)

Article 8 The right to respect for private life, which includes the right to privacy of correspondence.

Article 9 The right to freedom of thought, conscience and religion.

Article 10. The right to freedom of expression, freedom of speech.

Article 11 The right to freedom of assembly and association.

Article 12 The right to marry

So, what's not to like?



I smell a rat!

So at the last moment the strike was averted, though too late for the thousands of patients who were told their appointments, operations etc were cancelled. It doesn't seem to me that there is very much concrete that the doctors have actually been offered. I don't think we've heard the end of this dispute.