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| The Golden Era |
They have introduced targets, cost control, the skills escalator, new training programmes, increased management, and a gradual deprofessionalisation of clinicians. Now we have increasing management combined with cuts in budgets, and the hope is that this can be accommodated by the clinicians who will be able to deliver a better service.
The problem is, that it isn't.
Even in the prestigious hospitals we are seeing the effects of Government interference. The senior people are beginning to despair. St Bartholomew's Hospital is an iconic hospital that has been a leading teaching centre for hundreds of years.
Yet we have one of their surgeons, President of the Royal College of Surgeons, who describes:
"Appalling deterioration in services"
What on earth is going on with our great hospitals? What are we to make of this?
Bells should be ringing in the Department of Health. The Chief Medical Officer should be meeting with these surgeons. The senior doctors should be listened to, not hectored at.
I despair.
2 comments:
You have already made the diagnosis in previous blogs. You are mostly right!
the thing is most of your "cures" are what the right wing of the conservative party want, ie less management overhead, and so on
and most of the problem has been caused by throwing money at the nhs, using top down levers of command and control a la stalin, and giving the patients hobsons choice, er mostly done by the labour party
so it fills me with surprise that you seem to rant on about supporting the labour position
i was in a filthy dirty ward yesterday, they helpfully had a nice graph on the wall showing that their cleanliness had been "independantly audited" regularly and they were 97% in the clean ratings, you have to laugh at this nonsense, who the bloomin heck believes these stats?
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