tag:blogger.com,1999:blog-1690720220183337557.post214952002472226798..comments2024-03-29T08:03:02.004+00:00Comments on FTHN: From the Hornets Nest: TRAIN DOCTORS TO MANAGEUnknownnoreply@blogger.comBlogger19125tag:blogger.com,1999:blog-1690720220183337557.post-69877323585735984442015-11-19T13:18:29.056+00:002015-11-19T13:18:29.056+00:00Put doctors and Matrons back in charge!
I come fr...Put doctors and Matrons back in charge!<br /><br />I come from a family with some medical members. This had been their cry from the beginning. So much so that two members went to work in the USA to escape the bureaucracy.<br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1690720220183337557.post-71088378047463582152015-11-16T09:15:49.975+00:002015-11-16T09:15:49.975+00:00Alan Milburn abolished the Community Health Counci...Alan Milburn abolished the Community Health Councils that did a fantastic job working with patients, users and community groups to provide the patient, user and community voice in the NHS. None of the replacement mechanisms have worked properly. He abolished them because his wife had an affair with a CHC manager. Shame on New Labour.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1690720220183337557.post-27356461827420305032015-11-15T12:52:24.438+00:002015-11-15T12:52:24.438+00:00Doctors are in this 356 days a year. They are full...Doctors are in this 356 days a year. They are fully engaged. They just need to be fully motivated and not pissed off by the politicians and administrators. <br /><br />Engaging patients is more of a problem. We are part time and need a hospital (on average) only twice in our life. And "free at the point of need" tends to make us take the disaster service for granted. "NEARLY free at the point of need" could energise the patient class and make us take an interest. A small contribution for a GP visit and hospital visit would make us all sit up - and create a powerful force for reform in the NHS.<br /><br />It is incredible what happened in universities after the introduction of student fees. Lecturers stopped taking students for granted and the quality of teaching has shot upScribenoreply@blogger.comtag:blogger.com,1999:blog-1690720220183337557.post-24995027497867716902015-11-15T08:03:59.528+00:002015-11-15T08:03:59.528+00:00Retired Chief Executive talks sense. Get the Admin...Retired Chief Executive talks sense. Get the Administrators and politicians (and management consultants) out of the NHS. Give it back to doctors and patients to manage.<br /><br />The politicians and administrators have had enough time to prove themselves. More than 50 years of playing with something that they do not understand, they have produced a disaster. Time for the cockroaches to move on Coleville Residentnoreply@blogger.comtag:blogger.com,1999:blog-1690720220183337557.post-27825179452057511862015-11-14T09:37:45.679+00:002015-11-14T09:37:45.679+00:00In the old days it was "the patient comes fir...In the old days it was "the patient comes first". Oh, if only these days could return.Fly On The Wallnoreply@blogger.comtag:blogger.com,1999:blog-1690720220183337557.post-34400920877116207662015-11-14T07:14:50.760+00:002015-11-14T07:14:50.760+00:00If I needed hospital treatment, I would like to fi...If I needed hospital treatment, I would like to find a hospital run by Sir Lancelot Sprat and his Matron (Hattie Jakes). The Carry On series captured exactly how hospitals should tick,Nostalgianoreply@blogger.comtag:blogger.com,1999:blog-1690720220183337557.post-80939759636362867792015-11-14T07:12:08.079+00:002015-11-14T07:12:08.079+00:00Always a difficult decision, the Government has de...Always a difficult decision, the Government has decided to spend 9% of GDP (£120 billion) on a national health service (the NHS).Some more money is spent in addition to this by private health providers, funded mainly by insurance. <br /><br />The second big question is how effectively is this huge amount of money being spent? The basic measure is health care quality. By any comparison, NHS quality is patchy. In too many cases (eg Stafford) it is appalling. Anyone who has run organisations has an instinct for where things are going wrong. And when you find that hospital consultants are demotivated, GPs are fed up, and junior doctors are striking, and the London Ambulance Service is having to staff itself with Australians on working holidays, then it is not surprising to find that newspapers and TV are constantly reporting terrible and frightening examples of dreadful medical results.<br /><br />Without question there is a big problem to fix. I would spend less time paying management consultants and Think Tanks for advice. I would spend more time talking to doctors and patients to find out how to fix the broken system. In my experience, customers and managers always have the answers - if you are prepared to listen to them.Retired Chief Executivenoreply@blogger.comtag:blogger.com,1999:blog-1690720220183337557.post-20636674032638758742015-11-13T12:07:05.069+00:002015-11-13T12:07:05.069+00:00GPs are fed up. Hospital consultants are pissed of...GPs are fed up. Hospital consultants are pissed off. Junior doctors are striking. News Papers are constantly running stories of patient horror stories. Malpractice claims against the NHS are rising at 70% per annum and currently running at £5 billion per year. Politicians (all parties)are constantly reorganising the NHS and consultants are charging huge fees to dabble.<br /><br />Put doctors and Matrons back in charge......Waspnoreply@blogger.comtag:blogger.com,1999:blog-1690720220183337557.post-42067963983974998492015-11-13T10:43:35.161+00:002015-11-13T10:43:35.161+00:00Doctors know what is wrong with the NHS. What they...Doctors know what is wrong with the NHS. What they do NOT need is a layer of bureaucracy superimposed between them and patients which requires endless forms to be filled in and instructions issued by people without the first clue about medical matters.<br /><br />The basic test of a good organisation is "happy customers (patients) and happy staff (doctors)". It is not rocket science. If one group is unhappy there is a bad problem. If both are unhappy, there is a disaster.OWLnoreply@blogger.comtag:blogger.com,1999:blog-1690720220183337557.post-198450093291518832015-11-13T10:20:46.224+00:002015-11-13T10:20:46.224+00:00Sadly, there are not many Doctors or medical profe...Sadly, there are not many Doctors or medical professionals who want to be 'administrators'. Most will tell you that they were trained in MEDICINE and they want to administer the MEDICINE, rather than the paperwork that comes with it.<br />It would be wonderful if some of them opted to be pen-pushers, May be the time has come for this to happen.. we shall see...Boris Campbellhttps://www.blogger.com/profile/07573036487956741455noreply@blogger.comtag:blogger.com,1999:blog-1690720220183337557.post-4965696500908006322015-11-13T10:16:39.927+00:002015-11-13T10:16:39.927+00:00anonymous at 08:16. Wow, you get up early.... Next...anonymous at 08:16. Wow, you get up early.... Next time you read this blog finish your porridge first, as it will revitilise your brain cells, should you have any.... Elsewise, just shut up ad make sure you are on time in your Horton Street office....amenBoris Campbellhttps://www.blogger.com/profile/07573036487956741455noreply@blogger.comtag:blogger.com,1999:blog-1690720220183337557.post-55484383008543653992015-11-13T09:57:18.408+00:002015-11-13T09:57:18.408+00:00If you have nothing more pertinent to add to the t...If you have nothing more pertinent to add to the topic you should butt outDoc Tannocknoreply@blogger.comtag:blogger.com,1999:blog-1690720220183337557.post-49789880002235684812015-11-13T08:16:22.649+00:002015-11-13T08:16:22.649+00:00Now the Dame is an expert on hospitals. Versatile ...Now the Dame is an expert on hospitals. Versatile old bag.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1690720220183337557.post-28351581627168248002015-11-13T08:15:00.465+00:002015-11-13T08:15:00.465+00:00Doctors know about medical treatment. They need to...Doctors know about medical treatment. They need to make the judgements. And if they care about what they are doing and motivated by their job, they will make the right judgements and act in the best interests of patients.<br /><br />Believe in medical professionals. Delegate power. And train them to handle it. Dabbling politicians and out of their depth administrators have created a huge mess in the NHSAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-1690720220183337557.post-29241214398720040742015-11-13T08:10:50.955+00:002015-11-13T08:10:50.955+00:00When "caring" is taken over by bureaucra...When "caring" is taken over by bureaucrats, who insist on endless forms to be filled in about waiting times, cleaning times, feeding times, in order to publish huge reports that no one reads, except for politicians who then make speeches about what a shambles their predecessors were, then the NHS is well and truly fucked.<br /><br />Doctors get demotivated, and patients get bad treatmentSurvivornoreply@blogger.comtag:blogger.com,1999:blog-1690720220183337557.post-4342997889620490632015-11-13T06:23:02.883+00:002015-11-13T06:23:02.883+00:00"Consultations" have also become part of..."Consultations" have also become part of charade of NHS bureaucrats. The hospital trusts like Imperial hold regular meetings to brief the public about how well they are doing when elective statistics are displayed showing improvements on last year.<br /><br />The really meaningful statistics (such as medical outcomes and mortality rates compared with the USA and European countries) are never displayed. Reason? The comparisons are an embarrassment.Muppetnoreply@blogger.comtag:blogger.com,1999:blog-1690720220183337557.post-36133383005754244842015-11-13T06:18:24.882+00:002015-11-13T06:18:24.882+00:00The Royal Borough is host to some of the biggest a...The Royal Borough is host to some of the biggest and most important hospitals in the country. (Charring Cross, St Marys, Hammersmith, Brompton, Chelsea and Westminster, Marsden) and patients know how often they are let down by appalling administration that finds its way through to poor quality measured in terms of treatment outcomes. The Imperial Group of hospitals (Charring Cross, Hammersmith, St Marys) has one of the most appalling cancer results in the country and has been roundly criticised by McMillan Nurses.Kensington Patientnoreply@blogger.comtag:blogger.com,1999:blog-1690720220183337557.post-8422420395243500482015-11-13T06:12:15.481+00:002015-11-13T06:12:15.481+00:00Here here!
There are many self appointed "e...Here here! <br /><br />There are many self appointed "experts" and Think Tanks waffling about the NHS. All too often the principal actors (patients and doctors) are not part of the deliberations. In fact they rarely are.<br /><br />Wonderful to see recommendations like this (from doctors) coming through. And endorsed by the top guy (Sir Bruce Keogh)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1690720220183337557.post-75004587175847021112015-11-13T06:08:31.189+00:002015-11-13T06:08:31.189+00:00There are so many armchair strategists spouting no...There are so many armchair strategists spouting nonsense about the NHS that it is refreshing to see some common sense like this coming through. Lets hope that the recommendation to train doctors how to manage does not get lost in the noise. Amazing that this is not done already.Scribenoreply@blogger.com