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If it ain't broke -


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- don't fix it. Seems Governments have to micro-manage the NHS, and the latest Tory medling is no exception, despite protests from most staff. We've just been through such nonesense with the last lot, which resulted in give away salaries for GPs and a whole bunch of targets for the hospitals to massage their way around; and now they're going to scrap PCTs and get rid of "managers", loading GPs with the onerous task of managing their own budgets. The GPs will probably employ consultants to do this financial management, using the same folk who do it now - so in effect. privatisation. :roll:

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My 85 year old mother recently went into hospital.

An on-call doctor was called at 3am and arrived at 3.15am who after a short examination said that she needed an ambulance, The ambulance arrived at 3.45 am and took her to hospital. She was examined and given a bed and pain killers. At 10.00am the following day she had an operation to remove gall stones from the Biliary tract. 3 days later she was discharged.

 

Not much wrong with that.

 

As for handing all the money to doctors, I wonder how many 'Harold Shipman' type docs out there are rubbing their hands with glee.

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The problem is SL, they've medled with it that much; instead of asking the Q. what exactly do we won't the NHSs mission to be and what parameters are we going to set? It's the biggest employer in Europe and is costing a ?bomb. SO, they need to address fundementals by asking the people just what scope of service provision they want and how much they are prepared to pay in taxes - EG. Cradle to grave provision, or cradle to say aged 70? Cosmetic surgery and sex change ops? IVF? ETC ETC. Having set parameters, they (the politicians) then need to appoint professionals to run it, and stop trying to micro manage it. :roll:

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I agree with you over the meddling, Obs, but that isn't the only problem. If you remember, last year (or was it the year before) there was a TV programme where Gerry Robinson went into hospitals to try and cut wastage by reorganising and altering the things that didn't work. He was in despair at times because of the intransigence of the consultants and managers who all wanted to protect their own little domains. He was able to do some good but if that is the effort required then there is a huge job ahead for whoever takes it on.

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Of course Peter, if they have to manage a budget, they're going to ration treatment. SL, I watched Sir Gerry on that prog, and your right: a major problem is the silos of interest that have evolved, there's no clear line of command and control, and these consultants are just that, not employees, so they can and do behave like prima donnas. :roll:

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Think it will involve slightly more than that Kije: once locked into a reliance on the private sector for management, treatments and drugs - all those ills that we associate with private medicine will become the reality - so don't grow old and infirm or become reliant on expensive treatments - cos everything will carry a price tag. :shock:

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