Archive for the ‘NHS’ Category

Impervious to debate, convinced you are right, you have traduced

Wednesday, July 21st, 2010

The Crown Court
Quayside Newcastle Upon Tyne
21st March 2002

JUDGE WHITBURN: Penelope Mellor, please stand.
“Penelope Mellor, you were convicted by a jury of a wicked conspiracy to abduct [XXXX] in February 1999. A woman of ability, determination and tenacity, you have been a self-appointed advocate for those, amongst others, whose children are taken into care on the basis of what was known as Munchausens Syndrome By Proxy, now known as Fictitious Illness Syndrome.

Your view, expressed to the Jury, was that this was a misdiagnosis, designed to cover up medical negligence. Impervious to debate, convinced you are right, you have traduced, complained about and harried dedicated professional people working in this difficult area. I do not punish you for that, let me make it clear, however tiresome and eccentric your views are, the toleration afforded to you who expressed them, by those who hear them, is part of the price we gladly pay for living in a liberal democracy.”

It is not part of a price that registered medical practitioners gladly pay for self-regulation of the profession, or regulation of the profession, which is what the GMC’s sole source of income for carrying out its statutory duties is. Ms Mellor should receive no expenses nor other funding from the GMC.

Sexual health is mostly looked after by GPs

Saturday, January 23rd, 2010

As with most common problems, most of the work is done by GPs, and their staff, in General Practices. It is done cheaply, conveniently, quickly, and well. Sometimes people are referred onward.

So why does the NHS’ misleadingly named “Choices” website rank general practices last, mis-describe them “local doctor” and point people with very ordinary common problems toward newer, more expensive, less convenient other locations for service?

Perhaps because the advice panel is chosen to not include a GP.

If I was looking for a cause for irritation, I’d complain that my taxes were being used to direct me toward someone’s empire that would cost me more to provide than wahat is already to hand.

http://talk.nhs.uk/blogs/sexualhealth/archive/2010/01/22/i-frequently-get-a-white-vaginal-discharge-increased-need-to-go-to-the-toilet-and-also-a-burning-sensation-after-sex-what-could-it-be.aspx#comments

The advice sucks, also, and it isn’t a blog despite being labelled as such in its URL.

Practice boundaries

Friday, December 18th, 2009

The debate reported in Parliament touches some useful points.Debate: Hansard However, the reason we have practice boundaries is that since 1948 the Department of Health (with or without Social Security) and the Executive Ctees and various health authority names – now PCTs – have always declined to relax the rule they insist on that anyone within our Practice boujndary may register and seek our services, and crucially that anyone outside we accept we must agree to visit when needed at that address.

Removing that would be a very easy way to eliminate at a stroke and in a quiet and gradual way the problem the government discern with registration.

Altogether now: “we told you so”

Thursday, November 19th, 2009

ISTCs might not be a totally stupid idea, but the implementation does not seem to me to have the same uncertainty. This North London scheme was not predicted to do well and is now suddenly suspended.

The challenge is to find something to express surprise over.