Webshite of a newspaper-shaped object [Daily Mail]

http://tktk.gawker.com/my-year-ripping-off-the-web-with-the-daily-mail-online-1689453286

I have not had the opportunity to check the details personally, and clearly if the newspaper-shaped object which owns the webshite in question (and is it ever not in question) was to provide additional information I should consider it.

This looks entirely credible though, and gawker.com does visibly make an effort to be a website of information.

Unlike…

Full circle: back comes the NHS card

In 1949 everyone got an NHS card. When people moved, the card went to the new GP who sent it to the Health Authority (Executive Committee, Family Practitioner Committee, Family Health Service Authority (a Thatcherite change of nature, Health Authority, Primary Care Group/Trust, CCG (except the last couple rarely handled them)) who sent a new one on to the patient at usually their new address.

Under a previous Tory government health authorities (whatever they were called that week) “saved” a little money by abandoning the smooth mature centralised system of handling and issuing NHS cards.

At the time I said it was a false economy and bad idea, but who listens.

Now the current batch of Tories with their diversion on health tourism demand each general practice checks passports and utility bills. And now, the NHS card is to come back. http://www.telegraph.co.uk/news/nhs/11391120/Brits-asked-to-prove-nationality-in-clampdown-on-health-tourism.html

Oddly for a European Union-hating bunch, the European Union Health Card is being specified as the document of entitlement.

I have one…

The utility and effect of the GMC

careers.bmj.com/careers/advice/view-article.html?id=20020762

“It should not require data on suicides, nor Bourne‚Äôs extensive survey, to suggest that the system requires a radical overhaul, not expansion. For every doctor who is struck off, at least 50 are put through investigations that can take years. Some receive lesser sanctions, but 83% of the 8278 doctors who had fitness to practise investigations in 2010-13 were exonerated. This contrasts with an 83% conviction rate in the Crown Court.[15]”

Feedback on the NHS Friends and Family Test

All NHS organisations, this winter, have implemented the FFT as demanded by Government, NHS England and the CQC and perhaps others of the Great, Good and Administrata. You might notice the NHS has been a teeny bit busy recently, and wonder whether summer would be a good time to implement new ideas, but this one is so obviously wonderful that it is important to get it going. I’m told.

So in a spirit of feedback on all things, including feedback here is a comment relayed to me. I do have attribution, and I’m reserving that, the patient isn’t mine and doesn’t need interest from newspapers, thanks.

One patient’s views on being given a FFT questionnaire after attending A and E.

“The thing is, the form was not designed to elicit comment on the quality of the medical care as such. There was a tick-box for something called “clinical” something or other, which I eventually concluded was a vague reference to “actual medical treatment,” halfway down the list, in among “waiting times,” “nurse-to-patient communication,” etc. etc. and a bunch of other stuff that was all about general niceness of experience rather than what actually made you better.

My one adult experience of A&E, I wasn’t in there for a nice chat or a positive customer experience. I was in (as it transpired) for enough painkillers to knock a rhino out, and some emergency surgery. I got what I needed.

I woke up the next morning, and my personal health consumer self-evaluation went something like,
“Am I alive? Yes.
Am I in agony? No.
Result. 100% consumer satisfaction.”

If memory serves, the general ambience in A&E did, admittedly, tend somewhat towards the preoccupied, and the nurses and auxiliary staff reminded me of nothing so much as the band off the Muppet Show. I couldn’t have cared less.

Provided they got me the dope, and got me on the slab, which they did, they could have held a Black Mass in Klingon and cursed me in the name of Beelzebub for all I cared.

This is my mental image of the sort of level A&E operates at. It’s not the kind of thing that’s really amenable to meaningful patient evaluation. Positive outcomes are bleedin’ obvious as such, and abstruse clinical decisions are beyond the patient’s competence to evaluate anyway.

A long wait might be a pain in the ass, but it might well have nothing at all to do with the quality of treatment. And on the form you get to complain about the long wait, regardless. If A&E were suitable for people who fancy some dental work or a boob job on the spur of the moment one Sunday afternoon, and feel aggrieved if they have to wait longer than twenty minutes for it, then I can see the point of something like FFT. But that’s not what A&E is for as far as I can see. It’s for emergencies. It’s not supposed to be a nice experience, it’s supposed to be the last ditch attempt to do things like cheat death of another human soul.”

I think this is a sensible remark by someone who you will notice was ill and is greateful that he no longer is. Placing it on the collection box for FFT forms in various organisations, along no doubt with other feedback on the process and on the substnace of care, seems entirely sensible to me.

ANd remember, on almost all forms you may be handed,

White space is available, and may be used.