October 1st, 2013
‘At a time when the funding to general practice has fallen by up to 22% over four years, while workload has soared to levels where doctors are struggling to provide a safe service, it is not appropriate to suggest an extension in the opening hours of practices. The NHS-England ‘Call for Action’ acknowledges that 76% of patients are happy with access to general practice, and we deplore this populist promotion of convenience.’ Said Prit, and I agree.
Responding to government proposals to pilot extended GP practice opening hours Chair of the BMA’s GP Committee, Dr Chaand Nagpaul said:
“GPs are always open to new ways of working that can benefit patients.
“Many GP practices already offer extended opening hours and provide out of hours care to meet the needs of their local populations and provide the best quality care for patients.
“Crucially, for this to work the government needs to address issues around GP numbers and support services. Without extra GPs the existing workforce will have to be stretched over seven days, meaning potentially reduced services during the week. It will also require additional resources and investment in support and diagnostic staff such as district nurses and access to community care so GPs can meaningfully provide a full service across the week, and it remains to be seen if the money set aside will be enough to deliver this.
“The BMA will be interested in the results of this pilot and are committed to working with the government to improve access to care for patients, but the GPs will need more detail on how it will work in reality, particularly when it comes to staffing and resources.”
September 17th, 2013
I photograph runners.
Parkrun is a growing and benign phenomenon and photographing the first Yeovil Montacute run was interesting. I hope it also has some social utility.
The light was very bright and hard at the finish
This almost looks flashlit but is purely ambient.
Montacute House makes a great backdrop.
August 27th, 2013
But we don’t need to join in.
August 20th, 2013
http://www.theguardian.com/world/2013/aug/19/david-miranda-interview-detention-heathrow. I edge to the embarrassing stupidity and a dash of bullying, together with manifest contempt for a rule of law, rather than the latter, just, as yet. Do these people have sensible colleagues? Now would be a good time for some argument and re-education.
August 7th, 2013
IN Queensland the payment system for state – public – employees has been an expensive embarrassment, IBM are now being blamed, but reasonably enough point out their fees are a tiny proportion of the reported costs of the mess http://www.theregister.co.uk/2013/08/07/australian_state_bans_ibm_from_future_work/. Meanwhile in England, or possibly the UK, the DWP is processing by hand its new rules on benefit capping, the computer system having not been made capable of dealing with it before it is declared to be applied.
The NHS has a habit of releasing requirements for computerised record and automation systems well after the start of the period for which they are to apply them – this never works, and doing administrative things twice is not a good way of getting more medical and other care for patients, is it.
There is much to be said for the setters of these rules considering how they are to be implemented, and that requires them to actually listen to the people who write the software. There has long been resistance to this in management and politics, but we can’t afford people running the State who don’t know how their rules are implemented now.
July 31st, 2013
Quite when it was sorted I don’t know, but the car has probably had new firmware, and the phone has had a new version of ANdroid, and now they talk nicely. I was slightly missing that facility. But not enough to change phones back to eg iPhone.
Avoiding dependencies in the first place is the way to go, but I can see it is sometimes not trivial to do so.
July 24th, 2013
Barbara Hakin, chief operating officer of NHS England, told Today that it was “very disappointing” A&E departments did not have sufficient senior cover. She said: “We need to work much harder to make this an attractive profession for young doctors.”
She denied that the 111 service had been launched too early, blaming other issues
“If certain providers had done what they said they were going to do and had the call-handlers in place it would have been fine.”
The NHS management and DoH have rather often made assumptions that all would be well, and pressed on, despite all clearly not being in place. MMC was another case in point, and part of the reason for the defficit of doctors in A&E.
The responsibility for ensuring important new changes don’t go ahead if the necessary work has not been done is that of people who have job titles similar to “Chief Operation Officer”, it is very disappointing to see one quoted as disputing this.
In other news, I see the Chief Nurse at Stafford asserted that nursing wasn’t part of her responsibility. I don’t think the NMC who are currently hearing her will accept that, but we shall see.
I recall in the days of the Internet Boom, or Bubble, taking advice on job titles. Do not, I was told, accept a title with “Director” in it unless you are actually a director, becuase if it goes pear-shaped the authorities will assume that your title described your job, your responsibilities, and your powers. So I was a medical adviser.
July 21st, 2013
winauth.nhs.uk is not responding to HTTP or ping requests. It seems to be some sort of arguably pointless authorisation server for pages on NHS Choices – the front page of the NHS. The announcement that the Shingles vaccine will be introduced from 1 Sept. is a good bit of front page news, but clicking the link as invited gets a long wait and then a failure notice. I know it is hot, but come on.