“Competence, like truth, beauty and contact lenses, is in the eye of the beholder.”
CHRISTMAS TREES WITH A MESSAGE (2)
Read this.
“Competency based workforce planning
DH and the Workforce Review Team (WRT) that leads workforce planning across the health care workforce, are now working to develop the ‘Christmas tree’ model as a generic workforce-modelling tool. This will allow national and local workforce planning by individual, local organisations, to assess skills needs and future workforce requirements across levels rather than professions. In the long run this will support the development of competency based workforce planning across the whole healthcare workforce: determining the skills and competencies needed to deliver services and defining these by care group and pathways, rather than specific healthcare professions.
This X-tree modelling approach will enable the roles of the doctors of the future to be captured as part of the multi-disciplinary teams serving patients, and planning the medical workforce could then focus on those roles that only doctors can deliver.“
And below is The Witch Doctor’s interpretation of this:
It is a fact that “Christmas Tree” modelling tools are now being rolled out across the UK.
To the hospital where you work.
Soon the hospital “Talent Spotters” will appear to document the competencies you have already acquired.
It will be slow at first but it will gather momentum.
The Professions are dwindling.
Those remaining professionals will construct protocols, advise, interview, test, examine.
And, take the blame.
As for the medical profession…….
They have to be “Captured” in order to serve.
Captured into the 9 tier Practitioner system between levels 5 to 9.
Many “doctoring” tasks will be removed, so doctors will do what only doctors can do……
Competencies, protocols and clipboards will do everything else. They will become the “talents” of tomorrows health care.
Is this why some groups say we are producing too many doctors?
Probably.
Why then, is Sir Liam Donaldson a voice in the wilderness consistently saying we need more doctors?
Who knows!
Why does The Witch Doctor/CMO Pretender also say we need more doctors?
Because this far-fetched paper exercise is ill-conceived. Its conception is as flawed as a silly old bat without wings. It is more flawed than MTAS. The Witch Doctor can understand why it was conceived. There is a major demographic problem. The stragegic thinking beind this proposed solution to the problem is clever, and on the drawing board is well thought out. It will serve politicians well in the short term. It will make an interesting spreadsheet. Excel diagrams and Powerpoint presentations will love it. However, ultimately, patients will not. Staff will not. This huge undertaking, this elephant in the room, is an unkown quantity, is far too complex, the capability is not present within the NHS to see it through, and demoralised staff will not buy into it. Staff and patients will swim around in a shark infested soup of competencies but the system as it stands will not deliver. Futhermore, it ignores some basic fundamentals of healthcare.
It simply will not work.
In not working it will waste vast amounts of public money.
That’s why we need, and will continue to need more doctors.
That’s why every single junior doctor in this country should be placed within the system so that they are trained to be the very best they can be.
Placed within the system now.
In training posts.
All of them.
Training posts with breathing spaces if necessary.
Training posts which allow these doctors to develop into more than competencies.
Much, much more.
Competencies too. Of course. As it has ever been. Competencies that do not stand alone, but are firmly embedded in the judgement that comes with the experience and excellence earned within the discipline of a sound and learned profession.
A learned profession that this government, and a few slumbering but influential members of the medical profession itself, will soon discard.
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LINK TO UK MISSING KIDS WEBSITE
LINK TO MISSING PERSONS WEBSITE
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