Posted by: Witch Doctor | April 21, 2008

Policy by Powerpoint

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A MAJOR ELECTION ISSSUE?

The Witch Doctor fancies that David Cameron and his advisors feel the time is politically right for them to address the polyclinic issue.

DAVID CAMERON – TODAY’S SPEECH ON PRIMARY CARE

The Humankind don’t click much for some reason, so here are some extracts.

But click too, will you!

SHOULD THE GOVERNMENT EMULATE SURGEONS OR GPs?

…..”For too long the NHS has been treated by Government like a surgeon treats a patient – laid out unconscious on the operating table, passively receiving major invasive surgery. Instead we should treat the NHS more like a walking, talking, conscious adult, in its right mind: in need of treatment, yes, but able to understand what’s going on and, most importantly, able to take significant responsibility itself. In a word, we politicians need to treat the NHS as if we were its GP, not its surgeon….”

ABOUT ASSAULTS ON THE NHS

“It is genuinely impossible, looking back, to trace any coherent direction in the path of Labour’s health policy over the last 10 years. The one constant has been a restless series of changes which, to the NHS itself, have felt like a series of frontal assaults. It all reflects Labour’s seduction by management consultants.

It’s said in the private sector that no-one ever got fired for hiring IBM. The same seems to go for the NHS. You see it in all the constant upheavals: the PCGs and the PCTs, the SHAs and the StHAs, the fiasco of the junior doctors system which replaced recruitment by human beings with recruitment by a computer, and an incompetent computer at that; the billions – literally billions – of pounds of public money wasted.

It’s all the product of Labour’s bureaucratic mindset, or what I call policy by PowerPoint: clever flowcharts and organograms which ignore the human relationships that are the most important aspect of healthcare.”

ABOUT THE GP CONTRACT

“It is fundamentally dishonest for the Government to blame GPs for agreeing to a contract that ministers negotiated and urged GPs to accept. Nor is it GPs’ fault that they are being paid far more than they or the Government intended – it’s the Government’s fault for miscalculating doctors’ workload. And that’s what happens when you organise the health service using top-down bureaucratic methods dressed up to look good on a PowerPoint presentation.”

ABOUT PRIVATE PROVIDERS

“I often can’t help thinking that Labour have been blinded by the private sector – not just management consultants but private providers too.”

ABOUT THE WORST OF BOTH WORLDS

“Indeed, the Government has spent 10 years oscillating between the rhetoric of local decision making on one hand and their instinct for central control on the other.”

ABOUT THE ROLE OF THE GP

“And there is a good health rationale for GP budget-holding too: what’s called the continuity of care. The family doctor service is the way to ensure that – even though the patients may see many specialists – there is always one doctor in charge: the doctor closest to the patient. This is especially important when it comes to preventative action or the management of chronic conditions, which require significant patient involvement.”

ABOUT POLYCLINICS

“Now they are trying to abolish the family doctor service. Communities which have lost their Post Office, their local shops, their local police station, are going to lose their doctor. So the Conservative Party will fight Labour’s plans to close GP surgeries. We pledge to save the family doctor service from Gordon Brown’s NHS cuts.”

ABOUT MODERNISATION

“A truly modern health service would enhance the small local GP surgery, not abolish it.”

ABOUT GP’S PETITION

“I want us to establish now the consensus we need for a primary care led health service in the future.”

ABOUT THE FUTURE

“So we will formally make the NHS independent of Government control. And then last – the conclusion of these reforms – a transformation of the Department of Health itself. From the national manager of primary and acute care, to the agency responsible for public health.”

Well, My Black Cat, the NHS is going to become a major election issue.

Mr Brown would do well to realise that every voter in the land uses the NHS, works in the NHS, or has a close relative who uses or works in the NHS.

Everyone!

Elections can be won or lost on the NHS!

And sooner or later, this government’s spin that is demeaning the medical profession, so that voters are blinded to the multinationals waiting in the wings, will turn sour.

On that we agree, My Black Cat.


redapple.jpg a red apple ……………………

The Witch Doctor – Link to a random page

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LINK TO UK MISSING KIDS WEBSITE

LINK TO MISSING PERSONS WEBSITE

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