Posted by: Witch Doctor | June 5, 2010

Scottish medicine – 2

witchround

You have received a telegram from The Oldest Sage Witch’s Highland Granny, My Black Cat…..

Is it written in The Gàidhlig or in The English?

The English.

What is she saying?

She says Scottish Medicine was once the envy of the world.

Well, she may be right about that, Scotland has fathered many medical sons of great renown – and probably some daughters too, although they elude The Witch Doctor at the moment.

What else is she saying?

She says there are signs Scottish medicine is going down the tubes.

Why does she think that?

Something to do with Patient Pathways………

She says Patient Pathways should be renamed Patient Mazes or even Patient Obstacle Races. Apparently she thinks they are designed to put a wedge between the patient and consultant and between the GP and consultant.

I thought they were called Patient Journeys now, My Back Cat.

Is The Oldest Sage Witch’s Highland Granny ill or something?

She says her GP wants her to see a consultant but the stupid Patient Pathway or Patient Journey to that consultant leads eventually to a brick wall that she can’t even get her best broom-stick to fly over.

She says she is having a calamitous Patient Experience.

Well, My Black Cat, the consultants must be colluding and conniving about this Patient Obstacle Race or brick walls would not be erected. The bricklayers are the consultants themselves.

Or else they are The Spineless Ones who can’t say “No.”

What else is she saying?

Hmm …….The rest is in The Gàidhlig.

She’s just rambling, My Black Cat, as all ancient witches do.

Take everything she says with a pinch of salt.

But go and find a witch’s cat somewhere who can speak The Gàidhlig.

CHECK OUT WHAT MY BLACK CAT IS READING

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Responses

  1. Oh Witch Doctor I fear for your Highland Granny The journey she is taking is indeed fraught with difficulty. She is on the road to nowhere. There is such fragmentation of care that she will end up confused and feel abandoned. Her GP may be confused too and will believe that he is now excluded from her care. She may collapse in his office and he will say “What do you want me to do? I have referred you and you are now in control” as he passes down the ‘phone and advises her to contact the emergency services.

    Eventually after months and months of crashing into brick walls she will finally obtain a dx. Her Patient Experience will be that of a nightmare. She will be disillusioned and angry and will make a complaint.

    In doinng this she experiences a new barrage of obstacles. She will be regarded as mentally unstable for what True Brit would complain? ‘The Meeting’ will be cancelled an re-appointed and cancelled an re-appointed and cancelled and re-appointed in an effort to sicken her off. When it finally happens it will begin ten minutes late to ensure that she knows who is in control.

    The consultant will sit there silently for the most part as he knows he is not in control. The jumped up, arrogant little upstarts that now mismanage the NHS will take control and diiscuss the ‘unusual pathway’ you encountered and will politely listen (?), but hear nothing.

    You are sent the minutes which are littered with errors which prove they were not listening at all and you again will be angry and disillusioned.

    I would propose a New Pathway that is controlled and run efficiently by medics and where GPs can recommend a consultant again. Bring back the Good Old Days!

  2. Don’t like to admit this, but..

    Whit’s Patient Pathways? Is it a Scottish Choose and Book? Is that where you go to see a consultant and end up seeing a nurse (a consultant nurse of course)?

  3. I’ll pass on the message about crashing into brick walls, IwantToLiveForever, and wait to see what The Oldest Sage Witch’s Highland Grany says.

    “I would propose a New Pathway that is controlled and run efficiently by medics and where GPs can recommend a consultant again. Bring back the Good Old Days!”

    Agree. The medical profession should never have allowed management interference with referral patterns for patients. By doing this they have abdicated their professionalism and even compromised patient confidentiality. What are patients supposed to do if their “choice” is a direct, confidential referral from their GP to a particular consultant? This is exactly the problem The Oldest Sage Witchs Highland Granny is illustrating only in her case it was not possible to refer her to a consultant at all in the first instance. I can’t go into more specific details because of patient confidentiality.

  4. Julie,

    “Whit’s patient pathways?”

    Patient Pathways in Scotland seems to have been developed by “The Centre for Change and Innovation which no longer exists but the specific pathways seem to and are being developed by something called “Task and Finnish Groups”

    I think much of this came about because of concern over waiting lists but has the potential to creep into areas that have nothing to do with waiting times.

    http://www.pathways.scot.nhs.uk/

    http://www.18weeks.scot.nhs.uk/how-to-achieve-and-maintain-18-weeks/pathways/patient-pathways/

    http://www.18weeks.scot.nhs.uk/how-to-achieve-and-maintain-18-weeks/pathways/five-key-changes/

  5. […] Now I have no idea what exactly is bugging the Oldest Sage Witch’s Highland Granny, because she writes a lot of her telegrams in “The Gaidhlig.” […]

  6. […] Now I have no idea what exactly is bugging the Oldest Sage Witch’s Highland Granny, because she writes a lot of her telegrams in “The Gaidhlig.” […]


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