For many year’s the holy grail of general practice has been continuity of care and in particular the ability to see the same doctor repeatedly. The benefits to the patient, their family and the NHS are significant – patients are more likely to be diagnosed and managed correctly at a considerably reduced cost to the… Read More »
Regular readers will know that I’m not averse from criticising a politician or two. This is usually because they’ve been interfering with the working of the NHS which tends to be to the detriment of all of us. The present austerity measures were based on a flawed academic paper from the USA but even when… Read More »
Usually the December edition is quite light-hearted. But alas the NHS is facing unprecedented challenges and in view of the impending action by junior doctors it seemed appropriate to tell their side of the story. I fear that the government and media are likely to spin the story a different way. The following letter is… Read More »
Regular readers of the Daily Mail know that I spent most of my spare time on the golf course. They are also aware that I spend most of my work time on the golf course and on the rare occasions that I see patients I’m most likely to be distracted by thoughts of being on… Read More »
The government loves euphemisms. Euphemism is in itself a euphemism for saying that something is one thing when you really mean its something else. The classical one is when a prime minister states that he has ‘absolute confidence in the minister ….’ Which means I have absolutely no confidence in the minister and his P45… Read More »
Several patients have recently asked me how we intend to implement the Government’s flagship program of 7 day access to GPs. When asked such questions I revisit some of the emotions when I first heard the Prime Minister making promises prior to the election. Incredulity, frustration, annoyance, anger and (reluctantly) acceptance. I think Mr Cameron’s… Read More »
There was a time when the dates of general elections were decided on the whim of the PM, but one of the first acts of the coalition was to fix elections to a 5 year cycle. I find it hard to believe that our policy makers didn’t think of the possibility that the next election… Read More »
It seems I’m not the only GP sceptic about the use of management terms in the running of the NHS. All too often it seems that a lot of people meet to discuss some really important points but little appears to change.