mdf290
Honest question, not trolling.
Why don't you campaign against such madness, it's all well and good joe public going "cut the red tape" when most of us don't really know what that red tape is, as an insider with his head screwed on right, are you not in a position to do something?
I probably am but being right doesn't keep you in employment nor does making waves.
If any policy making politicians want to speak to me than I would be very happy to explain my concerns.
They will fall on deaf ears though because the Lawyers have effectively screwed up the NHS like they have everything else.
You cant change GPs because the BMA supports them and they don't want to change. As for nursing what do you do?.
If you sack all the crap ones the shortage will mean more locum and agency staff filling posts and the lack of accountability will continue.
It needs a complete reformation from the bottom up.
I would love to join a group , organisation or body who's aim is to improve the NHS.
That would bring a real focus and sense of fulfillment to my life.
My immediate solution would bring a lot of pain
Sacking crap nurses would create upheaval and backlash through the unions.
It would add to welfare costs.
It would initially add to NHS costs in terms of fighting tribunerals.
It would add to NHS costs replacing employees with agency staff.
I would like to see a cap on rates for agency worlers both GPs and nurses set at £30 for nurses of top grade and £65 for GPs.
I had the rather unedifiying experience of bartering with a GP to get him to work on a Bank holiday Monday. Our usual rate was £85. I had an embarassing half an hour mediating with an agency to get the GP down from £150 an hour to his lowest of £120 an hour otherwise I would have had to shut the service and risk the NHS contract we had to supply services.
The fallout would be strikes - cancelled treatments and perhaps even GPs leaving the country.
That is the problem
The NHS is caught by the short and curlies by the people whose so called oath is to make people better.....
When I opened the first GP surgery I had to do a quarterly report to the PCT.
It was a complete farce. We had only just opened up from scratch with zero patients after 3 months we had signed up around 300 patients.
The report I had to do even though we had so few patients and only some of them had chronic ailments had to include everything we had to report via QOF and also some extra contractuaral targets outside of a normal PMS contract.
I remember metioning to the panel in front of me that coming from a manufacturing background I could not believe how many non events I was having to report as within production we only reported volumes and failures.
In the NHS you report every single event that ever happens.
I had to create reports on the five aspecst of treatment recieved for example by chronic COPD patients when in fact we had not even signed any up. It meant just putting 0s in the boxes affecting our performance rating!!
The work required to get to those zeros had to be methodically the same as reposrting any other figures so I had to design templates and create reports joining database searches to arrive at the figures supplied by the database. The reports had to be run ethically to ensure the data was clean and correct etc etc.
It took weeks to create all the reporting templates and record searches and report back to the PCT how we arrived at the figures when in fact I could have written 5 0s in a box by hand in less than a minute.
Ok those reports will still be inuse now and give the correct figures when interogating the NHS database but it was an incredible waste of my time when the service was new.