LETTERS
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From: Simon Dodds, Clinical Director, Heart Of England NHS Foundation Trust Subject: NHS reforms
As a national service improvement award winner I speak from a position of reality rather than rhetoric when I say that the current ambitions for NHS reform cannot work because no one in the NHS knows how to implement them.
This ignorance is historical and systemic – and treatable. The knowledge gap that the NHS is not aware it has (blissful ignorance or Johari blind spot), at any level including DoH, is in a subject called Operations Management: the body of knowledge that describes how to design, deliver and develop processes and systems.
I have never met an NHS operational manager who has been trained in OM – or a clinician for that matter (though I would not expect doctors to have this skill) – and the reason seems to be twofold: first that no-one sees the blind-spot (Johari window) and second that there is no accredited training for healthcare OM because of the first reason.
I have learned that OM works just as well in healthcare as it does outside – it is not that healthcare is different in some way – and that with the benefit of OM training a 20% improvement in productivity is possible in the time frame.
What appears to be difficult is raising awareness of this blind- spot within the NHS executive organ – the step after blissful ignorance is painful awareness – and the Government at least are demonstrating some humility.
If the rest of the NHS doesn’t then we are sunk – patients, NHS staff, and taxpayers. We all lose.
Help us NHE – you’re our only hope!
Cameron accused GPs of giving preferential access to dinner party friends
From: Dr Michael Pelly, Con- sultant Physician in General and Stroke medicine, Chelsea & West- minster Hospital Subject: NHS reforms
I think this is a shambles and very depressing for all those in the NHS.
Why after seven years they failed to understand things that are sud- denly so obvious is staggering at best or disingenuous at worst. I am sad to conclude that they have not listened before and therefore one has to conclude that their decision making processes are faulty.
I remain deeply sceptical, particu- larly after the fiascos of the care homes, NPfIT, PFI and so on.
When will we have a long-term cross party agreement on how to run the NHS for the long-term benefit of the country, without the endless posturing by the political animals of the day?
From: Dr Marek Koperski, PEC Chair, Camden, NHS North Cen- tral London Subject: GPs attack Cameron over ‘dinner party’ remarks
I have never heard such nonsense. Perhaps this is the situation for Cameron himself who has man- aged to get personal attention for himself and his family because of his powerful position?
From: Dr NA Fletcher, Clinical Director (Neurology), The Walton Centre Subject: GPs attack Cameron over ‘dinner party’ remarks
Actually, all NHS patients get a lot extra out of doctors all the time – for very little. It is rubbish to say this applies only to rich or well-connected people. Massive amounts of work at no or very low rates of pay are done by most doc- tors every single day of the week, out of goodwill and vocation.
If only these ridiculous, ignorant politicians (who do nothing much for anyone) knew this. This is how they messed up contracts in the last government.
It is all such anecdotal, London- centric nonsense. Most doctors re- ally hate these government / DoH people and that is not a healthy state of affairs.
From: Alistair Flowerdew Subject: GPs attack Cameron over ‘dinner party’ remarks
There is clearly an element of truth in what David Cameron says.
It is not appropriate to smear all GPs as a result of the statement and a more qualified response from Dr Laurence Buckman would have kept the right balance.
From: Kathryn Marrin, Unit
Manager, Cumbria and Lancashire Health Protection Unit Subject: GPs attack Cameron over ‘dinner party’ remarks
I wholeheartedly agree with the comments. Getting to see your GP is quite often a formidable task.
As a person with an ongoing health issue, I still don’t get to speak to a doctor – usually a nurse assistant!
From: Ian Monaghan (personal capacity) Subject: Lansley’s pensions letter
The 18 year point is irrelevant! Someone with 18 years gets 18/40ths of pension benefits, and, if they have another, say, 22 years with another company/sector they will get a full pension, and if they only work 18 years it is perfectly OK to only get 18 years of pension attributed to them.
From: Nigel Padgham, Ex Clini- cal Director, East Kent Hospitals University NHS Foundation Trust Subject: PAC report into NPfIT
I was involved in this program at Trust level – it was top down in the worst possible way, and the aims now are watered down to a level where if introduced in the current form it is worthless.
Throwing good money after bad is always a bad policy.
At a time when money is tight, this is the first thing that should go!
national health executive Jul/Aug 11 | 15
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