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first place, probably because she knew that very little would be done. And such has proved to be the case. Despite presenting with what I and the rest of her family perceive to be clear difficulties with attention and other inappropriate behaviour (for at least the last four years), she has been fobbed off with play therapy (the first time), an ‘assessment’ by a clinical psychologist who diagnosed ‘clinically significant’ separation and social anxiety but discharged her and did nothing.
From: Nicola Hayward Subject: Long GP waiting times are a ‘national disgrace’ – RCGP
Patients are able to be seen the same day – but just not for routine things! If they have an urgent problem (and by urgent, it’s urgent to them, not necessarily clinically urgent) they will be seen, but they’ll maybe have to wait until the end of the surgery session.
Patient expectations have been raised by government directives telling them what they should
have...and as one patient said to me: “If I can buy potatoes at 3am at Tesco, why can’t I see a doctor?”
People are reluctant to put their health first and demand that we move our appointments to suit their lifestyle, and yet they wouldn’t dare ask the same of a solicitor. Try getting a builder to come out to you when you want… and yet the expectation is that your named GP will be there at the surgery when it’s convenient for you.
Perhaps if the government reduced the amount of paperwork, bureaucracy and tick-box medicine we have to do in order to get paid a pittance, then maybe my doctors would have more time to
see more patients and actually do the job they were trained to do!
From: David Subject: GPs to be paid £55 a patient to diagnose dementia
This is a very worrying trend. In my experience, it is not GPs who are best placed to diagnose dementia. In the case of my father – now deceased – it was a psychiatrist who diagnosed him with Alzheimer’s.
The role of the GP was to refer him for diagnosis only, and thus the GP is doing the job for which he [is] more than adequately paid already. This is just more tick-box medicine and sets a dangerous precedent.
From: Vicki Subject: ‘Deeply ingrained problems’ in children’s mental health services
I’m really not surprised to read of the dire state of CAMHS (Child and Adolescent Mental Health Services). I have had three ineffectual interactions with CAMHS on behalf of my daughter, who is now 10.
It was difficult enough to persuade my GP of the need to refer in the
On the third occasion I had a letter saying we would be referred for some family liaison, which was meaningless since that was well over four months ago and we haven’t heard anything.
In desperation I have taken her to a private psychiatrist who is doing a full battery of neurological tests which, she says, are necessary because of her symptoms and because she will need support before and during her transition to secondary school. And not before time, although it is proving expensive as we are paying ourselves. So yes, I’d say my daughter has been badly let down by CAMHS!
From: Bryn Sage, CEO of Inhealthcare Subject: All patients to benefit from ‘named’ GP for care
Instead of piling more pressure onto medical staff, the NHS needs to reconsider how it is delivering services.
Communication technologies have changed just about all other aspects of our lives – from shopping to banking – but the healthcare sector is yet to fully take advantage of how technology
can help it provide a more efficient service. While some conditions will always require a face-to-face visit, there are many that could be just as effectively managed using self-monitoring technologies. Not only would this free-up clinicians’ time to focus on those with more urgent needs, but would also allow patients – particularly those with long-term conditions – to take more control over their health.
There is no doubt that there have been some failings where digital health is concerned in the past – but that doesn’t mean that we should hang up our digital stethoscopes just yet.
We need to get behind clinical staff and provide them with the means to do their jobs as efficiently as possible, without doubling their workload overnight. Digital health does just this. What political leaders really need to pledge is a system that works for doctors and patients in equal measure, otherwise these conversations will be a recurring theme for years to come.
From: Anne Ashurst Subject: NHS complaint records made public
Not enough people know about the NHS Constitution and their rights in hospitals. This needs to change, giving a person a voice before things go wrong.
Families are not being involved; patients’ needs are not taken into account. These qualities are needed for vulnerable people. Inadequate care should not be acceptable in our society.
The frail and elderly need dignified, honest and trustworthy care. This can have a profound effect on a person’s wellbeing.
national health executive Nov/Dec 14 | 17
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