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Dr Paul Worthington

Dr Paul Worthington

Cwm Taf CHC

Recent activity

Comments (136)

  • Comment on: Exclusive: Labour could make NICE guidance mandatory

    Dr Paul Worthington's comment 30-Oct-2014 2:42 pm

    there are some really difficult issues in here and Andy Burnham would be sensible in leaving some wriggle room. Couple of comments: - its is absolutely right that a guideline is not a regulation. Don't let's confuse the two and any attempt to make NICE stuff mandatory is a massive step - don't pretend that this won't have an enormous cash and resource implication. It will and I'm sure Burnham has no answer to that at the moment - there's a need for a decent and robust debate about affordability and priorities. We'v e gone beyond the point of bluffing about what's delieverable - and there's a need to discuss the local/national tension in prioritising - but above all, let's have a decent and honest debate. Please don't anybody make some convenient political promises that others have to pick up the pieces on

  • Comment on: Burnham's politics will have an instant impact on CCGs' policy

    Dr Paul Worthington's comment 4-Aug-2014 4:07 pm

    David You're right to to take to task our anonymous 'colleague' who slates public sector employees. Thhere are occasions when anonymous postings may be necessary and you could argfue that it's the opnions that matter, not the person posting it. Indeed, the standard of most postings on here is smashing. But...when all one wishes to contirbute capable of is mindless and ill-informed abuse, better to identify yourself or just stay silent.

  • Comment on: Burnham's politics will have an instant impact on CCGs' policy

    Dr Paul Worthington's comment 4-Aug-2014 2:59 pm

    David You're right to to take to task our anonymous 'colleague' who slates public sector employees. Thhere are occasions when anonymous postings may be necessary and you could argfue that it's the opnions that matter, not the person posting it. Indeed, the standard of most postings on here is smashing. But...when all one wishes to contirbute capable of is mindless and ill-informed abuse, better to identify yourself or just stay silent.

  • Comment on: Healthwatch needs to punch its weight

    Dr Paul Worthington's comment 24-Jul-2014 11:20 am

    Hi there Good and througghtful article. I'm speaking as a CHC (yes we still have them !) Chief Officer from Wales (yes, HSJ, we're still here !). Just wanted to add a couple of thoughts: - when it comes to engagement and consultation. the requiremesnts in wales are very well set out (and no, they don't inclde the Lansley 4) - CHCs have a very clear role in consultation, which is set ou in regulations and statute. This includes the right also to refer a proposal to the Minister if we're not happy.The role of Healthwatch in this area is much less clearly defined - in fact, the role, rights and structure of Healthwatch is arguably much less clearly defined than CHCs in Wales (and less well resourced) - but much stratetgic and service change is of necessity being planned and executed across a more regional basis. It will sometimes be multi-CCG, and that's OK. Over the last 18 months + we've been undertaking major consultation on reshaping a number of acute services across South wales; 5 Health Boards, 5 CHCs, and we've managed it. Not without difficulties and some very hard decision. But one of the factors that has helped it is the clear role of CHCs, plus organisations working collaboratively, helped by some more regional support to co-ordinate. If anyone wants to talk to us across the border about how it worked, we'd be very happy. Perhaps the HSJ may even write about it......

  • Comment on: Surgeons call for review of 18 week waiting target

    Dr Paul Worthington's comment 12-Jul-2014 1:30 pm

    Interesting debate. A couple of things to say: - a few comments above about international comparisons. What are they ? let's have the facts and how many counties have comparable or affordable access regardless of ability to pay - I've worked in the NHS through times when we were struggling to get waiting times below 24 months. Don't anyone tell me targets don't have an impact - the phrase 'as quickly as clinically possible' is being flung around with pretty gay abandon here. What does that mean ? And what impact would it have on management of other non-electic=ve conditions ? - I'm all in favour of debating how and if that's practically achieveable. let's have an open, honest and realistic discussion. But having worked a lot on waiting list issues in the past, it's clear that - although some would like to think so - there isn't a single solution. Individual lists often have their own dynamics, their own issues. What did often work was detailed attention to the processes by the clinicians and staff who are delivering the service. But let';s not try to solve these complex problem with platitudes and generalisations

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