Patrick Newman's Comments
Comment on: Knee, hip and eye ops 'rationed'
Anon 12.02 - Wishful thinking and I am sure many would be pleased to see the evidence and examples so that good practice can be spread. The reality is something like an 90 year old I know who was told that her cataracts had to 'mature' before they could be done. QIPP is 90% cost reduction and 10% efficiency. I wonder if Mid Staffs met their QIPP targets?
Comment on: HSJ Live: 05.12.13 Decade of NHS austerity
Anybody who thinks that the NHS budget past present and future is protected from cuts is wandering with rose tinted spectacles through a smoke filled hall of mirrors. See previous HSJ analysis on budgets and QIPP.
Sorry folks it's too late. FT's (Frankenstein Trusts) are the ayes that have it. It's what the Health services has created and the idolisation of the value of scale (both economics and clinical) and the relative autonomy in a weakly managed internal market has ensured the power is growing in the acute sector. Merging CCG's will be behind the curve. Needed is the NHSE - NHS Executive!
Comment on: Five thousand deferrals in GMC skills check
I wonder what the doctors think of the scheme. Difficult to disagree with the principle and it should be nurtured and not allowed to turn into a box ticking exercise that so many appraisal/assessment scheme become or be corrupted by the plague of PRP.
The £250 is a one off or at least it is not guaranteed to roll on to later financial years. Yet some proposals seem to imply recurring revenue. Has the service got a reserve army of GP's to be trained to 'care' for dementia patients?
Monitor out of its depth? - call for OFTman. CCG's not yet fit for purpose - well the clinicians are inexperienced and part time. Any idea what will be achieved by a merger? - better bottom line and more travelling by patients and relatives.
Comment on: Royal Wolverhampton FT bid delayed
The planning might be ahead of the curve but the reality is still well behind. The staffing issue is of concern in itself and not because it holds up the descent into foundation trust status.
Comment on: Mental health inspection blueprint unveiled
assaults and management of waiting lists are also very important issues of performance and safety.
Comment on: Doctors 'sceptical about inquiries'
These are shocking statistics and possibly more significant than the Francis report. Wilful neglect cannot be treated as a learning need - read the words! However carelessness or even incompetence can be seen in a light that is far from predominantly disciplinary. Good policies on competence and capability can be entirely focused on learning and support - at least in their early application.
Comment on: A&Es to get extra beds this winter
I did not know we had the NHS equivalent of the territorial army of clinicians. I make it £400M when the extra £150M is added in. If the government would properly resource the NHS acute sector there would need not be the panic measures reported here, which will inevitably prove expensive and only partially effective. Still perhaps the service will get back some of the £5bn underspend the Treasury creamed off since 2010.