BMA poll: what’s wrong with email consultations

We should rejoice:  in the latest BMA poll, 86% of GPs agree that telephone consultations are an effective way of consulting with patients for appropriate reasons. Further: 63% believe that telephone consultations can be an effective way of managing demand as an alternative to face to face consultations. (15 years after the first GP pioneers […]

What are they queuing for?

Newspapers know how to build a story around a picture.  At times irresponsibly, sometimes showing what we need to understand. The one of the queue outside the GP has done the rounds, and does show the reality outside many practices at 8am.  Even if few are standing outside the door, many more are trying to […]

Hospital accreditation to end - in Denmark

PRESS RELEASE 20 April 2023 - Paperwork out for hospitals.   Original in Danish The health minister and chairman of Danish regions both want more quality and less bureaucracy and therefore now want to change the way hospital quality is measured. Doctors and nurses employed in public hospitals have said in recent years.‘We are drowning in manuals and […]

Are you suffering from anxiety demand?

Someone very close to me whom I have known all his life (we shall call him S) has had recurring headaches for three weeks.  He has seen the GP, who diagnosed viral sinusitis, nothing to be done except OTC pain relief.  See again in a month if no change. Someone else even closer to me whom […]

GPs spending too long with most of their patients

We are doomed to more spin than substance in the next four weeks, but somehow I expected better from the BMA.  Their poll on GP workload is quite interesting if you read the original.  Let me quote:   “Most GPs describe their workload as being generally manageable, but too busy at times (53%)”.  Well, hello […]

The Dover Chart Collection

Play the top 50 charts as fast as you like - there’s a picture surprise at the end.   This is an embedded Microsoft Office presentation, powered by Office Online.

Soldiers to work 8-8, seven days a week

“Soldiers to work 8-8, seven days a week in government directive” “Armed forces guarantee response to attack within 48 hours” “All wars must start within 18 weeks of a referral from parliament” Faintly ridiculous?  It’s ironic that the arm of the state occasionally tasked with shooting at things is less subject to targets than the […]

Dot Community Health honoured in Daily Mail

It is with great pleasure that I announce our award today of the coveted DDM - Dissed in the Daily Mail.  It has taken over three years to reach this moment, so let us savour it. Readers will wonder how they managed to spin bad news eliminating the wait to see a GP but they […]

It’s time to ban competition in the NHS

The campaign has officially started and with the NHS a key battleground Labour fires the first shot, capping the profit that private providers can make at 5%. What were they thinking of?  It’s a small enough margin to keep out innovative private competition, who simply won’t be bothered.  That may be enough to ensure mediocrity […]

Eclipse cancelled in government IT project failure

Just musing on why such a mashup of last Friday’s headlines sounds strange.  It challenges our notions of predictability, whether the latest government IT project would fail, or the eclipse would happen on 20th March. I often ask a practice team, “Which is more predictable, your 10,000 random patients or your six dedicated professionals?”  There’s […]