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Knee jerk problem solving and conflicting inter-departmental targets Where? The NHS.
Sarah is 55. "Go and see your doctor and tell him (tell him, note) to sign you off work so that you can get invalidity benefit."Naturally, I refused. I do not need directions from Alan Johnson. I know what my job is. I have no time for the work-shy. Sarah needs to be taught a lesson, so this is what I said to her: "It's idle benefit scrounging scum like you who are bringing this country to its knees. Why should the taxpayer featherbed idle malingerers like you? Stop whinging and get behind a till at Tesco. Do something with your life, you indolent sod. People like you make me sick."Oddly, that is not true. I signed her off work for six months, and I shall keep her signed off until she gets her transplant or reaches retirement age. This is a classic example of government hypocrisy. GPs are being blamed by Alan Johnson and the DOH for the high number of people drawing invalidly benefit but at the same time another branch of government is pressurising the unemployed, and their doctors, to get people onto invalidity benefit. It makes the unemployment figures look better. GPs will not act as government police officers. We act for our patients not for the government. I will not deliberately issue a fraudulent certificate, but I will always give the benefit of the doubt to my patient. And 'Renal failure, peritoneal dialysis & diabetes' in a 55 year old is unchallengeable on a certificate. Sarah will not be called for an independent medical. Sarah is ready, willing and able to work 'with limitations.' Who does get called for medicals? Often it is those with chronic mental illness which the inexperienced doctors who work for the benefits agencies do not have the skills or often the understanding of English to assess properly. It is so much easier to take benefits off a schizophrenic. Soon, of course, GPs will be gone. Patients such as Sarah will see some callous, protocol driven quacktitioner at the polyclinic who knows nothing of their previous life and will not hesitate to offer a "wellness" certificate. There will be a financial bonus for quacktitioners who hit government defined wellness certificate targets. I want no part of this health policing. By Dr John Crippen. [NHS Blog Doctor] 12:43:19 PM Comment on this Item |
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Scandal of patients left for hours outside A&E Hospitals were last night accused of keeping thousands of seriously ill patients in ambulance 'holding patterns' outside accident and emergency units to meet a government pledge that all patients are treated within four hours of admission.
Those affected by 'patient stacking' include people with broken limbs or those suffering fits or breathing problems. An Observer investigation has also found that some wait for up to five hours in ambulances because A&E units have refused to admit them until they can guarantee to treat them within the time limit. Apart from the danger posed to patients, the detaining of ambulances means vehicles and trained crew are not available to answer new 999 calls because they are being kept on hospital sites. |

