The trouble with going on holiday is that when you get back you need another one to recover from the backlog! Actually that is unfair to the HCSA team who provided a seamless service whilst I was away. On reflection, the more depressing aspect of getting back is to find that nothing has changed: the same old problems remain.
Consultants facing a pay freeze (or a cut in real terms), and Machiavellian management styles from aggressive trust regimes, would perhaps have some empathy with Colin Tucker brought in to turnaround the Social Services Department in Birmingham. In an honest appraisal of what had gone wrong in social services he said on Radio 4’s Today Programme that he would not want one of his children to become a social worker in today’s climate.
Noel Coward had flair with words and music, as the ditty ”Don’t put your daughter on the stage Mrs Worthington” demonstrated. But I wonder what advice he would have given to her if she decided that her daughter should become a hospital doctor instead? Something like this perhaps:
Don’t put your daughter into medicine, Mrs Worthington,
Don’t put your daughter into medicine,
The profession is undervalued
And a consultant’s life is tough;
I admit the fact she’s bright
And yearns to treat patients right
But she will for ever be a trainee at night.
She has nice hands, to give the wretched girl her due,
Quite dexterous from a surgical point of view
But in years of validation
And control beyond imagination
They will soon become hard
With no time for preparation,
As management find ways of
Reducing SPA’s by two.
If targets are her thing
And performance the “be and all”
Then who knows she may walk tall.
But if she wants a life of fun
When her life has just begun
Do you want her reduced to tears
As the pressures take their years?
Then I repeat
Mrs Worthington,
Sweet Mrs Worthington,
Don’t put your daughter into medicine!
Now Mr Coward - what about Mrs Worthington wanting her daughter to be a lawyer or accountant?
Tags: Management

You’d have to be a mad dog or an Englishman to encourage a child to go into medicine…
Doctors were moaning that everything was going to the dogs in the 70s. They did it in the 80s. They did it in the 90s. And they even did it at the start of the noughties when there was a lot of cash swishing around.
It’s still a great, privileged job (even if we have to accept some fiduciary compromise).
Off on holiday tomorrow and my daughters just asking me whether they should become doctors when they grow up as I read this!!! Spooky. Thanks for the advice and the song, hope they listen to it!!