Posts Tagged ‘Patients’

Pilot of patients calling NHS Direct to see GP

Telegraph - 9th February 2011 12:55 pm

Patients could soon be forced to ring NHS Direct to arrange a GP appointment as part of the first trial of centralising booking systems.

By late summer tens of thousands of people across Surrey could have to call 111, the new non-emergency number, to book an appointment, as doctors look at streamlining their administration methods and reducing their costs.

If successful, the plan could be adopted nationwide.

But many patients are likely to object to the change fearing that a call centre will result in poorer customer service and longer waits. Some GPs believe such a system will prove unworkable.

There are also likely to be doubts about whether NHS Direct has the capacity and capability to run the service.

While the first pilot is to be launched by a consortium of 20 practices in Surrey called EsyDoc, NHS Direct is also in talks with another eight consortia.

Read more in The Telegraph.

Letter says NHS reform ‘risks diluting patient power’

BBC Health - 8th February 2011 5:51 pm

Patients risk having less of a say in the running of the NHS in England under the proposed shake-up, eight leading health charities say.

GPs are being given control of much of the NHS budget under the changes laid before Parliament last month.

Part of the reasoning was that it would help empower patients, but the groups, including the British Heart Foundation, said it could weaken their involvement.

The government insisted the changes would give patients “real clout”.

The intervention by the health charities - in a letter published in The Times - follows widespread criticism of the reforms by health unions and MPs last month when the bill paving the way for the changes was published.

The letter, which was also signed by the Alzheimer’s Society and mental health charity Rethink, questioned the powers and resources being given to the local Health Watch bodies, which will be set up across the country to represent patient interests in the new NHS structure.

Read more on BBC Health.

It’s surreal being on the receiving end of treatment

By Tom Goodfellow - 23rd June 2010 11:18 am

Well it’s over, my little brush with mortality that is. I came round covered with inexplicable symmetrical scars in unexpected places, a bit like the appearance of corn circles on my once pristine body. I am also sprouting lots of barbed wire on my chest. However the guys and gals in scrubs have done a great job so many thanks, and yes I did insist on being called Dr Goodfellow throughout, so thanks Bob Bury.

To be honest I found the whole experience quite unreal as if it was all happening to someone else quite apart from me. Nothing could better exemplify this than an event which occurred on my second post-operative day when admittedly I was still suffering from mild drug-induced hallucinations. The well-known effects of opiates on the innards were taking their toll and, because I was still wired up to the National Grid, the nurses placed me on a commode then kindly left me to my own devices (don’t worry, this is as personal as it gets).

After a few minutes there came a knock on the door and a cheery bloke stuck his head in. “OK to check the shower?” he asked. I am not sure what I replied but he took it as an affirmation and pushed passed me into the en suite bathroom where he splashed around for a few minutes, presumably checking that I was not about to be infected with Legionella. Emerging with a cheery “Thanks mate”, he disappeared, leaving me enthroned in splendour.

Now if I was a sensitive soul I could have been quite offended at this serious breach of my personal privacy and dignity (which it undoubtedly was). However I actually found it hilariously surreal in a Pythonesque sort of way, and it merely added to my sense of dissociation. Surely this was not happening to me? Slipping in and out of half-consciousness I spent the rest of the day dreaming imaginatively of whom else I might like to inadvertently intrude on my presence in such a way.

I’m now laid off until September my dreams of languorously topping up the tan have been cruelly shattered by a text message, yes a text message, from the cheery cardiologist to remind me of the photosensitivity effects of one of the pills he is feeding me. It seems that if I am exposed to the sun my skin will fall off. So that is the rest of the summer completely buggered. I have instructed the wife to put up heavy blackout curtains throughout the house to prevent a single ray of sunlight from striking my pallid sallow skin.

Henceforth I shall only go outside after dark and, having been left profoundly anaemic by the surgeons, I will seek out additional sources of iron from whatever source I can find (well anything must be better that those ghastly pills they have given me). I wonder where the kid has left his Batman cloak?

On a separate matter, in my last blog, I commented on the departure of our latest CEO leaving the trust “rudderless”. I have subsequently learned that the job has been given to a longstanding mate and colleague. I am sure he will do a good job and I wish him well.

Something fishy about the public’s expectations

By Katherine Teale - 23rd January 2010 5:42 pm

It was Aneurin Bevan who, in 1948, said of the NHS: ”We never shall have all we need. Expectation will always exceed capacity.” How true that is, as much now as it was then. 

On this occasion our capacity was particularly inadequate: the NHS allowed our patient’s fishfingers to defrost. It would never happen in the private sector.

Our patient turned up on our same-day admissions unit, built in a desperate attempt to reduce our length-of-stay, along with five bulging carrier bags of shopping. She casually asked sister to put the frozen food in the freezer while she underwent surgery. Her argument was quite logical, if you’ve actually lost touched with reality some time previously. 

“The doctor told me I wouldn’t be able to go out of the house for two weeks”, she explained - the possibility of doing the shopping on the day prior to admission evidently not having occurred to her. And why stop there, perhaps she’d like us to pop round and spruce up her cushions or walk the dog while she’s in recovery?

I must suggest it to our PR department: it might give us the edge over the opposition  on Choose and Book. But, back in the real world, our theatre fridge was already full of rather more important materials such as drugs, blood and my sandwiches (only joking), so we were unable to satisfy her request. It resulted in the ’bad outcome’ of defrosted food which probably merited an adverse incident form.  

I can feel the complaint winging it’s way towards us as I write. No doubt I shall be instructed to alter our patient information sheet to include the words: “Please do not stop off at ASDA on the way to the hospital to do the next month’s shopping”.

Of course, patients, or consumers as they should now be called, have been allowed to think that healthcare is a commodity like any other, which they have a right to demand whenever and wherever they like, preferably online and with a home-delivery service. The sad truth is that no health care service in the world can ever deliver such a service to everyone - not the NHS, and certainly not the American system where you’re at the mercy of your insurance company, should you be lucky enough to have one. 

Even France, with whose health system we are always unfavourably compared, has recently been reducing the range of services covered by it’s social insurance system because it’s become so expensive. Some one up there in Whitehall needs to have the courage to stand up and tell it like it is - although, come to think of it, any politician who told such an unpalatable truth just before a general election would have about as much chance of being elected as one of my patient’s soggy fish…

Repressed or vulgar patients? Take your pick

By Tom Goodfellow - 10th January 2010 5:04 pm

I had a ‘tumpty-tum’ patient in ultrasound today, the sort who whistle or hum tunelessly to themselves while you are scanning them.

They are very much of a type, almost always men over 60 wearing brand new gleaming white underwear, clearly purchased by the wife for the trip to the hospital (for what man will go into M&S to buy white pants).

They are over co-operative in a generally unhelpful way, insisting on removing their shoes because they “don’t want to dirty the sheets”. Ask them to lie down they will climb on at the foot of the couch and somehow worm their way half way up then come to rest with their head not yet on the pillow and feet dangling off the end. Others will climb onto their hands and knees and lie on their belly. When asked to loosen their clothing they pull their knickers down to their knees, baring all. Put them in a hospital gown and all they want to do is take it off. And then starts the subliminal ‘tumpty-tumpty-tum’ while you do the business.

Don’t misunderstand me, I have great affection for these patients who are invariably polite and jovial. Their odd behaviour is because they are trying to compensate for their acute embarrassment. They are from a generation of men among whom bodily parts and functions were simply not discussed (other than by doctors who have a special dispensation).

My own late father was of that type. I have a vivid memory of many years ago while travelling with him in the car. I farted (as young lads are occasionally inclined to do). “What’s that?” he exclaimed. Then after an excruciatingly embarrassing silence lasting aeons he simply remarked: “Oh!” And that was it, no further conversation.

Throughout my childhood and adolescence the word “penis” never once crossed his lips, at least not in my presence. 

What a contrast to the 18-year-old lad whose scrotal hydrocoele I scanned the other day. He was completely uninhibited about getting his kit off, and discussed with me in great detail the differing size of his bollocks (his words) and the effect on his performance. He was also completely frank about discussing his girlfriend’s views on his endowments. He had a disarmingly complete lack of modesty.

So which extreme do I prefer? While the obsessive avoidance of anything remotely bodily speaks of a rather unhealthy repressed view on life, the total frankness of the other on all matters physical and sexual borders, to my thinking, on the vulgar.

I am going to have to think about this one…tumpty-tumpty-tum!