True mumblings, from a junior doctor...

24 Hour Seven Day Working NHS

So doctors should work 24/7 for their public, should they?

This public who think nothing of the head of the LTA getting £640,000 for making the sport smaller.

We have an over-entitled, over-fed, under-educated populace. People are not interested in taking care of themselves or others. Care has become expected rather than treasured.

Nowhere else in the world is the care as efficient or well managed. Sadly the politicians and ruling generation are all terrified of the "C" word (no not Jeremy Hunt), cancer.

Cancer can be awful, but often it's significance is over-played compared to cardiovascular disease, dementia, etc. Treatment is horrible, expensive and often of limited value. And yet we still cling to the idea of quantity rather than quality - who wants 5 extra months if you feel awful and want to die but won't… especially if it costs £1000-£10000s per day.

But the baby-boomer generation want to live to 90 in luxury, whilst our generation starve and scrape to pay for them. NIMBYs at home, and NIMLs at work and play (Not In My Lifetime).

Just think of the legacy they leave:

  • Environmental decay Poverty Global recession Youth un-employment

Just a thought...

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NIMBYs and the Green Revolution

Why are we not forging ahead with micro-generation and renewable energy in all new homes?

Is it the NIMBY element?

Is it the corrupt politicians?

In my opinion ALL new buildings - houses/offices/anything should be built with renewable energy sources. All homes should have solar panels for heat and energy.

If every new building in the public sector had this technology, not only would it be cheaper but the amount of waste that has not changed in 11 years.

This is not just an environmental problem but also an economic problem.

Can you imagine how much more money would be around if the wastage of millions of PCs was sorted?

Just imagine!

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More Rota Gaps, but that's ok cos if we ignore it no one will die...

Source 1 and Source 2

BMJ Careers Journal vs Department of Health Publicity Machine. I wonder who to believe????

Personally I would say that the 'overwhelming majority' is not enough. All this means is that the rotas are 'compliant'. Not full. Not actually workable. Not actually of benefit to patients or to doctors. It just means that another unwanted target has been foisted on the NHS by the Government and the EU. Especially as those services that have been given extra time are those who can't recruit - but every Trust already has large rota gaps and unfilled posts... How bad will it get before they relent?

No one works in the NHS for the money. If we did it for the money we'd be in the US. But then seeing as the government is obsessed with aping the world's most wasteful and unbalanced national healthcare system, I want more money (I actually don't, but in general US doctors get paid more)!

Of course what I'll actually do is do what all doctors already do - do what is right for the patient first, then what is right for their training second and finally (if forced) do what the government thinks is a good idea third.
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Rant about the EWTD and stuff...

Oh god... I will finish this someday

Basically the European Working Time Directive (EWTD or wank for short) only works if:

1. you work to the hours set, ignoring patients and the situation
2. you have enough people to cover the rota
3. you don't need to train the people on the rota
4. people don't mind seeing hundreds of different doctors during a two day stay!

Now the NHS are all in favour of the EWTD as of course it gives them an excuse to pay people less... What people fail to realise is that newly qualified nurses and newly qualified doctors are on similar salaries - in fact a nurse's basic salary is more! Plus for london weighting they can get up to £4000 as opposed to £2000. The difference is then that doctors are on-call - nights, weekends and evenings. This mean's that despite working a 48 hour week (band 1) lots of that/all of that could be out of hours. Obviously nunrses do work out of hours too, but generally, not in addition to their weekly normal hours. I am not calling for nurses to be paid less, I think when allowed to nurse and not be forced to do the pointless bureacracy that most managers want them to now, nursing a hard but rewarding job. As is being a medic. Unfortunately being a medic means fighting off the media and Nu-Labour crap of being overpaid.

The way a rota should work is:

1. Training jobs should include training.
2. Jobs should involve continuity
3. Consultants should have input into training.
4. Guidelines and protocols are for guidance.
5. There should be support available.
6. Floor time should be maximised.
7. Service time should be minimised.

But that wouldn't work as it would cost too much and be far too beneficial to the patients and the managers might be out of job. Or whatever it is they decide to call it next.

See Dr Rant for clarification on any points...
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