Re: It's a knee...

On Thu, 29 Oct 2009 14:45:40 +0000, 'Hog wrote:

Simes wrote:
On Thu, 29 Oct 2009 09:01:12 +0000, 'Hog wrote:

Well no, but they are human and utterly (financially) self serving.
Their decisions are crucial in evolving the Clinical Pathways
(obviously) but decisions about how many hours they work and their
patient volumes by time need to be imposed. As do their fee structures
and a UK structure on how much NHS time they should do to be granted a
licence to practice Privately.

The funny thing is how all the trusts bow and scrape to the consultants
and let them do things their own way - regardless of whether it's in
the interests of the patients or the tax payers.

I keep saying that we should stand up to them and tell *them* what to
do. It's not as if they can get jobs anywhere else. The NHS is pretty
much the only show in town if you're a doctor.

If you are a specialist Consultant with a reputation you can just have a
private practice.

Although - there is not enough work in the private sector for them all
full time.

The best of them bring in a lot of patients for a Trust, so of course
they have power. It needs a national contract where to be in private
practice you need to give (say) 2/3 of your time to the National
service. At an agreed rate and at the same level of productivity as the
private sector.

i.e. they should do as they are told - they are skilled employees - just
like the rest of us.

I know here Consultants who accept (say) 2 patients in a half day. In
their private clinic they will see up to 6. It is plain wrong.

Of course it is - and a lot of them will treat NHS patients like scum,
then spend the afternoon sucking the knobs of the same patients who can
pay privately.

Of some will threaten to FRO abroad. So try not to slam the door on the
way out folks.

This applies the same to Dentists BTW.

Indeed.

It is all complicated by levels of competency naturally. If I have a
broken arm, or a particular Cancer, there will be someone in particular,
after research, that I will want to see.

If I have a broken arm I hope it will heal with just a cast. I don't
want to end up like you lot.
.

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