tag:blogger.com,1999:blog-2580877985094646850.post1481465005726255916..comments2024-03-25T23:29:11.804-07:00Comments on Sugar and spice....wish all things were nice.: Unity past the rhetoric Partha Karhttp://www.blogger.com/profile/08181085644187624720noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-2580877985094646850.post-69202324004129461042015-03-30T22:58:23.898-07:002015-03-30T22:58:23.898-07:00Without any hesitation, that in my view is commend...Without any hesitation, that in my view is commendable and I acknowlege that. However that makes you a rarity and perhaps others could indeed take a leaf out of your book on that. I understand the frustrations too of other colleagues as beyond a lot of the social media glossiness, on the ground, in some areas things are pretty close to the bone. <br />It's now in a situation where compassion and the desire to improve care is thwarted by sheer finances which engenders frustration for all quarters. <br />Thanks for the discussion...always good to have sound opinions on blogs!Partha Karhttps://www.blogger.com/profile/08181085644187624720noreply@blogger.comtag:blogger.com,1999:blog-2580877985094646850.post-88091904258610222012015-03-30T13:53:40.111-07:002015-03-30T13:53:40.111-07:00Andy Burnham's office asked me to give them a ...Andy Burnham's office asked me to give them a call after I criticised their 48 hour access policy. There's a decent evidence-base about safe, equitable access which I was able to quote to them. Their policy is designed to appeal to voters, if Labour guarantee that everyone will be able to see their GP within 48 hours it sounds great, but it bears no relation to clinical need in relation to acute illness or ongoing management of chronic illness. <br />Likewise there is pretty robust evidence about higher death-rates at weekends, but to my knowledge, no evidence that shifting around the already over-stretched workforce will reduce the death-rates or just push it up a bit in the middle of the week and down at the weekend, so making no overall difference. <br />My comments on the Resilient GP blog (if you haven't seen them) were directed at what we can do to support each-other because compassionate patient care is a reflection of the way we treat our one-another: https://abetternhs.wordpress.com/2015/03/16/the-case-for-intelligent-kindness/<br /><br />JonathonAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2580877985094646850.post-75517060635461624862015-03-30T08:47:32.444-07:002015-03-30T08:47:32.444-07:00Hi JT
I agree there will always be difference of ...Hi JT<br /><br />I agree there will always be difference of opinions and thought processes- as well as ideas- but the point is whether all are more influenced by their political leanings rather than the need for equitable health care.<br /><br />If there is, rightly, criticism of 7 day NHS service ideas without provision, then similarly there should be criticism of 48 hour GP access - individuals tend to pick and choose what they criticise based on their politics and for sake of patients, that ain't quite fair. <br /><br />The reality is that all parties, irrespective of their colour, are moving us to a non sustainable NHS which needs to be challenged uniformly and the "how" asked for- albeit with respect.<br /><br />I haven't picked up the vitriol you mention aimed at Anne-Marie- if so, thats unfortunate- but if you see my TL, I have tried to personally have a more balanced view- there must be enough heat in the system to make caring individuals do that- sometimes do we forget about the HCP too? Perhaps<br /><br />Finally, the insult you refer to I made was in younger days and one always learns...one appreciates trying to lecture others on healthcare when we are all in the same boat may tend to get them labelled as quote unquote as a "patronising" something...Having worked in areas of deprivation the UK sees only in pockets thankfully as a first world country- I fully appreciate the different beliefs and idealogies - it's the pick and choose methods of discussing issues in healthcare which we could probably do without.<br /><br />But then again, as you say, it may all just be wishful thinking.<br /><br />Thank you for your comments- as ever insightful and helpful.Partha Karhttps://www.blogger.com/profile/08181085644187624720noreply@blogger.comtag:blogger.com,1999:blog-2580877985094646850.post-48158815801705863592015-03-30T07:10:42.198-07:002015-03-30T07:10:42.198-07:00Do you think it's possible to have unity/ soli...Do you think it's possible to have unity/ solidarity? I think not.<br /><br />Anne-Marie was attacked quite viciously by one of the Reslient GPs online and it's clear from my discussion (published on their blog) that they didn't think about the likely impact or consider the considerable research already published on the subject. You're no stranger to insult having called your colleagues 'champagne socialists' on Twitter. <br /><br />The values between GPs who work with vulnerable populations and are concerned with the social determinants and political economy of health and err on the side of more welfare and protection and those who are more right wing and err on the side of less welfare and more individual responsibility, cannot be bridged. <br /><br />This is not new: when the NHS was founded there were strong rifts along the same lines with the right-wing, conservative BMA extremely hostile to the idea of the NHS. Now the BMA is more divided with heated and divided opinions for and against a public socialised health-service which is probably why it failed to halt the NHS Act and is seen as vacillating. <br /><br />In his work on Values Based Practice, Professor Ed Peile suggests that where values are concerned you will likely come up with a dissensus, a range of irreconcilable values, but it is always better to know what they are, than to ignore them. Evidence on the other-hand (about why patients consult or how to support resilience) can be debated rationally and eventually you can come to a working consensus.<br /><br />How this can help is to make conversations more honest and more respectful by being explicit about what our values are about. <br /><br />The challenge is to accept that there is a dissensus of values among the profession, that there are things which we believe deeply that cannot be reconciled. How we see this dissensus as a strength that can benefit patients now and in the future is what matters. <br />Anonymousnoreply@blogger.com