tag:blogger.com,1999:blog-2580877985094646850.post8051284869351188356..comments2024-03-15T07:18:14.621-07:00Comments on Sugar and spice....wish all things were nice.: AlternatesPartha Karhttp://www.blogger.com/profile/08181085644187624720noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-2580877985094646850.post-41280916827231414112016-04-01T23:02:58.275-07:002016-04-01T23:02:58.275-07:00Your first couple of sentences hit it on the head.... Your first couple of sentences hit it on the head. Some of us are too protective of our specialty bubble to think that anyone else can do our role. Also that this probably is driven by limited resources and that frustrates us into thinking that quality will suffer. <br />Saying that, the resources issue we just have to accept won't go away. It's up to us as specialists to manage this change in a way that quality is preserved and that we're only involved in the real speciality stuff.<br />I know in my heart that a lot of my workload is routine and workaday and could be done safely by a junior or skilled AHP, this would free me up to do the nitty gritty as per my specialist training.<br />From some of your tweets it seems like you'd be prepared to give up the (?fat, boring, lifestyle induced) type2 DM to primary care and retain the (young, intellectually challenging, possible future cure) type 1 DM within your secondary care ivory tower. I'd argue that most of each group, once diagnosed, established and planned could be managed by suitably trained people in primary care. Leaving you to deal with (if they still use this phrase) the brittle ones.<br />The real question we should be asking is "if we're going to send all this out to primary care (from every specially) then how the devil can primary care cope when they're spending all their time shovelling cases in the secondary care direction?"<br />The answer may lie in what have been termed mcps, multi spec community providers<br />Peter Hugheshttps://www.blogger.com/profile/16395709111232165778noreply@blogger.com