Kevin and AMVNewman
Whilst agreeing with your clinical reasoning I do not think your
response is practical. Most of us managers are not cheap skates
and fight like hell for money when it is necessary. However, in
England at least, many Health Authorities who buy the service
have a financial deficit, many Hospital Trusts have a financial deficit
and there is no money. When there is money there are no
physiotherapists. There is a significant vacany factor in the NHS
physio services, not because we can not pay but because there
are no physio's to recruit. We therefore have to look at alternative
solutions, even if they are not persfect.
Remember, most "cheap skate managers" are therapists, and
many are still clinicians.
Simon Plummer
On 17 Aug 2000, at 19:32, k.reese wrote:
> Dear Jane
>
> I have worked in two hospitals where this has been done and was
> universally disliked by the clinicians who implemented the system. The
> managers loved them as for minimal outlay they made an apparant impact
> on the wl's. The fun part of physio is the treating and assessments
> should be hard and draining. My colleagues who have done these clinics
> say they are expected to make snap decisions in often complex cases,
> cubby hole and label patients and feel the environment is highly
> pressured and unrewarding.
>
> So in the interests of retaining your staff and giving the patients a
> good deal, tell the cheap skate managers to cough up the readies and
> employ enough physios to do the job and stop clinicians altering
> practice to bail them out. As many people are comparing we are a
> fraction of the price of a consultant, but in outpatient clinics
> perform the same function. if not better, in 40-92% of the caseload.
> For the latter point references can follow if necessary.
>
> Regards Kevin Reese PT UK
>
> ----- Original Message -----
> From: jane miller <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: 17 August 2000 13:32
> Subject: triage appointments
>
>
> > Dear all,
> > Our department is considering using a form of 15-20 minute pre
> > assessment
> in
> > order to decrease and prioritise waiting list patients prior to a
> > 1st assessment appointment (like a triage assessment) Has anybody
> > much experience of this idea? We would be extremely grateful for any
> > ideas or teething problems other departments have experienced
> > setting up such a system many thanks Jane Miller Physiotherapist
> > ____________________________________________________________________
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> >
>
>
>
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