It is a wonderful thought, but I seriously wonder how many of today's doctors are going to be capable of this. I suspect
that anyone qualified since about 1985 is going to have such a mindset of make do and patch up that they will simply not
have the ability to distinguish between better and more expensive. We are in the middle of a rebuild, and I am quite
shocked at how shoddy some of the workmanship is. Quality work from staff comes from respect for that staff. Respect
for that staff includes a pleasant, safe working environment, good quality recently purchased and well maintained
equipment, a reasonable workload to allow time with a patient and good training to ensure that they are aware what
quality is. I cannot believe that my Trust is the only one that is failing on all these counts - not through lack of trying
from them but simply through lack of resources. I heard a PCG chairman say the other day that when more money came in
he was not going to spend it in secondary care. I still have a serious problem with the money for both services being
completely controlled by one of them, as inevitably there will be a starvation of the other service. It's natural and human
nature. So there are two issues; the direction of flow of funds and the ability of people to know what to do with any extra
money they get.
The funding of the NHS is still inadequate, and to think there will ever be enough in the last Marxist outpost in the world
is to delude yourself. The sooner the NHS is abandoned and income generation is at the point of care so that an
Emergency Unit is seen as an income generator rather than a waster the better for all concerned, /particularly/ the patient.
Health care will never improve in the UK unless this break is made.
Best wishes,
Rowley Cottingham
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