On 22 April 2010 15:03, John Glasspool <[log in to unmask]> wrote:
> I regret that I cannot trust the BMA to do anything except retreat. I
> know AM will have a different view on this, but as it says in the
> Bible, "By their fruits shall ye know them."

The BMA is its members.  No more, no less.

As small businesses and businesspeople, it is unclear to me where a
point of principle would occur here, so we are arguing about work and
pay, or services and fees.

I find the argument more complex than when I was single-handed, and
perhaps this is a reason why the NHS administration, who love
complexity and never generate simplicity[1] have exerted so much
pressure to eliminate single handed GPs, and to remove the link of a
patient to a doctor that registration used to provide.

Now it is harder for me to point to the number of me (1) and the hours
in the week, and enquire how one should be spread among them.  The
answer then seemed to be that it made sense for me to work at much the
smae time as other people, and be avialable that way.

Other people nowadays work smaller proportions of longer hours though,
so it may be that we are going to have to spread ourselves through
more of the day.


I'm unconvinced that the promise of NHS Direct/24/walk in centrals and
Carson - that a better service could be provided cheaper - has ever
been within sight, still less delivered, so it may be that the NHS has
been very foolish in contracting with others than us to provide some
of it.  Again, as business people, it seems hard to criticise a
customer for wanting to buy more of what we sell.


Easy enough to criticise the penniless idiots who expect it free though.



[1] except in the instances which someone is about to contradict and
enlighten me with

--
Adrian Midgley   http://www.defoam.net/