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Ahmad asked for an explanation:
> current DoH/NHSE are a waste of space,
The reason they are a waste of space is the sheer over-regulation of the
NHS. To quoote from J. R. Coll. Phys 1995 Vol 29 No 4 p265:
The information centre at North Thames RHA logs in 5,470 new items a year.
In 1994 this included 991 missives from the NHS Executive: 609 press
releases, 101 executive letters and 281 letters to finance directors,
estate managers and others. The remaining 4000+ items included journals,
CMO’s letters, publications from the NHSE, HMSO, Audit Commission, NAHAT,
SCOPME, CASPE, MeReC, CHE and many other acronymous quangos.
Legislation relevant to membership of a Trust board can contribute
another 8 Kg of papers a year.
OK? Now you try implementing Patients not Paper and a Primary Care-Led
NHS in that kind of atmosphere and see where you get - where we are now,
i.e. nowhere!
If the amount of regulation/checking/auditing was turned down about 50%,
then some of these initiatives might actually have a chance. I believe
that they could make a difference, but the NHSE is knacking any chance of
them doing so - inadvertently allowing general practice to run the risk
of death by strangulation in the process. Hands up anyone here who has
got strategic shift money?
Andrew
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Dr. Andrew N. Herd MRCGP
General Practitioner & Journalist
Medical Adviser to County Durham Health Commission
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