The NHS Direct service creates a service for a need that does not exist --
the way to deal with patients ringing up at 3:00am to tell you their condom
has burst is to educate them "firmly" not provide a 24 hour help desk --
imagine the difference.
P. "My condom has burst what should I do"
Dr. "Nothing -- come in in the morning!!" (or words to that effect)
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P."My condom has burst what should I do"
NHS Direct "Hello and thank you very much for calling ........ Name? .....
Address?....... Problem?........"
"Dont worry, I will fax a letter to your G.P.,
electronically book a triple appointment directly at the surgery for you to
discuss your fears and we will organise a delivery of condoms ... what
make?........ tonight................thanks for calling ............... call
again any time"
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The problem is that once a fax or information is generated, the G.P. will be
under obligation to deal with it (how many of us are sent out the next day
to "review" a patient seen the night before by on-call -- and how often is
it really necessary?
The problem is that follow up/visit will be offred and therefore expected by
someone who has not and will not ever see the patient -- lethal!
Bap
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