On Sun, 16 Aug 1998 11:14:57 +0100, Bill Beeby wrote:
>There is a flaw in this proposition.
Beeby! How could you?! ;-)
>The Firm will not work in the NHS arena alone. There has to be a source
>of funding that is not from a cash limited government controlled body -
>i.e. it would only really work in private healthcare.
If I were a government minister, I would comment by saying that this is
'The Third Way', the private-public partnership. Let the Firm 'help'
the ailing resources of the Great Britain by seeking to generate income
for itself by whatever means possible, legal, moral and not necessarily
non-fattening!
>There are no "lean years vs. good years" in the NHS, just "lean vs. cut
>to the bone"
If the Firm were to be able to generate income by whatever means at its
disposal, there will be good and bad years.
The key is this: breaking free of old and dead processes. Free the
mind!
>There are other considerations. Firms rarely continue to work with
>large numbers of small outlets in one locality. Eventually they
>rationalise (close) the smaller outlets (e.g. smaller practices) and
>concentrate services through the larger branches.
Bingo! ;-)
In my area (Redhill and Reigate) there are 22 WTE GPs operating from 6
premises all having 6 sets of everything and all are within 3 miles of
each other! That does not make sense even when it means that I would
have to be 'rationalised'.
>Minority views are not tolerated, but quietly sidelined whilst their dissenting
>authors are promoted to ever smaller rooms further away from the centre
>of activity until they eventually leave.
In a good Firm, minority views are respected. In a good Firm, *all*
views and ideas are sought and encouraged. Firms do not run on
democracy, they run on proper and sensitive management that values
*all* the assets of the Firm no matter how small or minor they are.
Heed these words! ;-)
>Such is the corporate mentality of "A Firm" - and I would fear that more
>than any management structure of a Health Authority or PCG. (Unless I'm
>in charge of course.....)
Then we will be doing just more of the same old crap! :-)
Ahmad
________________________________________
Dr Ahmad Risk
http://mednetics.org
home: +44 1273 748198
work: +44 1737 240022
fax: +44 1737 244660
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