[log in to unmask],Net wrote at 08:07 on 01/10/98
about "RE: my worth - self-assessment...":
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>Yesss!
>
>Another one who actually likes life!
>
>Personally, I am having a ball,
I am also enjoying myself, but this is limited by certain things not
under my control, but falling largely into the class of failure of
the GP remuneration and administration systems to provide me with
the income I feel I deserve, for working quite hard - and more to
the point as hard as my colleagues and harder than some...
and less defensibly the failure of the same systems to provide a
level of resources per patient to my practice closely similar to
that provided to others.
One of the questions I don't see asked so often, is whether health
service managers/administrators are enjoying themselves.
I think a great number of them are not, and I am sorry to say I
think the ones who are enjoying themselves most are doing so by
playing power games rather than looking tot he welfare of patients
and of people working in the NHS.
One of the largest and most persisting errors of the previous
administration was not merely to let in, but to actually encourage
many managerial types who should have been screened out of the NHS.
And still should, but are now entrenched.
Selection for medicine is still capricious, but following that
selection there is a training process taking a minimum of 6 years in
which the attitudes of a profession are inculcated into the
candidates. This is under the control or at least authority of a
body agreed to be ethically-based if not always quite so vicious as
some would like - the GMC.
I am unclear as to the selection methods used to identify people who
it would be good to have running the admin side of the NHS, and also
of the methods used to induct the trainees into the culture. I
suspect them of lasting less than 6 years, and of being less
effectively scrutinised.
--- OffRoad 1.9r registered to Adrian Midgley
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