<<mber in Surgery this might actually be feasible. So how do we relieve
ourselves of two thirds of our consultations? If we were to attempt to
achieve such a reduction then how would we try and make sure the right two
thirds had been discouraged?
Possible solutions?
1) Nurse triage? Perhaps the nurses would also get fed up with that after a
few years ;-)
2) Increase the number of GPs? Hohohoho!
3) Structured consultation fees via cash or DSS tokens subject to
controlled
supply? Some will undoubtedly suffer but whether the number suffering will
be more or less than at present is debatable.
4) Abandon the NHS and copy some other country's system? Which one?
Any others?>>
Send for the hatchet man to do your surgeries for a few weeks. I am deadly
serious---locums are mostly mealy-mouthed creatures who suck up to the
patients in a pathetic attempt to please. Get tough, I say. Get in some
crusty old bollox who has been preaching no-antibiotics-for-sore-throats
for donkeys years and is utterly fed up with appeasing the immoral majority
of no-brainers who take up space in most surgeries. Get rid of them and
bingo! You are down to one-third before you know it.
Declan
Crusty old bollox services inc.
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|