[log in to unmask],Net wrote at 13:46 on 20/10/98
about "Re: What happens if we don't co-operate":
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>Clinical governance shouldn't be about removing bad doctors - more
>about improving standards for us all.
And he is right.
Although Declan is coreect in pointing out the failure of the
profession to tackle situations of poor (or unhappy) practice which
are glaring and show us in no good light, the main task of the CG is
to go round with a pocketful of money and locum vouchers to hand out
to those who can identify with him an opportunity to improve.
So will our colleagues allow this? Or will there be a reactionary
cry that if a doctor sees an opportunity to improve then they must
pay for it themselves?
Will the perverse incentives in the GP remuneration be dismantled so
that no loss acrues to GPs who decide that actually, rather than get
good at something they have little talent or interest in they will
have somebody else who is good and interested do it?
These are challenges for management in the NHS, and one may judge
them by their degree of success in tackling this which is their
great visible failing.
--- OffRoad 1.9r registered to Adrian Midgley
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