Dear Kevin
Good rant...absolutely true. This is one of the reasons I started my own
private practice so I can spend the time my patients need with them, not
what I can afford with HNS restrictions....consequently more of my
patients benefit and I enjoy my work more.
I think the profession is bound to suffer as a result, what would your
opinion be as a patient with a 20 minute appt and a feeling that your
physio hardly had time to draw breath between you and the next body on
the conveyor belt?
Often, whan I am treating a private patient and I look at the clock,
I've hardly got into the heart of the technique and I realise in my NHS
days they would be getting dressesd by now....
Tony Blair says "The NHS treats twice as many patients now as it did 20
years ago" what he doesnt say is they are only getting half the
treatment they deserve.
Having attended a McConnell shoulder course last year the tutor said
that he didn't belive the treatment could be properly carried out in a
20 minute slot; assess, tape, feedback, teach exercises in 20
minutes...it's crazy.
Unless the profession puts it's foot down and does something soon things
will get even worse..there is a hospital here in the Northwest that has
15minute appts and one colleague who works in a GP's surgery on a 10
minute session basis!!!
In message <002201be34c8$76948120$8542a8c2@kevinree>, kevin reese
<[log in to unmask]> writes
>With the severe weighting list problems in the NHS I understand the
>pressures of through put. I have always been worried at compromising quality
>due to this pressure, which is political problem, ie lack of physio's, not a
>physiotherapy problem.
>
>I often wonder if when people place pressure on us to change our treatment
>protocols to increase through put, if they due the same for other clinicians
>eg orthopaedic surgeons. I am sure it would be a national scandal if
>managers said to a surgeon, compromise quality and do 2 x the THR's you are
>already doing. So why do we tolerate it?
>
>We will be ultimately held responsible for our clinical actions, therefore I
>feel it we should make up our own individual judgements as to how many NP's
>we see and at what time intervals.
>
>Anyway after that short rant I hope this information is of use to you
>Kind Regards Kevin
--
john spencer
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|