Well said
Rob
>Paul,
>
>At the risk of being accused of taking the bait, here goes.....
>
>Paul, I fundamentally disagree with your basic premise. If you ask the
>Clinical Biochemistry Community whether they think BNP should be
introduced,
>then I would bet that 100% would agree. Paul, I will buy you a pint for
>every one that disagrees!
>
>The Clinical Biochemist Community have the advantage of being highly
>educated, highly trained and are key decision makers in Pathology. We are
>however not ivory tower boffins. We have a complex duty of care. A key
>duty of care is to provide an appropriate Pathology service, but another
>duty of care is to provide a service within the financial constraints of
the
>organisation (the NHS). The simple truth is that whilst the NHS pretends
to
>be a National Health Service, it is in reality a Local Health Service.
>Primary Care Trusts, run by family doctors, have the budget to purchase
>Pathology and if they decide that something else has a priority over BNP
>then the Clinical Biochemist would be irresponsible to introduce it
(unless
>creativity was involved- we've all been there!). When NICE or the NSF
says
>do something for other areas of medicine, then money gets found. This is
>not the same for pathology. If NICE or the NSF think that BNP should be
>introduced- just like all Clinical Biochemists- then the organisation in
>which we work should fund it. If the organisation does not fund it, then
>don't shoot the Clinical Biochemist. Criticising ourselves is futile when
>we should be unified and ensure that pathology gets the support provided.
>
>I have GPs who complain to me about not having BNP yet do not appear to
>complain to their line managers who have the money! We are an easy target
>but we are the wrong target. I, like many Clinical Biochemists have been
>trying to get BNP for almost two years. I have another list of tests that
I
>know should be introduced but am having to fight. I will continue to
fight
>but I am not the decision makers.
>
>The same argument can be applied to many tests in pathology. We want to
do
>them but the organisation will not pay.
>
>Lets get into Real Politick rather than self abuse!
>
>Regards
>Blood pressure normal, but frustrated with the system not the Clinical
>Biochemists
>
>Martin Myers
>
>
>
>-----Original Message-----
>From: Paul Collinson [mailto:[log in to unmask]]
>Sent: 17 June 2003 22:01
>To: [log in to unmask]
>Subject: BNP
>
>
>Yet again we see the response of the Clinical Biochemistry community to
>a new test
>
>NO, NO, NO, NO, ARGGH, over my dead body, think of my budget, I am here
>to deny tests NOT provide a service. What, talk to clinical colleagues,
>the temerity of these patients wanting A GOOD MODERN SERVICE, We know
>what's good for you, sit down and shut up. AND DO NOT ASK!!!!!
>
>No wonder FOCUS had to run a theme on the value of diagnostic tests.
>
>The data for BNP is beginning to accumulate and is very compelling. Take
>your heads out of the sand and start talking to patients, clinicians and
>PCT's NOW. Must we again show that UK Clinical Biochemistry is always
>the last to innovate?
>
>Personally I am delighted that patients groups are taking an interest.
>About time. Look at the troponin fiasco - now the Gold standard.
>
>I begin to wonder if Mr Blair isn't right after all (and many know my
>views) - patients seem to be the last that lab folk focus on.
>
>On call U and E only indeed.
>
>
>PS if your blood pressure is not yet up I have failed!!!
>
>We have been running BNP for 2 years.
>
>--
>Paul Collinson
>
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Dr Robert Lord
Department of Clinical Biochemistry
Rotherham District General Hospital
Moorgate Road
Oakwood
Rotherham
S60 2UD
Tel 01709 820000
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