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International Primary Care Association
 
 
 

Clinical Focus Volume 4 N2

Editorial

With the election over we shall soon see if the victors are able to keep the NHS promises. The electorate must be punch drunk with usual list of platitudes that were wheeled out, and these were not party specific: NHS safe in our hands, we shall do more, we will maintain frontline staff, patient’s are the centre of our policies, shorter waiting lists....blah blah blah. This is boring and mostly inaccurate. Dogma rules and control from the centre is exacting, confining and restrictive. Not too far removed from the command type rule of the ex Soviet Union

The reality is there is a crisis of significant magnitude due to mismanagement of the nation’s finances: the credit crunch coupled with UK PLC’s deficit of gargantuan proportion. We are all being squeezed with cuts in public spending and raising taxes. The NHS will have to bear its share. There will be shedding of jobs but who should go? There is a plethora of statistics to show the inexorable growth of middle management in the NHS, who it would be hard pushed to show have provided any added value. These are the bean counters needed to run the policy of competition, massaging waiting lists, interfering with clinical needs, obsessing about inappropriate targets, colluding to gain the nirvana of foundation trust status, fooling quality care commissions on actualities of standards of care...... We should consider having a “General Medical Council” equivalent for managers, as time and time again disasters have been shown to be an organisational/managerial failure

The NHS is probably the most over managed public behemoth in the world, surpassing even the old USSR army. Any party that decides to take the scythe to the multiple quangos and useless structures in the NHS will have my support. Maybe the enlightenment has hit our masters as there is increasing recognition that we need “Clinician based leadership and management” in the NHS. Strange, this is what we had 30-40 years ago, an organisation led by those with a long term vested interest in its development to provide high standards of patient care

Let’s return to the real mission statement, “caring for our patients”, frequently mislabelled as consumers! We have an abundance of material to assist you in this laudable endeavour. This issue has an interesting article on “Childhood Thyrotoxicosis”, which is not easy to spot and harder to manage than the adult variety. Our increasingly ageing population will develop diseases with which we should get familiar: the article on glaucoma is pertinent. I was pleased to accept the article on “Endocrine therapy for patients with breast cancer”, as anything that may avoid the horrendous blow of surgery should be considered and supported

It is said that maybe 30-40% of your personality resides in your facial appearance. Consider the billions spent on facial cosmetics. It is appropriate that a facial weakness or paralysis can be devastating on the sufferer and those around them. We have an update for you on the “Finer points” of this affliction

The contributions on “Hypogonadism in adult males” and “Inherited Cardiac diseases” maybe less frequently encountered but nevertheless need to be recognised and appropriately referred. These articles provide you with the salient points for primary care

I would be delighted to receive correspondence on the editorial content or other issues that you, the readership, feel is important. Contributions and suggestions for future topics would be welcomed

Professor Ram Dhillon
Editor in Chief

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Read 1523 times Last modified on Tuesday, 03 May 2016 14:34

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