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	<title>Comments on: A message from David</title>
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	<description>News and Views from David Rundle</description>
	<lastBuildDate>Fri, 27 May 2011 11:47:43 +0000</lastBuildDate>
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		<title>By: Peter Cusack</title>
		<link>http://aliberalvoiceforbanbury.com/#comment-365</link>
		<dc:creator>Peter Cusack</dc:creator>
		<pubDate>Fri, 27 May 2011 11:47:43 +0000</pubDate>
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		<description>Why in the NHS reforms are doctors being expected to handle administrative matters? Medics are highly trained and capable in medical matters. I have seen doctors hearing screams of pain, treating blood soaked casualties, inserting needles, and enabling a human body to be held together until further treatment became available to rectify the situation to the greatest extent possible. They have done this as a professional necessity without showing too many signs of alarm.

I have seen doctors being given a piece of paper and they hold it at arm’s length like a dead rat, a look in their eyes hoping the thing would go away, and giving off an aura of panic.

Medics are trained in medical matters not admin. The idea of handing over the administration of the NHS to doctors is the thin end of the wedge. They will need help, which means employing other people to do that side of things, until the people doing that side of things are running the NHS. Accountants come in. Doctors have to do as they are told. Funds are given to the accountants to handle and if they say &#039; this is too expensive’, the doctors cannot do their jobs.

Ideas in place before the &#039;listening&#039; started are continuing. 

Yes, there has been a great deal of profligacy within the service. Changing the shape of the service is not the answer.  

I believe investigating and pruning, perhaps train some people to a slightly higher level to save costs - more highly trained midwives freeing up gynecologists as an example. I believe this is how things are in Holland.</description>
		<content:encoded><![CDATA[<p>Why in the NHS reforms are doctors being expected to handle administrative matters? Medics are highly trained and capable in medical matters. I have seen doctors hearing screams of pain, treating blood soaked casualties, inserting needles, and enabling a human body to be held together until further treatment became available to rectify the situation to the greatest extent possible. They have done this as a professional necessity without showing too many signs of alarm.</p>
<p>I have seen doctors being given a piece of paper and they hold it at arm’s length like a dead rat, a look in their eyes hoping the thing would go away, and giving off an aura of panic.</p>
<p>Medics are trained in medical matters not admin. The idea of handing over the administration of the NHS to doctors is the thin end of the wedge. They will need help, which means employing other people to do that side of things, until the people doing that side of things are running the NHS. Accountants come in. Doctors have to do as they are told. Funds are given to the accountants to handle and if they say &#8216; this is too expensive’, the doctors cannot do their jobs.</p>
<p>Ideas in place before the &#8216;listening&#8217; started are continuing. </p>
<p>Yes, there has been a great deal of profligacy within the service. Changing the shape of the service is not the answer.  </p>
<p>I believe investigating and pruning, perhaps train some people to a slightly higher level to save costs &#8211; more highly trained midwives freeing up gynecologists as an example. I believe this is how things are in Holland.</p>
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