Doctors, nurses - oh, and patients

Once upon a time, there was an 89 year old man (let's call him Mr Smith) who lived in a place where there was a huge, shiny, expensive surgery with about 20 doctors and numerous other staff. This surgery had started out as  a four-doctor outfit sixty odd years ago and, because it was now so big, it had, along the way, swallowed up all the other local surgeries so that it is now the only one for the whole area. Mr Smith and his GP got on very well and he always felt he got the care and support he needed, but one day the GP was taken away to fill his days with endless paperwork and, truth to tell, seemed rather disillusioned with the way his job had developed over recent years, so Mr Smith would have to be allocated another GP within the practice. And they gave him a new doctor, and then another... and then another. In fact by now, he wasn't quite sure who was his GP, and neither was anyone else,  which might explain why a referral from his optician to the surgery for an appointment at the local Eye Hospital took over two weeks to be acted on.
Now Mr Smith had developed an illness which required him to have  injections and blood tests every twelve weeks but, although the big shiny surgery also had a big shiny computer system for patient records, it was too difficult for the people at the surgery to remember when these dates were due, so Mr Smith had to remember and book appointments each time and then a family member would have to arrange time off to take him there, not that they minded doing that at all, but Mr Smith thought that, as he was also just getting over an attack of shingles and still wasn't feeling terribly well, maybe he could have the blood test and injection done at home.
He had also been asked, via an anonymous letter, to make an appointment to see his GP about his blood pressure. As we know, by now Mr Smith was none too sure who his GP was and had to ring the surgery to find out. Nobody seemed to know but the receptionist said she would get Dr X to ring him. Dr X did ring him a couple of days later and told him to double up on his BP medication for now but his next prescription renewal would be at the new dose, so now Mr Smith has to remember that, when he gets his next prescription, he has to stop doubling up.
As for the blood test and injection, by now these were a week late and Dr X said she would 'Speak to the district nurses' about a home visit.
The next day, a nurse rang him and delivered a short lecture over the phone about home visits only being for the housebound and he had to point out that, at the moment, he is recovering from shingles and does not feel able to make a trip to the surgery. The nurse muttered something about 'speaking to the doctor' and rang off.
The next day, a package plopped through Mr Smith's letterbox. It was a syringe and a dose of medication. As he didn't know why it had been delivered with no-one to administer it, he rang the surgery again. 
"Oh the nurse will come and give it to you next week," said the receptionist.
Mr Smith was so surprised that he didn't think to ask what day or to point out that, by the time he received his injection, it would be TWO weeks overdue.
Mr Smith thinks that they don't want to be bothered with him because of his age. Others might say that's not true, that the nurses are 'ever so busy' as they keep telling everyone, or that it's 'the system' that's failing patients. They may blame the increase of paperwork or the politicians who, just as in the world of education, have a constant need to make their mark on the system and score points off the opposition.
Whatever the reasons, the end result is that Mr Smith and many others like him are being failed and so, when the time comes, will we, unless something is done to sort things out properly.


In reply to YP

In reply to YP's comment on yesterday's post, so far...
IT'S WORKING!!!

Cynical? Moi?

I'm on the train...

Thanks again to T.K. for this.

You know how irritating mobile phone users are when they fail to exercise discretion and simple good manners and think the world needs to know their business?

When you have tolerated as much as you can stand you can now get your own back!!!


 After a busy day he settled down in his train from Waterloo for a nap as far as his
 destination at Winchester. when the chap sitting near him hauled out his mobile 
and started up:- "Hi darling it's Peter, I'm on the train - yes, I know it's the 6.30 not 
the 4.30 but I had a long meeting - no, not with that floozie from the typing pool, with 
the boss no darling you're the only one in my life - yes, I'm sure, cross my heart" etc., etc.

This was still going on at Wimbledon , when the young woman opposite, driven 
beyond endurance, yelled at the top of her voice, "Hey, Peter, turn that bloody phone 
off and come back to bed!!"




It's all in the mind

I have decided, tomorrow, I shall get my frontal cortex and nucleus accumbens into gear and shall cease to have any pain in my sciatic nerve. It's all mind over matter. I shall be able to take the dogs out, see my clients without having to explain why I have a hot water bottle under my leg and all will be back to normal.
Watch this space...!

Plaster board and dust

So, we're still no further forward on the British Gas smart meter front and I've given up making non-existent appointments with them...