Nice to see a balanced piece about the new (ish) contracts for doctors, and seeing the blame placed firmly where it belongs:
The fundamental error they made was in failing to realise how hard
doctors were working already. Far from strolling around hospitals
dispensing pearls of wisdom in the manner of Sir Lancelot Spratt
before heading off for a fat lunch, they were already working 60
hours a week or more, seeing and operating on tens of thousands of
patients, performing surgery, developing and implementing new
procedures and training junior staff.
When the negotiators told them firmly that the new contract meant
there would be less time for the golf course or the "cake
shop" (private practice), who could blame consultants for a wry
smile or two? They were already fulfilling the Government’s demands.
…
Making the job of a GP more attractive was a key plank in the
Government’s thinking. However, once again the DoH had
underestimated the sheer volume of work GPs were already doing. So
when they brought in their trusty New Labour targets – the Quality
and Outcomes Framework, which offers performance-related pay for
tackling chronic problems such as obesity, diabetes and asthma –
they didn’t realise they were paying GPs more for work they
were doing already.
The Man in Whitehall always knows best, eh?
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