tag:blogger.com,1999:blog-610428148049675668.post904749946338618981..comments2023-12-29T01:08:02.965+00:00Comments on The ferret fancier: A system built by lunaticsGarth Marenghihttp://www.blogger.com/profile/07373175498875348430noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-610428148049675668.post-28120299984877809402008-10-11T21:37:00.000+01:002008-10-11T21:37:00.000+01:00PCTs don't exist as real entities you can touch, p...PCTs don't exist as real entities you can touch, people exist, thus PCTs are in essence teh sum of the people working within them.<BR/><BR/>I've worked in one PCT which was so ghastly, bureaucratic, chaotic, inefficient and so divorced from the reality of clinical care that it was unacceptable. Thus, I didn't accept it and moved on elsewhere.<BR/><BR/>I work in a mental health Trust now but The Shrinkhttps://www.blogger.com/profile/10009039342346247138noreply@blogger.comtag:blogger.com,1999:blog-610428148049675668.post-33329220965058048892008-10-06T00:40:00.000+01:002008-10-06T00:40:00.000+01:00PS. The referenced chapter appears in edited form ...PS. The referenced chapter appears in edited form on David Smail's website.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-610428148049675668.post-54211767187475222862008-10-06T00:34:00.000+01:002008-10-06T00:34:00.000+01:00Ferret - In David Smail's analysis the whole point...Ferret - In David Smail's analysis the whole point of the 'idiots in Whitehall' and their host of subordinate managers, is that they don't listen to clinicians. The hunger for political power that you mention, whose rationale and machinations he describes, has in his view necessitated the recruiting or co-option of such an unheeding and manipulable cadre. In such an analysis it's not a matter Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-610428148049675668.post-43952105635507155992008-10-05T12:54:00.000+01:002008-10-05T12:54:00.000+01:00Indeed, Hawkes is one of a small band of people wh...Indeed, Hawkes is one of a small band of people who genuinely understands and expresses the dysfunctionality of the NHS.<BR/><BR/>As you say the cycle of fiddling with the NHS will continue no matter who wins the election, it is a regressive fiddling driven by a hunger for political power and not driven by a need to improve the service for those who work in it and who it serves.<BR/><BR/>Until Garth Marenghihttps://www.blogger.com/profile/07373175498875348430noreply@blogger.comtag:blogger.com,1999:blog-610428148049675668.post-30188399452494562222008-10-05T09:43:00.000+01:002008-10-05T09:43:00.000+01:00Ferret - there is a very good article in the BMJht...Ferret - there is a very good article in the BMJ<BR/>http://www.bmj.com/cgi/content/full/333/7569/645<BR/><BR/>The author, Nigel Hawkes, asserts "almost all the changes that have ben introduced in recent years are driven by power............."<BR/><BR/>He goes on to detail the sense of "ground hog" day, the blizzard of circulars emanating from the DoH, there is even a nice Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-610428148049675668.post-78542679633123600662008-10-04T16:46:00.000+01:002008-10-04T16:46:00.000+01:00With so much NHS madness about the Grumble posts a...With so much NHS madness about the Grumble posts almost write themselves but thanks all the same for the compliment.<BR/><BR/>Read Dr Grumble while you can. If the EU has its way and we all have to register our blogs with Brussels you will be on your own, Garth.Dr Grumblehttps://www.blogger.com/profile/02459592334604944530noreply@blogger.com