एनपीए की मांग कर रहे डॉक्टरों की स्वास्थ्य निदेशालय ने भेजे नोटिस, जानें क्या बताया कारण
एनपीए की मांग कर रहे डॉक्टरों की स्वास्थ्य निदेशालय ने भेजे नोटिस, जानें क्या बताया कारण
Himachal News: नॉन प्रेक्टिस अलाउंस (एनपीए) की मांग पर हड़ताल करने वाले डाक्टरों को स्वास्थ्य निदेशालय ने नोटिस जारी कर दिए हैं। करीब 60 डाक्टरों से अचानक छुट्टी पर चले जाने का कारण इस नोटिस में पूछा गया है। स्वास्थ्य निदेशालय ने एक सप्ताह में नोटिस का जवाब मांगा है। जवाब मिलने के बाद स्वास्थ्य निदेशालय बड़ी कार्रवाई कर सकता है।
गौरतलब है कि एनपीए की मांग पर अड़ी मेडिकल आफिसर एसोसिएशन ने पहले…
Solidarity with the junior doctors on strike - I really hope they keep fighting until they get a decent pay offer and major quality of life changes too.
You have to be so committed and dedicated to get into and through med school, but if you can't afford to live during your first years as a doctor (and don't forget they are often forced to move every six months) then you're going to become burnt out and disillusioned with the system. It doesn't matter how much they'll earn as consultants if they never get there.
The NHS is one of the biggest achievements of this country - we cannot let the Tories destroy it or have a two tier health system. And that relies on all the staff being involved being treated decently.
anyways people bitching that winter/Christmas season “isn’t the right time to strike” or complaining about rail workers, postal workers, and health care staff striking during the busiest part of the year, can just get fucked
Striking shouldn’t be convenient! We don’t want it to be convenient! These systems have functioned on our good will for decades, and you’re mad that your package is delayed? You should be more upset over nurses and junior doctors needing to use food banks to feed themselves and their families. Rail workers and postal workers not being able to afford to heat their homes. Functional pay cuts of 30% over the past 15 years.
The whole bloody point is to show people how valuable our work is.
An easy yet intriguing read, “In stitches” is an A&E testimonial of an accumulation of cases (not chronologically arranged) and how A&E departments run in conjunction with hospitals. Although, there are a lot on interesting cases denoted in the book, there is a pattern or common trope to patients presenting with an issue - the only thing that realistically changes is the patient itself. Therefore, I will be honing in on two points that stood out significantly which relate back to how the NHS is run.
Firstly, we all know of the four hour A&E target, where 98% of patients should be seen and treated within this rule to streamline the admission process. Although over the many years this system has brought along some efficiency, such as through the use of triage and specialist nurses so that doctors do not have to become involved, raw data fiddling still exists. In fact, the BMA and BAAEM presented that 31% of A&E doctors have admitted to working in departments where “data manipulation was used as an additional measure to meet emergency access targets”. This is to prevent the hospital being financially penalised by NHS managers when several breaches occur and lowering its ‘star performance score’ . Strategies embraced by departments to meet the 4 hour target include:
Patients being discharged on the computer before they have left A&E.
Patients being admitted to A&E by the computer but not physically as there are more beds on the system than there are in real life.
If patients appear with a referral from the GP, they are admitted to the admission ward, not A&E, so no target is assigned.
If a patient is referred to a specialist after being seen by an A&E doctor, they can be left waiting for hours since they are not assigned similarly to the 4 hour target.
On days when the target is being assessed, elective operations may be cancelled to free up beds and the hospital employs locum doctors and nurses to appear as if targets are being consistently met.
Have you ever wondered why you have to be referred by the GP to a specialist first and not directly by the hospital doctors, who may in fact know your case better? The reason being, and my second point in play, is that accountancy yet dominates clinical rules. A&E doctors cannot easily make referrals, instead they have to send the patient back to the GP for the referral too be made. Yes, the NHS still bears the weight of the cost, but referrals from the GP come from a different pot and the hospital instead is paid by the primary care trust. This comes at the expense of the patient, and in some cases may cause further damage; such as when a patient has a TIA (transient ischaemic attack), they should be seen in a TIA/prevention stroke clinic within two weeks according to evidence based medicine to prevent a stroke. But this is not always the case. Doctors are taught the gold standard of care but often due to management structures and rationing of resources leads to a realistic silver and bronze quality of care being delivered. The NHS in sectors is disjointed and separate parts work independently: accountancy here unfortunately wins.
“In stitches” and my short book review are just continuous arguments that the NHS needs more resources; that targets should not be solely made by politicians without the input of doctors working in the clinical environment and that hospitals should not be penalised for failure of not meeting these unrealistic targets as it only adds pressure to the already pressurised NHS.
NHS in Croydon preparing for record six-day doctors' strike
A record six-day strike by junior doctors begins tomorrow, as the Tory Government refuses to negotiate in a long-running pay dispute.
On standby: Croydon’s hospitals are preparing for a six-day junior doctor strike, starting tomorrow
“The walk-out comes at a challenging time for NHS staff as they work hard to meet the surge in demand that winter period brings,” NHS London said in a statement this…
My cartoon for The Times of 12/8/23. More junior doctor strikes add to the waiting lists for treatment on the NHS. In the meantime a fire has destroyed the much loved Crooked House pub in the Midlands.
Junior doctors in England today begin longest walkout in NHS history
Junior doctors in England today begin their five-day walk out—longest in NHS history—over pay dispute until July 18th, which will have a significant impact on patients. More than 47,000 junior doctors are expected to join the picket lines, while senior doctor will be filling in for emergency care.Senior doctors are also scheduled to go on strike next week on Thursday and Friday.
Junior doctors…
The NHS is still flailing and the cost of living crisis is rumbling on.
Only earlier this month, junior doctors embarked on the longest strike in NHS history, and it was confirmed that inflation had shot up again.
The government was also slammed just last week for spending £240 million to deport asylum seekers to Rwanda – even though no refugees have actually been sent to the east African country yet.
It’s also less than a month since the Tories promoted a new “Brexit freedom” – being able to buy wine in pints – another policy announcement which left people very perplexed.
The DragonFire weapon apparently cost about £100 million (between govt and industry).
Footage of the teachers, junior doctors and tube workers on strike yesterday in London (15/03/23) Source
Today it was announced that NHS unions have negotiated a new 5% pay rise for all staff which will now be proposed to union members. STRIKES WORK! UNIONS WORK! Source