Seeing as we are all writing messages of support, i would like to offer my best to the doctors on duty. Now before anyone's hackles start twitching, i am not taking an indirect shot at the their colleagues on strike. Simply, it is they putting in the most important effort of all today.
I have been attending such clinics at St Thomas' since 2001, and i can probably count on one hand the number of occasions in which the wait has been less than an hour (often it falls between 90mins and 3hrs). The hospital is one of the best in the country, the receptionist diligent, so where lies the problem? It must be terribly inefficient for doctors and patients alike, as well as creating a level of uncertainty with other duties.
NHS Trust were in trouble before prior to 2010 you realise. Hunt is an idiot and should have been sacked many months ago, but it would be foolish to suggest that the financial pressure arrived with his appointment. And what you and some others here need to accept, is that a Labour government would have an NHS budget £6-8bn smaller.
As i see it we have three necessary challenges to overcome: reducing the costs of procurement, properly embracing preventative policies, and finding even more money for the health pot in general.
My consultant colleagues were incredible on strike days, quite something to behold actually. I'm incredibly grateful for them, their support and teaching and their backing of us on this issue.
It certainly does. Clinics over-run. Pretty much constantly. There's quite a few reasons for that. I think the primary one is the scheduling of the appointments though. My clinics always over-run because they give us 10-20 minutes per patient for what are often very complex patients. In those ten minutes, we are supposed to see the patient, pleasantries (we are british after all!), check how the patient is doing, find out the issue, go through referral letters and past documents (clinic letters, discharge summaries etc), go through blood results and scan results, discuss these with the patient, make future plans regarding investigations/procedures/management, ensure the patient understands everything, perhaps book a follow up appointment and then dictate the clinic letter, it tends to take a little more than 10-20 minutes. Not taking into account any time you may spend actually talking to the patient as human beings or having to break bad news to a patient and then obviously consoling them and again, discussing options etc.
Do you see where the problems might start to lie?
And it certainly creates a huge amount of uncertainty with other duties as you inevitably end up turning late to everything else or getting home at about 8 every day you have an afternoon clinic.
Yes I do realise that thank you. It is however an undisputed fact (as Ive already linked to) that they were in nowhere near as much trouble as they are in now. I also didn't say that the financial pressures started with his appointment, that would be a silly argument. His appointment has certainly made it worse, as well as ushering in the biggest crisis of morale in most of our working lives within the NHS and a genuine and quantifiable drain of both newly and long time qualified doctors, to Scotland (now one of the most competitive deaneries within the UK I am told) and Wales, as well as to slightly further options.
And I wish you would stop trying to politicise this, as if I am some rabid, card hold lefty Labour card holder. I am not. This is not a political issue, in the sense that doctors are not a homogeneous group. Lots of us have said that Labour have also been shit with the NHS. That doesn't excuse what is happening now, it doesn't mean that the Conservatives are even worse and it doesn't mean that the Conservatives are putting the NHS through its most drastic real spending pay squeeze in perhaps its history.
Not to mention, if you do want to make it a political issue, how counter productive it is cutting social services to the extent that the conservatives have, as it means that patients who are medically fit and awaiting social care or resettlement can take up a hospital bed unnecessarily for literally months as they try to sort that out.