Sunday, 27 May 2012

Baroness Warsi fails to convince


Baroness Warsi (pictured above with leader of the Conservative party and Prime Minister, David Cameron on a visit to a mosque) failed to convince many people that UK should be more religious in public life. CLICK HERE TO WATCH HER SPEECH in Vatican. It does not appear she is aware that what is personal identity is not fixed in stone and that people have the right to change their religious and non-religious beliefs. It is plain silly for a politician to preach to people how they should shape their identity religion wise or not.   There is something called personal choice (right or wrong) and responsibility for that choice is not with Baroness Warsi.

It is not clear if Baroness Warsi's special adviser told her about George Burn's recommendations that the secret of a good sermon is to have a good beginning and a good ending, then having the two as close together as possible.

Now she is subject to allegations of improper conduct regarding her expenses. A doctor says she did not pay rent and other expenses that tenants normally pay such as council tax. People have been threatened with prison for non-payment of Council tax and some have even been bankrupted over it by local governments.

Vatican also has allegations of financial maladministration as well accepting financial funds from notorious paedophile such as Maciel.

It is frustrating for the government keen to do good when the choice of traditional female image does not fit the needs of the population which has moved on from faith onto better times thanks to the great efforts of many individuals and organisations nationally and outside.

There are many quotes on religion but this one is something that I like:
  If a man would follow, today, the teachings of the Old Testament, he would be a criminal. If he would follow strictly the teachings of the New, he would be insane.
Robert Green Ingersoll

Thursday, 10 May 2012

Good news: men will live longer

Traditionally, men have been regarded as weaker sex in terms of life expectancy but this is something I did not quite accept as a medical student.

One year we had to spend a period of several weeks in general practice. I chose to go to one of the far away British islands. There I stayed with a couple, both doctors. Husband was in active practice, wife decided that she would stay at home. She told me she only became a doctor so she could prove that she too as a woman could do it but had no desire to practice medicine.

One day, in between the visits to the patients, her husband asked why was there a difference in heart attacks between men and women and I replied I did not really know and it could be something to do with life stresses. This infuriated him so much that he picked me by the lapels of my coat and shouted at me: "Don't you think it is something to do with sex hormones?"

I decided to leave my assignment and took the first flight to London.

Once in London I told what happened to my prospective parents in law both doctors and who had two GP surgeries where they trained doctors. They would not take me on for my GP practice experience. Their surgery was literally down the road from where I lived.

I had the problem finding a surgery that would take me on with such radical views and only with some difficulty and after several rejections I found somebody one.

Now, thirty years later,  Professor Leslie Mayhew, a statistician at City University believes that many men have improved their lifestyles and have moved from risky behaviours. Fewer men smoke and lung cancer rates have decreased.

Although heart attacks rates are still higher in men treatment has become easier.

British women's life expectancy is also increasing but at a slower rate.

Sunday, 29 April 2012

Provoked dentist pulls out all of her ex-lover's teeth


Dentist, Anna Mackowiak (34) was rejected by her boyfriend, Marek Olszewski (45).
Amazingly, he then came to his ex-girlfriend Anna Mackowiak surgery for dental treatment because he had a bit of a headache. She gave him an anesthetic and then she proceeded to pull all his teeth out. She bandaged him well and sent him off home warning him he would need specialist care as there were complications. When he could not feel his teeth she told him this was because of the anaesthetic. Once at home he discovered the truth and used a lot of swearing none of which led to any improvement in his dental condition..

New girlfriend left him because she could not cope with a man without teeth. What about not being able to cope with an ex-girlfriend like Anna Mackowiak?

Now dentist Anna Makowiack has to endure disciplinary proceedings. We hope her regulator would take into account mitigating circumstances:

1. She was provoked beyond endurance. Not only did the man leave her but he also came to her so she could make him more attractive to his new girlfriend. He had toothache and probably this was due to rotting teeth which do have bad odor.

2. He took her for granted and came to his ex-girlfriend expecting her to serve him as presumably she did before. This man does not respect the boundaries and ended being a victim as well as victimizing his girlfriend.

3. It is not advisable to be treated by the person you have just harmed. There are limits to what any human being can endure.

4. There is great deal of energy in anger.

5. Here is the quote from Cato:  An angry man opens his mouth and shuts his eyes.
Cato


Thursday, 26 April 2012

Mr Paul Philip from GMC and his policy on locum doctors and private practise


Doctors4Justice wrote to Mr Paul Philip at the General Medical Council to ask him a couple of questions about his policy for investigations of complaints against doctors. The policy we identified which in our opinion is a policy of indirect racial discrimination (against locum doctors as the majority are from ethnic minorities) and against private practitioners (against private enterprise, I guess). The policy essentially, states that those who are in private practice or locum doctors must be investigated immediately by GMC if there is a complaint against such a practitioner while other doctors can be referred to the local procedures (i.e. National Health Service i.e. state trusts to investigate). For several months Mr Paul Philip could not be contacted.

CLICK HERE TO READ THE POLICY PARAGRAPH 14

Mr Paul Philip never replied to us but here is Ms Rowland defending him. This is what she wrote:


26-4-2012

Locum doctors







Dear Dr Bright

Thank you for your email to Paul Philip which has been passed to me to reply. My role includes responsibility for fitness to practise policy.

I have not been able to ascertain when or if a policy of referring peripatetic locums directly for a full investigation applied but I can confirm that this has not been our policy since our present rules were introduced in 2004. Since then, peripatetic locums are treated in the same way as any other doctor. If the nature of the concern raised would if proved, in and of itself, require us to take action then the case is referred to Stream 1. A matter which, in and of itself, would not require action but might do so if part of a wider pattern of concerns is referred into Stream 2. If the case meets neither of these criteria it would be closed on initial assessment.

I hope this is helpful.

Regards,

Anna Rowland
Assistant Director, Policy and Planning
Standards & Fitness to Practise




From: Dr Helen Bright
Sent: 12 April 2012 13:58
To: Lisa Bird (020 7189 5130)
Subject: Re: FW: Stream 1 for locum doctors

Dear Ms Bird,

Thank you for attaching helpfully the reply from Ms Rowland. I did receive it previously and what she wrote is in defense but not the answers to my questions and there has been nothing coming from Mr Philip who appears completely unwilling to take responsibility for his policy making.

Is it possible for Mr Philip to take the responsibility for his policy and come clean with the answer to this question: Has the GMC  policy been changed now or not? It is a simple question and if I do not receive the answer promptly I shall assume that he is not wiling to change it and that it is current GMC policy regarding investigations of locum doctors.

Please, come back to me by the end of the day.

Kind regards,

Helen
On Thu, Apr 12, 2012 at 1:28 PM, Lisa Bird  wrote:
Dear Dr Bright

Further to my acknowledgment, from looking at our records I see that Anna Rowland, Assistant Director – Policy and Planning, responded on 19 August 2011 to your email of 12 August 2011 about locum doctors. I have attached a copy for ease of reference.

Yours sincerely

Lisa Bird
Correspondence and Complaints Co-ordinator
Standards and Fitness to Practise Directorate
From: Dr Helen Bright
Sent: Thursday, April 12, 2012 12:51 PM
To: Paul Philip
Subject: Re: Stream 1 for locum doctors
 
Dear Mr Philip,

It is many months since I sent the email below and I still do not have the answer. Is it possible, please, to answer the straight questions in the straight manner?
On Fri, Aug 12, 2011 at 6:30 PM, Dr Helen Bright <drhelenbright@googlemail.com> wrote:
Dear Mr Philip,


1. Could you tell me, please, if complaints against locum doctors are still treated as Stream 1 Complaints as per attached policy? If not when did the policy change?

2. How was this particular aspect of your policy monitored?

Yours sincerely,


Dr Helen Bright
















Thursday, 19 April 2012

Doctors4Justice won change in Code of Practice for medical locums with REC


In 2009 Doctors4Justice campaigned for changes in policies regarding locum doctors.

REC (Recruitment and Employment Confederation) is confederation of employment agencies. There are different sectors corresponding to different industries. Medical Sector Group had Code of Practice for locum doctors which reflected in a number of ways what Department of Health produced in their own Code of Practice in the Appointment and Employment of HCHS Locum Doctors produced in August 1997.

Dr Helen Bright complained that the code of practice had a number of sections which were problematic and unlawful. For example in 4. c of Medical Sector Group Code of Practice it was stated:

in recruiting doctors the agency shall ensure that every effort has been made to obtain work assessment form from doctor's most recent assignment. Doctors who refuse to supply a copy of their most recent work assessment report should not be supplied to an assignment.

So, the only thing employer had to do is to withold the assessment form for right or wrong reasons and livelihood of doctor was ruined. Civil rights of locum doctors were thrown out of the window.

Some doctors work in situations where it is not possible for other doctors comment with confidence on their work because they have not observed it. For example, other doctors may not have seen the work of the locum doctor with patients to know about his/her clinical skills yet they would have been asked as clinical/medical directors to complete the work assessment form for locum doctors. Clinical directors and medical directors did not want to spend days investigating the performance of locum doctors so the easiest thing to do was not to give work assessment forms to medical locum agencies.

Section 4d of Code of Practice for Medical Sector Group:

In recruiting doctors the agency shall ensure that:

each doctors professional references are satisfactory and current. (i.e. at least one reference must be from the most recent employer).

There were instances when medical directors provided inaccurate references for locum doctors. For example, a reference could truthfully state that there have been complaints against the locum doctor but omit to say that these complaints were not investigated. Locum doctors were expected to allow locum agencies to distribute such inaccurate information to their potential future employer. It breached Data Protection Act 1998. Processing of personal information should be fit for purpose and data should be accurate.

Section 4a:

In recruiting doctors agency shall ensure that:

each doctor is registered with General Medical Council and that he/she is required to declare any pending proceedings by the GMC against him/her at the time in the future. The agency should check that the doctor has not been suspended, or is only permitted to practice under prescribed conditions.

Doctors were expected to report any pending proceedings before the General Medical Council. However, for many months GMC could investigate and doctors would not have the slightest idea as they have not been informed of the complaints by anyone including GMC and did not even know at the time there would be any proceedings.

The effect of placing conditions on doctors practice or mere mention of past GMC hearings had devastating effect on job prospects of locum doctors. NHS refuses to employ doctors who have any difficulty with GMC if they have the choice of doctors who do not have such a problem. Any prospective and current employer would be informed of allegations before GMC even if these allegations are not true.

n 2009, REC changed their policy to a common policy for all recruitment agencies which appears to be fair and is in keeping with the law.

DoH has continued to deny to present day that there has been anything unlawful about their policy Code of Practice in the Appointment and Employment of HCHS Locum Doctors published in August 1997.

The General Medical Council's Fitness to Practice: Referring Complaints to Local Procedures policy maker was contacted by Dr Helen Bright but GMC were not able to state that day or for several more days if their policy on investigation of locum doctors was still the same.

GMC policy stated that if GMC received complaints about locum doctors they had to investigate them. Complaints about doctors in substantive NHS posts were referred to local procedures.

GMC described locum doctors as peripatetic locums stressing movement from place to place. Locum doctors have to travel to comply with their work assignments which could be all over the country. GMC placed locum doctors on the same list as those who committed crimes (paragraph 14). It is a bit like Roma people were criminalized in 1530 by Egyptians Act leading to their expulsion from England. Here is part of GMC's paragraph 14 of their policy Fitness to Practise: referring Complaints to Local Procedures:

The GMC's core statutory role means that there will be many categories of case where it is immediately clear that we will need to investigate. These cases include:

e) cases involving peripatetic locums

So, if any rubbish complaint reaches GMC about a locum doctor their livelihood can be destroyed because of their status as a locum doctor. That is not in public interest.

Department of Health dislikes agencies as they charge commission and NHS has to pay it and they have not planned for such expenses.

Human being can have poor anger management. When expectations are not met the result could be anger against locum doctors. Expectations are that locum doctors should have no opinions, not criticize anyone or any practice, work for far less money, not work through agencies which charge commission and leave the country preferably as soon as possible. The majority of locum doctors are from ethnic minorities.

Destroying locum doctors careers through sham peer reviews by regulator (GMC) who placed either punitive conditions on doctors' practice preventing locum doctors obtaining any employment led to loss of lives in a situation where there is already established fact that there is shortage of doctors. Some doctors were simply suspended and then erased having never harmed anyone.

Thursday, 15 March 2012

Goldman Sachs and talk about clients

Getty Photo of CEO of Goldman Sachs

Recently Goldman Sachs have been attacked for the way they spoke about their clients and about 2.2 billions were wiped of the share value. Is this fair?

All professionals say things about their clients that when taken from "back stage" to public look very bad. But real life is that all professionals sometimes just get a bit of relief from their frustrations in that kind of talk. The more outrageous it is, the greater the benefit to mental health. It is not meant to be shared with the rest of the world and never with clients.

Doctors say terrible things about their patients, lawyers about their clients, politicians about their constituents, actors about the public who pay to see them.

Those who love us very much and would give their lives for us want us dead sometimes. Yes, parents do get murderous thoughts about their children. It is a taboo subject a bit, but it is true that we have "aggressive" parts to our personalities.

Having overheard my dearest aunt and mother gossip about me once was just incredible. I could not believe it. Yet, both loved me a lot and did more for me than I would ever know.

Several times I obtained information held on me by various officials/professionals and in their hand written notes frustration came in various ways: I was mad, impossible to reason with and yet their official correspondence with me was most professional. I just laughed at it.

Only in cases when speech translated into malicious action, I had reason for more than concern.

Sociologists described backstage persona as different to what we present to clients as professionals. That is normal human behaviour.

I guess some people will make a lot of money out of this by buying Goldman Sachs shares as these will rise again.