To Do No Harm. I do not know the exact oath a Doctor takes when first they become a Doctor, to do no Harm is in there somewhere. To not assault your patient, is also a given, also, to not humiliate your patient, must be up there somewhere. But we all know Doctors are Decent human beings, they have ethics , regarding how they should treat their patients,…Don’t We ? Ah but sadly …Doctors…come from the Human Race…and they have the same flaws as us all, and that’s why there should be an oversight committee(A PROPER COMMITTEE),, and that committee, should be made up (no quangos getting large sums of money and placement post’s for political favours from supporters of what-ever political party is in power) the general public living in the area of the hospital in question, and must be changed on a regular basis. The NHS is for everyone, and must be seen to be , and must remain free off private money, and never for profit , must be at the heart of that policy, and this philosophy renewed regularly, by making sure it remains at the heart of the NHS and we do this by driving out, ” The for profit people”…who are rubbing their hands at the possibilities, and creaming off a lot of the easy stuff. Once profit margins are in the minds of the managers and Health Trusts Board, where in the offices of these trusts, staff start dealing with money and prices of treatment. With money, comes so many other things, like profit’s, and rewards,, and later still, comes pay off”s . where there must be a filtering out of certain groups, who “COST TOO MUCH” and this is quite clearly going on, and is clearly at the heart of some of these managers and decision makers minds. But There are some Trust’s where some patients are seen as not worth the cost’s of their treatment, and I suggest, that, that’ filters down and into a policy in the managers minds, and although it might not be an open and public policy, but I know for certain that there is an unwritten point of view in some quarters, where some groups can and are side-lined into the long grass, for no more of a reason, other than they may be different, and may have mental health problems, and some believe that these types are not very important . I thought that treating people as they come, was at the heart of our NHS when patients first ask for their help, even if it’s just a place to keep warm, or where some people may be at the end of their tether and seek comfort in one way or another. Nurses and Doctors must be seen first and foremost, as healers, and healing comes in many forms, surely, and should never have to be constantly looking over their shoulder, because they are healing in ways that are seen as a waste of money, for this places too much of a burden on them, because of their being human too, and prone to whatever prejudice is doing the rounds in the “Sun” or the “Daily Mail at any one time. I know this may sound difficult…could be seen as caring too much…God forbid…that Doctors don’t care, ‘surely not, but what if I said, that patients are being assaulted , that I know of two or three Doctors that should never have been let in the front door; That these guy’s have become so arrogant that they do not even give the patient the time of day, and are too busy sneering at having to treat the OIK’S, It may just be that they are earning too much in their private practices and only work in the NHS out of shame, after all they have the title of being called a Doctor. This sneering, is not just from some Doctors, No’ Some Nurses, are just as guilty, after all, they do take the lead from their superiors, this lead comes from the same lot of Doctors who are given to sneering themselves. I also know that there must be doctors working in these hospitals, that know’ exactly who and what I am talking about , there was one Korean doctor(I know from a personal point of view, from my personal experience at his hands) who treated patients like they were a nuisance and who were only there for what they could get, that attitude is sadly too common amongst the elite in our NHS. This elite who themselves syphon off so much of the much needed resources , Some consultants cost something like £10025 per day, according to some report I read in the Sunday Times (I think it was)recently, agencies take their cut…but still… these fees are just too greedy, because we as patients, and I suspect , there are many Trust’s and gov’t agencies, where they to, are at the mercy of these overly powerful consultant’s….So they’ too, have to pay… through the nose…no pun intended. When first it was set up, we the people of Britain decided, that the majority of the population were getting very little care from what Doctors there were in Britain, at that time, so a deal was struck with them, to allow them to practice, privately, if they worked for the NHS . This is being abused, to such a degree, that trust’s are having to do deals with the Devil, the Devil is (for our NHS) these agencies, who are dominating so much now, and the over-worked trust staff resort too much to these agencies, we could put a stop to it, by giving the nurses better wages, reducing consultant’s pay, so many nurses, are better than some of the doctors, so lets get back to treating and seeing them the way we always did, but, only give them a better pay packet and also re-hire older staff , and finally let them know that we as patient’s place such a value on them by rewarding them for it, after all the bloody bankers get rewards for turning up on time, so let us match our respect for them (the nursing staff) by also rewarding them financially, and then the quality of the staff will get better (I hope). But we must remember that the NHS came out of an enlightened men and women awakening to the injustices that were going on, and the war made it far more obvious, that we were good enough to Die fighting for this country, but we were never too good enough to be treated in Harley street, only in some charitable hospital, if some decent Doctor was willing to treat the poor, the same poor men who were dying , and who were left in some field in some far off place, and those who came home traumatized, but were savvy enough to show the Establishment that enough was enough, and the greatest way of doing this was to give them the same access to medical treatment as those who were traipsing off to Harley street to be treated by the best Doctors money could buy . So was born the NHS TO GIVE THE SAME TREATMENT TO ALL, REGARDLESS OF WHAT YOU HAD IN YOUR BANK ACCOUNT. Is this still the case?…because when it came into being …there was a…”First Class”… “Second Class” and a… “Third Class”, in most public places, society lived by these principles, but in the new’…NHS…there were…NO! CLASSES. Do you think there is still a classless NHS ? as you use it, you can see quite clearly that you get a “First Class” treatment from a “First Class” people. But there are a few bad apples that can’t get Harley street out of their minds when they stagger over into the NHS again, this dealing with those who don’t wear, eau de cologne , is really a bit of a nuisance, old boy. (sorry could not resist that), but these people do still stagger into the NHS when it suits them, earn a bundle and stagger back to Harley street, or some other private clinic with far to comfortable waiting rooms. When first you seek to see the NHS with a Business eye, then the NHS becomes no different than a Business, and with all business’s there are certain principles about profit and what is not so profitable, then by definition, there will be seen, at least on paper, values you place on each patient and to just see them in these categories, categories that fall into line about worth, who is worth treating, and who is not “Worth” treating.. purely in financial terms…some groups…must be seen as worthless when decisions are made about cost’s of treatment , then clinical decisions ,”Must” be influenced in varying degrees about cost’s, it must happen now, I know it happens now, I’ve seen it happening now, especially to those with no elbows…at all.
Finally ,I am Humbled ,most of the time when I walk into our Hospitals, either for some appointment, or just visiting the canteen while waiting to be seen you are taken aback by the kindness shown to you, and the new Cancer Centre is a Gem to behold and my thanks goes out to all those and their kindness shown to us all as Patients, for a couple of bad eggs does not make our NHS stink, there is plenty of goodness to make up for most of it’s shortfalls, but we as potential users and users of it must work tirelessly to keep all of it’s principles intact, and fight to end the invading principles about profiting from the sick.