Sunday, 10 October 2010

How much can a person read? and the Liberating the NHS white paper

I''ve been thinking about the proposed changes to the NHS; GPs are going
to be involved in commissioning now. Ugh.

A person expects their doctor to be up to date on the latest trends. My
dad's a GP and he keeps up to date by reading Pulse, GP and the British
Medical Journal. I doubt he has time to read all the articles. But it's
what he does to keep himself up to date. He has to if he's going to
offer the best, most up to date practice for the wide sectrum of
physical and mental health complaints he has to deal with. I don't think
he's ever read a government white paper or policy document in his life.

I don't know who actually reads these documents. I really don't think a
lot of doctors do. They don't have the time. GPs have the highest burden
of reading material and learning because they cover all aspects of health.

Who ever does the commissioning needs to read the stuff. But there's a
lot of stuff to read. GPs are going to have to do the learning and the
reading if they're going to be effective but the amount of time they
spend outside the office reading these documents is finite.

Commissioning also takes a totally different skills from what doctors
lean to become good primary care physicians. But that point's so obvious
it's barely worth making.

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We It comes in part from an appreciation that no one can truly sign their own work. Everything is many influences coming together to the one moment where a work exists. The other is a begrudging acceptance that my work was never my own. There is another consciousness or non-corporeal entity that helps and harms me in everything I do. I am not I because of this force or entity. I am "we"