John Hemming's Web Log John's Reference Website
Sunday, June 04, 2006
  Deficits and Patient Care
The linked blog entry from an NHS GP give a good example of how what is potentially a good idea (caring for some patients at home rather than in hospital) starts becoming a problem in a financially constrained situation.

Basically to save money the local health service is aiming for "care in the community" where potentially this could be argued rather than a balance made upon medical judgements.
 
Comments:
Sometimes, John, care in the community is indeed better and is not provided; my mother had to go into hospital because only that way could rehab physio be got quickly, but there, she came to grief. In the kind of case John Crippen is talking about, though, admission seems either essential anyway, or essential if doctors in A and E so decide for reasons to do with the severity of the problem and/or the age and frailty of the patient.
 
I don't think we disagree.
 
Care in the community is important, and really is a way of keeping patients out of hospital and away from MRSA.

When I started in general practice 20 years ago, I worked with a large team of district nurses. I now have 28% more patients and 50% less district nurses.

I have been moaning about this for years.

And now New Labour is trying to reinvent the wheel and give us back what they took away. Except it now comes wrapped up in New Labour jargon such as "intermediate care" and "hospital at home"

It is like "choose and book" - until 1997 we had the freedom to refer anywhere we liked. They took it away in 1997. Now they are giving a little back, and pretending they invented it.

It is a merry-go-round


John
 
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