It all started when hospitals began beng run by accountants...
I predicted this 5/6 years ago when I went into the private sector, make no mistake,'the corporate conglomerates are here and here to stay...
I died a little inside when I was told 'virgin want to be the Coca Cola of the mental health sector'....
I envisage the day of me living in the woods away from 'normal society'!
Can you whittle spoons from felled logs?
It all started when hospitals began beng run by accountants...
I predicted this 5/6 years ago when I went into the private sector, make no mistake,'the corporate conglomerates are here and here to stay...
I died a little inside when I was told 'virgin want to be the Coca Cola of the mental health sector'....
I envisage the day of me living in the woods away from 'normal society'!
Patients need to understand what efficiency is first, I'm afraid. Seeing a million patients every 36 hours, dancing to the ever changing tune of politicians, having to go through countless 'public consultation' exercises for changing anything (even though the public never turn up)even though the evidence is overwhelming, whilst balancing the budget every year, makes efficiency a particularly difficult trait to promote.
4 hours is/was for everyone though. That leads to people being admitted at 3 hours 45, because the department of health thinks fining hospitals for missing the 4 hour target was a good idea. What Hunt is actually saying, and about time to is, that if there is no need for you to be in A&E you will be there for as long as it takes. If people worse than you keep coming in, you'll be kept waiting.
Triage?
Indeed. Unfortunately, triage doesn't allow clinicians to tell people to sod off home! All the evidence says triage should be done by the most qualified person (consultant) who should be able to hand over for treatment, send for investigation, admit or get rid of. With the last option not available it leads to the failure of the system.