Tractor production is up!

Now health watchdog the Care Quality Commission has confirmed that during an inspection its team was confronted with claims A&E staff were faking records to meet the four-hour waiting time target.

Someone attempts to manage by targets so the targets are fiddled?
My word, aren’t human beings a perverse lot?
Alternatively, Soviet management methods lead to Soviet outcomes…..

4 thoughts on “Tractor production is up!”

  1. Last time I was in A&E, they temporarily admitted me to a ward, so I was no longer waiting in A&E, openly to avoid violating the target waiting time.

    Having said that, I did get good treatment once seen to. The young African supply doctor was the best doctor I’ve seen in ages. He actually seemed to care what was wrong with me, which was a rare and gratifying experience these days.

  2. African medical staff are, I find, bloody excellent. I suppose they often come from a background where the facilities themselves are not so impressive and so good healthcare can only be achieved by good people.

    I’m in A&E quite a lot. My wife has serious enough health problems that triage always put her near the top of the queue, but even still, four hours is a laugh. We generally reckon on a visit lasting at least ten. You can always guarantee that they’ll do something within four hours — take some blood for analysis or check blood pressure or something else quick and easy. Actual treatment can be a long long time later.

  3. Anyone in A&E who is not seen immediately… I don’t mean triaged… is neither an accident nor an emergency and should not be there… that is what GPs allegedly are for.

    The problem is about 80% of attendences are not emergencies or even urgent which is why A&Es are clogged up.

    They used to be called Casualty Departments, but because they were actually becoming GP clinics, the name change was supposed to indicate to people they were for emergency cases only.

    The problems: it’s ‘free’; often more convenient than arranging a GP appointment; often quicker than getting a GP appointment; can’t get out of hours GP; dissatisfaction with diagnosis/treatment from GP.

    Easy initial fix: either introduce £50 charge for non-urgent cases, and/or send the patient’s GP a bill for £50 every time one of his patients presents as a non-urgent case.

    Long term fix: deregulate health care, get the State out of the equation and leave it to the free market.

    This is not a new problem, been going on since the 1960s, like all the other horrors of the NHS… there never was a golden time when matron ruled, it has always been a Stalinist State Collective. I know I have worked in it and dealt with it… 1971 to 2001.

  4. @Ian B
    I had exactly the same experience! Admitted to ward (with trivial skull fractures), looked after by a competent, beautiful and delicate African nurse, probably Somali. I could’t bring myself to push back when she did the strength test.

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