Sunday, January 11, 2009

Dr Shirine Boardman Ask not for whom the bell tolls

A service must reach the people it serves, or else it is not a service. Medicine is culturally specific. An Asian doctor serving an Asian community makes sense!

Dr Shirine Boardman used one Trust database to furnish another Trust database in a hospital that already practices Smart Card Sharing. Meanwhile, her work won prizes (NHS choices ) and she had an impact on the community she served. She was instrumental in setting up the Apnee Sehat project.

I am not Asian, I am not diabetic and I don't work in Leamington Spa. But it is in my interests that the population of this country are encouraged and supported in their need to be healthy.

We cannot continue with this style of Health Service Management.
Competency-based, tick-the-box regulations, protecting those who learn the "rules" not those who know how to do the work. We need people with integrity whom we trust to do the right thing working with systems that support their good intentions. Not a regulatory nightmare subverted by anxious bureaucrats, giving whatever decision most helps their career.

I trust Dr Shirine Boardman did the right thing by her patients and the community that she served. I trust Dr Boardman's integrity and her good intentions.

I do not believe that South Warwickshire Trust and its encumbent CEO has the integrity or good intentions required to carry out the job for which they are paid. In short, they appear to be working for themselves and their own political ends and not their community.

"No man is an island, entire of itself; every man is a piece of the continent, a part of the main. If a clod be washed away by the sea, Europe is the less, as well as if a promontory were, as well as if a manor of thy friend's or of thine own were. Any man's death diminishes me, because I am involved in mankind; and therefore never send to know for whom the bell tolls; it tolls for thee..."

Others who have blogged more eloquently

Copyright (c) Liz Miller

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angus said...

It's the usual NHS management BS, do what I say not waht I do, because as we all know management is untouchable.

Dr. Liz Miller said...

Something has changed in the way the NHS and public services are being managed. This new management promotes a culture of Bullying and Harassment.

Nowadays everything is about political correctness, ticking the boxes and as long as you pay the parking tickets, you can steal the car. Actually, the government has sold the car and everything else that isn't nailed to the floor. And it is about to pull up the floor boards. At this very moment, it is probably getting ready to sell Trust Hospitals for a £1

angus said...

Now there's a thought.

As to the bullying and harrasment, that also seems to apply to patients as well, and their families,but thankfully we don't have to work under these "people" who are stuck in the 1950s in mind and attitude.

Dr. Liz Miller said...

"Demanding" patients don't get treated. I have heard of a couple of people who complained and then didn't get another appointment. This mindset goes through the system

angus said...

The other side is the Consultants who do not communicate with patients and families at all, as I found to my cost with Mrs Angus.

The senior management seem to think this is acceptable behaviour, and do nothing to change the system because they realy don't care about anything but the stats and themselves.

Dr. Liz Miller said...

I agree - and at a time when people are vulnerable

The notion of "service" and "doing the job properly" has been replaced by "career development" and "meeting targets"

angus said...

Absolutely agree 100%, I have nicked your links for the Angus site today, to give the Shirine Boardman case a bit of help. Hope you don't mind.

Dr. Liz Miller said...

No problem, I pinched them from Jobbing Doctor ;-)

angus said...

Great Minds!

christina said...

what happens when the system is too lazy, chaotic and corrupt to serve the people? integrity is a forgotten word in greece...we are way past beyond any point of political correctness because noone gives a damn anymore...medicine has become network specific...
however, I need to note that whenever one pops up in a hospital with an 'emergency' or an EMERGENCY he will be treated, especially if he bumbs on a old classmate who is now a doc or a nurse....which makes things even more chaotic.....people are becoming demanding...because they cannot trust the system and its services....and this might sound tragic but compared to England few cases go undetected and long as the patients insist on their problem....Am I making any sense?

Dr. Liz Miller said...

Christina, Integrity seems to have disappeared here too!
The British are becoming less retiring and more demanding because in the end, that becomes the only way to get results.

People in the UK use "connections" but in the UK you are better off being related to the management than the medical profession. They have the power, not the doctors.

christina said...

this leaves the medicals with less is so scary....

Dr. Liz Miller said...

I think on balance it is scarier to have managers and administrators in charge of resources. On the other hand it is equally scary to find that doctors are now becoming managers. Just as managers make bad doctors, equally doctors make bad managers.

One day perhaps we will learn to stick to what we are good at and what we have trained for. Rather than trying to do each others' jobs, we could learn to get on with one another, respect other professions and cooperate towards achieving a common purpose.

Doctors are advocates for their patients, trained in the diagnosis and treatment of disease, not politicians, managers or any other nu labour multipurpose concoction.

Anonymous said...

Depends if Shrine Boardman wants to get eaten by the system


Dr. Liz Miller said...

I think she already has been

Anonymous said...

Speaking of "It Tolls for Thee"
please come read around at
"PFI Pandemic Flu Information Forum".

Free news and resources, and if you don't like corruption and preventable chaos, I think you'll find some like minds (and lots of facts about Pandemic Firstwave the bureaucrats won't tell you). We'd also like to hear your experiences.

Dr. Liz Miller said...

I have just had a look at the Pandemic flu site. I have problems with the kind of data modelling adopted by that approach. Most obviously it assumes we are nothing more than passive recipients of passing viruses and that life is a drug deficiency disease, in this case, of Tamiflu.

The origins of swine flu are in the gross abuse of pigs in the multimillion pig industry in Mexico. The soil of its transmission is an equally unhealthy human population.

By asking epidemiologists for answers and solutions to an everyday problem we play into the reductionists hands. It is like giving a leading role in EastEnders to a closet drama queen. The series would very quickly lose any resemblance to real life.

There is no such thing as a 1% mortality. If 100 people get the condition, for one unlucky soul it is 100% for the rest, it is zero. Saying the mortality is 1% deceives everyone. Whether you live or die, depends on a lot more than whether you catch swine flu, not least on how healthy you are.

Is is a coincidence that the 1918 pandemic came at the end of the Second world war and spread amongst troops who went through unheard of horrors on a scale impossible to imagine? and is it a coincidence that there has been nothing on the scale of WWI or pandemic flu since then?

We are as much part of our environment as the mistreated pigs from whom swine flu originated. Time for those boys to get a grasp of life, instead of playing chess with statistics.