145,937 members

Skip to content. | Skip to navigation

Blog

Blithering’s Day of Rage

 

Blog headlines

  • So much more than an extra pair of hands
    14 January 2021

    The introduction of the additional roles reimbursement scheme for primary care networks has started to grow capacity in general practice to address the unsustainably high workload that has put so much pressure on GPs.

  • Primary Care Networks – how did we get here?
    7 January 2021

    This week we are sharing a blog by PCC’s chairman David Colin-Thomé.

  • A year like no other
    17 December 2020

    On 5 July 1948 the NHS was born, over the last 72 years challenges and changes have been remarkable but the service has probably never been tested as much as in the last nine months. There have previously been numerous re-organisations, multiple changes to hospitals, mental health services and a shift from the family doctor towards more integrated primary care services delivered by a range of professionals. However, rapid transformation of services to embrace digital technologies, and a shift change to work differently has been forced upon all areas of the health service this year.

  • Guest blog: David Hotchin
    11 December 2020

    This week we have a guest blog that was submitted to us by David Hotchin, written by a retired friend....obviously, he's used a little poetic licence.

  • What now for commissioning?
    3 December 2020

    By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

  • What White people don’t see
    26 November 2020

    This year’s Black History Month (BHM) has, unfortunately, in its shadow another example of why campaigns like this exist.

  • Primary Care: Why don’t we talk about Racism?
    20 November 2020

    Rita Symons is an ex NHS leader who is now a leadership consultant, coach and facilitator. Her work is mainly in the NHS and she is an associate for PCC offering facilitation, coaching, strategy development and team development activities. She is a concerned but hopeful world citizen and combines work in the NHS with a board role in a non for profit organisation and an interest in writing.

  • Primary Care and the Health of the Public
    12 November 2020

    By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

  • What now for primary care
    4 November 2020

    By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

  • Boosting your resilience
    30 October 2020

    The last year has been a difficult one, who would have imagined last Christmas that we would have been in lockdown, with the NHS seriously tested by a global pandemic. So much change has happened and the resilience of people working in and with health and care services has been seriously tested. Resilience is our ability to deal with, find strengths in and/or recover from difficult situations. Its sometimes referred to as “bounceabiliy” – but bouncing in what way?

  • Link of the week: National Cholesterol Month
    23 October 2020

    Every month or week of the year seems to be an awareness week, October has more than its fair share.

  • New redeployment service offers talent pool of motivated, work-ready individuals
    15 October 2020

    People 1st International have shared some of the work they are doing to support people displaced from industries due to the Covid-19 pandemic. There is an opportunity for health and care services to benefit from this workforce.

  • Link of the week
    9 October 2020

    Article published in the BMJ looking at the ability of the health service to quickly bounce back to pre-Covid levels of activity and considers if it is desirable.

  • Virtual Consultations– the patient perspective
    2 October 2020

    This week Jessie Cunnett, director of health and social care at Transverse has shared this article.

  • Virtual Consultations– the patient perspective
    1 October 2020

    This week Jessie Cunnett, director of health and social care at Transverse has shared this article - Virtual Consultations– the patient perspective.

  • Celebrating innovation in eye research
    24 September 2020

    This week Julian Jackson from VisionBridge has shared a report on eye research.

  • Link of the week: Comprehensive Spending Review and Covid-19
    24 September 2020

    This week we are sharing a blog that outlines the funding pressures and uncertainties faced by the health and care system

  • Risk stratifying elective care patients
    10 September 2020

    This blog has been shared by MBI healthcare technologies. As services are starting to treat routine patients those on waiting lists are making enquiries as to where they are on the list, and if they are still on the list.

  • Link of the week
    4 September 2020

    This week the link we would like to share are reflections from physiotherapy students on placement at Alzheimer Scotland https://letstalkaboutdementia.wordpress.com/

  • Link of the week
    28 August 2020

    This week we would like to share a blog published on the Mind website about being a BAME health worker in the pandemic.

 
 
Friday, 23 June 2017

Blithering’s Day of Rage

Sir Trevor Longstay raised his voice and turned a darker shade of puce than usual: “You’re going to have to sort it out, Rummage. We run a tight ship here. I won’t have us knocked off course by these snivelling, rebellious Trots.”

Dr David Rummage looked like a man struggling to endure a particularly painful rectal examination. “Well, I don’t really see what I can do, Sir Trevor. It’s not really my…” Rummage tailed off helplessly.

Liz Wanhope intervened. “I think what Sir Trevor means, David, is that in your capacity as LMC chair you may be able to exert a positive influence on your GP colleagues and possibly persuade them to defer their protest or bring their concerns to the next stakeholders’ meeting.”

“Defer, my arse,” said Sir Trevor. “I’d horsewhip the lot of ‘em.”

Martin Plackard adopted what he imagined was a sympathetic expression, somewhere between a smirk and a bout of colic.

He glanced at Sir Trevor who had paused to avert the risk of stroke.

“First of all,” said Plackard, “I’m sure you’d like to join me in congratulating Sir Trevor on his new role as lead of the Blithering Accountable Care System, in which capacity he is responsible for, er…”

“Banging your bloody heads together,” said Sir Trevor with a thin smile.

Plackard gave a nervous, girlish laugh. As no one else looked as if they would like to join his fawning party in congratulating Sir Trevor, he moved swiftly on.

“So as he so amusingly puts it, Sir Trevor is here in an enabling capacity to support us to aim to kick-start the implementation of the preliminary plan to deliver integrated person-centred care in line with the objectives of the Blithering Forward View.”

Plackard paused as the tap tap of Sir Trevor’s propelling pencil on the boardroom table grew louder.

“Or to put it another way,” said Sir Trevor, “we’re here to sort out the £75m hole in the trust’s finances, haul the CCG out of special measures and knock some sense into the rabble I had to drive through this morning.”

Rummage winced again. “About that, Sir Trevor,” he said. “I’m sure the scratches will come out with a bit of polish.”

Sir Trevor’s return to Blithering under orders from the top brass at NHS Improvement had not been auspicious. Encouraged by Day of Rage protests elsewhere in the country, Blithering’s primary care staff were out in force engaging in their own protest at underfunding. As part of Being Quite Cross Day, a group of activists had gathered in the CCG car park and Sir Trevor’s Rolls Royce had sustained scratches on the wing as it ploughed through them.

Things had calmed down since the ambulance left and the rest of the protesters had melted away, but Sir Trevor was demanding answers.

“Well, Rummage?” he said. “What are you going to do?”

“The Halford’s in the retail park is open late this evening. I could pop down there after the meeting,” replied Rummage.

“Not the bloody car, man”, growled Sir Trevor, “the dissident doctors.”  

Rummage explained that the CCG’s New Deal for General Practice wasn’t going to plan. The deal was that GPs would only get funding for “working at scale” if they made equivalent savings for the CCG. Development funds would be forthcoming when GPs solved the CCG’s financial problems or never, whichever was the sooner.

“How are they going to do that, short of selling off their premises and sacking themselves?” Rummage asked.

“Sounds perfectly reasonable to me,” said Sir Trevor. “These people always want something for nothing. They need to understand that cost-cutting is an investment in their future.”

The awkward silence that ensued was broken by Plackard. “On a more positive note, we’ve received some excellent news from NHS England’s strategic naming directorate,” he said.

Plackard went on to explain that following a reorganisation of the national team the former commissioning directorate would from now on be known as “strategy and innovation”.

As a result, Plackard said, there would be “far-reaching changes”. Pressed for an example of a far-reaching change, Plackard pointed out that in addition to his existing title of director of social assets and digital leverage he would assume the additional title of executive director of inspiration with immediate effect. 

Seeing that Sir Trevor’s propelling pencil was on the move again, Plackard played his trump card.

“I think I have a solution to David’s little problem,” he said. “We can tell GPs that NHS England is getting rid of commissioning altogether and putting them in the driving seat. Let them know that if they stop complaining and get on with working at scale, collaborating and so forth, they’ll soon get their hands on all the cash.”

Sir Trevor frowned. “But they’ve only changed the bloody name, Plackard, about 20 people are affected. It’s hardly the last gasp of the purchaser-provider unicorn,” he said.

“Indeed, Sir Trevor,” said Plackard, turning up his smugness to unbearable, “but they don’t know that, do they? At the very least it will buy us a few months of peace and quiet.”

Sir Trevor turned to Rummage. “I think Martin may just have dug you out of a hole, Rummage. Now run along and tell your cronies the good news.”

“Oh, and one other thing,” he barked at Rummage as the careworn GP made for the door, “be a good chap and pick up a tin of Turtle Wax from Halford’s on your way. You’ll be needing it for our next meeting.”

Editor: Julian Patterson

@jtweeterson
julian.patterson@networks.nhs.uk 

 
Clive Spindley
Clive Spindley says:
Jun 24, 2017 10:53 PM

loving it, well far more entertaining than digital health, woof woof