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It will all be fine


Blog headlines

  • UK’s National Health Service teams up with the Radio Society of Great Britain to improve health and wellbeing
    4 March 2021

    This week's blog is by Paul Devlin, Emergency Care Improvement Support Team (ECIST), NHS England and NHS Improvement.

  • Structuring a PCN Social Prescribing Service for the post COVID world
    25 February 2021

    This week we have a blog by Nick Sharples.

  • Community-Oriented Integrated Care
    18 February 2021

    The blog this week is a short extract from a paper considering an approach primary care networks could use to move towards community-oriented integrated care.

  • Strategy Unit releases opensource model for planning vaccine centre capacity
    11 February 2021

    This week's blog is from The Strategy Unit who are sharing an opensource model to help with vaccine centre capacity planning.

  • Time to talk day
    4 February 2021

    A small conversation about mental health has the power to make a big difference.

  • Supporting Staff: the emergence of ‘long-covid’
    28 January 2021

    As we are now well into a second, or is it now the third, wave of Covid-19 it is becoming apparent that Covid is something we have not experienced before and it has unique implications for staff management. It is not just the possibility that staff may become acutely ill with the virus, but that for some they may go on to develop persistent debilitating symptoms that will affect their ability to go back to work. This article looks at the implications of long-covid for HR and service managers when looking to support health care professionals (HCPs) return to work.

  • Link of the week: Clinically-Led workforce and Activity Redesign (CLEAR)
    21 January 2021

    This week we are sharing a link to the Clinically-Led workforce and Activity Redesign (CLEAR) site that is funded by Health Education England.

  • 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.

Friday, 10 May 2013

It will all be fine

Everyone agrees that it is largely the patient’s own fault. After a promising start in life, things started to go wrong.

She put on weight year after year, growing to a preposterous size. She lived beyond her means. She experimented with drugs, thousands of them.

She was kind and always ready to put herself out for her many friends. But they used her, took advantage of her generosity, ran up huge bills on her account and demanded her help when they got into trouble. 

People hoped she would see the error of her ways. Many offered advice, much of it contradictory or unsound. They told her to redecorate and re-arrange the furniture. If she did it often enough, eventually she would she get her life back on track, they counselled. 

Whenever she ran out of money, her wealthy friends were there to bale her out, but one by one they deserted her.

Her health began to fail and with it her grip on reality. She turned to self-help books, went on faddy diets and spent a small fortune on therapy from self-styled experts promising spiritual growth and personal development. One told her she that if she ate nothing but tripe she could lose 20 billion pounds in five years.

Finally she had a breakdown. A consultant prescribed 290 remedies to make her well again. Her anxious parents are seeking a second opinion. Leading consultants are lining up, diagnoses at the ready. 

She does not believe they can help. Half of them are not even real doctors, she says, but she is too weak to resist. 

She is only in her mid-sixties, her friends point out. She has been like this before; she just needs to pull herself together. 

It will all be fine, they add, moving her bed closer to the window.  

Mcfred73 says:
May 10, 2013 07:02 AM
It's the downside of reality unfortunately , if you're obese, naive and depressed or have any mental health disorder, you're quite a hopeless case...
Talking about perception of facing unreal doctor, is that an euphemism ? Gate is open to overseas doctor, but who ever bothered checking on them before they start caring for patient? Does the EU allows cross exam of work history?
After all being a doctor is a well paid job, fatigue leads to standards drop but as a trusting figure it can be easily forgiven as oppose to nurses who can still feel constant pressure...
alan.owens@wales.nhs.uk says:
May 10, 2013 09:00 AM
I really do feel for the patient, I sort advice about weight gain from my GP who ended up having very little time to guide and counsel me, and was just repeating “Calories in Calories Out”, and leaving me deflated with little hope with the medical profession after the appointment.

If a patient like the one in your story plucks up enough courage to go through the difficult process of calling to making an appointment with their GP, going on a waiting list for a date weeks in the future, taking the time to get themselves to the surgery on time, patiently waiting for the appointment in the waiting room as the GP is running late, and meeting with the doctor, this is truly a last resort cry for help.
Helping patients at this early stage will save £’s, time and resources in the future.
neil2336@gmail.com says:
May 10, 2013 09:21 AM
It is my understanding the some people called McKinsey are now looking after her because her immediate family no longer know what to do. I just hope these McKinsey people have her best interests at heart.
mandee.leese@rlbuht.nhs.uk says:
May 10, 2013 09:29 AM
A sad and poignant tale for a friday morning...feel liking sending a sympathy card, but no longer sure of the address!
sofia.layton@nhs.net says:
May 10, 2013 09:51 AM
It's shocking I know but the fact is that those who have been entrusted with this patient's care have been covertly and even overtly selling off her organs and body parts for quite a while now. Much of the weight gain may well be a result of trying to function normally whilst missing whole or parts of key structures. The remaining body parts try to compensate but the sustenance and oxygen cannot properly flow around the body systems, the systems get confused and resources get misdirected. The strain on them is immense and certain systems are now at breaking point. Those entrusted with her care and arguably responsible for her current frail state, are using her weakness to force her through further life changing and unnecessary surgery. My view is that they will continue this terrible crime until she gives up the fight. They should be struck off and held to account for their crimes!
paul.fieldhouse@nuth.nhs.uk says:
May 10, 2013 10:08 AM
Is she looking for a leaner healthier body then the TV shopping channels may have the perfect answer "Slim in 6" followed by the "Insanity" work out - you even get a free T-shirt to model your new physique.
The fats got to go, the drugs must be used selectively and the witch doctors and charlatans must be kept at bay.
seanbarkes says:
May 11, 2013 06:52 AM
The witch doctors and charlatans may be her only hope! After all, she's been failed by the orthodoxy ;-)
jhh@trinitygatedental.co.uk says:
May 11, 2013 10:26 AM
so she lost weight,felt confident in her slimmed down state, found she could do lots more without the burden of weight hanging around her, could move faster respond quicker, was energised, could think clearly once out of her depressed state, felt happy and those around her consulted her,asked for her help and felt confident once more.Lets hope
dwdeborahwainwright@gmail.com says:
May 11, 2013 05:47 PM
Trouble is too many internal body parts have been sluggish for years, while the face has worn too much makeup and the torso done too many stomach crunches! It has lived off a diet of fast food and has confused stubbornness for direction and whinging for leadership. If we want to keep our beloved NHS as a SERVICE we have to stop thinking that profit is a dirty word! I would rather our clinicians become competent business people than hand over the NHS to business people and expect them to become competent carers!
Anonymous says:
Jul 19, 2013 12:17 PM
the problem is she believed in her own self importance, thinking she was an oasis, didnt always work with others in her community, because she was so popular politicians befriended her, sometimes building her up, but mostly tearing her down.
she had carers though who worked tirelessly to keep her on her feet sometimes at the expense of common sense, but this can only last for so long, turnaround ticks and mosquitoes have fed fat off her and her sores are starting to show, it looks like its game over!!!..... but wait...she is standing, slightly propped by some who remained steadfast... shes lighter now, trimmer, less beaurocratic warts... less leeches..well what do you know...she might just make it!!!