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2024-03-09

So what has become of "our" NHS?

A cautionary tale indeed, and some good advice to boot.

"State-nominated priest is the Noctor. I am surrounded by so many, I no longer remember what all their acronyms mean. Nurse ACP & ANP, non-nurse PA & HCA, Paramedic FCP & AP, etc"

Of course, you are not supposed to remember what all these TLAs mean. The only truth you need to know is that medicine has now been reduced to the application of protocols appropriate to the symptoms, each with its own specialist expertise and TLA.

And if you have a handy test that can simply be applied and assumed to be 100% accurate regardless of the circumstances, then so much the better.

Medicine has been rigorously oversimplified by managerial classes obsessed with reducing waiting times and maximising throughput and efficiency (not to mention simplifying construction of the ultimate bill for those paying for their treatment) - but since the patient as an integral human person  of varying circumstances has been forgotten, and wide clinical experience isn't valued any more, all we end up with is a "pass the parcel" system with minimal continuity, increased waiting times, and reduced throughput and efficiency.

"An unrealistic system of healthcare and healthcare regulation which regularly abuses and humiliates both those delivering and those receiving healthcare"

Read and weep.