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A World War 2 Trilogy - By FRED NATH (Novelist and Neurosurgeon)
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Dr Bawa-Garba and Manslaughter

Many will have heard of this terrible, tragic case. The doctor involved was tried for manslaughter and convicted despite serious Trust flaws which led to the tragedy.
My feeling here is rather different to the majority. I do agree that a junior doctor, left unsupervised with two juniors below her, each of whom had only a months’ experience of paediatrics, and had herself just returned from 13 months maternity leave was particularly vulnerable to a mistake being made. Where I depart from many people’s stated views is that I do not think the registrar is culpable.

The Junior Doctor's Strike

So, the strike went well, I’m told. Rumour has it that there were no junior doctors and the consultants had to do the routine and emergency work without the help of the juniors.
 
Think again. A number of juniors are not in the BMA. They can’t strike partly because they are afraid of losing their visas or their jobs. This meant that there were juniors working on both strike days. Elective work was cancelled – consultants can’t be in two places at once and there is no one available to look after the operated patients during the night.

Junior Doctor's Strike




So, haven’t written much for a long time. Been busy – still busy but felt I should comment on the coming junior doctor’s strike. Also want to plug my book THE PROMISE.

Why would any junior doctor want to take industrial action? It’s simple. All of them have spent five years qualifying as doctors – they had to get straight ‘A’s’ at A-level to get into medical school. In the last two years all their friends are earning because most other degrees require only three years of study. Then they have to do a compulsory year working in hospital for a pittance to get GMC registered.

Rant on Hunt and the NHS!

How can a government get facts and figures so wrong?

Fact: the NHS has functioned all the way through because of good will. Even stuffy consultants give everything they can to the NHS. The patient alwys comes first and many hard-pressed consultants work long hours and come in to the hospital when they are not on call – they are available 24/7.

I’m on call this weekend. At a moment’s notice from Friday morning to Monday at 9 a.m. I can be called in for an emergency operation or even to assess a patient.

An Insulting Budget

What does the coalition think they are doing? I thought when I saw the campaign poster they were joking.A penny off beer and Bingo. Helping hard-working people to do what they enjoy??? The concept is so insulting to the average working man in Britain the mind boggles.
I hadn't realised how out of touch and unintelligent the conservatives had become until I saw that. To label working class people in that way is not only an insult, it's a way of underestimating their intelligence.
I can't see how insulting the electorate will help win an election.

Hunt, the NHS, A&E and GP's.

 
Hunt, the Health Minister is now speaking out and proclaiming from the rooftops that GP’s should now shoulder the burden of out-of-hours patient care. Unusually, he’s talking a little sense in amongst the rhetoric and garbage we usually hear from politicians.
 
In 2004, the Labour government in a bid to ruin doctors’status forced an hours-based contract on GPs and hospital consultants. We didn’t like it because we knew it made us into clocking in and clocking out ‘health-care workers’. That was what they wanted.

Hunt, Mid-staffs and the NHS

 
To-day I heard Jeremy Hunt Health Service Minister on the news. He said and I quote, ‘Just imagine that our Olympic athletes had the attitude of not coming last instead of winning. That is just what the NHS has been doing.’
 
Hearing that insult from a politician is both astounding and risible. As a Consultant in the NHS for 27 years, I can honestly say I have strived throughout to ensure my patients get the best possible treatment, whether I have had to fight for it or even whistle-blow.

The Strike Ballot is Here!

 
Well, finally the BMA have seen the light. They are going to ballot all their members over industrial action. They want doctors, for a 24-hour period, to go to work but refuse to do some routine things like clinics. Of course, emergency work will still be carried out as one might expect. Tough eh?
 
Truth is, the BMA have always been a toothless tiger when it comes to action. They will be more effective if they embark on a really tough, hard-line, radical leaflet campaign. 24 hours? It is like a bank holiday and nothing more.

Is the NHS Dying?

For thirteen years we put up with a sort of 'Animal Farm' change in NHS culture - 'more for less' was the dogma - pay freezes etc. It functioned but at a lower level than before - a knd of dumbing down of expertise and ability. It became rather like the principle in schools where some stopped having a Sports Day becaus some kids might get upset if they didn't win.
Now the conservatives (coalition my a***). They want change for change's sake to convert the NHS into a kind of competetive 'free-for-all' market place.

A Million Pound Bonus, a Cure for National debt and My Pension

 
Much is being written of thebanker who working for an unsuccessful and largely state-owned bank has beenawarded a million quid for sitting on top of a pile of manure for a year. Well, I for one, don’t mind as long as the bank is doing well. It is usual inbusiness to reward those who work well with a bonus, if the company is doing well. Frankly, RBS isn’t doing well at all. They owe the tax-payer a fortune and if you ask me – I’m sure you won’t – no one deserves bonuses in an industry which is partly responsible for the complete wrecking of the nation’s finances.