In some hospitals junior doctors are no longer allowed to carry out intravenous cannulation. Some have asked why the deaneries are not protesting about this? Dr Grumble has some bad news. There may be infection control reasons for these initiatives but this sort of thing actually comes from the deaneries. Dr Grumble became aware of these proposals recently and protested loudly. He protested to a senior personage in the deanery. He argued that putting in an intravenous cannula could be a life-saving procedure and that it was not a bad idea for the most junior doctors to get a lot of practice at it. So what do you think the response was? Did the senior personage show some sympathy for the Grumble view? Not a bit of it. She tore poor whimpering Grumble to shreds in a most dismissive way. They are powerful these people. Very powerful. She told Dr Grumble that he was old fashioned and out of touch with the way things are going. Junior doctors were not to be rushing around doing chores at the behest of tyrannical consultants. There was an unpleasant implication there about how she seemed to think Dr Grumble behaved. Now Dr Grumble would agree that junior doctors should not just be doing chores. But his junior doctors are still rushing around doing mostly purely administrative tasks. Those are the tasks that should be taken away from them. The things that could be done by a reliable clerk. But stopping them acquiring life-saving skills is plainly crackers. But nobody listens to Dr Grumble. He's not tyrannical enough. You can't argue with the deaneries. They have an agenda.