The picture that was here has been removed because, according to Dr Grumble's legal advisor, it was a violation of copyright. Daft these laws because presumably you could look at the picture if Dr Grumble told you where to look.
Sometimes Dr Grumble has the sensation that there is a hidden force out there that is driving the course of healthcare in completely the wrong direction. Sometimes things just do not make sense to Dr Grumble. Why should apparently highly sensible people at the top of their professions veer the wrong way? Is there some Orwellian force at play?
What does the word 'Orwellian' mean? Mrs Grumble says it refers to a world where everything is controlled, you have to follow the party line and sometimes you have to agree that two and two make five. Here is an Orwellian letter from the Times that Dr Grumble stumbled upon in the comments on Jobbing Doctor's blog.
Sir, As clinicians and partners working in the capital we find it sad that your story on Professor Darzi’s excellent report Healthcare in London (“Local hospitals face axe”, July 11) concentrates on hospital closures and not on the main theme, that patients need the best quality care in the right place.
The care provided to stroke patients in the capital is just not good enough. There are many small GP practices without the facilities to offer even blood tests and ultrasound to their patients, while the hospital may not be the right place to go for a wide range of relatively minor complaints. That is why the polyclinic is proposed. We agree with Professor Darzi that better specialised care in major acute hospitals, treating in particular stroke and heart attack patients, will significantly improve the outcomes for a large number of people.
CATHY WARWICK, Visiting Professor of Midwifery, King’s College Hospital NHS Foundation Trust
PROFESSOR SIR CYRIL CHANTLER
DR MARTYN WAKE
DR TOM COFFEY
DR MAGGIE BARKER, Deputy Regional Director of Public Health, London
SIMON CRAWFORD, Chief Executive, West London Mental Health NHS Trust
This is a two and two make five letter which, according to Mrs Grumble's definition, makes it Orwellian. What can be behind this? Does Dr Grumble's friend or her Black Cat have the answer?