tag:blogger.com,1999:blog-25200961.post3549680871763078969..comments2024-03-26T07:19:50.901+00:00Comments on Dr Grumble: Religious sheep take control of NHSDr Grumblehttp://www.blogger.com/profile/04417731064007601504noreply@blogger.comBlogger12125tag:blogger.com,1999:blog-25200961.post-87330351061922505172010-03-23T20:48:14.260+00:002010-03-23T20:48:14.260+00:00Actually the Grumble child concerned is a 20-somet...Actually the Grumble child concerned is a 20-something but his younger brother, a teenager, is even worse for knowing it all (and twenty-something does not actually trip off the tongue). <br /><br />I can remember being the same - just as Oscar Wilde could. <br /><br />It is actually only towards the end of my working life that I realise that those ahead of me about to retire have the most knowledge of all. Hardly surprising when you think about it but somehow it doesn't seem that way when you are young.Dr Grumblehttps://www.blogger.com/profile/04417731064007601504noreply@blogger.comtag:blogger.com,1999:blog-25200961.post-31403610871225614572010-03-23T20:37:06.866+00:002010-03-23T20:37:06.866+00:00Like the bit about teenagers (and indeed twenty-so...Like the bit about teenagers (and indeed twenty-somethings) thinking they know it all, Dr G.<br /><br />The line that I like to use for such scenarios (and an ever greater favourite the older I get) is the one attributed to Oscar Wilde:<br /><br /><b>"Sadly, I am no longer young enough to know everything"</b>Dr Austhttp://draust.wordpress.comnoreply@blogger.comtag:blogger.com,1999:blog-25200961.post-4683882101019549022010-03-22T18:16:09.411+00:002010-03-22T18:16:09.411+00:00People like Julian Tudor Hart are, to say the leas...People like Julian Tudor Hart are, to say the least, rather out of fashion these days. Certainly in England. Dr Grumble was aware of this lecture from this <a href="http://amcunningham.posterous.com/julian-tudor-hart-lecture-tonight-in-cardiff" rel="nofollow">source</a>.<br /><br />One of the Grumble children could have gone but Dr Grumble thought that he probably wouldn't bother so did not tell him. Perhaps that was a mistake but the last time Dr Grumble recommended a lecture to another of the Grumble children he didn't bother to go. The lecture was given by a man whose blood had once literally boiled. It wasn't recorded and it will never be given again. <a href="http://www.timesonline.co.uk/tol/comment/obituaries/article6480725.ece" rel="nofollow">Never ever</a>. <br /><br />Old people (or are we supposed to call them older people now?) are worth listening to. And you need to be sure you listen to them while you still can. Teenagers think they know everything and can be dismissive of the old. As you get older, very gradually, you learn that you do not know everything. And by the time you are Grumble's age you realise that you will never know more than a tiny proportion of what there is to know. Hopefully the Grumble child who chose not to go to the lecure Dr Grumble recommended has learnt his lesson. He now occasionally reads this blog. This comment is for him. I wonder if he will read it.<br /><br />Some lessons are best learnt the hard way.Dr Grumblehttps://www.blogger.com/profile/04417731064007601504noreply@blogger.comtag:blogger.com,1999:blog-25200961.post-2559179640640015972010-03-22T16:24:55.315+00:002010-03-22T16:24:55.315+00:00Hello Purple Haze,
As I say this may be a Caerphi...Hello Purple Haze,<br /><br />As I say this may be a Caerphilly-only service. I certainly don't have to go through a lengthy form. I phone a co-ordinator on their mobile number and advise them of the situation. They ask me how many times each day the patient needs to be seem and they arrange the service- for the same day if I call early enough. I do hope the service does not disappear soon.<br /><br />Dr Grumble,<br />I was at a lecture by the wonderful Dr Tudor-Hart last week in Cardiff University. Although he has retired many years (he is now 83), a mini-bus load of his old patients came along to hear him speak. <br />I regretted not recording it as soon as he started speaking. His main gift seems to be generosity of spirit. And I particularly liked his comment that patients are not consumers, but can be producers if given the chance.<br /><br />PS I enjoy your shared items very much, Dr. Grumble!Anne Marie Cunninghamhttps://www.blogger.com/profile/05289974924032448531noreply@blogger.comtag:blogger.com,1999:blog-25200961.post-82532985987366572742010-03-22T16:06:40.892+00:002010-03-22T16:06:40.892+00:00Social services hiding behind lengthy forms and fi...Social services hiding behind lengthy forms and finding various reasons not to take responsibility for a problem that is theirs is a all too common. But it is good to know that there is at least a part of the UK where there is the possibility of summoning emergency social care. And it is interesting to learn that this is in Wales, where the NHS was conceived:<br /><br />http://drgrumble.blogspot.com/2009/04/need-or-profitability.htmlDr Grumblehttps://www.blogger.com/profile/04417731064007601504noreply@blogger.comtag:blogger.com,1999:blog-25200961.post-40541244665702597722010-03-22T14:01:56.030+00:002010-03-22T14:01:56.030+00:00Anne Marie, alas I cannot say that I have EVER bee...Anne Marie, alas I cannot say that I have EVER been able to access this service in North Wales.(Rapid Response Team) No matter how much I try, no matter how "social" the problem the service always bounces the referral after asking me to fill in a 4 page "unified assessment", so much so that I now have to ask patients to ask for it - it seems to work for them.Single Female Dochttps://www.blogger.com/profile/08219334304756606257noreply@blogger.comtag:blogger.com,1999:blog-25200961.post-8143294303426566452010-03-20T23:30:07.854+00:002010-03-20T23:30:07.854+00:00But that's where private landlords can help A,...But that's where private landlords can help A, and at a much lower cost too ... we discussed that here:<br /><br />http://drgrumble.blogspot.com/2010/01/peas-in-pod.html<br /><br />Please also look for Dr Grumble's post on 'half way houses'Samhttps://www.blogger.com/profile/09558370387772079822noreply@blogger.comtag:blogger.com,1999:blog-25200961.post-83127026689545310272010-03-20T22:21:15.225+00:002010-03-20T22:21:15.225+00:00I had a patient admitted to CCU the other week wit...I had a patient admitted to CCU the other week with chest pain. All turned out fine - no new pathology identified - and she was teed up for discharge.<br /><br />She was on the waiting list for a nursing home and social services - even though nothing had changed about her or her circumstances - suddenly decided that she was not able to go home as they couldn't look after her. She's now on the ward awaiting NH placement, which will likely take months.<br /><br />Another bed successfully blocked...Anoreply@blogger.comtag:blogger.com,1999:blog-25200961.post-56392504442143045282010-03-20T21:09:38.766+00:002010-03-20T21:09:38.766+00:00So Wanless, former Chairman of The Northern Rock&#...So Wanless, former Chairman of The Northern Rock's Audit and Risk committee, reached Wales too. It is very strange that the government chose a banker who didn't even know enough about banking to keep his bank solvent to advise on something he knew even less about.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-25200961.post-25022613571958901152010-03-20T20:59:08.209+00:002010-03-20T20:59:08.209+00:00I've been looking to see if I can find any lin...I've been looking to see if I can find any links about this scheme online. It seems that it might in fact be a Caerphilly only programme, funded by 'Wanless' money. <br />(http://www.wales.nhs.uk/documents/wanless-review-e.pdf)Anne Marie Cunninghamhttps://www.blogger.com/profile/05289974924032448531noreply@blogger.comtag:blogger.com,1999:blog-25200961.post-67401794671531160562010-03-20T20:45:10.323+00:002010-03-20T20:45:10.323+00:00What a brilliant solution, Anne Marie. Perhaps an ...What a brilliant solution, Anne Marie. Perhaps an example of how things can be done better in Wales.Dr Grumblehttps://www.blogger.com/profile/04417731064007601504noreply@blogger.comtag:blogger.com,1999:blog-25200961.post-60912365017325499682010-03-20T20:39:58.561+00:002010-03-20T20:39:58.561+00:00I wonder why the nurses didn't think he could ...I wonder why the nurses didn't think he could be looked after at home? In Wales, as a GP, I can access one week of emergency social care to prevent this kind of thing happening. There is meant to be a medical reason for the sudden change of circumstances. I have used this service several times and it has helped me avoid the situation you describe. By the way, I have to have seen the patient myself that day, or the day before. And the service does seem to be continued after the week if necessary.Anne Marie Cunninghamhttps://www.blogger.com/profile/05289974924032448531noreply@blogger.com