Maya Welcome

Where Did We Go Wrong?
I feel sad when I read about what is going on in the NHS. I think this was the best system that has been managed by people who are not passionate of what they do. Offering healthcare service is not about money but all about caring.

Why did this happen, and how could doctors of our generation let others take our control and stop us deliver what we promised?

Knowledge and understanding about health and well-being has advanced, but access to healthcare professionals has declined in the past decade.

Is this because the emergency care services are fragmented between hospital A&E units, telephone advice lines, walk-in centers and minor injury units, leading to widespread confusion?

“No”. This is because we forgot who we are and what we are capable of doing. We are not GOD, but only masterd the art of alleviating pain and suffering.

We must strive hard to bring the lost human face, implement changes by designing a simpler system to offer our service seven days a week.How can we do this knowing one hundred million people access urgent care facilities every year in UK.

One third of the health service’s activity and more than half the annual costs is spent on emergency care.

Access to emergency care doctors in the hospital has increased because people have lost faith in primary care.

This systematic failure of primary care (GP, out-of-hours, NHS Direct, and A&E) has not only embarrassing but also made some doctors think of implementing changes.

IIIness Or IIIusion?

Since Antibiotics became widely available doctors were encouraging people like you to consult. Patients were conditioned to seek advice early and often prescribed antibiotics.

This has not only undermined your confidence resulting in increased demand and dependence but also made bacteria stronger and resistant to various antibiotics.

Politicians thriving on theoritical idealism started promising things they cannot deliver- Doctors who came forward to protest and raised their concern were silenced or gagged.

Modernisation Of NHS

Since I wrote this in 1996, the Medical professionals were forced to stop managing illness based on knowledge, experience and clinical finding.

By creating NICE and claiming it is safe to mange health and well being based “Evidence Based Medicine”. Institutions and organisation supported the guidelines developed based on statistically significant data.

NHS was quick to accept algorithmic and protocol as the tool to help diagnose and treat patient. Nurses and para-medics were rushed to move forward and work like doctors.
Billions were spent to commercialise nurse-led practice, triage service and even walk-in-clinics. This callous attitude and reckless act has resulted in systamatic failur of primary care and embarrassed doctors and British Institution.
Patients lost faith and trust and so demand blood tests, investigations, treatment or referral increasing cost and admission to hospitals.

Modernisation of healthcare without understanding doctor patient interactions has increase demand, hospitalisation, complications, complaints, avoidable death and compensation payment because fellow human were made to suffer.


COMMON AILMENTS                                                        

What are common ailments and how can we differentiate common from uncommon, well from unwell or minor from serious illness?

We know common disease commonly occurs, rare disease rarely happen and often manage minor illness with uncertainty and using common sense.

Senior doctors are asking for a tool to help junior doctors decide how unwell a child is when they present in the emergency department.

In 1990, we developed a simple tool to make sure SHOs will not call me to review a child that did not require my expertise. I called this PAT (Paediatric Assessment Tool). Maya was developed based on PAT and so safe.
We expect the trained GPs to have acquired the skill required and not depend on such tool.

The culture of dependency has made some of you rush to A&E, demanding investigations, treatment or pay to consult a doctor in private clinics.

The problem has occurred because doctors in the past decade have managed symptoms like runny nose, snuffles, or rhinitis diagnosed as common cold or URTI.

Cough with fever as “chest infection or LRTI” and antibiotics have been prescribed.

Asthmatics and chronic cough were also labeled as wheezy bronchitis or bronchitis, viral infections or flu.

Similarly, in children a sore throat were labeled “tonsillitis”, ear pain as “ear infection” and very high fever as serious infection and admitted to hospital for treatment.

Medical literature does not have a chapter named “Common Ailment” but is used by non medically trained person.

ROLE OF PHYSICIANS

The duty of a physician is to listen to your story, clinically examine and identify the cause of your illness.

Physician must diagnose and offer treatment early to help alleviate pain, discomfort and prevent complications.

Healthcare industry has become the battleground where politicians and administrators are struggling for control, claiming modernization of healthcare is essential in the interests of patient care.

In our study, we found 78% of patients consulting doctors actually had no illness that required doctor’s advice.

Only 16% of the patients visiting a doctor required to be clinically examined (including see a rash).

Sixty-two percent of people with a minor illness received a prescription; 48% with a new symptom visited their GP.
You often pay or spend £60-£80 to ask or consult a doctor but this could rapidly escalate depending on the doctor’s experience, your perception of the illness and emotional stability.

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