These corporations are in control of what doctors do and what they must not. The days of treating patient with respect, dignity and in their interest exist no more.We have been forced to loose the human face by rewarding doctors who follow guidelines and protocols to save cost. We have now lost control and the independence to offer the best treatment in your interest. Its unethical because doctors like us feel very uncomfortable know you are in pain and suffering.
In 2003, NHS introduced walk-in-clinics, started managing out-of-hours service and introduced Nurse-led Surgeries in UK. Nurses with no formal medical school training or supervision worked as doctors. They were clinically examining, advising, requesting investigate and prescribing treatment.
Doctors like us who raised concern were systematically ostracised. The GMC, NMC, BMA and WMA ignored doctors who were honest and defended their fello human. The result of this experiment is highlighted in Mid Staffordshire Hospital Enquiry Report.
The number of children less than five years admitted in hospitals doubled. This proves the quality of care offered in primary care (Gp, out-of-hours service, NHS Direct, A&E and Paediatricians) is very poor
PROTOCOL & ALGORITHMS
You often tell your doctor a story of an illness you have lived and experienced or name a symptoms. Based on the way you compliant, the doctors diagnose and advice management. This may or may not necessarily a drug.
Offering he althcare diagnosis, treatment or advice using protocol or algorithms is not often safe .
By offering treatment decision strictly based on “Statistically proven data” doctors have made mistakes, prolonged illness resulting in complications.
Treatment outside the statistically proven are considered taboo and often these doctors are critisised.
This so called “Evidence-Based Medicine” claimed by politicians as safe cannot be substituted for human beings. Numbers can only complement a physician’s personal experience with a drug or a procedure.
By stifling innovation and doctor’s independence to offer the best advice or treatment people in power has resulted in us loose the human face of medicine.
”We think the future generation of doctors are conditioned to function like a well-programmed computer that operates within a strict binary framework.” (How Doctors Think)
Our profession has not only endured criticism and humiliation, but is now threatened by resistant strains of common bacteria, virus and fungus are likely to bring an end of our profession.
This has proved just how vulnerable we are, despite all our scientific know-how and advances in medicine .
Promoting self-care, avoiding contact with infections and reduction of antibiotic abuse is mandatory to prevent the spread of these bacteria in our community.
People who question this clinical approach, critisised management or identified serious clinical errors (negligence) have been prosecuted, harassed, victimised and often bullied by the healthcare providers.
P eople in power have now passed on the responsability to manage NHS. This is likely to make the existing problem worse resulting in infliction pain and suffering to fellow human.
We feel this is all about money and not about quality of care or service to humanity. This is unethical and sad.
“A Physician must have complete clinical independence in deciding upon the care of a person for whom he or she is medically responsible. The physician’s fundamental role is to alleviate the distress of his or her fellow human beings, and no motive, whether personal, collective or political, shall prevail against this higher purpose”. World Medical Association
PRIMARY CARE PHYSICIAN
The main role of a primary care physician is to identify potentially serious condition early and offer the right treatment or refer them to hospital.
Inexperienced doctor or nurse do not have a simple tool to help. Protocols and guidelines used to triage or refer patients to hospitals or GP are based on nurses observation and so not very safe.
Doctors are also expected to investigate or perform minor procedures claiming this to be safe. This results in delay and complications or hospitalisation.
Eighty percent (80%) of patients with new symptom visited their doctor. Only 52% of people with a new symptom treated themselves. 62% of people with minor illness received a prescription from a doctor.
76% of patients consulting doctors actually did not require advice or treatment offered by a doctor. Only 16% of patients consulting a doctor required to be clinically examined.
Patients who consulted a doctor not only draining the resorces but also wasting their money, time and are often consume drugs they aught not to.
In UK, the average annual general practitioner consultation rates have increased to 70 million each year. The cost of providing healthcare for patients with “minor illness” is £2 billion and this is unsustainable in UK.
The world population now more than 7 billion, it will be very difficult to offer healthcare advice to all in the future. As the bacteria have rapidly become resistance to antibiotics the doctors will be unable to offer their help and support.
In the 1980s, doctors were happy to offer appointments and often saw thirty patients in one session. Majority of patients who consult had minor illness and were often re-assured and monitored progress. Occasionally few patients were made to wait longer because the doctor was busy managing seriously ill patients.
In the 1990s mangers were appointed and they decided to introduce the appointment system to help reduce waiting. The doctors were happy to accept and so introduced ten minutes appointment. This reduced the number of patients the offered appointments and the waiting for an appointment increased.
The number of patients missing appointment (DNA) also increased because they were often well when they received the appointment.Srivatsa KM, Reducing the time you and your patient wait, Psychiatry Bulletin 1999
The World Medical Association claims to protect doctors and their families from unfair treatment for defending medical ethics, but to date we have not seen them highlighting the problem or offer help to bring an end to this un-ethical medical practice.
The politicians in the UK expect doctors to come forward and report to GMC if they identify wrongdoing but do not offer any support or help doctors who come forward. This over enthusiastic urge to defend wrong doings to protect NHS will result in morbidity and mortality.
Doctors and nurses who meticulously follow algorithms to diagnose and treat are protected and rewarded.
Healthcare providers claim patients are satisfied with the service offered by nurse practitioners and refuse to accept the wrongdoings. We have not found a study that compare the quality of care offered by nurses or the out-of.hours emergency helpline