I'm off to the Noctors

Words are always evolving, coming in and out of fashion, like catchphrases do. Homer Simpsons D'Oh has even made a dictionary! Medical terminology changes constantly, usually with the advent of new illness, new drugs or tests, or sometimes by international consent.

So when we had plain Xrays, we had not heard of Ultrasound Scans, similarly we developed CT followed by MRI and PET scanning capability. The last scan is not what you would have done at the vet's either.

New drugs appear statins ,PPI ACE-I and ARB's and we change the names of old favorites to be in harmony with our international colleagues Frusemide to Furosemide.

So it goes on constant change, progress, advances, new technology, groundbreaking, pioneering, breakthroughs, all for the good of the public of large.

So is it true?

Yeah but no, but yeah but no but anyway I was goin' to the Doctors like I normally do right, but it wasn't my fault and that Tanya from the Sunbed shop she said it'd be allright becaus she said that her Alvin had heard from Gordon and Tony that it was the right thing to do...


Nooooooo, Gordon and Tony are wrong in one respect, because soon with GP Lite:The New NHS you won't go to the Doctor, you will go and see the Noctor

So What is a Noctor?

Simply

NOt
a
doCTOR

NO undergraduate training in Anatomy, Biochemistry, Physiology, Pharmacology, Microbiology, Medicine, Surgery, Psychiatry,Dermatology, Obstetrics, Gynaecology, Ear Nose and Throat, Ophthalmology, Accident and Emergency, General Practice, Public Health
NO medical degree taking 5 years to complete
NO postgraduate experience of taking responsibility for diagnosing, prescribing, management of illnesses, a minimum of 5 years postgrauate training to reach higher grades.

Today you could, be visited at home, attend a hospital clinic or walk into a walk in centre dealing with minor illness and be treated and managed by someone who has about 13 weeks training.

I'm still learning about my job, daily. I've been a Doctor for 14, an accredited GP for 8 and have dedicated myself to my profession for19 years. Do I think I could be doing that after 3 months of training?

So I take my hat off to the Noctors. They are either exceptional talents or foolhardy dangerous practitioners, mistakes waiting to happen, the ticking time bomb of the NHS because of the lack of well grounded training.

Introduction

Welcome to my blog. I am a doctor working in the embers of what used to be the great NHS. I'm self employed and have invested in my Practice and patients. The NHS is changing, not because it needs to, not because it has to, but because someone wants it to in contradiction to all the evidence.

The NHS is changing, nine reoranisations in nine years tells us that. There are now more managers than beds in hospitals. Hospitals we are led to believe are dirty, dangerous places to go to. Hell yes - they are full of sick people I hear you cry!

This is true, but nasty superbugs also live there. Why? Perhaps cleaners don't clean, nurses don't nurse, doctors don't manage and managers don't doctor. Patients sometimes would rather die than go into hospital, and often their wish is granted.

Please do not be fooled by the facade of 'Holby' as a real hospital, as 'Doctors' as real primary care, unless your local really is the Queen Vic or The Rovers, or your Vicar really is Dawn French. The real world is out there and just as the local shops are being replaced by tiny supermarkets, the next target is the newly privatised NHS.

The NHS is at Custers last stand with General Practice being the circle of wagons surrounded by Apaches, the helicopter variety, supplied with Tommahawk cruise missiles, led by Chief Jaw Drop Brown and his Braves.

Be afraid, be very afraid. They have formed a pact with the mercenaries of Big Business and scalps are there for the taking. Your Primary Healthcare, or GP Practice as it was known in common language is 'The Best' and 'The Finest', and the envy of the world, but before long it will be just 'Basics' and 'Value' as your taxpayers money will end up as profit for the fat cats.

A question: Who does your GP answer to?

You the patients of course.


Another Question: Who does Big Business answer to?

Shareholders,
City Instituitions,
Investors,
Potential Investors,
Hedge Funds,
Venture Capitalists,
The Financial Services Association,
and maybe you the patient.

The End is Nigh.

And then what will we do??