27 Ocak 2014 Pazartesi

NHS hospitals are above-run with rules and regulations

NHS nurses

Rosemary was worn out by the normal inquisitions. Photograph: Christopher Furlong/Getty




Rosemary has just invested two days in hospital, where, regardless of becoming above 70, an ex-smoker with a heart situation and a even now-rotting leg from MRSA contracted in 1997, her remedy was tip-top. What a shock! Getting old and female, she is a dead loss in terms of “monetary value”, AKA “wider societal advantage”. And she is not even “pushy” – an attitude David Haslam, Nice’s chairman, thinks we must all adopt if we’re to get the greatest treatment method.


Does Mr Chairman truly know what he is talking about? Rosemary was taken care of almost as well perfectly. The nurses were so attentive, she had to beg them to depart her alone. But it was not allowed. They had rigid guidelines, on a plastic card hanging from their waists, which must be obeyed. The card ordered them to ask Rosemary the very same record of questions every single half-hour: What was her name (previously up on the wall)? Date of birth? Any discomfort? Need to have the lavatory? Was she cozy? Want her place modified? Had she every little thing she essential close at hand? Nurse need to also inform her the program for her day. Anything at all else? Written in daring on the card, so Nurse did not overlook to inform the patient: “I have the time.” Plus a reminder to reset the cardboard clock beside Rosemary’s bed each and every 30 minutes, the only point Nurse failed to do. Naughty. It was in capitals on the two sides of the cards.


Bad nurses. Does management consider them all dim and incompetent? Rosemary was worn out by her regular inquisitions, and not even thrilled by her “welcome pack” with its eye-mask, ear plugs, pencil, paper, non-slip socks and shiny information booklet, which all looked rather pricey. She wondered who was shelling out for all this. Would not a handful of a lot more medical professionals and nurses have been better value?


“Sounds like educating to me,” says Fielding, who was bossed all around and mistrusted by management for many years, even though he slaved away at the chalkface – although some other creatures make a fortune out of shiny booklets. Probably management wants a list of guidelines. On a sheet of low-cost A4. I have some recommendations …




NHS hospitals are above-run with rules and regulations

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