‘I was proud to work in a system that treated an unemployed man exactly the same as a barrister’ ~ The Jobbing Doctor

'What did you do to protect the National Health Service, Grandad?' We are the BMA, and if the BMA fails, then it is all of our fault

Thirty-nine weeks ’til I retire

8.52AM 27 July 2012

It hasn’t taken long to destroy the NHS. The whole organisation is beginning to crack up, and the more perceptive among us have noticed.

The NHS was an organisation that was a post-war social experiment to have a health service that was free to all users and paid for out of a general tax, according to people’s ability to pay. For the best part of 50 years it was cheaper and better than most healthcare systems in the world. I was proud to work in a system that treated an unemployed man exactly the same as a barrister. I guess it was socialism at work.

The rot set in, as it did with most public services, under Margaret Thatcher. She did not value this system and set about trying to change it. Further governments – those of Major, Blair, Brown and Cameron – have all continued this process seamlessly.

We will see, within the next few years, multi-tiered healthcare with private providers concentrating on areas of maximum profit and all the talented graduates going where the money is. We can already see attempts to destroy national pay rates, along with efforts to give doctors’ jobs and responsibilities to less qualified and less well-paid staff.

There is also an ongoing assault on the medical profession by the media, with the usual right-wing cheerleaders for the government to the fore. Combined with an eight-year pay freeze, the campaign has made many doctors disgruntled and disheartened.

This has been encapsulated by a comment made by my partner, who teaches fourth-year medical students. He tells them: ‘Get your basic qualifications, and then head abroad as fast as you can – there is no good future for you in the UK.’

Are these simply the comments of an exhausted middle-aged man? He has another 12 years to go before he retires.

I don’t think it’s just my colleague who’s disenchanted by the current state of things. The patient panel in my practice has put a little note in their newsletter to prepare people for my retirement. The first comment I usually get is that I’m not allowed to retire.

‘You’ve been my GP for more than 30 years, what am I going to do?’ they ask. This usually quickly followed by: ‘I don’t blame you, doc, you deserve it.’

Who can I blame for what’s happening to the NHS? It is too easy to blame the politicians, but nevertheless I shall. The blame lies squarely with their well-intentioned – but blunderingly naïve – reforms. Whenever I hear the word ‘reform’ used in this context, I want to reach for my Smith & Wesson. The roll call of idiots in the Department of Heath is a long and inglorious one.

Equally culpable are those high up in the profession who have allowed the Government to proceed without pointing out the consequences. The list is long and vainglorious, headed by Messrs Donaldson and Darzi. If you need to point the finger at the profession, it is easy to pick out those who have helped this process – they’ve all received honours from a grateful Government.

In this post, I have acted like a latter-day Demosthenes, ranting my angry Philippic at today’s Phillip of Macedon – and I feel a great deal better for it.

The Jobbing Doctor is a general practitioner in a deprived urban area of England

The Jobbing Doctor Blog ~ Pulse

Comments
  • Neil July 27, 2012 at 4:38 pm

    Whilst I agree the NHS been dismantled to aid genetic cleansing…Doctors are at the forfront of this..if they had allowed more disabled people into their ranks earlier then this would be a much different result…

  • jeffery davies July 27, 2012 at 7:47 pm

    well well well the nhs is not its in the last throes of being dismantled and not one mp does shout about this much to my disquiet built to last untill blair and the torys took it apart now we have virgin care soon unum serco atos are all to follow but how can insurance companys do it are they paying their selves twice it just goes to show torys looking after their friends anyone who put into their warchest jeff3 rip nhs

  • Humanity2012 July 28, 2012 at 12:54 pm

    It is Evil and Disgusting the Wrecking of the National Health Service

    I can Understand why I have Not Voted ” Conservative “

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