1-1banner
 
medpundit
 

 
Commentary on medical news by a practicing physician.
 

 
Google
  • Epocrates MedSearch Drug Lookup




  • MASTER BLOGS





    "When many cures are offered for a disease, it means the disease is not curable" -Anton Chekhov




    ''Once you tell people there's a cure for something, the more likely they are to pressure doctors to prescribe it.''
    -Robert Ehrlich, drug advertising executive.




    "Opinions are like sphincters, everyone has one." - Chris Rangel



    email: medpundit-at-ameritech.net

    or if that doesn't work try:

    medpundit-at-en.com



    Medpundit RSS


    Quirky Museums and Fun Stuff


    Who is medpundit?


    Tech Central Station Columns



    Book Reviews:
    Read the Review

    Read the Review

    Read the Review

    More Reviews

    Second Hand Book Reviews

    Review


    Medical Blogs

    rangelMD

    DB's Medical Rants

    Family Medicine Notes

    Grunt Doc

    richard[WINTERS]

    code:theWebSocket

    Psychscape

    Code Blog: Tales of a Nurse

    Feet First

    Tales of Hoffman

    The Eyes Have It

    medmusings

    SOAP Notes

    Obels

    Cut-to -Cure

    Black Triangle

    CodeBlueBlog

    Medlogs

    Kevin, M.D

    The Lingual Nerve

    Galen's Log

    EchoJournal

    Shrinkette

    Doctor Mental

    Blogborygmi

    JournalClub

    Finestkind Clinic and Fish Market

    The Examining Room of Dr. Charles

    Chronicles of a Medical Mad House

    .PARALLEL UNIVERSES.

    SoundPractice

    Medgadget
    Health Facts and Fears

    Health Policy Blogs

    The Health Care Blog

    HealthLawProf Blog

    Facts & Fears

    Personal Favorites

    The Glittering Eye

    Day by Day

    BioEdge

    The Business Word Inc.

    Point of Law

    In the Pipeline

    Cronaca

    Tim Blair

    Jane Galt

    The Truth Laid Bear

    Jim Miller

    No Watermelons Allowed

    Winds of Change

    Science Blog

    A Chequer-Board of Night and Days

    Arts & Letters Daily

    Tech Central Station

    Blogcritics

    Overlawyered.com

    Quackwatch

    Junkscience

    The Skeptic's Dictionary



    Recommended Reading

    The Doctor Stories by William Carlos Williams


    Pox Americana: The Great Smallpox Epidemic of 1775-82 by Elizabeth Fenn


    Intoxicated by My Illness by Anatole Broyard


    Raising the Dead by Richard Selzer


    Autobiography of a Face by Lucy Grealy


    The Man Who Mistook His Wife for a Hat by Oliver Sacks


    The Sea and Poison by Shusaku Endo


    A Midwife's Tale by Laurel Thatcher Ulrich




    MEDICAL LINKS

    familydoctor.org

    American Academy of Pediatrics

    General Health Info

    Travel Advice from the CDC

    NIH Medical Library Info

     



    button

    Monday, December 30, 2002

    Adminstrative Efficiencies: In England, the NHS has gotten so top heavy that there are more administrators than hospital beds (link requires paid registration):

    The National Health Service now has so many levels of bureaucracy that there are more administrators than hospital beds. Official figures reveal that for the 199,670 beds currently available
    there are now 211,650 staff classed as managers, administrators or clerks ˜ an all-time high. Critics blame ministers‚ obsession with target- setting for the rise.

    The growth of administrators employed to monitor NHS performance and progress towards the government's 300 targets, has seen the bureaucracy grow by almost 12,000 in the past year alone.

    Figures released to Tim Loughton, the shadow health minister, show the number of senior NHS managers more than doubled in the past decade to 27,000, while the number of beds fell by almost 59,000.

    “It is ridiculous. You cannot get through a morning‚s work without being interrupted by someone with a clipboard asking silly questions,” said a consultant at the Queen Elizabeth hospital in Birmingham which has more than 1,300 administrators for its 1,000 beds.
    (Thanks to a reader who must have subscription to the Sunday London Times)

    More Consequences: And a lot of those administrators and appointees are of one political mind:

    Some 599 – or 21.9 per cent of all appointees – were Labour, while 143 or 5.3 per cent were Tories, and 111 or 4.1 per cent were Liberal Democrats.

    Liam Fox, the shadow Health Secretary, said there was still a "blatant bias" in favour of Labour. "It is everything to do with subservience to the party first, with a sense of duty to the local community a very distant second," he said.

    ...Dame Rennie Fritchie, the Commissioner for Public Appointments, issued a scathing report that described NHS appointments as "politicised in a systemic way".

    She said political allegiance had been the "decisive factor" in the selection of a number of candidates as Frank Dobson, the former health secretary, sought to counter years of perceived Tory "cronyism" on trust boards. Between January 1998 and March 1999, the number of councillors on trust boards more than doubled, with 80 per cent being awarded to Labour supporters.


    Another good reason to avoid both politicizing medicine and government-run healthcare systems.
     

    posted by Sydney on 12/30/2002 08:07:00 AM 0 comments

    0 Comments:

    Post a Comment

    This page is powered by Blogger, the easy way to update your web site.

    Main Page

    Ads

    Home   |   Archives

    Copyright 2006