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Revised Section 75 regs mire CCGs in a legal minefield

12 Mar

Further trouble not less after Government tables revised regulations on competition for providers. Who would be a Commissioner?

CCG Watch - your chance to save NHS services

Minefield (n) /ˈmīnˌfēld/: an area laid with explosive devices, intended to prevent incursion or protect a valuable target

I’ve spent a pleasant couple of hours reading through the government’s hurriedly-drafted amendments to its ‘Section 75’ (S75) regulations. These new rules, which the government tried to slip through Parliament without debate or vote, were designed to force the new Clinical Commissioning Groups (CCGs) to invite private providers to bid on any NHS contract, were blocked by Labour with the assistance of a brave LibDem MP (I know, there aren’t many these days).

The government ‘paused’ its legislation with a promise to rewrite it to calm the fears of LibDem objectors, with health minister Norman Lamb claiming that the government took the objections extremely seriously and was committed to honouring its 2012 promises that CCGs would not be forced to include private providers unless they felt it best for the population they…

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Netiquette – playing nice on social media

24 Feb

A short note here following the helpful twitter chat today with #hcsmanz [transcript link]

Background

Wikipedia defines netiquette. However, the clearest summary is contained in the following picture:

Better understanding of the conventions for engaging in social media conversations will, hopefully, get more people to stop lurking and join in. Social media conversations are more than tea time conversations. Social media is not only “social” but can be a powerful tool for professional development.

Resources or not reinventing the wheel

Link at Learn the Net – Your online guide

BBC Webwise making the most of being online.

A useful podcast for social media education is The Social Hour [Friday’s 2100 UMT]

Some examples – why social media matters for health and social care

Link to Youth Health 2.0
for articles on social media and mobile technology in public health, e.g.

  • Social media and the medical needs of American Indians
  • The art of engaging indigenous youth via social media

For (health and social care) professionals @brookmanknight has the last word:

“with medical people I talk collaborative peer support open access learning. Social as a word is not useful to engage or invite.”

Ensuring Physicians’ Competence — Is Maintenance of Certification the Answer?

27 Dec

 “Pressed by their leaders, external stakeholders, and a public troubled by lapses in the quality of care and unsustainable cost increases, physicians are facing stiffer challenges in initiatives designed to link more closely the goals of learning with the delivery of better care and measures of greater accountability… ”

So begins Ensuring Physicians’ Competence — Is Maintenance of Certification the Answer? in this week’s issue of NEJM .

While the essay focuses on US system of reaccreditation, the opening remarks could apply to any (Western) healthcare system which desires its doctors to deliver best possible healthcare to citizens with greater accountability for the medical profession.

I want to know how my leaders allowed the demise of self-regulation to occur after several hundred years of autonomy.

Why does the author of the article believe there is no chance the medical profession can return to less fettered self-regulation?

Is it really in the public’s interest for politicians and healthcare payers to control medical profession ever more tightly? Is the cost for such regulation really affordable?

It is my opinion, that the majority of doctors are self-directed learners who perform better under less scrutiny rather than more. Healthcare innovation may well be stifled by the drive to tighten regulations for physician practice.

This is apparently a global phenomenon at least in the rich countries with managed healthcare systems. National medical bodies may need to work together to fight this threat to the effective care of our patients.

The increasing threats to independent practice and the profession of medicine are contrary to the human values in healthcare that is at the heart of what we do.

Paediatrician hits sweet spot with social media

21 Aug

KC Kids Doc   Dr Natasha celebrates her experience using social media here.  It is great to learn that her clinical practice has expanded with this, that her knowledge and skills are enhances and she feels less isolated as a doctor and mother.

UK General Practice marches to a different drum – there is no extra income from web presence.  A social media presence can create more work for beleaguered staff with no increase in practice revenue.  Keeping up to date and minimising professional isolation are likely to be common to UK and US doctors.

Nevertheless, her experience is salutory.  Not least to use as an argument to encourage reluctant colleagues to jump on board the social media train.  It is more than just inane comments about the weather and so forth.  Social media can be a force for good.  However, the NHS must evolve into a different organisation to make it worth the time for many UK doctors.

Money does not grow on trees

31 Oct

http://www.nakedcapitalism.com is a blog by Yves Smith who hails from USA.  Her views relevant to UK!

Illusions of Autonomy

Where medical ethics and human behaviour meet

Enjoying every second

Cada lugar, cada rincón, cada momento compartido arreglando el mundo entre imprescindibles

The Commonplace Book

Jim McManus blogs on public health, ethics, books, theology and more

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