Doctor, Doctor give me the news 24/7
by John Darvall
This week the Government made it clear that it wants a 7 day a week health service because it will give us the patients access to healthcare, at its best, 7 days a week. Why? We are more likely to die at the weekend, which ‘statistics’ say will happen, because there aren’t enough doctors on the wards. Apparently the worst day to be admitted to hospital is Sunday. Imagine ending up in hospital on the ‘day of rest’ and finding a notice on the door saying closed until 8am Monday morning.
The stupidity of thinking that a doctor, any doctor, can cure you on his or her own is beyond belief so the idea of stuffing hospitals with Consultants together with ‘junior doctors’ who include Registrars and F2’s and F1’s is potty. Consultant Medics or Surgeons are not gods, although some believe they are. They are part of a team and the head of that team. The collective experience and wisdom of that team is the key to your successful treatment. If the Consultant is there along with their full team every day then this will impact on the following. Training, development and the numbers of doctors actually available every day of the week. This will impact on patient care. So the answer is we need more doctors, 10,000 of them.
It takes at least 10 years to become a Consultant in the NHS. You can’t fast track being a surgeon or a medic. If you think you can then you or your loved ones can get treated by that fast tracked doctor. I will always go for the one who has a breadth of experience.
My ex-wife is a Consultant Surgeon, a published, peer-reviewed author and award-winning in her chosen specialty. She is, frankly, amazing but achieving all this has consumed her. It is only our two children that she has time for outside of medicine. Nothing else. It has taken her 15 years to get there and she has sacrificed much to do so. So have her colleagues. She already works weekends, every 6th weekend on call, day and night. I know what this means because I look after our children when she is on call. It does involve a ward round Saturday and Sunday, then staying in the hospital or going back to the hospital at ANY time day or night to do what she has trained for and has the extensive experience to do. Her colleagues also do this for the other five weekends. Her hospital is just like every other hospital in the UK at the weekend. It is full of highly qualified doctors.
To have a full 7 day NHS you also need theatre nurses, lab assistants, receptionists, porters, clinical support staff, administration staff, managers, district nurses, mental health services, public health departments at councils and more ALL to work 7 days a week. You will also buses, park and rides, trains, shops, schools, all to be properly 24/7 so Monday is no different from Sunday. If we all don’t recognise that Sunday is not Monday, why have it? If you really want health care to be 24/7 then we and it all has to be the same 24/7. Simply this means more doctors and more bus drivers too.
If 24/7 healthcare were as simple as just making Consultants work a full Saturday and Sunday they would already be doing it. And they already are.
I have one last question that government has yet to successfully answered. This may well be the starting point to all of this call for 24/7 healthcare. If you are prepared to sit in an Accident and Emergency department for 4 hours or more, just how bad is your accident or emergency?