The collective noun for coincidences
[摘要] I write about coincidences (April issue) and up pops another: so a double coincidence. I was going to try, in my 420 words, to sum up my despondency. I still think that the fundamental organisation of the NHS is right: nowhere is there an altogether better system. It's just that so much of what politicians and their medical allies impose and suggest is so wrong. Once, the surgical houseman clerked the patients, and was the final common pathway to the patients. SHOs did simple operations in preparation for more complicated ones. Now, no-one clerks the patients (a recent document in our Trust asked for better ways to ‘de-doctor’ assessment clinics) and surgical practitioners will do the simple operations. These changes are expediency, but we are supposed to think they will improve care. I was brought up on the old model of medical care. It was drilled into me. I cannot, unlike for a new treatment presented with evidence of its effectiveness, throw up my hands and proclaim the new order.
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[效力级别] [学科分类] 卫生学
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