Tag Archives: Junior Doctors Jobs Crisis

Remedy Mass Lobby of Parliament – 18th March

It’s still a turdI’ve never had any particular need to be glad that I don’t live on the west side of Leicester before now. The M69 is a pleasant enough minor motorway, and there isn’t really much else one can say about the place. Isn’t it where Adrian Mole grew up?

On the 18th I will be one of a worryingly small number of people lobbying Parliament about medical education and the plight of the missing generation of junior doctors who are too old to benefit from whatever reforms the government introduces as a result of the recent Tooke review, and too young to have made it safely to registrarship already. A year after the original MTAS debacle, I still could not have managed coherency if the MP I were lobbying was Patricia Hewitt.

By lobbying, I force my MP to inform herself on the details of the issues.  The problem of course is that one can only find MPs in their lairs in Westminster during the week, and most doctors will be working then. It is entirely happenstance that we can attend at all – it was the one week during this rotation that the one I’m going with could get for his holiday. I loathe London and all its works and I would far rather be on a cheap beach or a Scottish city, but I am privileged to live in a democracy and it’s important that those of us who live in democracies avail ourselves of the privileges while we still have them. It is important that my MP knows that, when she discussed this with her constituents, at least one of them asked her to vote for implementing Tooke in full.

As I type this I find myself getting more enthusiastic about the whole thing. When I followed Remedy’s directions and wrote to my MP to ask for a meeting I discovered on They Work For You that she voted against the war in Iraq, though she also voted against in inquiry into it. I find that I am looking forward to discovering her views on MMC and MTAS. Does she agree with the government’s proposal to implement about half of Tooke’s report? It’s an opportunity for me to decide whether or not to vote for her in the future. It’s an opportunity for me to become more informed, and for me to contribute and participate. Democracy – use it or lose it

I’m not just interested about my MP – I find myself wondering what’s going on at my local general hospital, (the one I’m going to London with works elsewhere), and I’m beginning to feel the first stirrings of willingness to pick up the fight again. I am, however, very glad that I’m not going to see Patricia Hewitt. If she’d been my MP there was a real risk that I would have lost it completely. Dribbling rage is never pretty.

Original Image from Remedy

For up to date comment on Modernising Medical Careers read the Witch Doctor – or even better: subscribe to her blog

To sign-up for the mass lobby of parliament go to the Remedy site – they will provide you with briefings and do all they can to support you.

Remember – it’s our NHS and they are our MPs.

Stats tart

Recently one of my MTAS posts has been topping my stats chart. It turns out that it is being sought out by scat-seekers because I had illustrated it with a stolen picture of a turd. Who’d have thought if you put “poop” into Google Images you’d get a link to a post giving my opinions of Ms Hewitt.

Satisfying though it is, I’ve renamed the picture “MTAS” and hopefully the scat-seekers will eventually go away. It pleases me to think that some may do what I did, nick the picture and use it elsewhere, and that eventually a search for “MTAS” will produce a picture of a heap of shit.

An anatomy of anger

Maybe I’ve just been lucky or maybe I’ve been unobservant, but I didn’t know that there were so many ways to feel anger.

I knew that there were many ways to feel happy; there’s the backwash of an endorphin rush generated by laughing for ages with friends about something very silly indeed; there is the animal feeling of well-being which comes from just enough of the right sort of exercise; there is the whooping feeling of joy when something longed-for actually happens, like good exam results. There is the feeling of emotions easing and relaxing when you spend a really enjoyable time doing nothing in the sunshine.

What I hadn’t known is that there are many ways to feel anger.

  • There was the feeling of incoherent shock and stomach-sinking horror when Channel 4 revealed the MTAS security breaches which left me breathless and speechless
  • There was the sharp feeling of brittle rage at the thought that those responsible for MTAS might destroy the project documentation to hide their accountability and incompetence.
  • There has been the ongoing dull ache of anger that Blair and Hewitt were immovably in power, which has been superseded by a persistent feeling of uneasiness about who and what will replace them.
  • There has been the sense of joint-aching frustration at the arrogance, disrespect and inhumanity of forcing doctors and their families to up-sticks and move to places they have no desire to be; separating partners, families and generations.
  • There have been the sick waves of helpless horror at the administrative cruelties of people who made offers to the most vulnerable individuals – those who will never be permitted to apply for specialist training again – and then withdrawn them with no more than a curt explanation which has been no explanation at all.
  • There has been the crawling distaste and visceral withdrawal from the bland complacency shown by the seniors who were happy to hang the whole world out to dry, juniors, patients, health service and all so long as they didn’t lose their chance of rimming Hewitt and Blair in exchanges for political favour.
  • There was the pure blast of ice-burning rage at when Hewitt demanded – and got – costs

I had no idea there were so many ways to feel anger, but I guess the thesaurus should have warned me:

Visual Thesaurus - one of the cooler ways to feel delight

In the last six months? All of the above.

You can take the Health Secretary out of Andersens…

Ms Hewitt reviewing the evidence-baseYou can take the Health Secretary out of Andersens, but you can’t take Andersens out of the Health Secretary.

From the Guardian:

Mr Straw denied reports that officials shredded documents on the troubled NHS IT programme to stop them becoming public.

Mr Heath protested at “the decision of the Office of Government Commerce to destroy the gateway review documents on the cost of ID cards and other misdirected and mismanaged IT schemes”.

Mr Straw said: “My understanding is that these gateway reviews have not been destroyed.”

He said the Freedom of Information Act provided for a “whole series of exemptions” allowing the release of documents to be refused to “ensure the proper functioning of government”.

(If my sarcasm assumes too much prior knowledge, forgive me. Ms Hewitt used to be Research Director for Accenture, the consulting firm spawned by Arther Andersens. Andersens is most famous for shredding tonnes of evidence when one of their largest clients, Enron, collapsed taking Andersens down with them.)

MMC and MTAS – a direct appeal to Junior Doctors

This is a direct plea to junior doctors to hang on to their stethoscopes for at least another 6 months. These are the reasons why I really think it is worth it to hang on in there while the dust settles.

  1. MTAS won’t be used next year – recruitment will be done locally
  2. MMC will be changed
    • I believe that those who don’t get a number this time, even at S3 level, will be given a second chance. How gutted would you be to leave now and then find you could have got a number if you’d stayed?
    • I cannot second-guess the outcome of the Tooke Review in the way I can second guess the canning of MTAS, but it is clear that MMC won’t remain the same.
  3. You can leave but you can’t come back
    • If you wanted to become a Lawyer or work in the City you wouldn’t have spent the last 7, 10, 12, 15 years of your life working at becoming and being the best doctor you can be. Do you really want to give it up? Hang on in there for 6 or 12 months and stay current.
  4. The grass isn’t necessarily greener
    • Face it, there aren’t 8,000 vacancies in the City or the Legal profession. I’ll admit that’s an argument for leaving sooner. But how shitty would it be to abandon a profession you love and are good at and end up being a grockle in another profession because the market just got flooded with doctors?
  5. We still need doctors, and the locum rates will be pretty good while the dust settles
    • Face it, in the short term you will be able to get work. Intermittent, unreliable, below your level, in unfamiliar hospitals maybe. But you’ll be able to pay your mortgage and keep current while the dust settles.
  6. You don’t know what the future will be like till you get there
    • Many years ago I was facing a future of divorce, personal bankruptcy, loss of my house and the loss of my business. Just contemplating it made me hyperventilate, set off a bout of hysterical screaming tears and gave me panic attacks. I – quite literally – could not think about that future. When I got there I didn’t go bankrupt but everything else I described did happen. None of it was as bad as I expected, and some of it was actually rather fun. I enjoy my life now, and am hugely happier and more settled than I was in the years leading up to that time. The point that I am making is that just now this seems like the end of the world. But in fact it is just a spectacularly unpleasant and traumatic episode in what will be a long and healthy life. When you are looking back on this, you will always think of it as a horrible time of enormous stress and uncertainty. But you will also realise that it was just a turning point, and that the rest of your life is the rest of your life.
  7. If you can get a job in Australia, New Zealand or Canada go for it.
    • To be honest I’d give my eye teeth to be under 30 and going to live in any of those countries. They are great places to live and raise kids, and you would keep your options open.

  8. If you hang on in there, you can still be a medic. If you leave now, you never will be again.

MMC – made simple

Here’s a simple, straight-forward and dignified explanation of MMC which I only just came across today:

It isn’t the StarWars tribute; it covers a much wider spread than that and it deserves a wider audience.

Vindictive Fucking Bitch

The Vindictive Fucking Bitch has demanded costs.

From the email update on the Judicial Review from Mums4Medics:

HewittWhat leaves a particularly nasty taste in the mouth is that the lawyers for the Secretary of State have applied for costs against Remedy, and have made it clear that Ms Hewitt was directly involved in that decision. The judge was very unhappy about this, and suggested in the strongest possible terms that Counsel for the Secretary of State might like to ask his client to reconsider. Counsel indicated that reconsideration was not an option. Reluctantly, the judge awarded costs. To quote the immortal words of Francis Urquart, ‘You might call such an act vindictive, but I couldn’t possibly comment.’

I am so shocked by the bitch’s vindictiveness that I am sending Remedy another donation today – money well spent if you ask me. Click here if you wish to do the same.

PS – the expletives here are all my own unaided work. Mums4Medics are much wiser and politer than I am; only the words in the blue are theirs.

PPS – at least Remedy got under her skin; a thought which gives me a warm glow of satisfaction every time I think it.