Sunday, September 05, 2010

The Blissful State of Health Care in the UK

Or maybe not so blissful... if it is chasing doctors away. Junior doctors drop out rate nearly a quarter as EU ruling limits time spent on wards | Mail Online [Note to you snobs who don't like the Daily Mail. I don't like it either, but the London Times started charging £1 for access to stories, so linking is right out, even though they had a similar story.]

The problem: work rules. The EU instituted a directive that states doctors in training can't work more than 48 hours per week. So the "trainees" are stuck on nights and weekends, and don't get very much training.

Some are going to Australia, or coming to the US, or going elsewhere to get their training. Because not getting training isn't working for them.
Of those who did apply to continue, 22 per cent were not accepted by NHS trusts, the suggestion being that they lack the skills and experience necessary to hold the positions. A further 7 per cent declined the posts they were offered.
Hard to have developed skills if you aren't given the training in those skills.

And a whole bunch are leaving.
According to figures shown to the Medical Programme Board, which oversees doctors’ training in England, 1,380 out of 6,000 trainee doctors completing their ‘foundation’ years in the NHS have either quit or have taken a break rather than applying for the next stage of core training.
It is going to be really hard to provide quality health care without enough doctors.
More than 75 per cent of junior doctors say the quality of training has deteriorated since the introduction of the EU directive, surveys suggest.

Around two-thirds also believe that the quality of patient care has also suffered – as a result of gaps in rotas and problems that occur when inexperienced doctors change shifts.
But never fear, the bureaucrats insist there is "no evidence" the EU rules have had any impact.

I can't wait until we have socialized medicine too.

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