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  Doctors are leaving the NHS because they are finding it increasingly difficult to work in a system where 'managers' outnumber medical staff. The whole is made worse by being driven by targets rather than care, statistics becoming more important than treatment. There is such an obsession with numbers and time spent in hospital that patients are increasingly being sent home far too early. A regular occurrence is now having patients taken in by ambulance then discharged in the middle of the night having been diagnosed with what isn't wrong with them. Rather than being in the wards nursing staff are now out of the way at 'nursing stations' waiting for 'managers' instructions.
  My own mother is currently in hospital having had her left leg removed. Last week, while she was the only patient in her bay fighting to get the attention of staff also caring for another woman occupying another bay (also on her own), when we were handed a letter stating that she required a care home. The letter went on to state that we had seven days to find her a place or they would allocate her one somewhere in the country. At that point her stump was (and still is) infected plus other health problems and yet the social care manager has decreed that she requires residential care rather than nursing care. As, given the health issues, my brothers and I had been looking for a place in a nursing home this has meant starting again with a seven day deadline.
  A Conservative government began the target system and introduced business managers, a Labour government perpetuated it and introduced payments to GP's for not sending patients (they prefer the PC nonsense of 'clients') to consultants and the ridiculous system whereby a doctor can earn more by suggesting smokers quit (with no need to follow through) than they do for being on-call.
  Both shades of government have declared a need to cut back on the cost but both have done so by spending more on management than on medicine. PCT's, supposedly there to help monitor and allocate funding now spend more on publicity than they do on medical matters. Our own local PCT is, among other things, a sponsor of the big telly in Market Square.

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