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‘We doctors work in a climate of fear’


Hold up! Before you read on, please read this...

This post was published more than 13 years ago

I keep old posts on the site because I often enjoy reading old content on other people's sites. Not everything that is old is bad. It can be interesting to see how views have changed over time: for example, how my strident teenage views have mellowed and matured.

But given the age of this post, please bear in mind:

  • My views might very well have changed in the 13 years since I wrote this post. I have written some very silly things over the years, many of which I find pretty embarrassing today.
  • This post might use language in ways which I would now consider highly inappropriate or offensive.
  • Factual information might be outdated.
  • Links might be broken; embedded material might not appear properly.

Okay. Consider yourself duly warned. Read on...

‘We doctors work in a climate of fear’ (Times)

This article, with its accompaniment Why doctors must ‘jump through hoops’, raises some very important points about the medical profession. Is it necessarily so bad to have guidelines set down as to the best treatment for any given condition, with these guidelines being based on firm evidence as opposed to the practicioner’s previous experience?

If everything was simple, and patients fit into neat boxes, then of course guidelines are helpful. But they cannot cover every scenario, and there will be occasions when following the guidelines is not in the best interest of the patient. For this to open up the possibility of litagation is absurd. There are always going to be cases where the doctor genuinely does know best, and most doctors will always try and act in the best interests of their patients. The growing climate of ‘Give x to treat y’ is not terribly helpful, and appears (to me) to be driven by the vast increase in non-medically trained managers within the NHS. They want to be able to plan expenditure down to the last penny. If they know that every patient who comes in with x will get y, this is made considerably easier. And, of course, in other industries (from which many of these managers are recruited) the situation really is this simple.

Whilst I would agree that it’s best to rely on evidence where evidence is available, the prevlance of Evidence Based Medicine should not be allowed to grow to such an extent that doctors work in a climate of fear, where they no longer feel free to do the things that they judge to be in the best interest of their patient.

This 132nd post was filed under: News and Comment.

More posts worth reading

What I’ve been reading this month (published 5th March 2018)

What I’ve been reading this month (published 6th February 2018)

TV I’ve been watching lately (published 9th January 2018)

What people don’t get about my job (published 10th August 2012)

‘Forward, not back’ is Blair’s battlecry (published 5th February 2005)

Photo-a-day 176: Heavy rain (published 24th June 2012)

Nadia Won (published 6th August 2004)

Comments and responses

Trackback from elsewhere on the site

Trackback received at 00:24 on 21st February 2007.

This post has been referenced by another on this site:
sjhoward.co.uk » Why the NHS really spends too much on drugs

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