About me

Get new posts by email.

About me

‘We doctors work in a climate of fear’

‘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 post was filed under: News and Comment.

Recently published posts

‘Fallen leaves’ / 17 April 2024

A manifestly different outcome / 16 April 2024

Forgotten promises / 15 April 2024

Souter Lighthouse / 14 April 2024

Mul’s at the pub / 13 April 2024

The hazards of changing a battery / 12 April 2024

Random posts from the archive

Comments and responses

Trackback from elsewhere on the site

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

Compose a new comment

I'm not taking comments on my blog any more, so I'm afraid the opportunity to add to this discussion has passed.

The content of this site is copyright protected by a Creative Commons License, with some rights reserved. All trademarks, images and logos remain the property of their respective owners. The accuracy of information on this site is in no way guaranteed. Opinions expressed are solely those of the author. No responsibility can be accepted for any loss or damage caused by reliance on the information provided by this site. Information about cookies and the handling of emails submitted for the 'new posts by email' service can be found in the privacy policy. This site uses affiliate links: if you buy something via a link on this site, I might get a small percentage in commission. Here's hoping.