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Performance Indicators in the NHS - Just one example

Alice-nice-Alice

So I had a gp consultation a couple of months ago about my worsening allergies. She referred me on to a clinic in Liverpool. So the practice get tick in the performance indicators for closing my case quickly. White check mark

Prompt email reply from the allergy clinic saying the have triaged (considered) my case and determined Im not seriously enough at risk  to see them, sent some leaflets and closed my referral. Which means they can tick White check mark  their performance indicator for great speed of the case and done under the target waiting time. 

End result for me is a few leaflets and with still worsening allergies. End result for NHS is manipulated statistics to show them in a better light. 

So when the nhs and government say they have reduced waiting times have this weaze in mind, they can now effectively triage cases where one possible outcome is no action, yet this counts as a referral dealt with. I think this is fairly new as triage didn’t previously to my knowledge have “no action” as possible outcome, and that this counts positively towards waiting times averages going down which is deceitful in my opinion.

Parents

  • If waiting times are being manipulated in order to create a different impression from reality, I agree it’s deceitful and potentially harmful for patients.

    My GP referred me to mental health services over two years ago. I received a standardised response on partially headed paper and three leaflets. The letter heading showed the name of the Health Trust to which my GP had referred me, but no address or contact details and the letter wasn’t signed. The text was very blurry (a photocopy of a photocopy X multiple).

    The text said that I should contact one of the agencies named in the enclosed leaflets. These were voluntary agencies and charities. I contacted all three agencies. Two had closed several years earlier, but a very nice man at the third agency telephoned me and said they weren’t set up to deal with me as they dealt only with victims of certain types of trauma. He was furious with the Trust and he said that I and others in the past had been referred to him because the Trust couldn’t do its job and it couldn’t be bothered to deal politely and properly with people. The man hadn’t even received a courtesy call from the Trust.

    Some time later, my GP received a letter saying that I hadn’t engaged with the Health Trust service and that I had been discharged. That was untrue. I did my best to follow this up but everybody I spoke to passed the buck and told me different stories. It’s really shocking because it feels like an assault on my character, it’s lies and I’m powerless.

  • in reply to ArchaeC

    It sounds like by not putting down any contact details they pretty much guaranteed they could say you hadn't engaged with them, as they didn't give you any means to. Anywhere method of keeping the books clear, it wouldn't surprise me if the manager gets a bonus for that.

    I hope you have managed to find something since, support seems to be so thin on the ground.

  • in reply to Cinnabar_wing

    I contacted the clinic that my GP had referred me to but they said they didn’t know of anything about my referral or the letter.I suppose that could be, but somebody sent that letter.

    I received around 6 or 8 weeks counselling at the GP surgery.  The counsellor picked up that I could be ASD which ultimately lead to the GP’s referral and diagnosis, so that was a good result. I could really do with something further.

  • in reply to Cinnabar_wing
    Cinnabar_wing said:
    I don't really understand why they say, you can have a 6-8 weeks, then that's it, you don't get more sessions even if you need it, or if what you are dealing with takes longer to address.

    The NHS says:

    "If you get counselling on the NHS, you’ll usually have between 8 and 16 sessions."

    NHS - Counselling

    Based on (their assessment of) my needs, my own course of post-diagnostic NHS counselling was extended several times - eventually going beyond 16 sessions.

  • in reply to ArchaeC

    I'm glad you've had that at least and the outcome was good for getting diagnosed, but definitely, you don't just fix deep traumas in a few weeks.

    I don't really understand why they say, you can have a 6-8 weeks, then that's it, you don't get more sessions even if you need it, or if what you are dealing with takes longer to address.

    They don't do that with physical medicine. Imagine how absurd that would be 'oh that rash came back, sorry we treated you for it already.'

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  • in reply to ArchaeC

    I'm glad you've had that at least and the outcome was good for getting diagnosed, but definitely, you don't just fix deep traumas in a few weeks.

    I don't really understand why they say, you can have a 6-8 weeks, then that's it, you don't get more sessions even if you need it, or if what you are dealing with takes longer to address.

    They don't do that with physical medicine. Imagine how absurd that would be 'oh that rash came back, sorry we treated you for it already.'

Children