“Force is all-conquering, but its victories are short-lived.”
I am still waiting for the first part of the HSC's fifth session attended by 'Douglas.'It is not on the government site yet, not even as audio!
The second part of the session was attended by the workforce planners, Anne and Moira (Because I am friendly like that :) and Sian Thomas of NHS employers.
Remember, when Professor Liz Paice attended the third session and gave her evidence, she said that '2007 was the one opportunity that will never happen again' or something else meaning the same. If you bear that in mind while listening to the 3 ladies in the fifth session, the future of postgraduate education becomes clear, if the current policy is left to continue.
Was 2007 a disaster in workforce planning? No, said the planners and all the three ladies agree with the CMO's earlier evidence (session 1.) It was the IMGs, not us, says Anne and Moira. Sian mentions the 'good' things about MMC but agrees with the CMO that the IMGs were the problem and adds that it was due to high volume of applicants and the lack of a transition period and a big bang approach caused the 2007 mess.S ian then said that continuing with round one was what the employers said they wanted because there were only a few weeks to August 1st when doctors had to be in posts for the 'sake of the patients', hence, it was the right thing to do to continue with the deeply flawed round 1.
I don't think so Sian, there were around 5 months left till August first! Round 1 could've been easily scapped and a fairer way to select introduced! My proof, round 2 was introduced and managed in three weeks! Therefore, the quality of the recruits was never really a priority! Why?! .... but, forget about this for now ....
There were hardly any cuts to educational budgets said Anne, except for a year in London where study leave money was affected, actually more money was invested to ease the 'bulge' to help transition. The workforce ladies think 'Doctors' aspirations need to be looked at.' Moira then goes on , with lots of 'employee circular' jargon about her 'effective workforce planning' using words like 'positive', 'flexible', 'quality, effective, robust, full consultation, exactly what we should be doing .... etc. A load of dressed up to 'mock' hot air!
Moira on commissioning the trainees evaded the question, using lots of jargon ending with the words 'positive step!' ... :-) Sian evaded a few questions herself using the same technique! The 'dence' use of jargon worked and the panel did not enquire further when questions were evaded! Of particular note, was when Sian spoke about international competition post CCT .. It was just left at that! Amazing. Again, when she said that 70% of medics are now female. Very good! Said Richard, the panel member ... No quizzing on why this is, nothing!
Sian talks from the point of view of her 500 or so employers It was very clear they were mainly after a cheap workforce in the future, regardless of the dire consequences on patients. All three women 'firmly' believe this is the way to go! Cheap, cheaper and cheapest! ... cut training numbers further, cut training times further! EWTD implications on the hours does not mean more training or training posts, it just means more nurses doing doctor' jobs, says Moira and agrees the rest!
With less training because of the EWTD, it simply means you have to re-evaluate the doctors at CCT level and classify them accordingly on the 'level escalator', or so implies Sian. Redefine the doctor's role, she adds but I don't think she means it the way Professor Tooke meant. I think what she wants is to 'downgrade' them! Afterall, the system for appointing consultants no longer guarantees a job at the end of training! But Sian wants more! She wants international competition for post CCT, even 4 years after graduation, at the end of core training! For the sake of the patients Sian? I don't think so! This is break neck competition! It's all about money! All about cheap, cheaper and cheapest!
It's about completely 'disarming' doctors! Forcing the medical profession into submission! ... It's WAR!
Can you now guess how the session will proceed to the end? The workforce planning ladies intend to wriggle out of responsibility and through the use of unfamiliar to the panel jargon entwined with carefully chosen 'positive' words. They will be evade answers when they it suits them. They will also make bad news look pretty!' Pchycobable, used on an investigative 'government' panel! Oh, please! I tell you, these ladies would have no trouble filling the 'white boxes of MTAS!' As for the above, I don't believe you ladies! Your ways have now prepared and put me in the mood for the remainder of the session! From this point, I could even have predicted your answers to the remaining questions! I knew you were going to also blame it on the seniors and their organisations, on the medical profession! No consensus, hey! Fiona sums up the session brilliantly below
Let's now go back to Prof Liz Paice and the 'one' opportunity of 2007 and see why she said so.
Here is the future of medical training in Britain:
Training posts will reduce year by year
Possible protection for the Brits till the end of core training for the lucky ones with training numbers
The rest will be forced into trust grade service or just leave medicine
Cut throat competition for jobs post core training
More and more doctors forced into trust service or leave medicine
Of those lucky to get jobs post core training, proceed to gain CCT
Again, cut throat competition for 'specialist' level posts based on the 'new' definition of the doctor's role, the way 'employers' see it and not the medical profession
Not much difference between CCT, trust grade or, indeed, quactitioners at this level either in expertise, money wise and, of course, 'standing' wise
Work in teams of bring them in, churn them out for safety
Select a handful to train to real consultant level ... no power, you're the flying consultant .. nice and placid ... and does 'exactly' what s/he is told!
Bye bye profession, hello levels escalator!
Welcome to Unison doctors!
“There are only two forces in the world, the sword and the spirit. In the long run the sword will always be conquered by the spirit.”