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Blog: Does Darzi have all the answers?

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'I'm beginning to feel a touch cynical, as if I am no longer able to get excited by yet another community-flavoured document with the Department of Health logo upon its glossy cover'

These days it is all about Lord Darzi this and Lord Darzi that, and all this conversation and chatter seems to have been taking place in various corridors of power for many a month.

The trouble is, we are threatened with the long-awaited Darzi novel at the end of June and a brand new primary and community care strategy a couple of days later. So much reading to be accomplished over the summer months, perhaps on a beach somewhere while lying under a parasol and drinking a cool beer or two.

But I'm beginning to feel a touch cynical, as if I am no longer able to get excited by yet another community-flavoured document with the Department of Health logo upon its glossy cover. The point is that I am pretty wild about primary care, I am its greatest fan and groupie, and there is much work to be done if we are to enjoy world-class care in my lifetime.

However, and this is when my age and many years of loyal service become apparent, there is little new to pronounce. While I am not a gambling woman, I would be happy to bet my next month’s salary on the fact that the new primary care strategy will include the following aspirations:

1. Services must be more community centred.
2. Efforts must be made to prevent disease, predict disease and manage it better
3. The public must become better informed and motivated to live well and be responsible for their own health.
4. Proper and robust integration between community health and acute sectors, plus social care is essential if we are to be as successful as most of us wish to be.
5. The route to all these glorious aspirations is the development of world-class commissioning.
6. The workforce of the future must be flexible, ready to adapt to unforeseen changes and more community orientated then in the past.
7. Modernising Nursing Careers will be the framework for ensuring that future nurse is capable of flourishing in the uncertain world of healthcare.
8. The future is multi-professional, multi-disciplinary, happy clappy partnerships between one and all – including public, patients and professionals.
9. Professional patronage must cease as we need to work with patients not for them, nor must we do things to them regardless of their views and opinions.
10 Nursing needs to find courage and optimism if it is to seize these spanking new opportunities.

You see, I am not a tired and worn out cynical primary health care nurse after all!

  • 2 Comments

Readers' comments (2)

  • As a newly qualified Health Visitor I am feeling pretty jaded at the moment, particularly when I found out that Lord Darzi did no t know about the 40% reduction in training and the scarcity of Health Visitors! I trained to provide a preventative service and to be able to use my public health knowledge but no I am now about to reign supreme as a substitute safeguarding nurse to all intents and purposes! Health visiting works wonders as a preventative service that offers universal services to all, progressive universalism smells of targetted services that research shows do not provide good results. Employ more health visitors and let us do our job properly or pay the price with ill health (both staff and clients)and poor retention in post.

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  • As a newly qualified Health Visitor I am feeling pretty jaded at the moment, particularly when I found out that Lord Darzi did no t know about the 40% reduction in training and the scarcity of Health Visitors! I trained to provide a preventative service and to be able to use my public health knowledge but no I am now about to reign supreme as a substitute safeguarding nurse to all intents and purposes! Health visiting works wonders as a preventative service that offers universal services to all, progressive universalism smells of targetted services that research shows do not provide good results. Employ more health visitors and let us do our job properly or pay the price with ill health (both staff and clients)and poor retention in post.

    Unsuitable or offensive? Report this comment

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