Many of us may feel that the last thing that the BMA needs is another committee, working group or forum. And that what we do actually need is a speedy, coherent response from the BMA when crises occur along with a forward-looking approach to improving our working lives. For those of us working in secondary care it is obvious that it is in a parlous situation and urgent action needs to be taken to protect our patients and the valiant healthcare professionals struggling to care for them.
So, let me briefly explain why I think that our secondary care BMA committees, including consultants, SAS, junior doctors and our academic and public health colleagues, may not currently be as effective at achieving these goals in a coordinated way as they might otherwise be, and why I think the Secondary Care Forum is one potential solution.
Currently we work tirelessly as individual branch of practice committees to represent our members and deliver the outcomes we all need. However, we also have shared concerns about secondary care, and it follows that in those cases our response should also be based around a shared vision for a better future for one another.
It has never been more vital that we develop a practical and lucid approach to secondary care. The BMA GPC’s "Saving General Practice" publication is a fantastic example of what can be achieved when primary care articulates its expertise with a single unified voice.
It seems obvious to me that the BMA should be laying out its vision for how we preserve and improve secondary care in the long term. How we use funding effectively? How we access greater resources? How do we plan to meet demands on our workforce in the future? How should the way we work change to recruit and retain staff? How do we reduce bureaucracy?
Rather than be buffeted by STPs, ACOs and other disruptive three letter acronyms we should be proactive in devising our own solutions. We should be telling those in power where and how interventions, both financial and otherwise, can be used to improve patient safety and the working lives of those doctors currently struggling to keep their patients and themselves protected from the crisis in secondary care. A Secondary Care Forum, made of the chairs and officers of the BMA secondary care Branch of Practice committees will empower us to give our hospital colleagues and their patients the expert and dedicated BMA they deserve.
But we also need the ability to present a combined, cross branch of practice approach in our guidance to members too. That applies not only to our future hospitals, but also to how we support one another in the work we do now. For example, the excellent exception reporting guidance produced by our junior doctors is incredibly helpful to trainees and employers, but the other branches of practice are essential to its effective implementation by supporting it in practice. Consultants, SAS doctors and all trainers need training and dedicated time to facilitate this and the BMA must prioritise joined up and integral guidance to trainers and LNCs. This will enable them, in turn, to optimally support our junior colleagues with this new system.
In recent weeks, we been reminded of the importance of standing together with a united voice. Speaking to my colleagues across hospital medicine it seems clear to me that this new forum, with collaborative and insightful planning for our shared difficulties in secondary care, is the right one. Our members and our patients deserve the best we can give. I hope that you share that view.
Dr Helen Fidler is Deputy Chair of the UK Consultant’s Committee
Best of luck!
The GMC and MDU seem to be reform minded, genuinely so. The GMC needs govnt to change it's statutary position, but cannot get govnt to give this priority. The same applies to the NHS and all down the line to Dr Day's and Dr Bawa-Garba's difficulties. The RSA has declared that economics is unscientific and in need of total revamping. Which leads to populism and our hopeless parliamentary situation.
Our parliament simply does not have the capacity to govern effectively, like us they have all the time there is and no more!
As an head teacher said to his school governors we are on our own down here, and the same school's chair later said that hope was needed. Whether medics vote Labour Con or Lib or even stoop to active local or national politics we still depend on politicians, and we should continue to support the BMA and our Royal Colleges. United we stand!
The work is definitely different. For standard classes, the work I noticed was there to check that you did your assignment; questions directly from the text, simple prompts, stuff that one of my professors terms ‘consciousness checks’.
Essentially, because anything too difficult for any part of the essay writing service class to do will be a nightmare for the teachers to try and teach, most just don't bother. In the gifted field I went through, there was the obvious expectation that prior reading was done, and discussion on the matter was expected daily, as was novel analysis. Whereas standard classes look for the one correct answer, gifted ones tend to look for all of them.