In today’s news, surgeons at Imperial College Healthcare Trust will get bonuses for not killing their patients.
My response to this is the same as my view of the compassion index and the Productive Ward scheme. Which is that by and large doctors, nurses and other healthcare professionals don’t need an endless slew of top-down schemes of incentives, monitoring and reorganising. What they need is to be granted the freedom to do their job.
Most clinicians want to do their jobs well, and are happy to get on and do it. Simply ensure that clinicians have a minimum of bureacracy to contend with, keep staffing levels above a safe minimum, and make the NHS disciplinary system a bit more robust so that we can effectively weed out those bad apples who don’t want to do the job. Make those changes, and it’ll make far more difference than somebody monitoring your smiles or sending you on a training course on how to tidy a cupboard.
Over at Kings College Hospital, nurses won’t be getting bonuses like the Imperial College surgeons if they do their jobs well. They get a biscuit.
Good nursie! Nursie beg! Nursie wanna bikkit?
That nurses have to be incentivised to be nice to patients and their families is shameful. When did it all go tits up?
Personally I don’t need an incentive and neither do the bulk of my colleagues. We have no need of a biscuit.
Depends what type of buiscit it is- ginger nuts or custard creams. There do seem to be far too many incentives that dont work floating around at the moment.
Is it Fairtrade organic double espresso coffee?
Might be worth doing that 3 weekend nurse training course after all
Well I always thought you lot went into the caring profession cos it’s all about,erm caring ?? Hardly think biccies is the way to go.On my ward sometimes the patients buy huge tins of choccies & biccies (especially at Christmas).
Last time I set foot on a medical ward there was invariably a huge pile of sweets, chocolates and biscuits at the nurses station due to various donations by relatives and patients.
This might explain why all the nurses on the ward seemed to be 40 stone.An extra voucher for a biscuit would be a fart in a hurricane.
Z, i love how eloquent you are! You really do have a way with words!
Hellfire, did you steal my scriptwriter for paragraph 3. This is what Beakie can`t grasp. For everything, and I mean everything down to putting up the christmas tree lights, you do there is some office bound waster piping “you don`t do it like that, you do it like this and failure to complete the checklist will result in disciplinary action.”. Strangely their concern never extends to an appearance on the ward. I suspect that seperation from computer solitaire disorientates them. When, oh when, will discretion, initiative and experience become valued again.
As for weeding out the bad apples. It is entirely impossible to overstate how badly that is needed. It just doesn`t happen though and that`s because of leftie doctrines and representation from left wing union no – marks.
When you compare the bonus incentive with the coffee one, it’s really insulting and infuriating, but speaks volumes.
Neither should NEED a further incentive of either kind.
This is what Beakie can`t grasp. For everything, and I mean everything down to putting up the christmas tree lights, you do there is some office bound waster piping “you don`t do it like that, you do it like this and failure to complete the checklist will result in disciplinary action.”.
This has the square root of fuck all to do with nursing research or nurse education or those who work in it, OSB and everything to do with the tide of managerialism that has overtaken the NHS thanks to a number of factors, chief among them being the increasingly litigious nature of the patient group.
From the BBC link:
“Surgeons could earn bonuses for successful operations under a plan being considered by the UK’s largest hospital trust”
So what’s their salary for? Just turning up?
A Litigant writes: I personally didn’t find the Legal Aid Board a particularly enthusiastic supporter of vexatious shrink bashing. Mr Max Trouble QC, told me the Board tend to set an unfairly high bar for mental health actions. He also used a VERY naughty word about the NHSLA.
“. . . vexatious shrink bashing.”
No no no, we’ve a zero tolerance policy on abuse in the NHS, make it all stop an’ go away!
And it’s dawned on me, how come nurses get tea and biscuits but medics don’t? Not much team spirit there eh, eh?
Our SHO brought in some very nice biscuits for us this week.
Our last SpR bought us a coffee machine as a thank-you.