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They get us both ways don’t they?

They crank up the compliance, the regulation, the expectation and the standards at one end and at the other end they tell us that when we’re breaking we must stick our hands up and say “we’re breaking”.

I was reading an article on clinician burn out recently, one of many.

Recently I have been introduced to the young dentist articles in the British Dental Journal through articles in the American Medical Association and also other sources, this was from another source from one of the defence unions.

The advisor writing was pretty balanced but they were clear that the guidelines for the medics state ‘if you know or suspect to give a serious condition that you can pass onto patients or if your judgment or performance could be effected by a condition or it’s treatment you must consult a suitable qualified colleague. You must follow their advice about any changes to your practice that they consider necessary, and you must not rely on your own assessment of the risk to patients’.

The ‘you must’ bit means that you have ‘an overriding duty or principle’. So basically, as the system gets worse at one end you must be prepared at the earliest possible convenience to grass yourself up at the other end.

Here is the thing, the stark reality.

80% of people surveyed are disengaged with their work. That is dentists and medics too.

50% of the adult population of the USA are forecast to be diagnosed with a significant mental illness at some point in their life, and the stats for the UK are no better.

We have a system which is pushing people towards burn out and mental health issues (not to mention physical health issues and dissatisfaction). At the end of these systems is the obligation to fall on our swords, give up and get out.

You combine this with the people who are leaving the profession as a result of over regulation, it’s clear for everyone to see from this far out that we won’t have any professions left for too many generations longer.

Everybody knows it’s bad now, but there is no proof.

We knew that smoking was bad before there was proof for that.

This is an unmanageable situation for everyone to see. It’s a societal problem, but healthcare just seems to be burning more quickly than the rest.

Blog post number: 1656

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