Late April 2016. As hospital consultants and staff doctors across England prepare for the first ever full walk out by junior doctors, similar preparations take place at Walmington-on-Sea…
Scene: The local District General Hospital Casualty Department. Mainwaring and his platoon stand facing each other. All are wearing baggy theatre greens with stethoscopes draped in the modern fashion round their necks, except Wilson who is wearing a Prince of Wales check suit, with a large neurologist’s hat-pin in his lapel. Frazer has on an ENT surgeon’s head mirror, flipped to the up position, and the light reflects off it like a heliograph as he darts glances here and there. Mainwaring has a vintage WWII flare pistol in a holster on a belt, strictly for emergency use only.
MAINWARING: Hurry up and get changed, Wilson.
The wonderfully uplifting and generally obstetrically sound BBC series Call the Midwife has got Dr No worried. Playing catch up on the current series, he worries about the way the plots are getting more extreme, as if the writers, lacking the discipline of Jennifer Worth’s now expended memoirs, have decided to go commando. We’ve already had outbreaks of diphtheria, syphilis and rats: will bubonic plague be next? Or will it be World War Three? Dr Turner is burning out and booze has crept up on Trixie: when will the sponge-o-cidal Sister Monica Joan’s magic mushroom habit be exposed? Is unflappable Sister Julienne unflappable because she smokes cheroots behind the bicycle shed? Having put her back in a nurse’s uniform, will Dr Turner’s wife Shelagh now be transformed, Dennis Potter style, into a Singing Receptionist, complete with leather crop and corset? Will Dr Turner’s stress trigger a bout of crippling psoriasis? Such are the possible alarming developments on which Dr No frets.
Faced with the GMC’s latest antics, Dr No was tempted to do an RDJ (rapid demolition job) on some of its sillier notions, such as ‘emotional resilience training’ for doctors to prepare them for fitness to practice investigations (‘General Turkey Council: toughness training for turkeys facing Christmas process’), but instead he offers another variation on a favourite line of his, borrowing from great orators of the past. Three quarters of a century ago, Britain stood against the Nazi menace; today the medical profession stands against the regulatory menace. What would Mr Churchill have said had he been the leader we so clearly lack today as our profession prepares to face the greatest menace in its long illustrious history?
Dr No has received many queries from baffled GPs stumped by how to vote in the RCGP President and Council elections. Problems have ranged from not knowing how to open the voting papers envelope, through not having the foggiest notion about how the single tranfserable vote works, to logging accidentally onto Facebook and sharing one’s voting preferences there, rather than on the secure voting website. Dr No understands voting can be difficult and stressful, and so he takes this opportunity to share with you this walk through on how to vote safely and effectively.
The ballot for the next president of the Royal College of General Practitioners will soon be upon us. The field is strong, the going expected to be good, and in the interests of a spirited but fair race, Dr No offers – or perhaps that should be would like to share with you – his Ten Top Tips for RCGP Presidential Candidates.
Dr No is fed up with the Health and Social Care Bill, and the interminable waffle that surrounds it. To him, it is clearly the death warrant to the National Health Service. Once enacted, it will allow any willing cowboy – and that includes the unscrupulous doctors amongst us – to ride into town, and hawk their wares. Britain’s greatest post-war achievement, healthcare on need not ability to pay, will be dynamited, and Wild West law will prevail. Many, far too many, will perish.
Dr No has
Readers who frequent the pages of the UK medical blogosphere cannot fail to have noticed the decline in blogging activity. Almost a year ago, Dr Rant posted ‘Farewell Lord Darzi’ which was a farewell post in more ways than one. Earlier this year, the sun set spectacularly on Dr Crippen, and more recently The Jobbing Doctor turned off his steady flow of posts in mid-stream. Many of those who are still posting are doing so at reduced frequency. Only L’Oréal Pal continues to post regularly, presumably because she thinks she’s worth it.
Today is St Valentine’s day. It is also, by coincidence, the first anniversary of Dr No’s