Saturday, 29 August 2009

Shameless and Mischievous

i
This year, I promised myself I was going to be a good girl. I had to look that definition up in the dictionary because I clearly had no idea about the meaning of it. It was suggested to me that I had indeed grown up!? and that I should stop gnawing at the establishment's flaws. Firstly, I have always remained about 19 and I appear not to have aged. Sadly, even my brain works just as fast as it did then. I suspect being a whistleblower of years gone past hasn't helped because it means I don't actually give a damn about political correctness.

While my collective peers are busy making babies and wondering about their biological clocks, my hobby after midnight is dissecting the medical underworld. It is probably a dangerous hobby but one that is quite interesting. Everyone should have the knowledge of why things around them happen. Some say that to understand the present and the future, one must understand the past.

Having a relatively photographic memory has its advantages. Firstly, good looking men are always imprinted in my mind. Some things are important and perhaps vital. These things are a priority so I think about Hugh Jackman before anything on this post. In the old days, it was Harrison Ford but men get crumply with age and we all have to adapt.

Secondly, I often remember what I have read about 10 years ago. And this is what happened late last night with the name Sandy Macara. The vague memory of him being with the BMA and the General Medical Council sprung to mind while I was watching Sky News and munching on my maltesers.

Having served the establishment doctors for the term of his BMA life, Sandy [ much like Donald Irvine ex President of the GMC] had changed sides and gone to the Patients Association. So there he was as a Trustee. I was a little shocked because I thought Sandy had retired to gardening and a nursing home. Apparently, there is till life in the old dog yet. Kitted out with his silk handkerchief and smart suit, Macara parades himself as the patient saviour. Of course, he isn't one, we all know that.

Sandy, also known as Alexander happens to be a Freemason. He hasn't declared this because he probably thinks the public may not approach the Patients Association if they knew that the biggest establishment honcho was getting access to their data. I have nothing against freemasons but they can be a bit annoying when they start playing the same games as described in Stephen Knights The Brotherhood. I read the book in about 2001 following the BBC piece on Freemasons at the GMC. The issue about the Brotherhood is that it opens your eyes to some of the tactics used in medicine. Medical Freemasons are essentially protectors of the establishments interests. Have I been subject to their tactics? Who knows but if I have been, their tactics haven't quite worked. Recognition of the tactics used by Freemasonry is essential to any doctor in the NHS.

Anyway, like Lord Walton who must be about 200 years old, Sir Sandy will one day probably reside with him in a crypt known as the House of Lords. Lord Walton was the ex President of the General Medical Council. Under his reign numerous doctors went down without due care for their human rights. The problem with these crumply old men is that they swan around high places and assume that respect should be handed on a plate to them.

The usual traits of those who reside in the medical crypts of the hallowed halls is that they all have the opportunity of strengthening the Medical Act 1983 into something that controls doctors so much so that they have no freedom. The Medical Act 1983 today was developed by none other than ex GMC President Lord Walton who discussed the various aspects at the House of Lords debates. For anyone wondering why the disciplinary situation is so bad, all of you now know where to look. While all this was being done in the name of medical regulation, most doctors accepted it all silently. Now prices are being paid, in some cases with their livelihoods. The reason for this is to set an example for the rest of the working doctors - that they should not step out of line or criticize the status quo. Essentially, the Medical Act 1983 has become a livelong imprisonment should you accept its terms. Lord Walton may not be President of the GMC, he is though more powerful because he controls legislation by influencing debates. It isn't known whether Walton was also a freemason but the probability is high.

We should credit old Sandy for the following

From the BMJ

" The only public health doctor on the GMC, and Former Chairman of the BMA Council, Sir Alexander Macara said that he was out of tune with the current GMC Leadership and had called for the consultation document on revalidation to be referred back. He said he was disturbed by the impression that no reforms were made before the case of the paediatric heart surgeons of Bristol. There had been support for reaccreditation and the previous president had introduced the performance review procedures. The pace of the reforms might have been faster but the intention was there" he said. Sir Alexander Macara queried whether revalidation was necessary now that clinical performance and appraisal had been proposed"

Sandy will of course be aware that the Bristol Surgeons were apparently originally found not guilty by the panel. Rumour has it that Donald Irvine decided to take the panellist to one side and instigate a change of verdict. I am of course happy for anyone at the GMC to correct me on this.

The first job of revalidation is to probably to assess Sandy's ability to assess statistics at the Patients Association. At present, the Trustee of the Patients Association who is a public health expert appears to have got his figures tits up :). Of course, the responsibility for faulty statistics falls on the Trustees themselves. If a asian junior doctor made this mistake, the GMC would wave its flag citing that it can caught a doctor as part of its target practice. They would then hang that doctor in their public gallows and laugh.

Sandy though will float in and out of the Patients Association complete with silk handkerchief. Status does this to people. Their serene outlook is a example of decadence, Earl Grey tea and intellectual discussions on neat tables dressed with fine cutlery. These were though the men responsible for the NHS as it is today.

Perhaps this piece is not a "measured approach" or a "temperate" one but it is spot on :). Bit shameless and mischievous though much like my efforts to join the masons and the BNP :). Apparently, I am not to be allowed membership and I can't think of a reason why this would be so :).



0 comments: