September 20th – If you were due to go into hospital for an
operation on, say, your lower bowel and, just as you’re about to go under,
after the pre-med, you were greeted at the doors of the operating theatre by a
bloke in a boiler suit scrubbing his hands with a dishcloth who says;
I’m the chap that does the
hospital heating. Know nothing about theatre procedure but I deal with pipes all
day so, where’s the diff? I’ll be operating on you today, have a good one.
what would your reaction be?
Dunno ’bout you but if I’m gonna have someone rummaging around in the
coils of my bowel I’d want someone knows the difference between a heart and a bladder
and a more than passing grasp of the importance of good hygiene practice.
That’s probably my biggest beef with people in government, as you know by now;
that one where some bod who’s got two A-levels from Eton and a double first in
classics from Cambridge can be put in charge of transport; a person who’s never
been on a bus in their life and only ever travels first class on the
railways…and then someone books the tickets for that. The old adage trotted out
about how you don’t need insider knowledge in order to be a good manager?
That’s bollocks that is. It’s just a phrase they fill airtime with to save
other embarrassing questions being asked; the pitiful state of what was once
our beacon of civilisation, the National
Health Service, is a case in point.
What we once had was a self-governing, self-managing system, not perfect,
not always smoothly operated but at least run by those who had to work in it.
One of the early signs that things were awry was when private and public became
confused, when the private establishments were allowed to use the public
facilities as long as they paid for the time and staff; you’ll remember my
rantings about how it only takes one shithead to ruin what is otherwise a
peaceful or useful endeavour? A handful of consultant surgeons started to pop
in the odd private operation onto the public list, pay nothing for the theatre
time, staffing and equipment usage and reap the full profit for themselves ’cos,
when you’re only earning 80+k per year from your day-job and picking up private
consultancy work at £250 per hour…well, you need those few extra pennies, don’t
y’; bless. Then the government started the whole tick-box/targets culture and the PFI thing, going for outside
suppliers (their mates, just check the register of knobs from the House of
Lords who work for the pharmacy companies) going for the cheapest drugs,
equipment, waste disposal, going for unqualified cleaners and ancillary staff
and cutting frontline staff whilst putting in place managers who knew all about
systems but fuck-all about medicine and all the time, as the health service
spiralled and nose-dived into chaos, successive governments and ministers
tinkered and faffed about with the damage that had been done from the last
session of tinkering and faffing, spreading confusion and waste like a
pig-slurry spreader on a windy day all the time knowing that this fucking up
was deliberate so’s they could say;
Look at the state of the NHS!
This is why it needs to go PRIVATE!
…and then on into the South Staffs debacle we ended up with last year…
Care Homes (there’s an oxymoron if ever there was one) have suffered the
same fate. Hiving out the care of the elderly who became too ill or their
symptoms too complicated to be catered for at home, to private companies (their
mates) was just a recipe for disaster. And it’s no good saying;
It’s not all of these Care Homes,
just the odd 10 per cent who get it wrong.
Well, that’s as maybe but to the person it happens to? It’s 100 per cent.
And if I hear another person say;
Lessons have been learnt…?
Well, in both the above cases the systems are being run by folk who’ll
never have to use them, not them or their own; private health care for them,
pal.
Well, all of that guff leads on to my belief that, if there was someone
sitting in judgement on me in a court of law, I’d be really grateful in almost
every case, if two things were in place.
1) The jury was actually made up 12 unbiased fellow citizens who made
their mind up on the merits of the case and
2) that the judge actually knew what the various components of the case
were.
I’d rather not have the equivalent of the law-court’s boiler-man decide
whether I was going to hang or not, if that’s OK with you…although, in the case
of Queen versus Mr. McCartney it may
have been useful to have an idiot on-board. On this day in 1972, Mr. McCartney
was fined £100 for growing cannabis on his farm in Scotland . The interesting thing is
that, by his own admittance, the judge had never seen a cannabis plant before
the trial…that’s as in, not ever. Leaving
aside the possible cultural and social gap that revelation throws up, which is
as wide and as deep as the Great Blue
Hole of Belize, he could’ve, in honesty, have been looking at flat-leaved
parsley for all he knew then Mr McCartney could ‘ave said;
Here, judgey, take a taste. Now
you tell me what’s that? Go well wi’ fish, eh, an’ they want to make it
illegal?
You just have to play with that scenario in the other many other
organisations that have an impact on our lives, like the management of health
and education, defence and transport, utilities and the law, to question the
sense contained in a phrase we use often in theatre;
Them as design it never have to
tour it…
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