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Clare Gerada: Patients need to be more 'accountable' for their health, suggests GP mental health lead

Discussion in 'Health News and Research unrelated to ME/CFS' started by Cheshire, Dec 12, 2017.

  1. Cheshire

    Cheshire Moderator Staff Member

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    I have no doubts that some patients are "difficult", but the answer offered by Clare Gerada is so... hum, don't even know how to qualify it. But sure, coming from her, it is not surprising, and quite telling.

    http://www.pulsetoday.co.uk/your-pr...ggests-gp-mental-health-lead/20035805.article

    ETA: Clare Gerada is Simon Wessely's wife.
     
  2. Valentijn

    Valentijn Not a moderator

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    This whole thing is so fucked up, I don't even know where to start. I can only speculate that Dr Gerada assumed what she was saying wouldn't go beyond the room it was said in.

    Apparently the focus isn't to keep patients healthy, it's to protect GPs from the patients:
    It sounds like the organization she's running isn't capable of dealing with the problems GPs are having so she's shifting the blame to the patients:
    Based on what I hear from patients in the UK, they have no options and accordingly no authority. Doctors have tight control, and there's little accountability when they make a mess of things. The NHS seems to support their lack of accountability by giving them a lot of ways to pass the buck, such as crappy guidelines and tolerating widespread psychogenic diagnoses:
    It's pretty sickening that people like Dr Gerada have any authority in the NHS. No sane person would want someone with that attitude as their own GP, so why is she making any sort of policy decisions or recommendations?
     
  3. Adrian

    Adrian Administrator

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    From what I see too many GPs default to doing nothing and dismissing patients (hence the desire to push for psychogenic diagnosis). We have had years of patient blaming from people like Gerada talking about the 'worried well' leading to late diagnosis. We see this continuing with a push on MUS which is again about dismissing patients symptoms.
     
  4. strategist

    strategist Senior Member (Voting Rights)

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    Of course GPs are stressed out. The NHS is collapsing due being starved of funding. The policy of treating complex or unexplained illness as psychosomatic, promoted by Gerada, Wessely, etc is a good way to poison doctor patient relationships. A little more humility would be easier for everyone.
     
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  5. arewenearlythereyet

    arewenearlythereyet Senior Member (Voting Rights)

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    They will continue to blame patients while they cut funding. Its a great cop out when it comes to funding at Westminster to feed in to the patients wasting valuable NHS resources ...similar to "cheating people who sponge off the state by living off of benefits" narrative.

    Personally I think these narratives are pretty close to other more sinister methods of breeding contempt and hate. Its quite contradictory that on one hand breeding hate is seen as terrorism yet on the other hand the right wing politicians find no problem in breeding hate when it comes to benefits and "bed blockers" in the NHS.

    No wonder people who have studied psychology are making great careers out of feeding the governments propaganda machine
     
  6. Snow Leopard

    Snow Leopard Senior Member (Voting Rights)

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    There is a big problem when medical systems (funding, teaching etc) do not consider human nature as central to their practise.

    A system that expects doctors to provide perfect advice and patients to always follow that advice is pure fantasy.
     
  7. Esther12

    Esther12 Senior Member (Voting Rights)

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    Just about everything I read from Gerada makes me cringe. I don't think that she'll ever be able to understand the harm she's done.
     
  8. large donner

    large donner Senior Member (Voting Rights)

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    I don't know who I feel more sorry for, I guess when it comes to it they are well suited.
     
  9. Jonathan Edwards

    Jonathan Edwards Senior Member (Voting Rights)

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    Indeed, and on a more general note the policy of treating complex disease when you are not qualified to do so, as GPs like to do, is simply unethical. It is people like Gerarda who are responsible for GPs continuing to fail to treat people for conditions that require specialist expertise to look after properly.

    GPs are totally unaccountable. They do bugger all and nobody does anything about it. It might not have been their fault but it is because they have wanted to go on doing things their way.
     
  10. large donner

    large donner Senior Member (Voting Rights)

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    Basically this is because the Blair government gave them enormous pay rises as a bribe to put up and shut up as a means to starve the NHS of money overall, and now the current government is finishing of the job so that they can sell it all off privately to their mates and corporate masters.

    When you push for a private health service using the logic that we cannot meet the health expenditure per capita any longer its a warped logic to think it would be cheaper by introducing the profit motive on top as the per capita need does not disappear, except that's how it will happen. Treatments will just disappear.

    Hence CBT for everything as a means of changing patient expectations and blaming the failure to apply a scientific approach on stupid citizens who spend all their time watching "fake news".

    Its no coincidence the government is pushing a "destigmatising of mental illness" agenda.

    Scary times!
     
    Last edited: Dec 12, 2017
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  11. Luther Blissett

    Luther Blissett Senior Member (Voting Rights)

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    To add context using Office of National Statistics Data,

    Human health & social work activities

    Unfilled Vacancies

    • July - September 2012 - 60,000
    • August - October 2017 - 120,000
    The range from 2001 - 2012 was from approx 50k - 80k.
    The 120k + level started in 2015.

    https://www.ons.gov.uk/employmentan...employment/datasets/vacanciesbyindustryvacs02
     
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  12. Jonathan Edwards

    Jonathan Edwards Senior Member (Voting Rights)

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    Yes, I blame Milburn. But the GPs had the option of refusing. They could have resigned on the grounds that they could not fulfil their responsibilities - as I did in 2010.
     
  13. Kina

    Kina Senior Member (Voting Rights)

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    That hits the nail on the head.
     
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  14. FreeSarah

    FreeSarah Senior Member (Voting Rights)

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    When I was teaching we used to have conversations like this about the students. Then by the morning we’d be sober.
     
  15. Valentijn

    Valentijn Not a moderator

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    Good point. "My job would be so much easier if it weren't for the customers and having to do my job," really is on par with a drunken rant :p
     
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  16. TiredSam

    TiredSam Moderator Staff Member

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    The lack of accountability among BPS-cult members is contributing to keeping M.E. sufferers ill.

    I blame Peppa Pig:

    http://www.bmj.com/content/359/bmj.j5397

    And while the BBC News website has studiously ignored M.E. for years, their Health Reporter Ian Westbrook is on the case of Dr Brown Bear within 24 hours:

    http://www.bbc.com/news/health-42322216

    You couldn't make this shit up, it is beyond parody. Clare Gerada is just another one of the lunatics running the asylum.
     
  17. TiredSam

    TiredSam Moderator Staff Member

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    With regard to the BBC article, there are some great comments, if you put them in order of highest rated first.
     
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  18. Luther Blissett

    Luther Blissett Senior Member (Voting Rights)

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    Holy moly, you are truly a fearless explorer of desolate and inhospitable lands.

    Please stay tethered to your nearest sane person.
     
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  19. Arnie Pye

    Arnie Pye Senior Member (Voting Rights)

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    This is simply not true for me. Over the last 40+ years I've been to doctors with many problems (mostly related, directly or indirectly, to one triggering event which happened when I was a teenager), and doctors have had absolutely no problem saying No to me, over and over and over again.

    If I ever try and push for treatment they look down their noses at me and usually suggest in some way that I, as a mere patient, could not possibly know what is best for me. Or they shout at me and throw me out of their office. Or they accuse me of being depressed, a hypochondriac, or tell me I have a functional condition for which there is no treatment.

    ....

    Another piece from Gerada, but I didn't think it deserved a thread of its own :

    http://blogs.bmj.com/bmj/2017/12/05...-medicine-become-such-a-miserable-profession/

     

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