Is this ‘Goodbye’ to the NHS?
Posted by shutah on August 23, 2007
Taking from article by Richard Hoey of Pulse
According to an article in Pulse magazine, it would appear that there are now 10,000 independent or supplementary nurse prescribers in the UK, three-quarters of them in primary care! However, training courses to become a ‘nurse prescriber’ consist of only 26 days of theory and 12 days of mentored practice!
Professor Hugh McGavock, a former member of the Committee on Safety of Medicines, said he had ‘serious concerns’ over the issue, stating, “nurses’ knowledge of diagnosis is pathetically poor. It takes medical students five years to be competent at differential diagnoses. Only a country with not enough doctors would go down this cheapy line.”
Apparently, the use of medicines requiring complex clinical judgment, including antibiotics and antidepressants, has increased far more rapidly. Use of ciprofloxacin (an antibiotic) is up 218%, paroxetine (aka Seroxat) by 262% and rosiglitazone (aka Avandia) by 245%, according to the latest data, for May this year.
Professor Tony Avery, an author of the BMJ editorial who is conducting a review of nurse prescribing for the Department of Health, said the data raised some concerns, particularly over use of antibiotics.
Professor Avery, head of primary care at the University of Nottingham and a GP in the city, said: ‘We also found large increases in antibiotic prescribing and if they’re not offset by decreases elsewhere, that’s worrying. But it’s still less than 1% of community prescribing.’
Dr George Rae, a member of the GPC prescribing subcommittee and a GP in Whitley Bay, Tyneside, expressed concerns over antidepressant prescribing and called for a full audit.
Perhaps this should be linked to an article in the Mirror newspaper yesterday about Mail Order Medicines? It seems to me that we are copying the ‘American Way’ and I doubt it will be too much longer before we have to contribute part of our earnings to an ‘Insurance Provider’ such as Blue Cross, Altius or Medicare to get our health care! Is it goodbye to the NHS?