He Wasn't 'Left To Fall Through Every Crack' - The System Built The Cracks And Pushed Him Through Them

When Leigh White remembers her brother Ryan, she thinks of a boy of extraordinary ability who “won five scholarships at 11” including a coveted place at Bancroft’s, a private school in London. He was, she said, “super bright, witty, personable, generous and kind”. Ryan killed himself on 12 May 2024. A report written after his death acknowledged significant shortcomings in the support he received while seeking help for attention deficit hyperactivity disorder.

Like many people the Guardian spoke to, he followed the “right to choose” pathway, whereby patients can pick a private provider anywhere in England for assessment, diagnosis and initial treatment. They then ask their GP to enter a shared-care agreement for prescriptions and monitoring.

Sounds great, right? It isn't of course. 

However, Ryan struggled to get the two services to link up.The problem lies in the fact that shared care is voluntary and not all GPs agree to it.

Once again, these overpaid bureacrats are the sand in the gears. Because they don't agree with the policy, presumably. 

Some patients told the Guardian their doctor had rejected their private diagnosis on the grounds that it did not meet their standards.

And no, it's - for once - not down to money. 

This was even after the NHS had paid for it – and despite there being no official rules for private providers to follow.

*sighs* 

...he was referred by his GP for an ADHD assessment with Psychiatry UK, a private provider, in September 2022. It took five months for him to be assessed and diagnosed, but because of his bipolar history a community mental health review was needed before medication could begin. “Nobody chased anything, or took responsibility,” Leigh said.

Welvome to the NHS - in fact, welcome to every government run service in the world, it seems. 

He was deregistered by his GP practice after he expressed frustration at the delay in getting him help.

And because they can and will do this to those who complain without suffering any consequence, it will never improve. 

Right to choose was “poorly regulated, poorly managed and some people are making lots of money out of it”, Adamou said, adding: “If you don’t have regulation for that you are inviting a wild west.”

Regulation isn't going to solve this - consequences for failure will. 

We Didn't See You As 'Trusted Messengers' Before Your Virtue Signalling Nonsense...

...so we aren't likely to do it after this:

Dr Sarah Benn has long been concerned about the climate crisis, diligently recycling until she was “blue in the face”. But the rise of the climate activist group Extinction Rebellion in 2019 inspired her and her husband to go further. “We thought: well, if we don’t do it then who else is going to?” While working as a GP near Birmingham, Benn became increasingly involved in direct action over the next few years, and once glued her hand to the door of the Department for Business, Energy, and Industrial Strategy in protest at the government’s inaction on the climate.

*sighs* If only they spent as much time seeing patients as they do virtue signalling, we'd respect them more... 

Benn now faces a professional tribunal by the Medical Practitioners Tribunal Service (MPTS), the disciplinary arm of the General Medical Council (GMC), to determine whether she can keep her licence to practise. She is one of three GPs who face being struck off for climate activism this year, and her case in April is the first that will be heard.

After her first four criminal convictions – two for obstructing a highway, one for stopping people engaged in a lawful activity and one for flying a drone in a restricted place – the GMC opened an investigation.

Yes, Reader, you read that right - it takes FOUR convictions to get them to come in off the golf course and take a good hard look... 

It was not until Benn was found guilty of contempt of court for breaching a civil injunction at Kingsbury oil terminal in Warwickshire as part of a Just Stop Oil campaign that she was referred for a full tribunal. Benn spent a total of 31 days in prison for this action.

And she's far from the only one: 

Dr Patrick Hart, a GP from Bristol, also has a string of convictions for climate activism, one of which resulted in a suspended prison sentence. After he rejected a formal warning from the GMC, he was told he would face a tribunal in November.

“The lawyer I spoke to said it was unusually lenient but I didn’t take it. Partly because it would have been dishonest and partly because I’m angry with them for … failing to make any meaningful statement about any of this and enthusiastically investigating people for matters of conscience and patient care,” Hart said.

Where's the 'patient care' in all this grandstanding? 

Benn has now retired and is no longer practising as a GP. But she wants the GMC to recognise the importance of her actions, and said doctors should be seen as “trusted messengers”.

Not happening.  

You Know What, I'm Actually OK With This...

...just so long as it works the other way as well. And GPs and hospitals pay YOU every time an appointment is cancelled. It's only fair, right?

She told ITV's Good Morning Britain that the Government had 'no immediate plans' to impose fines but 'it is not ruled out for the future'.

Ms Caulfield, a former nurse, said there was a 'good argument for it and we are not ruling it out for the future but it is not something that we have got on the table right now'.

Asked if the policy could be in the next Tory manifesto, she replied: 'Potentially, yes.'

That's the strong, decisive Tory government we've come to know and love! 

...the idea triggered a backlash from the health sector.

Wait, what? Aren't they always complaining about no-shows? 

The British Medical Association said that fines for missed appointments would 'not only undermine the essential trust between doctor and patient (Ed: stop laughing at the back!), but ultimately threaten the fundamental principle that the NHS delivers free care at the point of need, for all'.

But no-shows don't generate any care, do they? And if they don't turn up, maybe they didn't need it...

The NHS Confederation said the bureaucratic costs of the plan 'could well far outweigh the money brought in by the fines'.

The NHS complaining about 'bureaucratic costs' would be laughable, if only I was capable of laughing anymore... 

How Are We Going To Know..?

GPs last night threatened to strike...

Ahahahahaha! Good one!

....over a proposed NHS contract they say fails to pay them enough to see patients.

Well, since they haven't fully got back to seeing patients, why should they expect to be paid? 

The doctors’ union claimed the rates on offer do not take account of inflation – and vowed to take industrial action if the Government and NHS England refuse to renegotiate.

They should refuse. Call their bluff. 

The NHS is braced for strikes on four days out of five next week, with nurses, ambulance staff and physiotherapists walking out.

This is a concerted effort by unions to bring down the government. It can't really be anything else, can it?