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Go Alex. The
sleeping giant awakes. Well written. From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Alex This is the contents of an email sent to the accrediting agency
following an "accreditation" visit 2 weeks ago. I will never take
part in the process again. I am
writing to advise you of my complete disgust at the accreditation
visit yesterday at the practice where I now work as a contractor. I
cannot recall feeling so degraded in my own place of work, so prostituted
in the course of of my daily duties as I felt during the "doctor"
interview yesterday. It was
my own doing to the extent that I should never have allowed the
interview to take place. However, as the senior doctor and former owner
of the practice, I felt some obligation to assist the new owners
in gaining access the PIP. This, to my observation, is about the
only value now left in a process which is so distorted from my understanding
of its original intent as to be unrecognisable. I
object in principle to a process whereby an organisation purporting to
accredit the facilities of a practice thinks it has the right to intrude
into matters which are not of its business. The manner in which I
conduct my medical practice is the business of my college, ACRRM,
the Medical Board of funding
agency and my patients. It has absolutely nothing to do with anybody
else. I
suppose I am most upset at allowing my principles to be so compromised;
it won't happen again. Specifically: 1) When
it was made clear that I found the questions inappropriate and
offensive, your accreditor offered only the option of penalising the
practice by failing its accreditation; this to me was nothing short
of coercion and his questions were answered under duress 2) Your
accreditor, was in my view, completely insensitive to the ethical
dilemma in which I found myself 3) Your
accreditor presumed he had the right to instruct me in the manner
in which I conduct my practice notwithstanding that he is not a
member of my college, notwithstanding that I had already made it clear
to him that I found this intrusion into the manner of my practice
unethical. 4) Your
accreditor assumed he had the right to trawl through the medical
records of my patients but I do not recall giving my consent, nor
were my patients consulted for their consent. None of
the above is required to establish whether or not a practice is
providing the facilities for the practice of quality medical care. The
quality of delivery of medical care is not the business of facility
accreditors. Nowhere
have I seen evidence that the absurd level of proscriptive activity
now apparently required of this accredititation process has made
one iota of difference to patient outcomes. I have today been forced
to advise staff to "undo" several absurd instructions, the consequences
of which "appeared" following the "accreditation" visit. These
changes would have compromised the safe and efficient delivery of care
to my patients in our surgery and I am not prepared to compromise
the care of my patients simply because someone visiting our
practice for half a day insists that he knows better than we do how our
systems operate within our practice. I
believe that accreditation as it is now and the RACGP are fundamental
components of the dumbing-down and de-professionalisation of
general medical practice. I choose not to be a party to this. I
therefore withdraw my consent to participate in the process. My name is
to be removed from all documentation associated with the "accreditation"
which took place yesterday. All consent to access information
pertaining to my professional activity with my patients is
withdrawn. Please
take whatever action is required to achieve the above; I would appreciate
your advice that this has been carried out. Alex Dr Alexander G
Bennett
On 09/08/2006, at 11:31 PM, Wal Tracey wrote:
If the College, ADGP, Divisions took the time to talk to GPs they would
find that the views expressed by Richard & myself and those of Alex and
Horst ( the Death of Individual Responsibility) regarding Divisions
Accreditation etc are commonplace. We too were close to telling AGPAL to bugger off this time but
relented. After our impending accreditation we will not be lining up again. |
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