In an editorial for The BMJ today, Professor Modi says the total breakdown of trust between government and junior doctors “represents a catastrophic failure of senior leadership at all levels.” She says, it’s “time for acknowledgment of deep malaise around medical training and honest public debate on the state of the NHS.” Last week, a High Court rejected arguments over the legality of the actions of the health secretary, Jeremy Hunt, in connection with a new contract for doctors in training. The ruling was the latest twist in a long drawn out, damaging dispute that has brought thousands of young doctors onto the streets to protest. Professor Modi argues that the NHS “is in disarray” and that it is “a testament to the dedication of junior doctors and all other frontline healthcare staff that the public has been largely shielded from the consequences of this chaos.” The corollary is that most people are unaware of the extent of the change the NHS is undergoing, she adds. “Their protest is both an expression of breaking point frustration with their training and a clarion call to the country to wake up and recognise the true state of the nation’s health services,” she writes. Professor Modi argues that there is “an overriding need to re-establish trust, restore morale, and respect young doctors as the professionals that they are.” She also believes that the contract, regardless of any further tweaks, “will forever be damaged goods, and in this same spirit of building trust should be discarded and replaced with one drawn on a clean sheet.” Finally, “patients and the public must be part of a conversation, conducted with integrity, about the nation’s health services,” she adds. interview unix skillsThe questions are clear, she says. Do we want healthcare that is efficient, effective, and equitable, delivered by a modern public sector organisation driven not by financial incentives but by pride in outcomes measured to rigorous standards? Do we consider health a commodity or an essential component of a just society, crucial to the economic wellbeing of the nation? “The painful political awakening of a generation of young doctors may ultimately prove the catalyst to find a way forward,” she concludes.
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A last-minute request that an England woman undergo a mental examination has delayed a scheduled Oct. 17 jury trial for three people accused of defrauding a program designed to feed children out of millions of dollars. U.S. District Judge James Moody Jr. on Thursday granted a request to postpone the trial long enough for Dortha Harper, also known as Dorothy Harper, to be evaluated by mental health professionals to ensure she is fit to proceed to trial. Moody rescheduled the trial for Harper, Jacqueline Mills and Anthony Leon Waits to begin March 27, 2017. Mills is from Helena-West Helena, and Waits is also from England in Lonoke County. They and several other people have been charged in a series of indictments with defrauding the federal Child and Adult Care Feeding Program, funded by the U.S. Department of Agriculture. http://youtube.com/watch?feature=player_embedded&v=bN1f1rs_q2cProsecutors said that with the help of some employees of the state Department of Human Services, which administered the program, several people were approved as “sponsors” and then pretended to feed children or greatly exaggerated feeding children in low-income areas to seek reimbursement from the government.
For the original version including any supplementary images or video, visit http://www.arkansasonline.com/news/2016/oct/07/mental-health-test-delays-food-fraud-20/