NHS Borders… on insanity
There was some great news for health care in the Scottish Borders this week via BBC News. In order to improve services, NHS Borders have decided to reduce beds at Borders General Hospital. Even better news is that they didn’t fritter away taxpayers money on one of those wasteful needs assessment studies. No, to hell with science and logic, apparently it just seemed like a good idea at the time. The number of beds for the elderly is to be cut from 120 to 92. Ralph Roberts, Director of Integrated Care, insisted this would not mean a reduction in the quality of service received by patients. Ralph justified the decision by revealing that staff didn’t want to go back to the way they were working prior to this but somewhat surprisingly preferred the 25% reduction in their workload. How queer.

Meanwhile the Southern Reporter was reminding us about the impending closure of GP surgeries in Yetholm and Morebattle. “Kelso doctors want to pull out because the Morebattle surgery is not up to scratch and there have been complaints about the Yetholm service”. Well, let that be a warning to us all, complain about a local service and it may be taken away altogether. At this point some readers may like to reminisce about the old days when we used to have NHS dentists in the Borders. Even older readers may remember the good old days when some medical services were provided virtually on our doorsteps.

Ralph’s improvements at BGH sound very similar to the great improvements we have recently seen in out of hours care. Back in the bad old days if we were taken ill during the night we would simply phone our family doctor and if needed, the grumpy old GP would be in our house in a few minutes. Nowadays we have NHS24, where we get to call a national call centre (it’s surely only a matter of time before these are based in Calcutta). After interrogation we are given an estimated time for a call back, which is often under 4 hours at which point we may get access to a real doctor. Great!
It must be a scary time for old folks living up the Bowmont and Kale valleys. They must be dreading this winter, with no access to a GP and the prospect of navigating the stormy waters of the dreaded NHS24 for out of hours care. Unlike Mr Roberts, these people are only too aware of the annual winter bed crisis and are perhaps wondering what sort of trolley or chair will be provided for their inpatient care when they eventually reach hospital this winter.
Perhaps NHS Borders will come up with some imaginative scheme to save the day…

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