All patients deserve timely access to quality care

We went into this with the longest waiting lists & lowest numbers of consultants in the EU

Now we will work in an environment of reduced capacity in all hosptials due to infection control measures (1)
(2) better use could have been made of all of the private hospital capacity taken over by the state with a more collaborative inclusive approach

But the concept of buying additional surge capacity was the right one

Optimal execution needed agility

We must do better going
(3) forward for all patients

Ending a deal that was costly & suboptimal in favor of a new one that will need to be optimised to max the benefit for all patients especially those with essential needs is key & credit to @SimonHarrisTD for displaying the agility & foresight to do
(4) this

We must work together compassionately & inclusively so we get as many people the care they need whether with covid or non covid illnesses

We may well need private capacity for future covid surges & we will need to use all capacity optimally to meet all urgent need
(5) ultimately we need a health service that is co led with patients, responsive to their needs, agile, with patient impact & experience as its core metric

We have a long way to go

I hope that many who have advocated so strongly for patients who use private hospitals will
(6) lend their voices & influence to fighting with those of us who fight for all patients especially those who have been waiting for care on public lists for years

Their needs are no less

In fact in many cases due to social determinants of health & inverse care law, they have
(7) often much unmet need

It was never acceptable that people wait years for care, in some cases having worse outcomes as a result

And the harsh truth is that many of us who have PHI & access to excellent elective care in private hospitals do not share the experience of those
(8) for whom the public system is the only option

It is also true that the public system does the majority of the heavy lifting when it comes to complex expansive care be it stroke or rehabilitation & thus the private sector benefits from this
(9) I have many great friends working in private sector who are excellent committed clinical colleagues

And as IHCA VP I represent all consultants not just my new entrant kin

But as a doctor & as a patient advocate I have a duty to be very clear about the truth
(10) our current system fails the most vulnerable & we collectively need to do better

Timely access to quality care is a right for all

And those of us with privilege have a duty to use that for the common good

All of us must be better & do better

The change starts with us
(11) lastly my buddy @antcon7062 is back

He takes a lot of heat for his career long advocacy for all patients & he’s one of the most decent principled people I have ever met

If you find yourself on the opposite side of an argument from him it’s worth pressing pause & listening
(12) we can go from being the system with the worst waiting list to one that is on MBA programs looking at how we improved so much in such a short period of time

But it’s a choice we have to make to work together, with agility, flexibility & compassion to make it work
(13) we have to first believe

And then start to trust

And take it from there

But we can’t go back to the dogs dinner of a mess we had before

People deserve better

Otherwise this in it together was an exercise in civil compliance not solidarity
You can follow @ProfSuperJunior.
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