He argues that appointments systems are destructive to healthcare. It causes chaos and overloads hospitals and ambulance services. Appointments systems benefit bureaucrats, not patients.
Many years ago, in the dim and distant past, when people still believed the world was round and that germs were real, I began work as a junior partner in general practice. I was in my mid-twenties, not long out of university and as a green as it is possible to be without being grass. Doctors went to prison for killing people and wars were things other people started.
My predecessor, who had operated what had effectively been a single-handed practice in the downstairs portion of his house, worked within a small group of doctors who shared night and weekend on-call duties. The other doctors in the group all ran appointments systems. My predecessor did not. And so, when I began work, I didn’t have an appointments system either.
Everything seemed to work well....<<<Read More>>>...