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This is a brilliant article from @MaxPemberton
Much of what he says about how the #NHS has miraculously transformed overnight confirms what many have been saying for years. It’s a salutary lesson & proves anything is possible in a crisis.
"What doctors like me have witnessed over the past days and weeks is nothing short of extraordinary. A major incident was declared and within hours emergency plans had swung into action profoundly changing the way hospitals and services were run" /2
"I have my criticisms of the NHS but its behaviour now is a wonder to behold. Decisions that used to take months or even years because of endless pointless form filling and meetings are now made in less time than it takes to boil a kettle" /3
"Red tape is now nonexistent. It’s nothing short of extraordinary. An NHS infamous for it’s bureaucracy is now behaving like a Silicon Valley startup. If you can show it will help patients and get the service ready, it’s green-lit. Just get on with it" /4
"Many of us have noted this is how it should have been all along - but somewhere along the line the apparatchiks took over and stifled innovation. Not any longer. It’s been fascinating to watch staff rise to the occasion, natural leaders taking charge.../5a
..in place of those we can now see were just paper-pushers. It’s also become apparent how so many managerial jobs are unnecessary or redundant now the chips are really down. Perhaps this will create a culture shift in the heath service.../5b
...that makes it more focused on outcomes and patients’ care and less interested in the labyrinthine and suffocating administration" /5c
"At times of national crisis, we see the value of having a national healthcare system like ours. There is no way other countries could have achieved this kind of extraordinary, gargantuan reorganisation in literally a matter of days. It has been breathtaking to witness" /6
"A friend working in intensive care said we’ve created an entirely new ICU, from scratch, on a ward. This kind of thing normally takes months - if not years - of planning. They did it in 48 hours"
/7
"This crisis has so far shown the NHS at its absolute best. It’s not just the nurses & doctors. Porters, mail-room, physios, radiographers, receptionists, estates & facilities staff. You learn to appreciate how important these jobs are" /8a
"I have rarely felt so much in love with a group of people as I have for the cleaners this week. They have been so neglected for so long - subcontracted, undermined & undervalued - yet their work is now at the absolute forefront of fighting this damned virus" /8b
Thankyou Dr @MaxPemberton for all you & ALL your colleagues are doing to protect us.

If there is one #COVIDー19 silver-lining I hope it brings the NHS into the 21st century. What you have described means there is no going back. /9
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