tag:blogger.com,1999:blog-8489009971732520747.post4393145160193128329..comments2024-03-24T07:19:28.136+00:00Comments on Lake Cocytus: WorkThe Shrinkhttp://www.blogger.com/profile/10009039342346247138noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-8489009971732520747.post-30030539816249579152010-03-07T14:02:59.697+00:002010-03-07T14:02:59.697+00:00And I'd agree with A&E Charge Nurse that w...And I'd agree with A&E Charge Nurse that <a href="http://thejobbingdoctor.blogspot.com/2010/03/sitting-around.html?showComment=1267960554533#c8252840787299361057" rel="nofollow">waiting lists</a> can be harmful.<br /><br />We have a wait in some bits at some times (memory clinic, at the moment) since inevitably there are peaks and troughs of activity.<br /><br />But for CMHT visits or my out-patient clinic or a DV by me or psychology assessment or social work input at the moment there're no waits. <br /><br />We have to do the work anyway, so why not do it next week, instead of in a few months' time? Waiting lists stress me out and aren't good for patients. If a service has enough capacity for the demand, there shouldn't be a waiting list. If there is, and this dissauades referrers because there's a wait, the service is no longer accessed on clinical need and it becomes part of a gatekeeping barrier.<br /><br />In some disciplines in health there are rate limiting steps (like access to MRI scanners or endoscopy time or whatever) but in mental health, if we're honest about what we're doing, I really can't see why we should have substantial waiting lists.The Shrinkhttps://www.blogger.com/profile/10009039342346247138noreply@blogger.com