Health services in the UK are free for all and they may be some of the best in the world,

but they are

infected by the sickening application of capitalistic values and the Blears Witch model. This
bureaucratic system is the most wasteful scourge in this country. It is so sick that many skilled
clinicians have left due to lack of basic standards. So, a significant part of the NHS is now operated
by people moving in from other countries where conditions were sometimes worse, sometimes not.
They are no less skilled, it seems, but they are dispensable and less likely to balk against the
prevailing trends of PCT (primary care trust) bureaucratic bludgeoning. That’s hardly going to be a
problem, since the PC PCTs are all about compromise compromise compromise, to fit in with them.
If you’re less than PC and differ with the PCT, you’ll find yourself out, or resigned to shutting up
and putting up care trust services. So, eastern doctors training in psychiatry and working as SHOs in
A&E departments, (some of them in the most racist areas of Lancashire), when helping an English
person not to commit suicide, don’t need to worry about whether their dialect is actually intelligible;
or whether their beliefs, traditional values and judgments will conflict with psychological processes
inherent with a more permissive society. But by all indicators, except the delivery point, they fit the
bill, tick the box and make the PCT look inclusive. Anyone who would object to explaining to a
Pakistani or Indian doctor why they have an abusive but compulsive sexual relationship with their
step-father or step-mother, or that they might be gay, or may want to cut themselves, or cannot stop
compulsively gambling, or stealing, or shopping, or eating… or complains that they just cannot
decipher the psychiatrist’s whispering responses… is racist. Health care has become the worst kind
of political institute. It is a political process, a political hierarchal organisation as opposed to an
experienced care-led hierarchal organisation. And worse, a capitalist-led political organisation.
This is mainly the auspice of the PCTs. So, the individual PCT has to justify its existence.
So, they push their pens to produce as much full-gloss-pamphleted and plasma-screened justification
for their existence as possible… more quantifiable justification than practitioners can produce of the
results of their patient care. This is not on. So, now the PCT needs to use more money to justify
collating the evidence (that is evidence-based practice, incalculable in practice) to justify that the
practitioners jobs are as justifiable as theirs. It creates more work, more jobs for the boys, more
money, more readable results; so that’s good isn’t it? That’s the theory. Because they can look good
and the government can look good at spending public money, even though people are dying of
MRSA for lack of basic-wage earning cleaners. Every PCT will duplicate this with their
independent in-house evaluations. Or triple it, since every correspondence I receive from them
comes in triplicate – envelopes and all, same delivery. That’s two totally unnecessary hectares of
forest for every hectare they need to strip. They have become the ‘art critics’ of public health; no
longer content with enhancing our appreciation of health care, supporting and informing us of
developments and innovations to expand our choices. Health care just could not exist without them
because they and the reports say so. Clinicians skills have to be harnessed to fit what is good for the
public. They have to be told how, why and when to fit in, by the PCTs, because they’re too busy to
be politicians, so they can conform their efforts to what is critically credible and what the
government, in their infinite cabinet wisdom, dictates to the public is good for them and what they
tell us we told them we want, in all the consultations they railroaded. Meanwhile, back in NHS city,
it’s new jobs for the boys, yes, but tasks have to be integrated into already overtaxed positions, to
save on wages and expenses. And where does the budget go? If there is one, it goes on new sub-
administrations; whichever department decides to go independent and pile more work and training
on their existing staff, with its individual bureaucracy, equipment, overheads and contract tender.
(See chapter – Take the biscuit).

“I do not believe all politicians and all commerce executives are

psychopaths. I just believe that to handle the things they are expected to
handle pushes them towards the same end, since the processes they have to
employ to apply such control are psychopathic.”